Hi there. I'm sorry you are having a problem with your neck. You have a C-6 herniation shown on MRI?
What exactly did the MRI show? Are your symptoms on both arms or just one side? Are you otherwise healthy? Have you neck/arms problems before? Did you have an injury? Any additional information would allow me to help you.
I am not sure who "Oakland" neurologists are? However, if you have a C-6 disk herniation that is symptomatic and has failed nonsurgical treatment, then you would be a candidate for diskectomy and fusion of that level of the neck
Please understand that the information I provide is for educational and informational purposes only and does not substitute seeing a live physician.
You should see an Orthopedic Spine surgeon or could see a Neurosurgeon.
Do you understand what a herniation is? The spine (back and neck) is composed of spinal bones that are stacked one on top of the other. The also have a canal behind them that the spinal cord runs through. The spinal cord shoots off branches of nerve to various parts of the body. The ones in the neck go to the arms. The disks are the cushions between the stacked spinal bones. When a disk "herniates" it has a break/rupture in it and the disk contents protrudes back into the canal and where the nerves exit the spinal cord. That is why the disk causes symptoms.
There are various types of herniations - central (straight back), lateral, far lateral, etc. They denote the location of the herniation and give an idea of which nerve roots will be affected.
If you have a symptomatic herniation that has failed other treatment, diskectomy and fusion is an option. Fusion is the stabilization of two spinal bones and the disk space between them that will remove any motion from that level. Fusion is the bridging of bone between two levels.
Laser surgery is generally not done in the cervical spine because the surgical approach is usually from the front. There are very important structures in the approach from the front of the neck including nerve that innervates vocal cords, esophagus, etc. So laser is not used in the cervical spine.
The success rate of diskectomy from the front for cervical spine is very high. It is also called an ACDF (anterior cervical diskectomy and fusion).
Feel free to message me or ask follow up questions. You can accept the answer at any time or ask follow up questions. I hope I have addressed your problem.
Thank you for your response; the nerve that is pinched is on the right side. Finding an Orthopedic Spine surgeon or a Neurosurgeon that my insurance "cofinity" covers. My reference to Oakland as I would like to find health care at the University of Michigan or Beumont Hospital or perhas Henry Ford. It is my understanding from your messages ther are two cures that I would like to know more about. There are nonsurgical treatments ( please provide me a description of non surgical treatment) and a sucessful diskectomy, which I believe is surgery at my neck line? All is very overwhelming at times. I fell about 7-8 years injuring my right hand. Some of this new nerve pain is in the shoulder, spine and right arm and numbness in two fingers. Having practiced yoga for 10 years; probably aggre
pressed the wrong key. So I am not sure what ruptured the disk other than the falls on the wrist those years ago. I sit in my job (computer consulting business and accounting. so maybe that career has had some effect. Stand up desk. Ok must move, too much sitting is not a good thing. thanks, Crystal
I am currently looking for a neurosurgeon at the University of Michigan Neurology department. In the meantime, my chriopracter is having me do traction which lifts my neck up to create space between the disks. Having had some people in the medical office tell me not to see a chiropracter. Actually she was the one person who had the right diagnoses and sent me for an MRI.
Other than surgery I have explored and found inversion tables are helpful. Is my thinking correct that other than surgery: there are physical therapy, steriod shots or pain shots and that is about it.
The MRI says the following finding: Veterbral body height and alignment are normal. Large right-sided herniation is present at the C6-C7 level with disk material extending into the right lateral recess and foramen. This produces displacement and deformity of the spinal cord at this level. There is no evidence of cerebellar tonsillar ectopia. Spinal cord signal is normal.
Your information has been helpful. I am trying to avoid surgery but the choices won't change the problem, maybe just put a band-aid on the problem.