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Doctor insights on: Cervical C4 C5 Herniated Disc Symptoms

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Why would they do epidural between c7 & t1 when the herniated disc is between c3 &c4 & c4&c5?

Why would they do epidural between c7 & t1 when the herniated disc is between c3 &c4 & c4&c5?

Anatomy: There are 2 different types of epidural injections in the cervical spine: transforaminal and inter laminar. Inter laminar injections are given near the midline of the neck They are typically given either at c6-7 or c7-T1 because there is much more space for the cord at that level and the injection will typically spread up to the other levels like C3-5. More danger to do interlaminar at c3-5. ...Read more

Dr. Thomas Dowling
846 Doctors shared insights

Bulging Disk (Definition)

Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more


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“what is 3mm anterolisthesis of C4/C5 and which is better a ACDF or a Cervical Total Disc Arthoplasty? I need to bend pretty far forward for work.

“what is 3mm anterolisthesis of C4/C5 and which is better a ACDF or a Cervical Total Disc Arthoplasty? I need to bend pretty far forward for work.

It depends.: 3 mm anterolisthesis of C4/5 means that the C4 vertebrae is 3 mm anteriorly positioned to C5 vertebrae which can be a normal variant or could mean instability.

If you need to preserve motion in your neck, then the disc arthroplasty is the better surgery. However, you must be sure that the disc space is a good candidate for disc replacement. If there is anterolisthesis, I would recommend ACDF. ...Read more

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Degeneration of disc at cervical spine c3, c4, c5, what to do?

Degeneration of disc at cervical spine c3, c4, c5, what to do?

Fairly common: Finding. This does not mean you will be disabled, just that arthritis is setting in and the discs are not as healthy as one would want. Work on strengthening your neck, helping support the area. Range of motion and stretching exercises, and stay well hydrated. Consider physical therapy as well if you start to notice pain and see a physician if you have any radiation of pain into arms. Best of luck. ...Read more

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Cervical disk herniation c4-c5 c5-c6 c6-c7?

Pinched nerve: Causes neck pain and pain down your arm or into the shoulder area. Usually responds to meds, pt but if it doesn't then surgery is necessary ...Read more

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Had cervical fusion (C4 & C5) 16 years ago. Current X-ray shows one screw has backed out almost completely and tilting down. No symptoms yet. Danger?

Had cervical fusion (C4 & C5) 16 years ago. Current X-ray shows one screw has backed out almost completely and tilting down. No symptoms yet. Danger?

Probably not, if its: Not causing any symptoms.
Certainly talk it over with a spine Surgeon who will be able to Foresee if there are going to be any problems in the foreseeable future. He might decide to take it out, as the Hardware (plate/screws) are now not doing much. They might need to be removed.
Best advise: Talk it over with spine surgeon who can examine you as well. ...Read more

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I have a cervical fusion at C3, 4, 5. I have a herniation at C5-6. How would the herniated disc be fixed? Would it be connected to my current fusion?

I have a cervical fusion at C3, 4, 5. I have a herniation at C5-6. How would the herniated disc be fixed? Would it be connected to my current fusion?

Adjacent Fusion: If you have a herniated disc at a level near your current fusion the new disc can be treated with a fusion that would connect with the other fusion. There are also new modern devices which allow us to do this without removing the plate from your previous surgery. ...Read more

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10 ft fall, herniated disc c5-c6 impinges significantly on the thecal sac, the cervical cord and nerve root, waiting on dr, advise, what will come?

10 ft fall, herniated disc c5-c6 impinges significantly on the thecal sac, the cervical cord and nerve root, waiting on dr, advise, what will come?

Nerve injury: A herniated disk can cause nerve pinching. By reducing nerve inflammation it may reduce your pain. The doctor may suggest medication, injections, or maybe even surgery. Don't panic, getting your pain reduced and nerve less inflamed is the key. ...Read more

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Which muscles and ligaments are affected by a c4, C5 and C6 cervical laminectomy?

Cervical Laminectomy: A laminectomy will remove the posterior arch of the vertebra over the spinal cord typically for stenosis. With this bone removal, the paraspinal muscles lose their attachment point and can contribute to abnormal alignment changes of the cervical spine. A laminoplasty does not eliminate the bone and ligaments over the spinal cord but reshapes the spinal canal and is preferable in my hands. ...Read more

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What is cervical spondylosis (cervical osteoarthritis) and what does it mean mild to left sided c4-c5?

What is cervical spondylosis (cervical osteoarthritis) and what does it mean mild to left sided c4-c5?

Aging: Spondylosis basically means aging changes of the spine, which can include degeneration of the discs, arthritis in the joints of the spine, bone spurs, bulging discs. Mild and left sided simply refer to the severity and location of the spondylosis, and C4 - 5 tells you which level of the spine is involved. It may seem unusual to have aging changes at age 28, but early spondylosis can be seen. ...Read more

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I have had a cervical fusion on C4 C5 and C6. I woke up this morning lying on my right side and my left arm was numb is this more neck issues?

I have had a cervical fusion on C4 C5 and C6. I woke up this morning lying on my right side and my left arm was numb is this more neck issues?

Not necessariy: May be due to posture while asleep affecting more peripheral nerves in arm, such as carpal tunnel issues, or ulnar at elbow. May be only a transient event, but contact your doctor if recurrent. ...Read more

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In Short, is is possible that slurred speech could be related to Severe Cervical Stenosis with Myelopathy @ C4-C5, C5-C6 and C6-C7 level (symptomatic)?

Less likely related: C 3 C4 C5 keeps the diaphragm alive so it could contribute to beathing difficulties. Slurred speech may have a different cause. Please follow up with your doctor or to the Emergency Room if this is a new complaint of slurred speech. ...Read more

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Is there a difference in symptoms from a POSTERIOR disc osteophyte C4-C5 vs a ANTERIOR osteophyte. Also normal for a young man in 20's? ThaNK YOU.

Is there a difference in symptoms from a POSTERIOR disc osteophyte C4-C5 vs a ANTERIOR osteophyte. Also normal for a young man in 20's? ThaNK YOU.

Yes, nerve pinching: A posterior osteophyte is a bony growth that is behind the vertebral disc, adjacent to the spinal nerve exit opening (foramen) and the facet joint. The posterior osteophyte can cause narrowing of the foramen, pinching the nerve. An anterior osteophyte is a bony grown in front of the disc where no nerve roots or joints are present; relatively benign. Atypical for a 20 something unless injured. ...Read more

Dr. Brian Le Dr. Le
2 doctors agreed:
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6 months ago, MRI shows herniated discs c4-c5, c5-c6. Now, no tingling down r arm but still neck, shoulder n upper back pain almost daily. What to do?

Dr. Brian Le Dr. Le
2 doctors agreed:
6 months ago, MRI shows herniated discs c4-c5, c5-c6. Now, no tingling down r arm but still neck, shoulder n upper back pain almost daily. What to do?

Neck pain: The neck pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement. ..
The pain in the shoulder and upper back might be a refer pain.
I recommend you seeking help from a health care provider (pain management doctor, physiatrist, neurologist, spine surgeon...) you might benefit from a comprehensive evaluation. ...Read more

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Acdf vs disc replacement: which one is better? What is the criteria for a cervical disc replacement. I already have a fusion at c5-7. C4-5 herniated

They are equal good: They are equivalent the decompression that precedes skeletal reconstruction is the effective part of the procedure for arm pain niether treat neck pain well what is you target symptom? Replacement advantages are theoretical in my opinion and comercially exagerated. In my opinion. ...Read more

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Does kyphosis cause heart issues? Or c5-c6 herniated disc symptoms are similar to heart issues symptoms.

Does kyphosis cause heart issues? Or c5-c6 herniated disc symptoms are similar to heart issues symptoms.

May be: Kyphosis does not cause any heart diease. How ever depending on the severity of kyphosis, people are more prone to get degenerative changes and arthritic changes in spine. This in turn can pinch the nerves and may cause referred pain in chest wall which would mascaraed as heart pain. ...Read more

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Do a recent c5-c6 herniated disc with spondylosis and l5-s1 prolapse disc with spondylosis cause symptoms similar to heart attack? Chest pain& fatigue

Not usually. See MD: A cervical disc on the left can cause pain in to left shoulder/scapula and in to the arm. The pain can give a patient fatigue if sleep is impaired. The heart should definitely be evaluated as soon as possible, though, as that could be potentially be life-threatening. ...Read more

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Does c4-c5, c5-c6 disc herniation n nerve impinchment cause headache / dizziness?

Does c4-c5, c5-c6 disc herniation n nerve impinchment cause headache / dizziness?

Not directly: C5 nerve causes referred pain to the arm, C6 nerve causes referred pain to the thumb.

People with pinched nerves in the cervical spine will often also complain of neck pain and some headaches. ...Read more

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C4-c5, c5-c6 disc replacement surgery. Interbody cage fusion cause adjacent discs to degenerate but using mobi-c will not. True?

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

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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?

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

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Female (55) C4 C5 osteophyte complex indents ventral thecal sac/lateral recess. Disc protrusion contacts/flattens ventral hemicord?

Not sure of your?: If you're asking about the imaging results you posted, you have a bone spur that is growing off of two of your vertebrae. It is large enough that it is pressing against your spinal cord and possibly some of the nerves that are exiting from the spinal cord. Your doctor will recommend treatment based on the severity of your symptoms. ...Read more

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I have been diagnosed in the MRI for a C4 C5 tiny non compressive disc bulge. Need to know causes and cure as its obstructing my neck movments.

I have been diagnosed in the MRI for a C4 C5 tiny non compressive disc bulge. Need to know causes and cure as its obstructing my neck movments.

Not likely: Disc bulges are commonly seen on MRI of the cervical and lumbar spine. These are usually early signs of minor wear and tear. A "tiny noncompressive disc bulge" is unlikely to be affecting your neck movements. You should work with your doctor to find a solution to your limited range of motion and/or pain. ...Read more

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What are the long term effects of doing a interbody cage fusion after discectomy for my c4-c5, c5-c6 total disc replacement? Any better methods?

What are the long term effects of doing a 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

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I have Degenerative disc disease with two bulging docs in my neck C4 c5. Will it get worse. What can I do to keep it from getting worse.? Help pain?

I have Degenerative disc disease with two bulging docs in my neck C4 c5. Will it get worse. What can I do to keep it from getting worse.? Help pain?

Degenerative Discs: All of our tissues undergo degenerative changes as we age and this discs between our vertebrae are no exception. I wonder why we refer to degenerative discs as a "disease". We don't refer to wrinkles on our face as "degenerative skin disease" or grey hair as "degenerative hair disease". That said, degenerative discs can be a source of pain. If an anti-inflammatory doesn't resolve it see your dr ...Read more

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How serious is a disc herniation at c4-c5 with spinal contact?

How serious is a disc herniation at c4-c5 with spinal contact?

It could be serious: The two most common levels in the cervical spine to herniate are the C5 - C6 level (cervical 5 and cervical 6) and the C6 -c7 level. The next most common is the C4 - C5 level, and rarely the C7 - t1 level may herniate.
C4 - C5 (c5 nerve root) - can cause weakness in the deltoid muscle in the upper arm. Does not usually cause numbness or tingling. Can cause shoulder pain. ...Read more

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Had left neck and shoulder pain. Mri showed tiny disc bulge @ c4-c5 non compresive. Plz guide causes and cure.

Had left neck and shoulder pain. Mri showed tiny disc bulge @ c4-c5 non compresive. Plz guide causes and cure.

Inflamation: Tiny disc protrusions do not often cause neck and shoulder pain. Inflamation of nerves and or muscles may be the culprit. Over use, misuse, posture, even sleeping position are common causes. Ice, nsaids such as alleve can be helpful. Address any postural stresses. Exercise, manual tx can help too. If it persists, see your doc. ...Read more

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I had an MRI done and it says c4/c5 posterior disc herniation impinging on the anterior thecal sac. I have pain in neck and shoulders and headaches.

I had an MRI done and it says c4/c5 posterior disc herniation impinging on the anterior thecal sac. I have pain in neck and shoulders and headaches.

Unclear if related: While this sounds like it could be the cause of your problems, you should talk to a neurosurgeon & carefully go over where the neck & shoulder pain is located. Just because the MRI shows an abnormality does not mean this is the cause. In fact, autopsy studies have shown 40% of all people have disc herniation, but only about 10% of people ever complained of back/neck/shoulder pain. Discuss w/ ur MD ...Read more

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After MRI, dx with c4-c5 disc herniation. Painful neck, shoulder & upper arm. How long should I wear a collar with simultaneous PT & meds.

Until improved: However that really depends upon the disc herniation as if this is large, surgery may be needed to remove the disc from pressing on the nerves. If symptoms improve then you should continue until your doctors say it is safe to remove collar. If there is no improvement then do not wait too long to see or get second opinion. Best wishes ...Read more

Dr. Andrew Seibert
360 Doctors shared insights

C5 (Definition)

C5 refers to the fifth vertebra in the neck. The first vertebra is at the base of the skull, so the fifth is in the middle of the neck. Injuries to the spinal cord above this level impair the ...Read more


Cervical (Definition)

Cervical relates to the first seven vertebra of the spine. It is related it the neck. Also it refers to the muscular opening/exit of ...Read more