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Hernia de disco
Estimado Doctor - soy un hombre de 39 anios que tuvo varios accidentes en el cuello debido a deportes (snowboarding, kitesurfing).  Hace unos meses tengo dolor en el brazo y hombro, tuve un MRI y los resultados son los siguientes:

C4-C5: Disc height and signal are relatively well maintained. A right paracentral focal disc protrusion is identified. Protruding disc material extends approximately 3mm dorsal to the back of the vertebral body with impingement upon the central and right anterolateral aspect of the spinal cord. Effacement of the CSF from around the spinal cord is noted in keeping with mild central spinal canal stenosis.  Neural foramina appear widely patent bilaterally.
C5-C6: Disc height and signal appear well maintained. A broad disc bulb is identified.  Superimposed left posterolateral focal disc extrusion is identified. Disc material extends into the proximal aspect of the left neural foramen.  Associated impingement upon the left  anterolateral aspect of the thecal sac noted as well as upon the axilliary and neural foraminal component of the left C6 nerve root. Mild broad annular disc effacement of the ventral thecal sac and mild cord contact.  Right neural foramen appears patent.
C6-C7: Mild loss of disc height and signal.  A broad annular disc bulge is identified with superimposed right paracentral focal disc protrusion.  Protruding disc material extends to impinge upon the right anterolateral aspect of the spinal cord as well as upon the axillary and neural femoral component of the right C7 nerve.

Estoy tratando de ver a un neurologo pero no hay turnos por unas semanas.  Cual sera el tratamiento y que puedo hacer hasta ver al neurologo?  Ejercicios?  Es un cirugia la respuesta adecuada basado en el MRI o hay otras alternativas?

Muchas Gracias

Jose
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