What causes severe pain in cervical spine region while exercising?

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Posted on Fri, 12 Jun 2015 in Brain and Spine
Question: Respected Sir, I am XXXXXXX from machilipatnam,andhra pradesh XXXXXXX I thank healthcarmagic for their services.One of problem was answered by Dr XXXXXXX XXXXXXX I am very thankful to him.
Recently , my father experienced severe pain in the cervical spine region while he was exercising in the morning on the exercise cycle ,15 days ago.He is fifty years old.The pain lasted for 1 week and he applied some ointment and the pain was gone .One week back ,may be due to his sleeping posture he experienced pain again in the same region but this time the pain was even higher.It also started to radiate into his left shoulder till his elbow and he started experiencing some kind of tremors or vibration in his left hand fingers.
This was limited to his left hand only.The BP was normal.When we consulted our local home surgeon he advised us to go for MRI Scanning for Cervical Spine.I will also provide you the impression also sir.
My father used to get pain in his neck on the backside from many years but that was also limited to only neck region and hardly lasted for a day.Sir Is this a Kind of Spondylitis ?
Is it curable?
Please help me sir.
doctor
Answered by Dr. Ajay Panwar 35 minutes later
Brief Answer:
Cervical spondylosis is the likely cause.

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

If your father would have presented to me as an outpatient,even I would have made the same clinical impression.He is likely having cervical spondylosis. Spondylosis is different from spondylitis. Spondylitis means there is active inflammatory process in the spine while spondylosis is just the degenerative process without inflammation.
Most of the persons with these symptoms are cases of cervical spondylosis.I would like to suggest the same-getting a MRI of cervical spine.It will likely establish the diagnosis.

Since the process is age related,so it can't be reversed.However,it can be controlled to some extent, so that further damage is prevented.So,that way control of symptoms is possible but not the cure of the root cause.

Physiotherapy exercises for cervical spine are the mainstay of therapy.Regular exercises prevent further wear and tear of the spinal tissues.So,as a result,symptoms get improved.

Simultaneously,medicines like antineuralgic drugs,calcium/vitamin D supplements and methylcobalamin also helps.

Hope that I have answered your query.If you have some follow-up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar 15 minutes later
Thank you sir,
I would like to ask a question about the impression you got after going through the MRI report.
It is given that "postero lateral left disc protrusion of c5-6 and c6-7 impinging onthecal sac and lateral recesses".
What does that mean sir?
Is this a major change when compared with normal condition ?
Can this be controlled by proper medication and physiotherapy?
On the whole is it a very serious problem ?
Can he drive?
please help sir..!!
doctor
Answered by Dr. Ajay Panwar 21 minutes later
Brief Answer:
Please upload the MRI CD/image.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

Though,the report says about the discs protrusions at C5-C6 and C6-C7 levels,it does not say anything about the degree of severity of protrusion.It does not comment whether the emerging nerve radicles are compressed or not?Please upload the MRI CD as a rar archived file on google drive and share the link here.Alternatively,take a good quality image of the cervical spine and upload it here.That will give an idea about the severity of pathology.

Disc protrusion can be a disc bulge or disc herniation.Herniation is advanced stage after disc bulge.These findings are not normal.Posterolateral disc protrusion can compress the emerging nerve roots,thus causing radicular pain and other symptoms like tingling,numbness or weakness.

Whether the change is major or not?-I would be able to comment well after viewing the image.

Proper medicines and physiotherapy will definitely be of help and bring improvement.Improvement will be slow and gradual over a period of time.

Seriousness of the problem increases with the degree of disc protrusion.However,it is not a life threatening pathology.Increased severity of the problem causes more symptoms in upper limbs.

Driving may increase the disc pain.It can be better avoided in acute stage or till the pain settles.

Please consult a physiotherapist who is really good at the core knowledge of physiotherapy.He will give expert opinion on posture,ergonomics and spinal exercises.

Hope that I have answered your query.If you have some follow-up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar 30 hours later
Sorry sir,
there was a delay in getting the MRI CD from the institute.
Here is the link sir

https://drive.google.com/folderview?id=0B3e7ikaRAg6EfnB5YUZWU2EtZzJTenJNQ05HSGU1UlJWai01dTJHOXZaSllYMTdOVTJuams&usp=sharing

Sir now please let me know about the severity of the problem.Is it minor or major?
Can the disc protrusion be controlled.

Sir how many days should he avoid driving a car or a scooter.?
can he drive a gear less bike?
can the pain and numbness be controlled?
please help me sir..!!
doctor
Answered by Dr. Ajay Panwar 7 hours later
Brief Answer:
Changes are not severe.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.
I have gone through the MRI.I appreciate your efforts in putting up the CD.

Spinal degenerative changes appear to be minor.These should get controlled with proper regular spinal exercises.Medicines will improve the symptoms.Improvement will be gradual(over a few weeks) and not sudden.

He may drive once the symptoms get improved.Strict physical exercises and ergonomics as told by a good physiotherapist,must be adhered to.
Nothing specific for a gearless bike.Its a part of driving as well.
As I said,symptoms including pain and numbness will gradually improve with anti-neuralgic medicines and exercises.

Hope that I have answered your query.If you have some follow up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar 3 hours later
Thank You very much sir .
One thing i would like to hear from you is about the disc protrusion.
What is the degree of severity of disc protrusions at C5-C6 and C6-C7 levels.
Is it major or minor or medium.?
Does the MRI CD comment whether the emerging nerve radicles are compressed or not?

Sir after observing the MRI CD what is the severity of Disc protrusion?

One more question is that " does it require any surgical treatment or it can be controlled by proper medicines , good physiotherapy and by taking good rest"?.

Help me sir..
doctor
Answered by Dr. Ajay Panwar 7 hours later
Brief Answer:
Minor spinal changes.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

Here are your pointwise answers:

1)You have a minor disc protrusion.
2)Emerging nerve radicles are not compressed.
3)Again,severity of disc protrusion is minor.Just the early changes.
4)It does not need a surgical treatment,at this stage.Regular medicines and dedicated physiotherapy will improve the symptoms.

Hope that I have answered your query.If you have some follow up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

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