Neck pain

• Cervical spondylosis is the most common progressive disease in the ageing cervical spine.Seen in 95% of the people by 65 years. It can present with neck or hand pain, weakness in the hand or fingers. Severe compression on the spinal cord due to a disc prolapse can give rise to myelopathic features which can cause leg weakness and imbalance while walking.

• Evaluation of a patient involves a thorough clinical examination, MR imaging of the cervical (neck) spine.
• Management approaches to cervical disc problems involves pain medications, isometric neck exercises, physiotherapy as part of conservative management
• Surgery is advised in case of progressive symptoms which do not remit with conservative treatment, hand weakness, severe spinal cord compression.
• The type of surgery is decided based on the clinical findings in the patient which are correlated with MR imaging findings.

Neck pain due to disc disease

Low back-ache

• symptom of Lumbar disc herniation : acute or gradual
• after trauma or without an inciting event
• most common 3rd and 4th decade

Chief Complaints

• Pain, radiating from the back or buttock into the leg
• Numbness and weakness
• Sharp, lancinating, shooting/radiating pain down the leg posteriorly below the knee
• Coughing - increase intrathecal pressure - increase pain
• Sitting position, driving - increase intra-discal pressure - increase pain

Removal of an extruded disc fragment