Has anyone dealt successfully with Cervical stenosis without surgery?
I am a healthy and active 32 year old male. Last month I was diagnosed with cervical stenosis (C5-C6) after having morning finger numbness for 2 months. All 3 doctors I asked suggest surgery, either disk replacement or merging of spines. Has anyone dealt successfully with such conditions via non surgical means? Thank you.
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I have had injections, but they did not work at all for me. I know they got it in the right place because when they put the lidocaine in my pain and my tingling went away. The next morning I got up and I had no pain or tingling but by that afternoon, it was coming back and I never got any further relief. I too am contemplating surgery but trying to avoid it. Traction makes it worse for me.
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@tjb555
For me, the best treatment was surgery to remove pressure on the spinal cord.
If left untreated, stenosis may lead to other issues over time.
@delos13
He doesn't take Medicare
@delos13
Is endoscopic the same as minimally invasive ? I called Shen's office but he dosen't take my insurance. They told me to contact a Dr at Mt Sinai who does minimally invasive surgery. I was told today by a Doc at Mass General that my cervical spine is in a dangerous place and I need to get fused for a stretch of about five or six vertebrae starting in the cervical and going into the thoracic spine.
@delos13 I am so happy to hear you had successful surgery. I also had cervical spine surgery with Dr Shen-amazing! I was so hesitant to go through another surgery after a traditional L4-L5 lumbar spinal fusion in 2021. I am still suffering with intense and sometimes debilitating pain. In fact, I am scheduled for another lumbar fusion with Dr Shen next month. That is how much confidence I have in him. I hope you continue to do well and return to a more comfortable life.
@annie1 I feel so blessed to have been introduced to Dr Jian Shen through my pain management doctor. There are so few endoscopic spine surgeons; the training is way above and beyond traditional Neuro-surgery. I think we will see more doctors with this specialty in the future. I feel pretty good since my cervical spine surgery in September 2025. I have intermittent neck pain, usually in the morning but it subsides without any intervention. To put this in perspective, by the time I had surgery my headaches were intense, 24/7 causing nausea and vomiting. I had minimal range of motion. Now, almost 5 months later I turn my head with ease and the pain I do have is manageable. I also
continue occupational therapy and follow the home program daily. I wish you well with your journey, however you choose to proceed. Keep us posted.
@thaat
That's great to hear. Unfortunately I can't afford to go to Dr Shen they don't take Medicare and out of pocket it would be something like $25,000. I don't have severe symptoms at all. Two surgeons saw my cervical MRI and said it looked very bad and that I needed surgery to keep it from progressing. So I don't have any headaches loss of control of my hands any of the other major symptoms of spinal cord compression I'm having a little bit of pain in one hand. But just a little bit. So I'm not sure if I should really pay attention to what this surgeon is telling me to go ahead and get cervical fusion in about five vertebrae stretching from C2 down to my thoracic spine. I don't know if there's any other surgeons that do endoscopic surgery but there are some that do minimally invasive. Is that the same? I have to get more opinions obviously I don't want to have cervical fusion unless I'm having severe symptoms. Do you live in the New York area?
I think, at least for me, I would want to know if it is spinal canal stenosis or, foraminal stenosis, left, right or bilateral. Then the degree of the stenosis... is it mild, moderate, or severe. If it is mild or moderate, and you do not have severe symptoms, I would look at less evasive avenues than surgery. If it is mild or moderate and you have severe symptoms, I would probably try less evasive procedures first. If it is severe, then I believe surgery may be in order. I am dealing with it now myself. I have bilateral severe foraminal stenosis at C3/C4 - C4/C5 - C5/C6 - C6/C7 as well as mild to moderate canal stenosis at C3/C4 - C4/C5 - C5/C6 - C6/C7. I would ask a lot of questions, look things up, ask more questions, etc. I am doing that now... with regard to epidurals and even RFA's, I did have some short term success with those in my lumbar, but eventually still needed two surgeries.