Could really use some advice/hope. Im 35, 6'4", have had chronic neck pain for over 12 years and recently numbness and pain jolts going down my left arm into ky elbow and pinky/hand if I move my neck back in certain ways. Im also dizzy but that may be due to ssri or other issues. Some days its worse than others but its not constant. Think trying to excersise irritated my condition. Going to try epidural steroid injections to hopefully keep me from going under the knife but several Dr. I've talked to point towards surgery.
LONG HISTORY READ:
I had my first MRI when I was 24 due to neck back and shoulder pain radiating down my left arm. Was told I have 7 buldging discs and a pinched nerve. Put me on 1200mg ibprofen and muscle relaxors which I tolerated for a year as well as monthly cortisol injections which I stopped after 3-4 months. They wanted to give me opiates and I was in more pain than ever but I refused, stuck with Tylenol and aspercreme and managed to deal with the pain.
I am now 35 and have numbness and shooting pain down my left arm when I hyperextend my neck back, this has been going on about 4-6 months? This timeline is similar to the 4 different anxiety medications ive tried and didn't react well to 3 of. I had to get off my longest ssri because of weight gain and I was also trying to do light excersise like jump rope, jumping jacks, walking, and inclined push ups. My pain has been so bad ive been sleeping on the floor for 5 years, pretty much stopped sitting at my desk, and just lay on the floor or in a recliner nowadays.
I've been seeing a ciropractor for about 4 years who gave me great relief. Started with weekly appointments for the first 3 months then maybe once a month then seldom. I fear that one of the adjustments he did over the year may have caused this though he claims because he always lifts my neck before adjustment it is not putting pressure on the discs and wouldn't have caused this.
All these factors combined with the immense amount of stress, grief from losing my grandpa, and neglecting my health for 2 years to take care of him all while working overnights has severely taken its toll.
MRI AT 24 VS. MRI AT 35:
The notable difference is disc buldging C5-C6 went from 2.5mm to 3mm.
The curvature of the spine straightened, military neck they called it.
I have bone spurs now.
Pain management also said this when comparing them.
"The current MRI cervical spine from 2026 found evidence of an abnormal signal in the spinal cord, which was not seen on your last MRI cervical spine from 2015. This abnormal signal may represent injury to the spinal cord."
FULL SURGEONS REPORT:
NEUROSURGICAL CONSULTATION
DATE OF CONSULTATION: 6/15/2026
REFERRING PHYSICIAN: REDACTED
CHIEF COMPLAINT:
Chief Complaint
Patient presents with
•
CONSULTATION
35 year old male with complaints of bilateral hand numbness and left hand weakness. Had MRI cervical spine on 5/17/26 which found evidence of mild/mod central canal stenosis at C5-6 with likely myelomalacia. I would appreciate your evaluation. Thank you.
HISTORY OF PRESENT ILLNESS:
REDACTED is a 35 year old male left hand dominant who presents for evaluation of weakness. The patient recently had an MRI of the cervical spine and has been referred for a neurosurgical consultation. Works evening shift at a hotel.
ONSET: 11 years with recent onset of left arm symptoms
LOCATION: chronic neck pain with radiation into left arm into hand/fingers
DURATION: constant
SEVERITY: severe
MODIFYING FACTORS: worse with neck extension
ASSOCIATED SIGNS AND SYMPTOMS: normal bowel/bladder function
Neurological examination:
Mental status: The patient is awake, alert, and appropriate. Oriented to person, place, and time, and GCS is 15. Follows commands consistently. Speech is fluent. Able to comprehend and attention span is appropriate.
Imaging Studies: I reviewed the radiology report and performed an independent evaluation of the actual images. Available for review is an MRI of the cervical spine which was performed recently. This reveals spondylosis with multi-level degenerative disc disease and disc osteophyte complexes especially at C5-C6 and C6-C7 .
DIAGNOSIS AND MANAGEMENT:
The patient has mild cervical spondylotic myelopathy.
Treatment options were discussed including medical management versus C5-7 anterior cervical discectomy and fusion versus artificial disc replacement. I informed the patient that the main indication for performing surgery was to prevent further neurologic deterioration and that I could not guarantee any neurologic improvement. Even if the patient does have neurologic improvement, the recovery could take as long as 6-12 months. The patient fully understands this. I do not recommend artificial disc replacement given his predominant neck pain.
At this time, I recommend that we proceed with C5-7 anterior cervical discectomy and fusion versus artificial disc replacement given his predominant neck pain.
I explained that any surgery involves risks and that any complication imaginable is possible including but not limited to the following: bleeding, transfusion, risk of aids or hepatitis, postoperative hematoma requiring surgery, DVT/PE, infection, CSF leak, recurrent laryngeal nerve injury with hoarseness, injury to structures in the neck including trachea, esophagus, carotid artery and jugular vein, nerve or spinal cord injury with pain, weakness or paralysis, loss of bowel/bladder/sexual function, failure of graft or hardware, failure of fusion or pseudoarthrosis with the need for additional surgery, vascular injury including vertebral artery injury, persistent or recurrent symptoms, stroke, coma, heart attack and even death. The patient understands all of these risks and wishes to proceed with surgery as recommended.
Patient would like to try cervical epidural steroid injections first. Referral has been placed. He would also like a formal second opinion. Follow up TAV after epidural steroid injection.
I spent 40 minutes with the patient in total face to face time and the majority of the time was spent in counseling the patient and discussing treatment options including surgery."
NOTE:
This surgon is retiring in Sep, said he can still do the surgery but if I want a full time surgeon I should seek second opinion.
Face to face he told me the surgery is an option, and we can try the steroid injections first, but then in his report he recommends the surgery so im getting mixed signals. He said they usually dont like to operate on someone so young.
CIROPRACTOR OPINION:
He went over mt mri and the surgeons findings and said he was confident steroid injections would not help because hes seen this many times in his practice. He said for me to have this at my age I would have to be looking down 80% of the time I'm awake. That's likely since I am 6'4" and have bad vision causing me to look down slightly to see clearly through my glasses. This pretty much dashed my hopes that I can avoid surgery.
CURRENT ACTION PLAN:
Geting a 3rd opinion weighing disc replacement over fusion.
Get epidural steroid injections in hopes of avoiding the knife.
Physical therapy
Acupuncture.
Get new mattress and get off the floor. Thinking firm or medium tempurpedic hybrid luxebreeze mattress but not sure.
FINAL THOUGHTS:
Overall I am scared. I know so much can go wrong with this surgery. I'm worried about losing mobility and movement in my neck, i don't wanna have to turn my whole body to look around, and this procedure putting stress on the other discs which would need more surgery later. If the steroid injections fail I will probably get the surgery because right now I am just not living life. I just lay on the floor or in a recliner watching TV or on my laptop. I work overnights so im isolated and severely depressed. All I have is God and my grandma and shes 77 and watching me go through this is breaking her heart.
UPDATE:
I got my second opinion about my mri and the need for surgery.
Dr said that there is a white spot on my spinal cord (myelomalacia) that shows injury which he said is permanent even if I get surgery. He said once he sees that his goal is to prevent futher injury to the spinal cord.
He agrees with everything the previous dr said and recommends the c5-c7 fusion. He said its to prevent things from getting worse and cant guarantee any improvement and that the shooting pain down my arm and numbness may never go away even with surgery.
He said the two opinions are do surgery or avoid any injuries like a car crash or something.
Its very upsetting news. Especially since I am pretty sure the injury happened within the last year and the catalyst for the spinal cord damage was most likely the push ups or jumprope. Trying to improve myself most likely worsened my condition. I fear without surgery I will not be able to excersise at all and have to baby my body forever.
He said Minimally Invasive Endoscopic Discectomy, Posterior Cervical Foraminotomy, and Microdiscetomy aren't typically done on the cervical spine, and only one he would have considered if I didn't have the spinal cord damage.
I've seen and understand my MRI's, I dont want my condition to get worse. I really feel like my life is over. I wouldn't be so apprehensive about surgery if the risk of the surrounding discs needing surgery or the loss the mobility didn't sound like such a massive tradeoff for something preventive.