c6 c7 herniation--type of treatment

[jortor]

I am a 39 year old active male.  I have pain in left traps, shoulder blade, and tricep.  I got an MRI and the report states: central disc herniation at c6 c7 with mass effect on the cord.  the other discs are felt to be within normal limits.  No intrinsic abnormalities are seen in the cord.....What does that mean? Can I try non surgical treatment or will I have to have an ACDF for this.... I am very scared because I can't miss that much work for the recovery.....I spoke with local neurosurgeon who simply said to have ACDF...He didn't mention if I could try other treatment options or not; just mentioned the surgery and walked away to the next patient.  He was with me a total of about 3 minutes.

[jortor]

got a second opinion.  This doc stated that I could try conservative treatment first and if it fails then surgery.....The disc is laying against my spinal cord but he states that with treatment and time it may actually retract back away from the cord.  He explained that over time herniated discs tend to hard and shrink some.  Also, the treatment may assist in the process.  So now, I am keeping my fingers crossed and trying this...I have received a cervical epidural injection, and have began physical therapy with cervical traction and exercises.  Hopefully, this will help..I will keep everyone posted as this progresses....Thanks to everyone for the responses

[squirtatious]

I'm experiencing similar symtpoms. Its interesting to follow your journey for more insight. I wish u the best whichever methods of treatment u choose!! *hugs*

[EdwardPB]

Not to sound insulting, but just to ensure understanding:
There is a huge difference between the spinal canal and the spinal cord.
If a disk is herniated into the canal, it is a danger, and generally conservative treatment is monitored more closely. (many herniation's are towards your throat, not the spinal canal)
However, you mentioned damage to the spinal cord. This is a very bad thing, and conservative treatment is almost never considered. This is a "get it fixed now," thing. Most damage to the cord does not heal. You are also describing what sounds like compression to the "nerve root." Ask the Dr. if this is the case, and if they are going to open up the nerve channel. (that's why the pain in the shoulder/triceps area)
You can get a 2nd opinion, if you like, but they will have the same answer.  

[Kalvin]

In cases like this, it pretty much standard procedure to try conservative treatments such as Physical Therapy and various types of medications prior to surgery.

Should these treatments not help, then you can seriously consider surgery. But make sure you get a 2nd opinion.

Take Care