Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
168 Doctors are Online

Have neck pain. MRI showed moderate changes of cervical spondylosis. Any advice?

User rating for this question
Very Good
Answered by

Spine Surgeon
Practicing since : 1998
Answered : 116 Questions
I am now suffering from neck pain, pain in left hand and tingling sensation in left hand upto fingers. In 2003 I had problem of disc prolapse in C5-C6 and a surgery for fusion of the gap was performed on 07/04/2003. Latest MRI done on 05th November, 2011. Impression is as under.
Moderate changes of Cervical spondylosis.
Bilateral paracentral bulge of C3-C4 disc indenting bilateral exiting nerve root(left>right)
Right paracentral heriniation of C4-C5 disc indenting right exiting nerve roots.
Posterior bulge of C4-C5 disc is noted in thecal case
Posterior osteophytes noted at C5-C6 level indenting thecal sac on left side.
Left paracentral protrusion of C6-C7 disc indenting thecal sac and left exiting root.
Please advise me whether conservative medicines are better or surgery is necessary.
Posted Thu, 13 Dec 2012 in Osteoporosis
Answered by Dr. S K Mishra 49 minutes later
Thanks for sharing your concern with us.
You are really in a tough situation. As you have said there are only sensory symptoms and pain ( I suppose no muscle weakness) ,try conservative treatment first. However if there is muscle weakness or problem worsens with conservative treatment you may require surgery. Surgical options are
1. C456 corpectomy and fusion
2. By careful clinical examination and NCV, if it is found that only 1 or 2 of three discs (C34, C45, C67) are cause of your trouble and one disc bulge is not significant , you may again undergo discectomy at 1 or 2 significant levels, this time with artificial disc replacement.
3. Some surgeons may suggest a posterior laminoplasty .
Hope I answered your question. Let me know if you have any more concerns
Above answer was peer-reviewed by
Follow-up: Have neck pain. MRI showed moderate changes of cervical spondylosis. Any advice? 16 hours later
How long I should try conservative treatment and opt for surgery.
Answered by Dr. S K Mishra 37 minutes later
Thanks for writing back.
Conservative treatment can be continued for any length of time , if your problem does not increase and your routine life remains largely unaffected.
If the symptoms become worse or start disrupting your routine, surgery needs to be considered
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor