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Nerve compression due to annular bulge - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   had an injury on 05/27/10. my mri shows that my c4-5 has a slight bulge of the annulus. with minimal extrinsic. i have swelling on my upper trap since the injury. which causes numbness and tingling down my left arm.
Doctor :   hello
User :   hello, i'm still having swelling on my left ut and numbness and tingling down my left arm. had a nerve test done and it show normal also. can u tell me why this is still going on?
Doctor :   may i know your age and gender please ?
User :   and what does my mri mean that c4-5 has a slight bulge of the annulus. with minimal extrinsic?
User :   i am a female age 48
Doctor :   ok
Doctor :   so tell me your present symptoms ?
Doctor :   is this numbness constant ?
User :   when i walk for a minimal of 10min. my neck starts feeling hot and the tingling starts. if i am siting for about 30min. my ut starts to spasm and the numbness starts. i cannot drive longer that 45min.
User :   all on my left side.
Doctor :   you are having signs of nerve compression
User :   no not constant. only when i do these things. and i get relief when i lay down with a pillow holding my neck up.
Doctor :   have you shown to a neurologist ?
User :   yes, that i have told my doc.
User :   yes my doc is a neurologist.
User :   he has done a nerve test. and it came up normal. but like i told u it only happens when i am active. and when i had the test i was fine.
Doctor :   thats because change in posture is causing the nerve to compress
User :   wgat does c4-5 has a slight bulge of the annulus. with minimal extrinsic, mean? i have asked and i have not gotten an answer.
Doctor :   annulus is the inner portion of the spinal cord
User :   would that be some of my problem? that is what my mri has on it?
Doctor :   so when there is a compression it bulges out
Doctor :   extrinsic and intrinsic are terms used to define the extent
Doctor :   have you discussed surgery with the doctor ?
User :   ok, now i'm understanding. so what should i do or is there any way i can get relief with out pills for this. i have had pysical theorpy and uses ionto patches. and that helped.
Doctor :   physiotherapy is a very good option with great results
User :   i am a truck driver, have been for 17yrs. and i would love to get back to driving again with out pain. is there an option for me to get back to work?
Doctor :   it will take time
Doctor :   i suggest that you need to first take a physiotherapy course
Doctor :   and then you should consider
User :   i have had phy therapy for 18weeks and i have used it all up.
Doctor :   you felt relief ?
User :   only with the patches that they used on my upper trap.
Doctor :   the other option is surgery
Doctor :   but it has its risks
Doctor :   but you should see a spinal surgeon too
User :   yes, that is what the therapist told my.
User :   like right now i'm starting to feel the tingleness. and my neck it hurting
Doctor :   I can understand
Doctor :   but you do need a second opinion thats my sincere advice
User :   so get an appt with a spinal surgeon? i will ask to get that.
Doctor :   i wish you a speedy recovery
Doctor :   and hope you are back on the road soon
Doctor :   stay positive
User :   i will. this has me to where it enables me from doing a lot of things that i love to do.
User :   thank you
Doctor :   i wish you all the very best
Doctor :   your most welcome
Doctor :   thank you for consulting me
Doctor :   take care
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