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Treatment for Cervical Pain

I have had pretty severe neck pain for about 18 months. I really didn't do much
about it until about 6 weeks ago when I began to have pain, numbness, tingling
down my left arm into my left hand. This was the result of the MRI

C5/C6: Posterior element hypertrophy and posterior disc bulge with
eccentric posterior lateral left disc protrusion. Focal
encroachment on the anterior left cord with some indentation.
Bilateral neural foramen stenosis most severe on the left.

C6/C7: Posterior left lateral annular bulge with a sided facet
hypertrophy results in slight left canal narrowing and there is
left neural fragment stenosis

The doctor says the left arm is not related to the disc problem. So after
6 weeks, I have gotten physical therapy (seemed to get worse, don't know
if PT had any thing to do with it.) An offer of the drug neurontin and an oral

After trying my best to work with it for 18 Months, I felt I had to try to do
something. I am not trying to cause any problems, I would just like to
know if this is the proper course of action or should i go somewhere

Thank You, Trevor


  • LizLiz Posts: 7,832
    edited 03/31/2013 - 11:03 PM
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    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Your left arm problems may be related to:
    "Bilateral neural foramen stenosis most severe on the left."
    Ask current doctor why he says they are not related.

    Get copies of your MRI written report and a disc with the MRI images and get a second opinion from a spine specialist..
    Severe DDD, Severe neural foraminal stenosis at 2 levels, moderate canal stenosis at 2 levels, significantly impaired left shoulder & arm function. Chronic moderate compression fracture at C6.
  • Hi,
    I am sorry I did not get back sooner. Unfortunately it seems like you have more
    experience with cevical neck problems than I do. So far after 6 weeks, all they have
    done is give me oral steroid, percocet and nuerontin. I would like them to be more
    agressive as the risk of surgery seems to me less than being on a bunch of strong
    drugs for a long time. Am I asking to much, or are they beating around the bush and
    I need to push them harder.
    Thanks, Trevor
  • slow pace. It is possible for disc bulges to shrink back over a period of time. Often the initial treatment is more of wait and see while providing PT, pain meds and muscle relaxers.
    I would definately seek a second opinion especially since you were told the left arm isn't related to the disc problems.
    I have significant pain in my left arm, and weakness and tingling in thumb and 3 of my fingers. Mine is disc related and will eventually lead to a 3 level fusion. doing nightly traction to help with the symptoms.
    Good luck and let us know what happens.
    laminectomy c4/c5 2008, ACDF c4-c7 Jan 20 2014 sched
  • FrancineSFFFrancineSF Posts: 318
    edited 04/15/2013 - 11:00 AM
    I would get another opinion, as the others have recommended.

    Take the MRIs and find another qualified orthopedist or neurologist so they can take a look at them.

    While mine was different - C3/4 and C4/5, there has been a correlation to the tingling and the numbing in my left fingers.

    And, if you get yet a different response from the new doctor, get a third so you can compare. I went to three surgeons before I was able to determine what I needed to do.

    Good luck to you!
    10/26/2012 ACDF C3/4 C4/5 surgery
    No pain; no pain meds - thank goodness!
    04/01/2013 - 5 months + 1 week - FUSED
    Doing some physical therapy for even better range of motion
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