Patient: My mom 45 years old had a pain in neck from last year she was on medication,but now the pain has eradiated to lower part ,doctors have recommended her to do MRI …i want to know what would be the main cause??
Doctor: The pain in the neck may be due to a cervical nerve compression. In the younger patients, cervical radiculopathy may ay be a result of a disc herniation or an acute injury causing impingement of an exiting nerve. In the older patients,as your mother, cervical radiculopathy is often a result of spinal canal narrowing from bone spur (osteophyte) formation, decreased disc height and degenerative changes due to aging process. The treatment strategy usually includes: physical therapy program aimed to reduce pain and inflammation, and the use of anti-inflammatory medication (“Motrin”, “Aleve”), also a re-education of her habits and posture to improve quality of life. She should be independent in a stretching and strengthening program and continue with these exercises under the periodic supervision of a physical therapist initially and then completely on her own. If her condition fails to improve with a comprehensive rehabilitation program and selective injections , then she should be presented with a surgical evaluation. Often, patients should show progressive improvement over the first 6-8 weeks with conservative treatment. If there is no significant improvement in this time frame, consider a surgical evaluation.