Cervical Disc Issues: Symptoms and When to Seek Help - Neurosurgery

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Cervical cone issue


Recently, I watched an educational video about proper neck posture and intentionally adjusted my neck according to the recommendations.
After working in this position for a day, I noticed pain when I looked down at home.
Initially, I thought it was just muscle soreness, but after three to four days without improvement, I went to see an orthopedic doctor who took X-rays.
The doctor said everything looked good and prescribed anti-inflammatory medication for pain relief.
However, after two weeks, the pain worsened.
Now, maintaining any position for a short time causes significant pain, and I also feel a slight cracking sensation when I tilt my head up or down.
I would like to know if this could be a herniated cervical disc.
Also, can I get an MRI if I see a neurosurgeon for this condition?

su, 20~29 year old female. Ask Date: 2019/12/16

Dr. Zhang Junwei reply Neurosurgery


This symptom does not resemble nerve compression due to a herniated disc.
Typically, if X-rays show no issues, it is recommended to wear a soft cervical collar, take anti-inflammatory and pain relief medications, and rest for one to two weeks.
If there is no improvement, a consultation with a neurosurgeon may be necessary.

Reply Date: 2019/12/16

More Info


Understanding cervical disc issues, particularly in the context of symptoms and when to seek medical help, is crucial for maintaining spinal health and preventing further complications. Based on your description, it seems you have been experiencing persistent neck pain and discomfort after adjusting your posture, which has not improved with conservative treatment.
Cervical disc issues, such as herniated discs or degenerative disc disease, can manifest in various symptoms. Common signs include neck pain, stiffness, and a sensation of clicking or popping when moving the neck. Additionally, if the cervical discs are compressing nearby nerves, you may experience radiating pain, numbness, or tingling in the arms, shoulders, or hands. The fact that you are experiencing pain with certain movements and a clicking sensation could indicate that there is some underlying issue with your cervical discs or the surrounding structures.

Given that your symptoms have persisted and worsened over a few weeks, it is advisable to seek further evaluation from a specialist, such as a neurologist or an orthopedic surgeon. An MRI (Magnetic Resonance Imaging) is often the preferred imaging modality for assessing cervical spine issues because it provides detailed images of the soft tissues, including discs, nerves, and the spinal cord. An MRI can help identify conditions such as herniated discs, spinal stenosis, or other degenerative changes that may not be visible on X-rays.

When you visit a specialist, it is essential to provide a comprehensive account of your symptoms, including the onset, duration, and any factors that exacerbate or relieve your pain. Mentioning the clicking sound when moving your neck and any associated symptoms, such as headaches or radiating pain, will help the physician make a more accurate diagnosis.
In terms of management, if a cervical disc issue is confirmed, treatment options may vary based on the severity of the condition. Conservative treatments typically include physical therapy, which may involve exercises to strengthen neck muscles, improve flexibility, and promote better posture. Additionally, modalities such as heat or ice therapy, electrical stimulation, and traction may be beneficial. In some cases, medications such as non-steroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants may be prescribed to alleviate pain and inflammation.

If conservative measures fail to provide relief, or if there is significant nerve compression leading to weakness or loss of function, surgical intervention may be considered. Procedures such as discectomy (removal of the herniated disc) or spinal fusion may be necessary to relieve pressure on the spinal cord or nerve roots.

In summary, your symptoms warrant further investigation, and an MRI is a valuable tool in diagnosing cervical disc issues. Seeking a consultation with a neurologist or orthopedic specialist will provide you with a clearer understanding of your condition and appropriate treatment options. Remember to communicate openly about your symptoms and any changes you experience, as this will aid in developing an effective management plan.

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