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

MRI done. Having pain in back and shoulder. Will the herniated disk correct itself in time?

User rating for this question
Very Good
Answered by

Orthopaedic Surgeon
Practicing since : 1994
Answered : 9086 Questions
Question MRI results state:

C6-7: There is a large left paracentral/foraminal disk extrusion flattening the left ventral aspect of the cord and causing high-grade left foraminal stenosis with exiting nerve root compression. Moderate central canal stenosis of 9mm is also noted at this level as a result XXXXXXX

I don't know what this means and have not seen my MRI. I had a second epidural yesterday. I am getting chiropractic and XXXXXXX tissue massage and doing home yoga and extensive stretching exercises, but no real improvement in tingling in left hand (thumb and first two fingers. I do not appear to have much muscle weakness or loss of mobility, but the entire left hand "flushes" when I extend it downward (as if to pick something up). After any prolonged actiivty, my upper back and should ache and, depending on what I have been doing (driving, for example), I get stabbing pains in the should and back of the upper arm.

My pain doctor is recommending me to a surgeon. What can I expect? How serious is this? Am I facing permanent nerve damage in the left arm,hand if I do not get it corrected? Will the herniated disk correct itself in time?

Thanks a lot for your time.
Posted Wed, 8 Aug 2012 in Bones, Muscles and Joints
Answered by Dr. Praveen Tayal 16 hours later
Thanks for posting your query.
The findings of your MRI are suggestive of cervical spondylosis with disc herniation and nerve root compression.
It happens primarily due to degenerative changes secondary to age in the cervical spine.
Treatment includes
1. Use of cervical collar helps in immobilisation and brings relief.
2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants like thiocolchicoside or chlorzoxazone might be helpful.
3. Methylcobalamin supplements are also recommended for nerve compression symptoms.
4. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a proficient physical therapist.
5. Hot fomentation helps in relieving acute symptoms.
6. You can avoid using a pillow.

As you try these measures, I encourage you to consult an orthopedician for both evaluation and to avail stronger prescription medications like muscle relaxants.
The problem you have is not very serious and the symptoms are reversible with adequate treatment. The herniated disc might not show much correction but the further deterioration can definitely be prevented.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Praveen Tayal.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
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