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Doctor insights on: C7 T1 Herniation Symptoms

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Dr. Bennett Machanic
Board Certified, Neurology
47 years in practice
50M people helped
1

1
If symptoms in arm still persist after anterior distectomy with fusion and plates c7 t1 does it mean that there is irreversible nerve damage ?

Dr. Bennett Machanic
Board Certified, Neurology
47 years in practice
50M people helped
If symptoms in arm still persist after anterior distectomy with fusion and plates c7 t1  does it mean that there is irreversible nerve damage ?

Don't despair: The surgery may well have prevented further damage, but reversal of pre-existing problems may take time. Nerve damage may reverse, if optimal, at a speed of 0.1mm daily or speed of fingernail growth. Physical therapy has some potential, and exercise may restore part of this. An EMG test can tell if there is re-innervation and peripheral nerve sprouting. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Nathaniel Drourr
Board Certified, Pain Management
24 years in practice
506K people helped
2

2
Symptoms c7/T1 MRI mild posterior disc bulge / mild scollosis can you have cervical Ridiculophy? Would it be both arms & muscle spasm upper spine

Dr. Nathaniel Drourr
Board Certified, Pain Management
24 years in practice
506K people helped
Symptoms c7/T1 MRI  mild posterior disc bulge / mild scollosis  can you have  cervical Ridiculophy?  Would it be both arms & muscle spasm upper  spine

Possible: based on the MRI your disk does not seem too significant. However if this happened acutely it is certainly possible that you can get upper extremity radiculitis or radiculopathy as well as back muscle spasm. ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Peter Kurzweil
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45 years in practice
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Dr. David Brouwer
Board Certified, Internal Medicine
25 years in practice
3M people helped
3

3
Lateral views limited do to overlap w/shoulders c6/7 & c7/t1 suboptimally visualized. Straigtenein of lordotic curv of cerv spine?

Dr. David Brouwer
Board Certified, Internal Medicine
25 years in practice
3M people helped
Lateral views limited do to overlap w/shoulders c6/7 & c7/t1 suboptimally visualized. Straigtenein of lordotic curv of cerv spine?

Non-diagnostic spine: These are "non-diagnostic" results if those levels of your cervical spine were not visualized. You will need to discuss with your physician whether a different imaging option is advisable in your work-up, depending on what you were being evaluated for. ...Read more

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Dr. Brad Goldenberg
Board Certified, Pediatrics
31 years in practice
2M people helped
4

4
How common is it to herniate the c3/c4 disc and the c7-t1. Are either particularly a dangerous place to herniate and why ?

Dr. Brad Goldenberg
Board Certified, Pediatrics
31 years in practice
2M people helped

Ortho question: c3-4 is not as common as c8-t1 for herniation, both are dangerous due to the function lost by severe herniation, for example, a c3-4 herniation could leave a person without diaphragm function and ventilator dependent ...Read more

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Dr. Peter Kurzweil
Board Certified
45 years in practice
16M people helped
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Dr. Elizabeth Trinidad
Board Certified, Neurosurgery
22 years in practice
276K people helped
5

5
Is spinal surgery necessary for a disc tear between C7 and t1? Has pt alone been found to be successful for this type of injury?

Dr. Elizabeth Trinidad
Board Certified, Neurosurgery
22 years in practice
276K people helped
Is spinal surgery necessary for a disc tear between C7 and t1? Has pt alone been found to be successful for this type of injury?

Sometimes: Depends on how severe disc problem is conservative treatment is almost always a good start. ...Read more

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Dr. Peter Ihle
Board Certified, Orthopedic Surgery
49 years in practice
6M people helped
6

6
What can cause a far right lateral disc protrusion at c7/t1 encroaching the neural foramen and why clinical correlation suggested?

Dr. Peter Ihle
Board Certified, Orthopedic Surgery
49 years in practice
6M people helped
What can cause a far right lateral disc protrusion at c7/t1 encroaching the neural foramen and why clinical correlation suggested?

This is medical ....: ...speak. A radiologist who R often specialized in neuo-radiology reads an MR & only reports 2 the provider. A far lateral disk protrusion is usually closed by some trauma, @ times just a sneeze. Clinical correlation means the provider should determine if this is the cause of symptoms U may have. If not, no problem, but a far lat effects the nerve root above where 1 would usually C. ...Read more

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Dr. Raja Abusharr
Board Certified, Family Medicine
16 years in practice
271K people helped
7

7
Had a foraminotomyc6, c7, t1. Dr. Said the disc protusion too hardened to remove.But reroofed to ease pressures.Is a hard disc likely to reherniate?

Dr. Raja Abusharr
Board Certified, Family Medicine
16 years in practice
271K people helped
Had a foraminotomyc6, c7, t1.  Dr. Said the disc protusion too hardened to remove.But reroofed to ease pressures.Is a hard disc likely to  reherniate?

Hardened Disc: A "hardened" (medically referred to dessicated) disc that has been surgically treated is not likely to herniate again as the reason for the hardening is that the innermost part of the disc has become less compressible and would not likely bulge again. However, post surgery, and with continued "wear-and-tear" other arthritic changes can occur where the bones touch and at ligaments. ...Read more

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Dr. Maria Choy
Board Certified, Pain Management
32 years in practice
11K people helped
8

8
Cant afford titanium diagnosed with disk sequestration c6-c7. Dr plan corpectomy C7 n fusion anterior c6-t1 with gretting. Are der any options? Usin

Dr. Maria Choy
Board Certified, Pain Management
32 years in practice
11K people helped
Cant afford titanium diagnosed with disk sequestration c6-c7.  Dr plan corpectomy C7 n fusion anterior c6-t1 with gretting.  Are der any options? Usin

Options: Hard to answer without seeing films. However, alternative management with acupuncture has provided my patients with excellent relief even when surgeons want to cut. The most important aspect of choosing an acupuncturist for this is that he/she is knowledgeable of spine medicine: when it spine is stable and when surgical stabilization is essential If stabilization is not an issue, try acupuncture ...Read more

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Dr. David Trettin
Board Certified, Orthopedic Surgery
28 years in practice
1M people helped
9

9
C7-t1 there is a right lateral recess disc protrusion mildly indenting the right ventral cervicothoracic cord. What does this mean?

Dr. David Trettin
Board Certified, Orthopedic Surgery
28 years in practice
1M people helped
C7-t1 there is a right lateral recess disc protrusion mildly indenting the right ventral cervicothoracic cord. What does this mean?

Disc rupture: This MRI report suggests that your disc between c7 and t1 has ruptured and some disc ' materiel' is pressing on the the front of the spinal cord.I would suggest seeing an orthopedic or neurosurgeon for evaluation fairly soon. Good luck! ...Read more

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Dr. Richard Zimon
Board Certified, Internal Medicine
54 years in practice
3M people helped
10

10
Small right far lateral dsc protrusion at c7- t1 encroaching the neural foramen and possibly impinging C8 nerve root. Will this require surgery ?

Dr. Richard Zimon
Board Certified, Internal Medicine
54 years in practice
3M people helped
Small right far lateral dsc protrusion at c7- t1 encroaching the neural foramen and possibly impinging C8 nerve root.  Will this require surgery 
?

More likely than not: BUT first things first!!! An epidural injection by a INTERVENTIONAL PAIN EXPERT would be my first step! Ask your PCP (Primary Care Provider) for a referral to a Pain Clinic Hope this helps Dr Z ...Read more

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Dr. Peter Kurzweil
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