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

Do posterior marginal osteophytes at C3-C4 require surgery?

User rating for this question
Very Good
Answered by

Orthopaedic Surgeon
Practicing since : 1994
Answered : 10367 Questions
Hi I have a mild disc bulge in cervical c3 to c7 also have posterior marginal osteophytes at c3- c4 with thecal sac. I have a hand pain with heaviness along with numness .numness increases while sleeping. Do I require collar.
Will this condition be cured with collar along with medication. Or this osteophytes formation require surgery? Please suggest me
Posted Wed, 22 Nov 2017 in Back Pain
Answered by Dr. Praveen Tayal 1 hour later
Brief Answer:
Physiotherapy will help.

Detailed Answer:
Thanks for posting your query.
The heaviness and numbness that you have is due to marginal osteophytes which is an age related degenerative change of 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 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 physical therapist.
5. Hot fomentation helps in relieving acute symptoms.
6. You can avoid using a pillow.
Surgery is not needed right now. Exercise will help in preventing further progress of the problem.
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.
Wishing you good health.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL
Above answer was peer-reviewed by
Follow-up: Do posterior marginal osteophytes at C3-C4 require surgery? 17 hours later
Surgery not recommended right now means .I am asking about the permanent solution .in physiotherathy will this be cured without surgery.physiotheraphy will give permanent remedy? I want to fix this problem from the route cause please help me with the answer.
Answered by Dr. Praveen Tayal 5 hours later
Brief Answer:
Only exercise can help in keeping the vertebrae young and flexible forever.

Detailed Answer:
Thanks for writing again.
The osteophyte formation is due to aging of the vertebral bodies. You cannot stop the aging. Even if you get it removed surgically this will re grow after a few years. The only solution is to delay your aging process. This can be done only with a regular exercise. Even surgery is also not a permanent solution.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

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