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Severe neck pain, what kind of specialist?

I have had so much pain in every part of my neck since an accident last year, hurts all the time and some days so badly I cannot stand it, don't feel better even sitting as it feels as though my head is so heavy, neck hurts so can't settle, also hurts so much sometimes all night.

Pain has also radiated in to my back.

Went for an MRI and I am wondering who I should see for treatment, my primary care Dr is not that good, passes everything off and waits but this is killing me.

MRI says:

Loss of normal Lordosisis accompanied by disc space and facet joint degeneration. There is some ventral thecal sac effacement at C6-C7.

C2-C3: There is facet degeneration, right worse than left.

C3-C4: Minimal disc osteophyte complex

C4-C5: Minimal disc osteophyte complex

C5-C6: Mild broad disc osteophyte complex

C6-C7: Disc height loss, endplate degenerative signal changes and mild broad osteophyte complex.

The CSF in front of the spinal cord is effaced.

C7-T1: Small left paracentral disc protrusion, partially effaces the ventral CSF. Also mild facet degeneration at this level.

Fluid is visible within the upper thoracic spinal cord at the inferior aspect of the sagittal T2-weighted sequences.

MRI of thoracic spine is advised.

I am at a loss as to what I need to do, as i mentioned my Dr is practically doing nothing, no therapy...is this right?

Am I supposed to live with this awful pain for ever, every single day? i have never experienced any neck or back pain until the accident.

Please, can anyone help me, any advice as to what to do?



  • Has your PCP not offered to refer you to a neurosurgeon or orthopedic surgeon? Most of these surgeons read the results of MRI scan themselves then they can decide if you need surgery or therapy. Have you been to physical therapy or even offered to be sent to the PT? I know that some specialists also require referrals to see them.
    Discectomies 05/08 and 04/11, fusions L4-5 Feb 9,2012 and L3-L4 June 28,2012, Staph infection washout 3/2/2012, Bulged L5-S1. SCS trial on January 17th, 2014, which was a success! Permanent SCS on February 20th.
  • LizLiz Posts: 7,832

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  • buzzy12bbuzzy12 Posts: 4
    edited 01/31/2014 - 8:26 AM
    Thank you RT for your reply.

    I had PT for 3 months, once a week, but the pain is much worse so my Dr doesn't want to send me again.

    Dr. has now said he wants to send me for steroid injections in my cervical spine, do you know anything about them?

    thanks again
  • sandisandi Posts: 6,343
    edited 02/01/2014 - 6:29 PM
    If you click on the forums home tab, and scroll down, you will see injections as one of the forum options. You can click on that, and find many posts with information on the various injections and what they are for.
  • I myself seen 2 neuro and 1ortho. Had surgery with neuro.
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