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Hi I Have Been Dealing With Severe Neck Pain For

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Posted on Tue, 16 Oct 2018
Question: Hi I have been dealing with severe neck pain for three months. I underwent MRI and it revealed I have a herniated disc at C5 c6 c6 c7. I have extreme pain when turning my head laterally. Pain shoots into my shoulders and down my arm into my fingers. The doctor has discussed undergoing a ACDF. I am just curious about the average recovery time for such a procedure. Thank you
doctor
Answered by Dr. Dr. Erion Spaho (3 hours later)
Brief Answer:
About one month.

Detailed Answer:
Hello and welcome to 'Ask a Doctor' service.

I have read your query and here is my advice.

Since your symptoms caused by herniated disc are lasting, I agree with the opinion that ACDF is a correct choice.

The procedure is done under general anesthesia, approximately 90-95 % of cases are symptoms free after the procedure, and may leave the hospital after 2-3 days.

A cervical collar may be used for one month when standing.

In general, it is necessary to avoid moderate to severe physical activity for one month approximately.

Hope you found the answer helpful.

Let me know if I can assist you further.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Erion Spaho (1 hour later)
Thanks for a great answer, how long after ACDF will I be able to return to weight lifting?
doctor
Answered by Dr. Dr. Erion Spaho (14 hours later)
Brief Answer:
Few months.

Detailed Answer:
Welcome back.

It could take up to three months after successful ACDF to start normal physical activity including weight lifting.

The best thing to do in such cases is to increase the intensity of the physical activity gradually, do not start with full load immediately.

Also, it is necessary to stop and postpone if any pain or other symptoms during these activities.

Hope this helps.

Greetings.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Erion Spaho (2 days later)
hi thanks for a great response I get an MRI yesterday. it would be extremely helpful if you can look it over and tell me what you think. Thank you for all your time, it is very much appreicated
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Follow up: Dr. Dr. Erion Spaho (2 minutes later)
if you cant see the mri here a copy and pasted it here: Procedure(s) MRI CERVICAL SPINE WITHOUT IV CONTRAST NEURO
Pt Name: Grillo, Timothy DOB:2127h988
MRN: 0000
Referring: XXXXXXX Hsiao-Liang Lin CC Recipient(s):
Pt Phone: 7 1.8-984-2406
Accession Number(s) Date of Service 160961s0 9l24lLB
IMPRESSION:
Diffuse d egenerative cervica I disc cha nge/disc protrusions.
Central left C4-5 disc herniation with partial encroachment upon the left anterior subarachnoid space. Left C4-5 foraminal narrowing.
Central right C6-7 disc protrusion with partialencroachment upon the right anterior subarachnoid space. Right C6-7 foraminal narrowing,
Punctate increased T2 signal, lateral right cervicalcord at C5-6 of questionable significance. Myelomalacia, demyelination and artifact are considered.
No significant cervical spinal canal stenosis.
The right-sided C4-5 protruding component on the prior study has resolved consistent with improvement. No significant change in the above findings otherwise.
FINDINGS:
CLINICAL INDICATION: Neck pain, bilateralshoulder, upper extremity radiculopathy x2 years.
MRI OF THE CERVICAL SPINE WITHOUT IV CONTRAST:
TECHNIQUE: Multiplanar multisequence MR imaging of the cervicalspine was performed without the administration of intravenous contrast.
Grillo, Timothy MRN

The second part
COMPARISON:2/17.
FINDINGS:
ALIGNMENT: Alignment is maintained. Minimal mid cervical levoscoliosis.
VERTEBRAE: Vertebral height is maintained. No marrow signal abnormality.
DISCS: Minimal loss of disc height at C6-7,T2-3..
CoRD: Punctate increased T2 signal in the region of the right cervicalcord at C5-6 is possibly artifactualalthough present previously. No definite cervical cord signal abnormality otherwise. No intradural abnormality. Normal cra niocervica I junction.
PARAVERTEBRAL SOFT TTSSUES: No paraspinal abnormality.
EVALUATION OF I N DIVI DUAL LEVE LS DE MONSTRATES: c2-3: central c2-3 disc protrusion. Minimal anterior thecal sac effacement. euestion of left c2-3 facet hypertrophy.
C3-4: No spinal canal or neural foraminal stenosis.
C4-5: Central left posterolateral C4-5 disc protrusion. Partial encroachment upon the left anterior subarachnoid space. Left C4-5 foraminal involvement. The right-sided component is diminished consistent with improvement,
c5-6: central c5-6 disc bulge. Minimal anterior thecal sac effacement.
c6-7: Central right c6-7 disc protrusion. Partial encroachment upon the right anterior subarachnoid space. Right c6-7 foramina I involvement.
C7-T1" - T3-4: No spinal canal or neuralforaminal stenosis,.
Electronic Signature: I personally reviewed the images and agree with this report. Final Report: Dictated by and Signed by Attending XXXXXXX Stern MD g/ZS/ZOlgt:42 AM




doctor
Answered by Dr. Dr. Erion Spaho (23 hours later)
Brief Answer:
Explained below.

Detailed Answer:
Hello again.

These MRI findings are mostly consistent with cervical spine degerative changes in multiple levels.

There's compression of the nerves at the right C6-C7 level, and C4-C5 level.

Befte to undergo ACDF, it is necessary to assess correctly the correlation between neurological findings and MRI findings, in other words, if the MRI findings justify your symptoms.

Also, the abnormal MRI signal should be clarified as well.

Discuss with your Surgeon for these issues.

Hope this helps.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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Hi I Have Been Dealing With Severe Neck Pain For

Brief Answer: About one month. Detailed Answer: Hello and welcome to 'Ask a Doctor' service. I have read your query and here is my advice. Since your symptoms caused by herniated disc are lasting, I agree with the opinion that ACDF is a correct choice. The procedure is done under general anesthesia, approximately 90-95 % of cases are symptoms free after the procedure, and may leave the hospital after 2-3 days. A cervical collar may be used for one month when standing. In general, it is necessary to avoid moderate to severe physical activity for one month approximately. Hope you found the answer helpful. Let me know if I can assist you further.