Suspected cervical disc herniation?
Hello Doctor, I would like to ask you some questions.
Recently, for certain reasons (not due to physical discomfort), I underwent a self-paid MRI scan of my entire spine.
The report from the doctor indicated: suspected right-sided herniation of the C5-6 intervertebral disc with associated dural compression.
The doctor then asked if I had any discomfort, to which I replied no.
The doctor mentioned that based on the images, it seems there is no significant compression, just a mild herniation.
I would like to ask the doctor:
1.
If I pay attention to my posture, will the herniated disc heal on its own over time?
2.
Can I swim (breaststroke) and do planks and push-ups? These are exercises I usually perform.
3.
Since the results of the examination have made me cautious about moving my neck, will my daily activities have any negative impact?
I have attached my MRI images.
Thank you for your assistance.
http://imgur.com/Ch1w8Nz
http://imgur.com/EoFdHob
http://imgur.com/MDtQHiA
http://imgur.com/nbdLzP8
http://imgur.com/28fjecx
http://imgur.com/8GwU7Bo
Mr. Wang, 20~29 year old female. Ask Date: 2016/08/25
Dr. Yin Xinbei reply Rehabilitation
1.
No.
2.
Yes.
3.
It is possible to engage in normal activities, but if you experience numbness, tingling, or pain in the right arm in the future, please seek medical attention from a rehabilitation specialist immediately.
Additionally, avoid the action of tilting your head back while turning it to the left.
Reply Date: 2016/08/25
More Info
Understanding suspected cervical disc herniation is crucial, especially when you have received MRI results indicating a potential issue. Based on your report, it appears that you have a suspected right-sided herniation at the C5-6 level, which is causing some dural sac compression. Here’s a comprehensive overview of what this means and how you can manage your condition.
1. Understanding Cervical Disc Herniation
Cervical disc herniation occurs when the soft inner gel of a spinal disc protrudes through a tear in the tougher exterior. This can lead to nerve compression, resulting in pain, numbness, or weakness in the arms or neck. However, in your case, the doctor indicated that the herniation appears to be mild and not currently causing significant compression on the nerves.
2. Will the Herniation Heal on Its Own?
In many cases, mild disc herniations can improve over time with conservative management. This includes maintaining good posture, engaging in physical therapy, and avoiding activities that exacerbate the symptoms. The body has a remarkable ability to heal, and with proper care, the herniation may reduce in size or resolve completely. However, it’s essential to monitor your symptoms and consult with your healthcare provider regularly.
3. Exercise Considerations
Regarding your exercise routine, swimming (especially breaststroke), planks, and push-ups can generally be beneficial for maintaining strength and flexibility. However, you should approach these activities with caution:
- Swimming: Swimming is often recommended as it is low-impact and can help strengthen the muscles around the spine without putting too much strain on it. However, if you notice any discomfort while swimming, particularly in your neck or shoulders, it’s advisable to stop and consult your physician.
- Planks and Push-Ups: These exercises can strengthen your core and upper body, which is beneficial for spinal support. However, ensure that you maintain proper form to avoid straining your neck. If you experience pain during these exercises, consider modifying them or consulting a physical therapist for alternatives that are safer for your condition.
4. Daily Activities and Precautions
It’s understandable to feel apprehensive about moving your neck after receiving such results. However, normal daily activities should not cause significant harm unless they provoke pain. Here are some tips to help you navigate daily life:
- Posture: Maintain good posture while sitting, standing, and sleeping. Use ergonomic chairs and pillows that support your neck properly.
- Movement: Gradually increase your range of motion. Gentle neck stretches can help maintain flexibility without exacerbating your condition. Avoid sudden movements or heavy lifting.
- Listen to Your Body: Pay attention to any signs of discomfort. If certain activities or positions cause pain, it’s best to avoid them and consult your doctor.
Conclusion
In summary, while a suspected cervical disc herniation can be concerning, many individuals experience improvement with conservative management. Maintaining good posture, engaging in appropriate exercises, and being mindful of your body’s signals are key components of managing your condition. Always consult with your healthcare provider before starting or modifying any exercise regimen, especially when dealing with spinal issues. Regular follow-ups and possibly physical therapy can also provide additional support as you navigate this condition.
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