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, but the symptoms are getting worse. I did an MRI neck around 3 weeks ago which showed straightening of cervical spine due to muscle spasm. MRI indicates cervical spondylosisdeformans C5-C6 - broad-based disc herniation with right paracentral disc protrusion causing anterior thecal sac indentation with bilateral neural foramen narrowing. Impingement of bilateral exiting nerve roots noted [LT > RT]. Posterior osteophytes were also mentioned. Now, for the past 2 weeks, I have increasing twitching in the thumb especially left which is becoming almost continuous. Is that a sign that the disc is worsening?
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 compress the spinal cord, there can be myelopathy or spinal cord dysfunction which causes problems with walking and weakness of arms and legs. Based upon what you have told me you do not have this yet.
The nerves leave the spinal cord and exit to the right and left. Sometimes disc herniation and chronic bone spurring can compress the nerves and not the spinal cord causing cervical radiculopathy which is most likely what you have.
As long as you do not have spinal cord dysfunction or significant weakness due to nerve compression, then you can try nonsurgical treatments like physical therapy, pain medication, or steroid injections.
If you continue to have significant arm pain or neurological symptoms for more than 6 weeks or develop weakness then you may need surgery.
An EMG/NCS (Electromyogram/Nerve Conduction Studies) test looks at the function of your nerves in the arm. It might be helpful if you get this test done to confirm that the MRI findings and pain you have correlate, before deciding whether to undergo surgery.
Was this answer helpful?
Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
.. when a hip replacement is done, that day itself, other joint movements should be started as early as possible. First, non-weight-bearing physiotherapy should be done, followed by partial and full weight-bearing exercises. Read full
.. for providing the brief history of your daughter. I am sorry firstly to hear that your daughter is being diagnosed with Erb's palsy. Well, I would suggest you to continue physiotherapy for atleast three days a week as it will be of good help for her. Read full
.. neck pain can be due to cervical spondylosis.
The lightheadedness and balancing issues can also occur due to spondylosis.
Spondylosis is not so severe on x-ray (attachment removed to protect patient identity), it is of mild grade. Read full
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.