Donald Corenman, MD, DC
Moderator
Post count: 8459

I have some questions regarding the symptoms compared to the MRI findings. Right foraminal narrowing at C4-5 would affect the C5 nerve. This nerve does not descend into the hand (stops at the upper arm-see section “symptoms of cervical nerve injuries” on the website).

You have left foraminal narrowing at C5-6 (C6 nerve) which does go down into the hand but you had no complaints of the left hand.

You have a Klippel Feil syndrome of C6-7 (partial segmentation-see website). This does not mean much.

Arm pain typically recedes within a couple of days of surgery. Numbness (if we assume that the C6 nerve on the right was involved) will take about 3-6 months to resolve. Pins and needles (called paresthesias) should resolve in a couple of weeks if not sooner.

Biceps weakness (again assuming C6 right involvement) normally improves 1/2 a grade (there are 5 grades) immediately and can take up to 12 months to fully recover.

Naprosyn is a non-steroidal anti-inflammatory. The bone grafts heal through inflammation so retarding that process is not wise. That is why I require patients to be off of these medications for six weeks after an ACDF or ADR (artificial disc replacement).

A thin pillow is ofter more comfortable than a thick pillow for these collars but a very soft pillow is important.

Dr. Corenman