What Does This MRI Report For Neck Pain Indicate?
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Detailed Answer:
I read your question carefully and I understand your concern.
Judging from that MRI report I do not think that you should have surgery. The reported disc changes do not justify surgery, there is no compression of the spinal cord or of the nerve roots for the surgery to relieve. Also if by disc replacement you mean fusion remember that it causes mobility loss and puts other spinal levels at added stress predisposing for their damage in the future. If you mean artificial disc that eliminates that problem but still like every surgery has its risks and is not available everywhere.
You shouldn't be having this much pain with that MRI. Perhaps factors like muscle spasms play a role as well.
I would continue with physical therapy and medication for pain for now. I do not know what you have already tried. I suppose anti-inflammatory drugs like Ibuprofen have been tried. Perhaps muscle relaxants like Flexeril as well. Afterwards medication for neuropathic pain may be used, anticonvulsants like gabapentin, pregabalin or antidepressants like amitriptyline.
In some patients of mine cervical spinal traction has also revealed itself to be useful, it might be a remaining option.
I remain at your disposal for other questions.
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Detailed Answer:
Thank you for the additional information. I understand your difficulties especially at a young age having to look after your family.
Artificial discs like Mobi C do indeed hold more promise and should be better in the long run than fusion. However with that MRI report it is not something I would advise or my neurosurgeon colleagues would intervene really, you have no idea how many MRIs have some disc bulges and some diminished signal, but they are not intervened upon. So while you can always have the images seen by a neurosurgeon I wouldn't have high expectations.
If you haven't tried spinal traction I would give it a try. Of course doesn't guarantee success (nothing does in all spinal patients) and I do not prescribe it routinely in all my patients, but I have had a couple of difficult cases where it worked when nothing else had.