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Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 46398
Experience:  Experienced Physician trained in New York City. I'm ready to help.
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My 76 yr old relative has been diagnosed with a neck

Customer Question

JA: Hi. How can we be of help?
Customer: My 76 yr old relative has been diagnosed with a neck stenosis called advanced central cervical compression. A neurosurgeon has recommended surgery which will be extremely painful to prevent possible future paralysis. What percentage of these surgeries prove successful? What is a typical recovery period/pain level? Are there any other treatments besides surgery?
JA: Are you in any pain? How regular are your periods?
Customer: I think you are replying to someone else's inquiry. My question is regarding neck surgery
JA: Anything else in your medical history you think the doctor should know?
Customer: Are you replying to my question about neck surgery?
JA: No. I'm the Doctor's Assistant.
Customer: Did you receive my question about my brother's neck stenosis?
Submitted: 9 months ago.
Category: Medical
Expert:  Dr. David replied 9 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 9 months ago.

I am sorry about your relative.

the surgery itself is not painful, and is done under anesthesia.

pain medications are given to the patient after the surgery.

there is a recovery period of several weeks to months after surgery to help improve neck strength and to stretch scar tissue in the area of the surgery.

in central cervical compression, the nerves in the spinal canal are very compressed and can't send signals properly to below the neck

opening a larger channel for the nerves to travel in the neck can help improve strength and sensation in the lower legs.

she can also try physical therapy and stretching and exercise of her neck to see if that helps with the compression.

wearing a soft or hard neck brace could help the neck as well.

Customer: replied 9 months ago.
Thank you for your prompt reply, especially on Thanksgiving.
My brother is very worried about this surgery. He was told that the pain and recovery afterwards would be more painful and difficult than most procedures.
Do you believe that surgery is the only option to prevent possible paralysis? Or is their another approach?
Expert:  Dr. David replied 9 months ago.

he can try physical therapy first

but most likely surgery is the only option.

he may or may not have paralysis in the future.

you should go with him to his next appointment to see his neurosurgeon.

let me know if you have other questions.

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