Brief Answer:
There is pressure on covering of spinal cord due to degenerative changes

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. The nerves to the neck, arms and face originate from the brain and spinal cord in the cervical spine region.

2. The cervical spine is made up of 7 small bones aligned on top of each other. There are spongy discs between these small bones which give it a cushioning effect and help in forward backward and turning movements. There is a spinal canal at the back of the spine through which the spinal cord passes. The spinal cord is covered by the thecal sac. The nerves originate from the spinal cord at multiple levels and pass through foramen between the small bones in the spine.

3. There is a possibility that your bones in the spine and discs are showing age related degenerative changes at multiple levels and particularly level C 5 and C 6. This is visualized as cervical spondylosis and disc osteophyte complex.

4. The effacement of thecal sac is mild pressure on the covering of the spinal cord.

5. The above features might cause symptoms like neck pain going tho the arms and associated tingling and numbness. Treatment is initially avoiding stressful movements of the neck and physiotherapy and applying muscle relaxant ointment. If it does not help then pain relief medicines to treat nerve related pain are prescribed. For severe spondylosis causing significant symptoms, steroid shots or surgery might be indicated.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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