Exploring Treatment Options for Neck Pain: From MRI to Craniosacral Therapy

Wishing for good health?

Hello, Director.
Today I underwent electromyography and nerve conduction studies, and it was found that the C4 nerve root is slightly compressed.
The doctor said it is not serious, but due to my neck muscle condition, I cannot undergo traction therapy.
I also had X-rays of the cervical nerve foramina taken at the rehabilitation department, which showed no abnormalities.
I requested the doctor to perform an MRI; although he hesitated a bit, he agreed to help me.
He also recommended that I try the craniosacral therapy you mentioned, so I think I will give it a try, even though it is quite expensive, so I decided not to proceed with the MRI for now.
I have been struggling to find sufficient evidence to convince the doctor to perform the MRI, but he has agreed to do it.
I am concerned about affecting his performance evaluation, so I decided to first visit Dr.
Wang for craniosacral therapy and also ask him to assess what the issue might be.
I have heard that he is very thorough in his examinations, and if there is a significant problem, he should be able to identify it and recommend further tests.
My rehabilitation doctor is also very kind; he even wrote a note for me to take to Dr.
Wang for diagnosis.
If there is no improvement, I will consider getting the MRI to determine what is happening.
I am particularly worried about the possibility of a herniated disc compressing the spinal cord and causing damage to the upper cervical spine.
I also want to thank Director Pan for answering my questions previously.
I am grateful to have such a good doctor in Taitung.
After this injury, I have seen many doctors, and it has been quite enlightening.
Some doctors are genuinely good, while others seem to provide care casually and keep referring me elsewhere, which makes one feel abandoned.
I also feel deeply concerned about the issues with the National Health Insurance policy.
The tests I have undergone have already cost around 8,000 to 9,000 NTD, and the medical expenses are about 6,000 NTD.
I have been unable to get answers, and it is truly frustrating.
Some people are depleting funds while cutting budgets, leaving many patients in need of treatment without the care they deserve.
I really don't understand the original purpose of establishing the National Health Insurance.
Although the quality of healthcare in Taiwan is better and cheaper than in many Western countries...
Additionally, the doctor mentioned that there are indeed some issues with the muscles on the right side of my neck, possibly due to insufficient strength.
Since I used to swim regularly, I have decided to start swimming again to strengthen my neck muscles and see if there is a possibility of improvement.

Lin, 20~29 year old female. Ask Date: 2006/12/12

Dr. Pan Yingda reply Rehabilitation

I'm glad to hear that your issue has a preliminary solution.
However, due to my neck muscle condition, I cannot use traction, which I don't understand.
I believe there are considerations behind it; traction is merely a symptomatic treatment.
It's important to pay attention to posture, ensuring that the head is extended upward (this is self-traction).
If you would like me to offer additional advice, I would recommend strengthening your relaxation techniques (deeper relaxation and meditation).
Sometimes, muscular issues are closely related to psychological factors.
Reflect on whether anything significant happened before the onset of your symptoms (don't doubt it; the thoughts that immediately come to mind are relevant).
It's essential to address and resolve these issues.
The integration of body and mind is the current trend.
I prefer to focus on education rather than treatment in my practice.
If lifestyle habits (posture, exercise, etc.) and inner psychological aspects are not changed, many treatments may only provide temporary relief and fail to address the root cause.
I encourage patients to become their own doctors and to treat themselves.
Wishing you a speedy recovery.

Reply Date: 2006/12/12

More Info

When exploring treatment options for neck pain, particularly in the context of MRI findings and craniosacral therapy, it is essential to understand the underlying causes of your symptoms and the potential benefits of various treatment modalities.

Based on your description, it seems that you have undergone several diagnostic tests, including electromyography (EMG) and X-rays, which indicated slight compression of the C4 nerve root but were not deemed severe. Your physician's hesitance to perform an MRI suggests that they may not see immediate indications for it, but your persistence in seeking further evaluation is commendable. An MRI can provide detailed images of the cervical spine, helping to identify issues such as herniated discs or spinal stenosis that may not be visible on X-rays.

Craniosacral therapy (CST) is a gentle, hands-on approach that focuses on the craniosacral system, which includes the membranes and fluid surrounding the brain and spinal cord. Proponents of CST believe that it can help alleviate pain and improve function by releasing tension in the body. While some patients report positive outcomes from CST, scientific evidence supporting its efficacy is limited. However, it may be worth trying, especially if you are looking for a non-invasive treatment option.

In addition to CST, there are several other treatment avenues you might consider:
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the neck muscles, improve flexibility, and reduce pain. A physical therapist can design a personalized exercise regimen that targets your specific issues.

2. Exercise: As you mentioned, swimming can be an excellent way to strengthen neck muscles without putting too much strain on them. Low-impact exercises can enhance overall muscle tone and support spinal health.

3. Medication: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), can help manage pain and inflammation. However, it is crucial to use these medications judiciously and under the guidance of a healthcare provider.

4. Alternative Therapies: In addition to craniosacral therapy, other alternative treatments such as acupuncture, chiropractic care, or massage therapy may provide relief. Each of these therapies has its own set of benefits and potential risks, so it’s essential to consult with qualified practitioners.

5. Lifestyle Modifications: Ergonomic adjustments to your workspace, proper posture during daily activities, and stress management techniques can significantly impact neck pain. Incorporating regular breaks and stretches into your routine can also be beneficial.

6. Follow-Up Imaging: If your symptoms persist or worsen, it may be necessary to revisit the idea of an MRI. Persistent pain, especially if accompanied by neurological symptoms (like numbness or weakness), warrants further investigation to rule out serious conditions.

It’s understandable to feel frustrated with the healthcare system, especially when navigating multiple specialists and tests without a clear resolution. Your experience highlights the importance of patient advocacy and the need for thorough communication with healthcare providers. If you feel that your concerns are not being adequately addressed, seeking a second opinion or consulting a specialist who focuses on neck and spine issues may provide additional insights.

In summary, while craniosacral therapy may offer some relief, it’s essential to combine it with other treatment modalities such as physical therapy, exercise, and possibly medication. Keep an open line of communication with your healthcare providers, and don’t hesitate to advocate for further testing if your symptoms do not improve. Your proactive approach to managing your health is crucial in finding the right treatment for your neck pain.

Similar Q&A

Understanding Cervical Spondylosis: MRI Insights and Treatment Options

2023/11/30 MRI REPORT Summary: The patient has experienced soreness and pain over the right shoulder joint for several months, with recent onset of numbness and pain radiating to the forearm and fingertips. There are noted sleep disturbances and weakness in grasping. The patient...

Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. Based on the information you provided, there is nerve root compression in the cervical spine, but it does not seem to be severe. 2. To assess the need for surgery, it is important to consider the patient's actual condition, the relevant X-ray and MRI images, and th...

Understanding Neck Pain: Causes, Symptoms, and Treatment Options

Hello Doctor, the patient has the following conditions: 1. On June 19, there was localized pain in the left posterior thorax (the area around the scapula) that did not respond to corticosteroid injections. Subsequently, the patient experienced numbness in the left hand, and pai...

Dr. Gao Chunde reply Neurology
According to Scenario 1, it truly resembles typical symptoms of cervical radiculopathy; however, I find it difficult to understand why the cervical MRI is normal. Additionally, traction has been ineffective. If this is indeed the case, one should consider isolated neuritis or neu...

Effective Treatment Options for Cervical Disc Herniation and Arthritis

Hello, doctor. I have been receiving treatment at the clinic for three months, which includes electrotherapy, paraffin hand baths, ultraviolet therapy, and cervical traction. However, I am still experiencing headaches, pain and numbness in my right shoulder and neck, and tightnes...

Dr. You Dianqi reply Orthopedics
Hello: If the initial assessment indicates a cervical spine lesion, but rehabilitation has not shown any improvement, and there are symptoms such as chest tightness that are less commonly seen in cervical spine patients, I would still recommend returning for a thorough examinatio...

Managing Neck Pain: Non-Surgical Solutions for Cervical Issues

Currently, I am undergoing conservative treatment and occasionally take painkillers when I can't tolerate the pain. Are there any alternatives to surgery? What are the potential complications of long-term inflammation? I also experience panic, anxiety, and headaches, and rec...

Dr. Wang Zhaomin reply Rehabilitation
Cervical spine-related issues can be managed with rehabilitation therapy and medication to alleviate discomfort. Corticosteroid injections may generally improve pain, but repeated injections are not recommended. It is important to discuss this thoroughly with a physician before p...