Doctor insights on:
C5 C6 Disc Space Narrowing
My spine has straight alignment C6/C5 disc space is narrowed ... The subarticular surface between them has some bone sclerosis more of C5 which neck support should I use?
Symptoms??: There are no perfect necks supports. Wearing neck collars weakens the neck muscles so they should only be worn as a last resort to diminish neck muscle spasms and removed after 1-2 weeks to prevent atrophy of the muscles. You should see you doctor and determine if you would benefit from PT to strengthen those neck muscles.much depends on symptoms sine we don't treat XRays or MRI scans ...Read more
What exactly does this MRI say?
Broad shallow disc protrusion a C5-C6 causing mild narrowing of the central canal with slight effacement of the spinal
Disc protrusion.: Based upon the brief description, you have a disc which is spreading beyond its normal confines just a bit. This can be enough to cause pain in the center of your neck, but since it is described as mild, it is not likely to cause "shooting" pains down your arms, for instance. Follow your MDs advice for not making it worse. I can provide second opinions on MRI by Concierge Consultation, if you like ...Read more
What does it mean when there's slight narrowing of c5-c6 intervertebral disc in cervical-spine xray result?
See a neurosurgeon: Usually this is caused by an old or active injury to the spinal cord. Most common cause is from a disc herniation/bulge. Subtle signs of spinal cord compression are fine motor skill problems of the hands such as difficulty with buttoning buttons and also mild difficulty with walking. You should go see a neurosurgeon to help decide if there is active compression. ...Read more
See below: Bulging discs are seen in normal individuals. As we age we lose the fluid in our discs which makes them more susceptible wearing out. As pressure is applied to these discs they start to bulge a little. While you may have pain from the disc there are other potential causes including pain from the neck muscles, joints, or ligaments. ...Read more
How common is the "domino effect" after a c5-c6 c6-c7 fusion to address radiating pain/weakness due to disc/spur compression?
Disc loading: I do not use terms, "domino effect." The fact is having two levels fused in your neck definitely means adjacent levels are being overworked and have a significant chance of being injured resulting in bulges/herniations. If you gave récent l'y hard fusion as above, try to minimize neck flexion. If you have recurrent neck/arm pain since above fusion--problems. I might be able to help you. ...Read more
as usual, it depends: The severity and location of the herniation as well as any neurologic compromise dictate what activities you should avoid. In general, any heavy lifting should be avoided. ...Read more
SEE A PAIN DOC: A disc is bulging because it loses elasticity — like a waistband in your underwear. When it loses elasticity it no longer stays nice and tight and snug like it used to be. If it bulges enough it can get close to the nerve and irritate it. The inflammation and irritation can cause pain in the neck or shoulder blade as well as pain, numbness, tingling or weakness in your arm. ...Read more
My MRI says mild disc bulging with thecal sac indentation at c5-c6, what type of pain can this cause?
Hopefully: None, unless the pressure starts affecting your strength in anatomic fashion. ...Read more
Bilateral disc osteophyte complexes are present in the neural foramina. Most significant at the C5-C6 and C6-C7 levels. What does this mean? Thanks
Is surgery recommend for this & what kind? C5-C6 Large right paracentral disc protrusion seen, which extends 6 mm into the central canal. There's more
Yes surgery.: 6 mm disc herniation in the cervical spine is a giant disc. Therefore, more likely than not you would be symptomatic with bad neck and arm pain and numbness. So, if you have these symptoms AND if you have failed all conservative care, I would recommend anterior cervical discectomy and fusion at C5-6. If you have weakness, I would recommend surgery even if you did not have conservative care. ...Read more
C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?
Maybe: A theoretical advantage of artificial disk replacement is reduction in risk of other disks degenerating. Fusion is associated with this problem, but it is only one factor. Disk replacements in the neck do well, but may not always prevent disk problems at other levels. Ongoing research looking at long term outcomes are needed to answer this question. Early results are promising. ...Read more
I have a disc buldge in my neck c4, c5, c6. I am in intence discomfort for the last 3 years. I tried out all treatments nothing worked out. Please help?
See below.: If you are having arm symptoms including pain, weakness, and numbness you may be a candidate for an injection. Physical therapy can also be beneficial especially for neck pain. As a last resort, surgery can be beneficial for some patients especially if nerves are being compressed. I would consult with a spine specialist to discuss your specific case. ...Read more
Probably not: Although cervical spine problems can be associated with headaches and dizziness, usually these problems originate from the upper cervical segments(c2-5). If you are having arm and/or upper back pain, it is probably the result of these disc herniations. You should know that many patients without symptoms will have c5-7 disc herniations on their MRI which may be a serendipitous finding. ...Read more
What is cervical spondylosis? What does it mean if C5 — C6 and C6 -c7 disc shows diffuse circumferential bulge?
Just means there are: Degenerative changes noted. Just as you would expect to have wear at the bottom of your shoes, and on your car tires, just as you expect to develop progressive skin wrinkles with age, spondylosis is just degenerative changes of the spine, and at age 40, having diffuse disc bulge can be age appropriate. The hydration in the disc decreases with age, leading to disc bulging circumferentially. ...Read more
What does this mean on an MRI report c5-c6: there is a central disc protrusion indenting the ventral thecal sac?
A disc abuts spinal:
In the neck at the c5-c6 level, the intervertebral disc protrudes posteriorly from the spine, and pushes upon the anterior aspect of the thecal sac that contains the spinal cord.
This herniating disc material may abut or comress the spinal canal, possibly resulting with spasm. ...Read more
What are the long term effects of doing an interbody cage fusion after discectomy for my c4-c5, c5-c6 total disc replacement? Any better methods?
Adjacent segment de: While motion preservation is at least theoretically superior to fusion you have discovered that it does not always work. When that happens the decision has to be the choice of doing nothing or doing a fusion. Only your surgeon along with you can provide the answer to this question. ...Read more
Mri spine suggests slight loss of signal from interertebral discs at c4-c5 and c5-c6 suggest degenerative change, minimal lossof signal at c2-c3.
Your very young: For these findings! Any history of trauma? ...Read more
Right disc herniation c5-c6-right lateral stenosis severe right foraminal stenosis. Tried spinal decompression and trigger p. Injec. What else to try?
Most resolve with : Time but medication like oral steroids or nsaid's if no contraindications along with meds like Neurontin (gabapentin) may help along with wearing a soft cervical collar reversed when sleeping or reading. Cervical epidural injections are a consideration and if no better after 12 weeks of symptoms, surgery can be considered if symptoms warrant this intervention. ...Read more
I have 2 herniated discs in my neck (c3-c4 poster and c5-c6 left side w impingement) I've tried pt (helps) is there a permanent way to fix? The pain is unbearable sometime
See below: If you have done pt, are you doing the exercises that have been prescribed for you to do at home? I find that sometimes people forget to do these or think that these are not necessary. People do best when they follow the home exercise program. At 30 years of age, disc herniations can heal on their own but can take a while, sometimes over a year. Surgery can "fix" but will involve a fusion. ...Read more
Smooth Reversal of the cervical lordosis. Minor disc bulge is effacing the CSF anterior to the cord at C5-C6.?
Neck: The reveral of the cervical lordosis is usually from muscle spasms. The bulging disc is pushing against the sac that holds the CSF and spinal cord. You don't mention of it is pushing against the cord itself so I will assume it doesn't. Usually need rest, pain meds and muscle relaxers. Keep all your appointments with your doctor. You might benefit from physical therapy too. Hope this helps. ...Read more
At c5-c6 small diffuse disc bulge, moderate to severe left neural foraminal stenosis secondary to facet disease?
Question?: I am unsure what your specific question is. If these are the findings on an MRI/CT, the finding can be associated with cervical radiculopathy. The symptoms include pain in the lower neck, shoulder, arm, thumb and index finger. Treatments can range for medications, physical therapy, epidural injections to surgery. A spinal orthopedic surgeon or neurosurgeon can help decide on the best treatment. ...Read more
Bulging disc at C6 C7 — disc dessication @c5 C6 diagnosed by MRI still in constant pain and spasm, how long to heal?
Variable: Bulging discs are almost always normal at your age — they are a normal part of aging. Conservative treatment usually does well for treatment of neck pain (especially if you've had trauma, such as a car accident) — including physical therapy, progressive activity, and anti-inflammatory medications. Further treatment, if necessary, can include spinal injections. Talk to your physician. ...Read more
Dehydrated disc, bulge at c5-c6 will fasting in the month of Ramadan make the dehydration worse? Can I hydrate the disc?
No and No: "Dehydration" of the disc material refers more to changes in the collagen content of the disc. Fasting will not aggravate this type of "dehydration" of the disc. There is nothing that you can use to "rehydrate" the disc either. A "Bulging" disc is a VERY COMMON finding on MRI: it does not correlate very well with the presence/absence of symptoms; "bulging" by itself does not result in problems. ...Read more
What to do if I have broad based disc bulge C5 C6 C7 effacing CSF on the anterior spinal cord there is bilateral neurofora?
Depends on symptoms: You are describing a radiographic finding. Many times, people have disc bulges and no symptoms, in which case nothing needs to be done. If you are having neck pain or arm pain or numbness/weakness of the arms, then treatment with therapy to reduce the disc bulge and relieve pressure on the nerve roots or medication for the symptoms may be indicated. ...Read more