Cervical C5-6 Nerve

Posted by dstone501957 @dstone501957, Oct 13 3:56pm

Sorry about length, but I just wanted to provide some background, 67-year-old male.

I have had a serious cervical spine issue going on over 16 months, last imaging was August 2023 and consultation with an Orthopedic Surgeon. I had been experiencing a dull burning ear pain that was mostly positional when seated for an extended period. At the time, Orthopedic Surgeon seen most issues in the C5-6 and recommended pain management and consultation with a Neurologist. Unfortunately, I went the Neurologist route first. My actual symptoms were totally ignored.

Now after over a year later, symptoms became even more severe. Was seen by a pain management Dr, without updated imaging, he wanted to address C1-4 without Cervical Radio Frequency Ablation. Did not believe C5-6 would be causing the dull burning ear pain. After going through 2 test lidocaine injections over a 2-week period, I am scheduled for the procedure on Wednesday, October 16. I was concerned as to exactly what was going on in my cervical and on 2 different occasions over the last 3 to 4 weeks, my primary care refused to order any updated imaging, after a third try recently, he was not available, and I talked my pain management Dr into ordering a cervical and lumbar MRI, done on Thursday October 10. Obtained results and Radiologist report the following day. Among other items noted, the following was the worse (copied directly from report:
C5-6: Shelflike posterior disc-osteophyte complex flattens the ventral thecal sac. Advanced bilateral uncovertebral and facet arthropathy causes extremely severe right and severe left foraminal narrowing with severe AP canal stenosis, little to no CSF anterior posterior to the cord. There is mild ventral cord flattening.

This sounds really serious to me; although I must admit that I really do not fully understand any of the terminology. My symptoms have gotten really bad over last 3 to 4 weeks. Difficult sitting, standing or lying down. I am asking the Orthopedic Surgeon that I was seen by last August 2023 to review this MRI. His nurse I spoke with, discouraged Ablation. Considering going to ER on Monday morning, which I have never done in almost 20 years.

Also, depending on who you believe or what you read, I seen literature that compressed nerves can cause chills, restricts blood flow to brain impacting body temperature regulation. I do have severe almost constant chills most when lying down and when I wake up in the morning, but Dr (s) respond to me like I am crazy when I mention it. Dismissed as an undetermined auto immune disease (subject of another group).

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@dlydailyhope

@windyshores
I do believe my cervical stenosis and myelopathy caused many symptoms that were relieved after I had C5-C6 ACDF surgery. The tinnitus has improved and daily headaches gone. Keep in mind that compression on your spinal cord not only affect signals from brain to body/body to brain to be affected (sort of like bending/constricting a power cord) but it also affects blood flow in your spinal cord which could cause nerve cells to die (from micro compression/injury). I had weird symptoms in my neck after I got 2 COVID shots in 2021 and not sure if it affected blood flow in my cranial nerves at the base of my skull. This happened before my cervical spine surgery which I had January 2021.

I do have idiopathic small fiber neuropathy and not sure if this added to my hearing loss.

My spine specialist surgeon told me that if myelopathy pressure in spinal cord is not relieved, I could have permanent damage. I was able to recover some bladder control and walking improved but I do have some permanent damage that causes weakness and numbness in my hands/arms/shoulders. My diagnosis and treatment was delayed a couple years because I kept getting misdiagnosed and then COVID hit. My suggestion is to have a surgeon listen to all of your current symptoms, do an office evaluation for myelopathy and then review current MRI to determine if surgery would help you and if a more time sensitive case.

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@windyshores
P.S. Correction, my cervical spine surgery was January 2022 (after my COVID shots). As a side note, the shots caused me heart/chest/breathing problems.

Doctors do not connect many symptoms well to properly diagnose you. Many doctors seem to miss things that they don’t connect but they should treat you as a whole person. I fired my primary doctor because she was disrespectful and treated me like a hypochondriac (felt like going back to her to tell her I was finally diagnosed properly with a spinal cord compression injury which is not being a hypochondriac… maybe she is just incompetent and arrogant/condescending). 😉

I had facial nerve pain/issues that I really don’t get anymore since surgery. I used to have a burning in my lips/chin and thought I may have trigeminal neuralgia and do wonder if cervical spinal cord/nerve roots and connections to cranial nerves would cause some of these symptoms.

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I have found anything wrong in my cervical spine was best addressed by my neurosurgeon. HE read and explained to me what was wrong, and if the remedy was surgery, or ablation. The nerves in your neck not only deal with the region you mention, but C1 to C7 encompass your eyes and end with your chest. I have had surgery back and front on all cervical discs. and know your neck can cause a wide range of symptoms. I think the Dr who ordered and fought for your MRI is the most knowledgeable. My first neck surgery in 2001, involved cutting a window in my cervical area so the nerves could move back and take the horrible pressure off
in my neck, at that time I could only raise my arms about 4 inches in the air. Nerves are pesky and take more time to heal. After 3 months I returned to work. Two years later I needed the anterior part of my neck done with discs removed and cages and a rod put in, my films look like a bicycle chain after 3 months, I returned to work again. The plus of the neurosurgeon, is that he can diagnose condition and perform surgery, too.

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@morkat

I have found anything wrong in my cervical spine was best addressed by my neurosurgeon. HE read and explained to me what was wrong, and if the remedy was surgery, or ablation. The nerves in your neck not only deal with the region you mention, but C1 to C7 encompass your eyes and end with your chest. I have had surgery back and front on all cervical discs. and know your neck can cause a wide range of symptoms. I think the Dr who ordered and fought for your MRI is the most knowledgeable. My first neck surgery in 2001, involved cutting a window in my cervical area so the nerves could move back and take the horrible pressure off
in my neck, at that time I could only raise my arms about 4 inches in the air. Nerves are pesky and take more time to heal. After 3 months I returned to work. Two years later I needed the anterior part of my neck done with discs removed and cages and a rod put in, my films look like a bicycle chain after 3 months, I returned to work again. The plus of the neurosurgeon, is that he can diagnose condition and perform surgery, too.

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@morkat This is probably a lot more than you would ever want to know about anatomy of the skull and eyes. The nerves that service the eyes originate from cranial nerves, and not spinal nerves in the neck. Here is a scientific explanation and if you scroll down, you'll find the section on the nerves to the eyes. The optic nerves actually cross under the base of the brain at the optic chiasm. My dad had a stroke that affected the optic chiasm, and he lost half of his field of vision in each eye. I think it was the right side in each eye that split in the middle.
https://www.kenhub.com/en/library/anatomy/blood-vessels-and-nerves-of-the-eye
If you look up a dermatome map, that will show you where each nerve that leaves the spine goes as it reached the skin surface.

I've also thought when you see an x-ray of plates on the spine, it looks a bit like a bicycle chain if you see it from the front.

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Thanks for the clarification. I had sepsis and the outcome was my vision was affected, I still see double. sometimes. Upon an eye examination shortly after the incident I lost 30% of distance vision. The first year the words would melt down the page, or lines would disappear, that part of my vision is better now. In April of this year my vision was considered legally blind. After cataract surgery, my vision now only requires drug store readers and most times not even then. Sorry about your dad, it is very annoying when your field of vision is obstructed. I wish him well.

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@morkat

Thanks for the clarification. I had sepsis and the outcome was my vision was affected, I still see double. sometimes. Upon an eye examination shortly after the incident I lost 30% of distance vision. The first year the words would melt down the page, or lines would disappear, that part of my vision is better now. In April of this year my vision was considered legally blind. After cataract surgery, my vision now only requires drug store readers and most times not even then. Sorry about your dad, it is very annoying when your field of vision is obstructed. I wish him well.

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@morkat I'm sorry about your sepsis. It can cause lots of problems and get serious. Thanks for your empathy about my dad. He passed some years ago. Thanks for your kind words.

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