Has anyone dealt successfully with Cervical stenosis without surgery?

Posted by billandri @billandri, Feb 3, 2019

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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Profile picture for shoshi7325 @shoshi7325

@lindalou2468
My understanding is that the injections relieve the pain that may be associated with spinal stenosis but the stenosis itself remains.

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Profile picture for tjb555 @tjb555

So what is the treatment for it

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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.

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Profile picture for delos13 @delos13

And went home last night. Do not let anyone put rods n screws or acdf or laminoplasty. Dr Shen Latham NY. He's also in NYC or new jersey. You can call for a zoom meeting too. my name is Scott.

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@delos13
He doesn't take Medicare

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Profile picture for delos13 @delos13

I have severe c3 to c6 cervical stenosis. I've been to 7 top surgeons from NYC to Florida to syracuse ny. 4 wanted to do 4 level ACDF'S very bad 1 wanted to do 7 level Laminectomy very bad . 1 more wanted to do a hybrid with 7 posterior spacers and 2 level ACDF'S all the above terrible choice all fusion operations that will need a revision down the road guaranteed. 1 surgeon said I needed a 4 level laminoplasty that's where they cut one side of your lamina put in a spacer and metal plate. This is non fusion motion preserving but open neck surgery . Not wanting any open surgery or metal hardware in my neck I finally found Dr Shen Shen-spine in Latham ny and in staten island and new jersey too who is a world class endoscopic spine surgeon. There are only a handful of excellent endoscopic spine surgeon's because of the years of extra training it takes. Dr's fly in for his expertise in Endoscopic spine surgery. Check him out on his website or healthgrades or you tube. Do your own homework. You won't find anyone better. He's doing a. Endoscopic 4 level laminotomy and disectomy if needed all threw a small hole threw my lamina at each level. He said it will be outpatient and no neck braces less pain because it's not open surgery and quicker recovery he said golf in 3 weeks after because of it being endoscopicly. My stress n anxiety level is almost 0 know I'm not being fused or having metal plates in my neck. My surgery is 3/24/25. Don't get fused you don't have to check out Dr Shen or maybe you can a excellent endoscopic spine doctor near you. There's not that many as good as Shen. No fusion

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@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.

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Profile picture for delos13 @delos13

I have severe cervical stenosis c3 to c7. I've been to 7 neurosurgeon/orthopedic spine surgeons all top rated. 4 wanted to 4 level acdf,1 wanted to do 7 level laminectomy. 1 said 4 level laminoplasty. 1 more said 7 posterior spacers n 2 level acdf. All above very bad choices. I finally found a world class endoscopic spine surgeon Dr Shen Latham NY also in NYC n new jersey. I did mbb injections in occipital nerves to relief headaches then did radio frequency ablation on both occipital nerves on left n right side that help headaches n pain between shoulder blades. 2 days ago Dr Shen did surgery in Amsterdam NY. He did a 4 level cervical endoscopic laminotomy and foraminotomy. No hardware or fusion. True minimal endoscopic spine surgery outpatient. No pain after surgery. Took pain medications 1 day. Now just taking Tylenol, Gabapentin, cellebrex, icing. No neck collar. Doing much better still sore. Endoscopic spine surgery is the most minimal spine surgery there is .only a small percentage of spine doctors do this because of the years of training it takes. All above surgeries where invented in the late 50s all open surgery with fusion not good. Find a true endoscopic spine surgeon where you live or check Dr Shen Shen-Spine website or heathgrades or you tube. He cares about his patients. Send your mri disc and get a zoom appointment. He's the real deal. Good luck n God bless all people suffering from spine issues.

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@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.

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Profile picture for annie1 @annie1

@thaat
Thank you I am going to look into Dr Shen also. I have had a laminotomy at l34 that only helps for four and a half months. Now they're saying I need fusion at three levels but they can't guarantee that it's really going to help my symptoms. They just say I need fusion.

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@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.

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Profile picture for thaat @thaat

@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.

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@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?

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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.

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