I have a severely degenerated disc at c3-4, nearly bone on bone, and am having very bad neck pain, on both sides but worse on the left (mri shows bulge and foraminal stenosis worse on the left).
The pain is focused and most consistent right at the c3-4 level and goes down into the traps.
I had an ESI at the c4 nerve root that provided a few weeks of relief. My question is have you seen in your practice, axial neck pain relieved with surgery at c3-4?
Is an ADR possible with a disc that is almost gone or would fusion be a better recommendation.
The C4 nerve root when compressed causes side of the neck and trap pain which it sounds like are your symptoms. Relief of symptoms with an epidural at that level confirms the pain generation.
Yes, surgery would be helpful to relieve your symptoms. Since the disc is collapsed, an ADR would not be recommended. An ACDF would be the surgery of choice.
PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.