Progressive Cervical DDD, Severe Foraminal Stenosis—Input Requested

Posted by HeatherReNee @steelme43, 3 days ago

I’m looking for perspective on a progressive cervical spine condition with worsening neurologic symptoms and inconsistent specialist interpretations.
I have multilevel cervical degenerative disc disease (C3–C7) documented for 5–6 years. Earlier imaging (2019–2020) already showed moderate disease, and at that time I was advised I would likely need ACDF surgery. Due to pregnancy and life circumstances, intervention was delayed. Since then, imaging and symptoms have progressively worsened.

Most recent MRI (Oct 2025) shows:
• Multilevel DDD with disc bulges and new loss of disc height
• Moderate to severe central canal compromise
• Severe bilateral foraminal stenosis, worst at C5–6 and C6–7
• Likely C6 and C7 nerve root impingement
• No abnormal cord signal
My current symptoms are chronic and disabling:
• Constant neck and scapular pain
• Crushing radicular pain into the left elbow
• Frequent posterior arm muscle spasms
• Loss of grip strength, especially on the left
• Bilateral arm numbness with activity (unable to drive >5 minutes without symptoms)
• Position- and movement-triggered electric shock sensations (just walking lately I feel electric shocks down both arms) and I do not have full control of my bladder.

I have seen three neurosurgeons with markedly different interpretations:
• One stated I would likely need multilevel reconstruction, later advised ablation
• One felt I was “too young” for fusion, stated the radiologist was “generous” in her report and recommended injections
• One stated there was “no clear etiology” for my pain despite imaging and neurologic symptoms, yet also recommended injections

Despite differing assessments of severity and cause, all recommended injections, leaving uncertainty about whether my symptoms are being attributed appropriately to structural disease versus treated empirically.
I would appreciate insight on:
• How often severe foraminal stenosis with progressive symptoms is considered “non-correlative”
• When neurologic symptoms (grip weakness, bilateral arm involvement) should prompt escalation beyond injections
• How to reconcile progressive imaging with lack of surgical consensus
Thank you for any professional perspective.

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HeatherReNee.
there aren't physicians on Mayo Connect, just patients. But many with valuable experience, especially Jennifer Hunter.
You might look at artificial discs. https://www.hss.edu/health-library/conditions-and-treatments/list/disc-replacement
Without professional perspective, I'll write that the injections can serve diagnostically to locate which level is creating the pain.
You can get second opinions free online from independent surgeons looking for prospective patients. You may have insurance coverage for second opinions from institutional doctors.
Your descriptions are crisp and succinct and you have all the imaging and reports.
I hope you find the perfect surgeon. (I'll be looking for Jennifer's someday)
Meanwhile you might take one of these surgeon's offer of (diagnostic) injections.
The injections wouldn't preclude surgery.
Apologies for responding unbidden. I hope you find the best solution, soon.

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I am a fellow C2-C7 disk degeneration, and most of the things you listed. Have had both anterior and posterior surgery. The reason all the docs recommended injections is because conservative treatment is required by the insurance company 3x until approval for more extensive treatment. Some people get shots and have good results, while others like myself never had any relief from shots. Your symptoms sound serious so I would start treatment soon with a neurosurgeon, either them or someone else. I feel your pain, I know it is hard. Good luck, this will be a journey for you don't give up.

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