C7 Cervical (neck) Herniated Disc Evaluation

With @OrthoEvalPal we show you a patient with a classic C7 cervical herniated disc. Here are the most common signs and symptoms:
▶ Radiating pain and "tingling" from the neck to the scapula (shoulder blade) down the back of the arm, lateral elbow and into fingers 3-5.
▶ Loss of triceps deep tendon reflex.
▶ Altered sensation in the C-7 dermatome.
▶ Positive Bakody sign.
▶ Positive Spurling's test.
▶ Positive Marquis Maneuver
▶ Loss of Triceps Strength

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#herniateddisc #radiculopathy #armpain #cervicaldisc #neckpain #dtr #medical #health #orthopedics #Physicaltherapy #OccupationalTherapy #DPT #Medicalproviders #chiropractic

[MzGumby]

I got an epidural injection, and it only lasted a month. I woke up a couple days ago with the pain radiating into my chest, and even worst pain in my shoulder blade now. My hand is burning to the max, and sleeping at night has been miserable. The neurosurgeon place said there's nothing they can do, and I needed to see a neurologist instead. I will finally get to see one next week. I'm completely at a standstill with this cervical issue. It's painful, but not as painful as a diseased gallbladder with a blockage.

[realtampapickle]

Mine was bad like this but instead of surgery I opted for a RFA and it helped tremendously. I’m still not pain free but I’m able to manage it and do physical activities again.

[NeverEnoughXbox]

Very cool! In my first semester of PT school and it's very cool to see the things I'm learning in practice. Will be looking forward to more videos!

[BB-rpgc]

Hey Paul, I used the Marquis method on one of my suspected C5-C6 disc herniation patients. Pt showed increased grip strength of 12 pounds with cx traction applied. Thanks for developing that method as it is a great way to educate the patient,

[etherraichu]

I used to have problems with this all the time. For some reason I think it got better when I stopped smoking. I had it once but it was pretty mild compared to every other time and didnt last long.

[ypmm]

Hopefully, you are a candidate for CDR over ACDF.

[debfranklin]

I have the same issue, except also affecting my left arm is Thoracic Outlet Syndrome, and cubitus valgus of the elbow. Any suggestions on therapy, treatment or exercises? I’ve already used up my 12 visits to a chiropractor the VA will only allow certain types of therapy…very limiting. Help!!

[DocTravis]

How long would you say you usually wait before you decide to refer out? For example, I'll usually do 8 to 12 sessions and if I'm not making any progress then start thinking about referring out. Did you have him for very long?

[MisterWealth]

My physical therapist made my c6-c7 pain worse. I went to two different ones over the span of 3 years. I followed through everything they gave me to the t. Now I have pain in both traps and I don't know how to relieve it. Stretching/heat make it worse no matter the direction it seems.
Is there anything I can do besides surgery? The last time I checked the MRI was 2017 before my first PT session. It's horrible

[Burritosarebetterthantacos]

Mines so bad Im about to jump off a bridge. I have found zero solutions.