Finger Numbness: Insights on Herniated Discs and Treatment - Neurology

More Info

---

Hello, thank you for your question regarding finger numbness and the implications of your recent MRI results. Based on the information you've provided, it appears that you have been diagnosed with a herniated disc at the C5/6 and C6/7 levels of your cervical spine. This condition can indeed lead to symptoms such as finger numbness and arm pain, as the herniated disc may compress nearby nerve roots, affecting their function.


Understanding Herniated Discs and Symptoms
A herniated disc occurs when the soft inner gel of the disc bulges out through a tear in the tougher exterior. This can happen due to age-related degeneration, injury, or repetitive stress. In your case, the MRI findings indicate that the herniated discs at C5/6 and C6/7 are compressing the adjacent nerve roots and thecal sac, which can lead to the symptoms you are experiencing, such as numbness in the fingers and pain radiating down the arm.

The presence of osteophytes (bone spurs) and degenerative changes in the spine can further contribute to nerve compression and may exacerbate your symptoms. The fact that there is no definite change in the visible spinal cord is a positive sign, indicating that the spinal cord itself is not currently affected.


Treatment Options
Treatment for a herniated disc typically begins conservatively. Here are some common approaches:
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around your spine, improve flexibility, and alleviate pressure on the affected nerves.

2. Medications: Over-the-counter pain relievers, such as NSAIDs (non-steroidal anti-inflammatory drugs), can help manage pain and inflammation. In some cases, your doctor may prescribe stronger medications or muscle relaxants.

3. Epidural Steroid Injections: If conservative treatments do not provide sufficient relief, corticosteroid injections may be considered to reduce inflammation around the nerve roots.

4. Surgery: If symptoms persist despite conservative treatment, surgical options may be explored. This could involve removing the herniated portion of the disc or, in more severe cases, spinal fusion.


Follow-Up and Next Steps
Regarding your questions:
1. Waiting for Seven Days: It is common for MRI results to take some time to be reviewed and for a follow-up appointment to be scheduled. While it may feel frustrating to wait, this time allows your healthcare provider to thoroughly analyze the results and prepare a comprehensive treatment plan tailored to your condition. If you feel that your symptoms are worsening or if you have significant concerns, you should not hesitate to reach out to your healthcare provider for guidance. They may be able to expedite your appointment or provide interim advice.

2. Understanding Your Condition: The issues identified in your MRI suggest that you are experiencing cervical radiculopathy, which is the medical term for nerve pain that occurs when a nerve in the neck is compressed or irritated. This can lead to the numbness and pain you are experiencing in your fingers and arms. It is essential to address these symptoms promptly to prevent further complications and improve your quality of life.

In conclusion, while waiting for your follow-up appointment, consider discussing your symptoms with your healthcare provider, especially if they worsen. Early intervention can often lead to better outcomes. Additionally, engaging in physical therapy and adhering to any prescribed treatment plan can significantly help manage your symptoms. Remember to take care of your overall spinal health by maintaining good posture, avoiding heavy lifting, and incorporating regular exercise into your routine.