The cervical disc is made of a soft jelly-like center and a tougher covering. A cervical disc herniation is when the soft center protrudes out from a tear or weak point in the cervical vertebrae. The symptoms include neck and shoulder pain, numbness in limbs, and radiating arm pain.
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I have spine and neck pain with occasional chest burn. Why do I get this?
Query: Hello doctor, My main issue is spine pain accompanied with neck pain (disc is dislocated). It gets worse when standing up from a sitting position. When I get up from floor, I feel lightheaded. Sometimes it is that intense that I faint for a few seconds. While sitting in a car, I lose vision sometim... Read Full »
Dr. Peter Bryant Rapsing Grutas
Answer: Hello, Welcome to icliniq.com. I am sorry you are having these symptoms. There are many possible causes of your symptoms that may be related to the cervical disc herniation causing nerve impingement on the cervical area. This may be caused by degenerative changes considering your age and history. It... Read Full »
Can Thumb Twitching Be A Sign Of Cervical Disc Herniation Worsening?
Query: Hello doctor, I am a 32 year old female with asthma. I have cervical disc herniation for 10 years. Over the past 5 months, symptoms were back with tingling, weakness and shooting pain in arms. I tried medications like Celebrex, Lyrica and also massage, physiotherapy, chiropractor and acupuncture, b... Read Full »
Answer: Hi, Welcome to icliniq.com. A herniated disc in the neck can cause three potential problems: Injury and degeneration of the disc can cause neck pain that is not related to nerve problems, and this is not usually a need for surgery. If the disc and bone spurring that form for long-standing problems ... Read Full »
Query: Hi doctor, This query is regarding my dad. He has been limping for a year now. He is a construction worker and about two years ago he accidentally fell down from the first floor. He reassures me that his left leg limping is not due to the fall. He had about 20 sessions of physical therapy. He went t... Read Full »
Answer: Hello, Welcome to icliniq.com. It seems that he has intervertebral disc compression that needs further evaluation. Since there are suspected demyelinating changes in MRI, he would require further MRI brain to check for any demyelination in his brain. His compression as per report is not that seve... Read Full »
I had a history of a herniated disc six years ago, but I continue to have neck pain. Should I continue ADR?
Query: Hello doctor, May I receive your opinion on my two MRI's? I continue to have neck pain, but my motor control has improved. Should I aggressively pursue ADR? I had a herniated disc around six years back. I experienced extensive motor control losses in the triceps. There is continued improvement in st... Read Full »
Answer: Hello, Welcome to icliniq.com. I saw the MRI reports (the attachments have been removed to protect the patient's privacy). I believe the condition has improved as the latest MRI does not report an inferior extension of the disc, and there is some possibility that the disc has become smaller in size.... Read Full »
What is the short-term management for cervical disc bulge?
Query: Hi doctor, For the past five months, I have been getting increasingly worse neurologically. A month ago, I finally received an MRI with frightening results. At C4-C5, a central posterior disc herniation indenting the ventral thecal sac and elevates the posterior longitudinal ligament. There is a zo... Read Full »
Answer: Hello. Welcome to icliniq.com. I passed carefully through your MRI report (attachment removed to protect the patient's identity) and your question, and I suggest that your situation is not an emergency. So, I think it can wait a couple of months until consulting with a spinal surgeon and discussi... Read Full »
What are the ill effects of a disc bulge in the lower back?
Query: Hi doctor, I am a 56-year-old male. I am suffering from low-grade lower back pain for a couple of months already. It is not noticeable in the day but is so uncomfortable when I lie down and cause sleepless nights for me. The lower back pain was present before eight months, and I had it examined. Co... Read Full »
Answer: Hello, Welcome to icliniq.com. Good day, I have seen your X-ray image (attachment removed to protect the patient's identity). From the clinical history and the X-ray, it seems like you have muscle spasms, which itself can be due to chronic nerve compression or irritation, most likely due to a d... Read Full »
How to get rid of constant lower back and neck pain?
Query: Hi doctor, I have consistent lower back and neck pain. I have been diagnosed with cervical disc herniation before 20 years and lumbar disc herniation before 12 years. An L2 nerve block procedure was done before 11 years. I did my MRI before three years. Read Full »
Answer: Hi, Welcome to icliniq.com. MRI (magnetic resonance imaging) can show disc bulges present in both the neck and back. The degree of nerve root compromise will determine the degree of symptoms and taking conservative management helps a lot. I need to see your MRI. As your MRI was taken before three ... Read Full »
My MRI result shows small slit like CSF intensity at C5-C6 of the spinal cord. Why?
Query: Hi doctor, My MRI results are as follows: Loss of normal cervical lordosis due to paraspinal muscle spasm. Mild posterior disc herniation noted at C3, C4, C4-C5, C6-C7 causing mild compression over ventral thecal sac. Mild right posterior paracentral disc herniation at C5-C6 indenting thecal sa... Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to have known that small CSF-like intensity at C5-C6 is probably called a syrinx which can occur without a cause, due to tuberculosis or after a trauma. The disc protrusion seen at C3-C4,C4-C5 and C6-C7 are non significant. Do you have history of trauma or TB spi... Read Full »
I had foot drop after surgery for herniated disc. Please help.
Query: Hello doctor, I am 32 years old and had an herinated disc and had surgery a few years back, it was a post delayed surgery. Due to the delay in surgery (18 days) I left with a foot drop and right leg weakness. I was bedridden for 4 months. Totally weak. But I gradually developed doing physiotheraphy... Read Full »
Answer: Hello, Welcome to icliniq.com. I can advise you in detail if i have your detailed neurological charting including assessment of motor power, sensory charting of lower limbs and evaluation of deep tendon reflexes. Also, latest MRI of LS spine is required to see for adequacy of decompression. To a... Read Full »
Why do I still have pain after disc herniation surgery?
Query: Hi doctor, Five months ago, my wife had a disc herniation surgery. She was fine for the next two to three months, but again she is getting the pain. Her doctor advised us to go for repeated MRI. We are yet to meet her doctor, But, I am looking forward to know what is going on. I have attached the re... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query in detail. Please find my observations below. There is disc problem in the L4-L5 disc level. Though the pressure on nerve roots might have decreased after the disc herniation surgery, it is possible that the recent activity is causing press... Read Full »