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Neck Disc Herniation
Q. I have had 3 Prolotherapy sessions to my neck. I am still having a lot of pain and stiffness on both sides and up the back of my head, along with bad headaches over my right eye. I recently had a MRI of my cervical spine, which showed a large bilateral protrusion at C5-6 Level, narrowing the foramina to the uncal vertebrae joints, obliterating the subarachoid space posteriorly and anteriorly. A small central protrusion at C4-5 Level, mildly narrowing the formina. And a annular bulge at C3-4 level, with no narrowing. I was told to have an epidural to help break up the disc. I never heard of this before. I had an epidural in low back several yrs. ago, which didn't help and ended up having a laminectomy. I've been putting up with this neck, headaches and both shoulder, arm, hand, pain and numbness for over 2 years now, which has gotten a lot worse the last few months. Thanks for your input!
 

A. If the disc herniation is obliterating the subarachnoid space this could be serious and I see the surgeon and also the neurologist or physiatrist for an EMG/NCV/SSEP test to see if you have a pinched nerve in your neck or slowing of nerve impulses in your central nervous system. If you do then surgery is probably your best bet. The key in regard to Prolotherapy success is whether or not a nerve is getting compromised. If the answer is ‘no’ then most certainly you should respond to Prolotherapy. If a person has had three Prolotherapy sessions and ‘no response’ and the EMG/NCV of both upper extremities shows a pinched nerve then a consultation with a surgeon should be done.
Ross Hauser ,M.D.

 

Neck and Cervical Pain
Cervical Spine Pain

Cervical Stenosis
Neck Pain, Herniated Disc
Neck Pain C2 - T1
Neck Pain C2 - C7
Nerve Pain in the Neck
Neck Stiffness
General Neck Pain

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