Post-Surgery Arm Pain After Cervical Disc Replacement: What to Do?

Q: Post-Surgery Arm Pain After Cervical Disc Replacement: What to Do?

Hello： Please consult the original surgeon to determine if rehabilitation or pain management treatment is necessary. <br>Best wishes, Dr. <br>Lai Chao-Kang, Neurosurgery.

Postoperative arm pain after cervical spine surgery?

After undergoing C5-C6 and C6-C7 disc replacement surgery (artificial disc replacement) last December, the original numbness symptoms have resolved, but there is persistent soreness in the left arm, particularly in the upper arm.
For example, after holding a phone to look at something for less than five minutes, the soreness becomes quite noticeable.
I returned to the surgeon for a follow-up, and X-rays showed no significant issues.
However, this soreness continues to interfere with daily life.
What should I do next, or which specialist should I consult for further evaluation?

ERIC, 40~49 year old female. Ask Date: 2022/07/29

Dr. Lai Zhaokang reply Neurosurgery

Hello: Please consult the original surgeon to determine if rehabilitation or pain management treatment is necessary.
Best wishes, Dr.
Lai Chao-Kang, Neurosurgery.

Reply Date: 2022/07/29

More Info

Post-surgery arm pain after cervical disc replacement can be a frustrating and concerning issue for many patients. In your case, it appears that while the initial symptoms of numbness have resolved, you are now experiencing discomfort and fatigue in your left arm, particularly in the upper arm, after minimal activity. This situation is not uncommon following cervical spine surgery, and there are several factors to consider when addressing your symptoms.

First, it is essential to understand that after cervical disc replacement surgery, the body undergoes a significant healing process. The surgical procedure involves not only the replacement of the damaged disc but also manipulation of surrounding tissues, including muscles, ligaments, and nerves. As a result, it is not unusual for patients to experience residual pain or discomfort as the body adjusts to the changes made during surgery.

The symptoms you describe—fatigue and discomfort in the upper arm after holding a phone for a short period—could be attributed to several factors:
1. Muscle Weakness and Fatigue: After surgery, it is common for the muscles around the surgical site to weaken due to disuse or atrophy. This weakness can lead to fatigue when performing everyday activities, such as holding a phone. Engaging in a structured physical therapy program can help strengthen these muscles and improve endurance.

2. Nerve Irritation or Compression: Even though the initial numbness has resolved, there may still be some irritation or compression of the nerves in the cervical region. This can lead to sensations of discomfort or fatigue in the arms. A thorough neurological examination may be necessary to assess the function of the nerves and determine if any further imaging studies, such as an MRI, are warranted.

3. Post-Surgical Changes: The body may take time to adapt to the new artificial disc, and some patients report ongoing discomfort as the surrounding tissues heal and adjust. This process can take several months, and patience is often required.

4. Rehabilitation Needs: Engaging in a rehabilitation program tailored to your specific needs can be beneficial. A physical therapist can provide exercises to strengthen the neck and shoulder muscles, improve posture, and enhance overall function.

Given your ongoing symptoms, it is advisable to follow up with your orthopedic surgeon or a neurosurgeon who specializes in spinal surgery. They can evaluate your condition and determine if any further intervention is needed. Additionally, a referral to a physical therapist may be beneficial to develop a rehabilitation plan that addresses your specific symptoms.

In summary, while it is concerning to experience persistent discomfort after cervical disc replacement surgery, it is essential to approach the situation with a comprehensive plan. Regular follow-ups with your healthcare provider, engaging in physical therapy, and allowing time for healing are crucial steps in managing your symptoms effectively. If your symptoms worsen or new symptoms arise, do not hesitate to seek immediate medical attention. Your recovery journey is important, and addressing these concerns proactively can lead to better outcomes in the long run.

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