It is due to various reasons. It may be acute or chronic. It may be associated with pain in the shoulder, pain in the hand and numbness and weakness in the hand. The origin of pain (could be due to muscles, nerve, ligaments, disc prolapse (or )spinal cord. )It may be aggravated (by) head or neck movements.
Common conditions associated are
- Cervical Spondylosis
- Cervical Disc Prolapse
- Traumatic subluxation
It requires evaluation with X ray and MRI cervical spine. Depending upon the pathology the management would be decided upon. The management options range from conservative to surgical in unresponsive cases. It includes medications, analgesics, cervical collar and these may act as an aid to support the neck for surgery.
Surgical options are
- Anterior cervical discectomy
- Anterior cervical discectomy and fusion (ACDF) using titanium cage, PEEK cages
- Foraminotomy
- Corpectomy
- Cervical laminectomy
- Artificial disc replacement
- Laminoplasty
Exercises
Like any other problem, your neck symptoms are classified as mild, moderate, severe.
A complete neurological evaluation is done. We always correlate neurologically the symptoms, signs with clinical diagnosis and then confirm radiologically by X-Ray and MRI.
If you are having severe chronic neck pain, which is not relieved by conservative treatment with analgesics and physiotherapy and if you are developing weakness in the hands and limbs and the imaging shows nerve root or spinal cord compression on MRI scan, then definitely physiotherapy would prove to be dangerous and worsen your prevailing condition.
In such cases relieving of nerve or spinal cord compression is adviced to prevent further damage and relive pain.
There are various neurosurgical procedures done in such situations.
The most common surgeries being
- ACDR – Anterior cervical discectomy and fusion using bone graft or artificial cages-PEEK, Titanium
- Cervical laminectomy
- Enbloc laminectomy
- Corpectomy
- ADR – Artificial disc replacement
Dr. Ganesh Veerabhadraiah, has been providing all neuro services at Neurowellness since 13 years. Dr Ganesh Veerabhadraiah is one of a limited number of Neurosurgeons around the world who have advanced training in both Back pain and Neck pain treatment disease processes.
Neurowellness provide the treatment for Headache, Migraine / Back Pain, Neck Pain, Stroke / Paralysis / Epilepsy / Seizures / Fits / Convulsions / Minimally invasive brain, Spine / Disc Prolapse / Meningiomas / Pituitary Adenomas / CP angle Tumours / Gliomas / Glioblastoma / Carotid Artery Stenosis / TIAs / Trigeminal Neuralgia / Tethered Cord / Meniogocele/ Lipomas / CV junction problems / Hydrocephalus / Brain Abscess / Spinal Tuberculosis etc.
