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Suggest Treatment For Cervical Stenosis And Cough

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Posted on Wed, 5 Aug 2015
Question: My husband was diagnosed about 1 year ago with cervical stenosis, C4, the neurosurgeon felt surgery should not be the first option, sent him to rehab, which didnt work. In February he had a virus, coughing for weeks, antiobiotics/inhalers multiple times and O2 sats 94-96. Our GP order cardiac which he had with a clear determination, pulmonary studies and chest xrays show LLL diaphragm elevation. Today the pulomonologist said he has lost 1/3 of his lung capacity. Who to see next we have a neurologist but should we see a neurosurgeon? is this reversible with surgery? Or should we do Occ Therapy and breathing excercises?
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Answered by Dr. Ajay Panwar (4 hours later)
Brief Answer:
Can't say conclusively about reversibility.Pulmonologist's opinion.

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

Cervical stenosis at the level of C4 can,very well,be the cause of reduced lung capacity.There is no alternative pathology here,so cervical stenosis appears to have resulted in so.
Lung capacity has got reduced because of chronic effects of cervical stenosis.With chronicity,chances of reversibility decrease.So,its hard to comment whether it is reversible or not. Pulmonologist may be in a better situation to opine on this as he must be aware of magnitude of lung changes.

In case of cervical stenosis resulting in significant diaphragm elevation,you should consult a neurosurgeon.

Breathing and occupational therapy should be continued,anyway.It may be needed even if your husband undergoes a surgery.

Hope that I have answered your query.If you have some further 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
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

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Suggest Treatment For Cervical Stenosis And Cough

Brief Answer: Can't say conclusively about reversibility.Pulmonologist's opinion. Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. Cervical stenosis at the level of C4 can,very well,be the cause of reduced lung capacity.There is no alternative pathology here,so cervical stenosis appears to have resulted in so. Lung capacity has got reduced because of chronic effects of cervical stenosis.With chronicity,chances of reversibility decrease.So,its hard to comment whether it is reversible or not. Pulmonologist may be in a better situation to opine on this as he must be aware of magnitude of lung changes. In case of cervical stenosis resulting in significant diaphragm elevation,you should consult a neurosurgeon. Breathing and occupational therapy should be continued,anyway.It may be needed even if your husband undergoes a surgery. Hope that I have answered your query.If you have some further 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)