Continued pain and new numbness after C3-C4 + C7-T1 ACDF (2023)

Tagged:cervical pinched nerve vs. pinched nerve in arm

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  • jsb

    Participant

    September 14, 2016 at 8:50 am

    Post count: 4

    #22990

    Dr. Corenman,

    (Video) Why am I Still in Pain After Surgery?

    I am 11 weeks post ACDF C3-C4 and C7-T1 for left hand little finger/ring finger/wrist/forearm pain and complete numbness (herniation event to surgery was 4 months.) I also had C4-C7 ACDF 2 years prior for right hand numbness and pain which disappeared after surgery.

    I continue to have the same left hand pain when standing, but the pain subsides and the hand is only numb when lying down. I started to develop right hand numbness around week 6. I had a follow-up MRI, with following results;

    C3-C4: Bilateral facet hypertrophy is noted. Right paracentral/right foraminal bony prominence is noted. The findings cause mild to moderate right neural foraminal stenosis and very mild central canal stenosis is seen.
    C4-C5: Bilateral facet hypertrophy is noted. Left paracentral/left foraminal bony prominence is noted. At the C4-C5 disc level, this mildly indents the spinal cord. No spinal cord abnormality is seen. These findings cause mild left neural foraminal stenosis. No significan central canal stenosis seen.
    C5-C6: Bilateral facet hypertrophy is noted. Left paracentral bony prominence is noted which compresses the spinal cord. No spinal cord signal abnormality is seen. Bilateral bony prominences are noted. These findings cause mild bilateral neural foraminal stenosis. No central canal stenosis is seen.

    Since the recent surgery, I have noticed significant muscle wasting (divots) between my left hand index finger and thumb and on the outer edge of my hand. If I sleep on my back, my right hand fingers go numb. Sleeping on either side will cause one hand to go numb.

    I had an EMV/NCV one month ago on my left arm indicating “left ulnar wave latency” and “moderate to severe left sided C7 and C8 radiculopathies but not active.”

    I am going to have the EMV/NCV repeated on left arm to see any further degradation and my right arm to see if there is any new/active denervation. I feel like the test might have shown different results on my left arm if I was standing since that is when the left hand/arm pain presents. The right hand is getting progressively numb. Could this be caused by new C6 compression from the old surgery (bone growth)? Can that be fixed? Thanks.

    Donald Corenman, MD, DC

    Moderator

    September 15, 2016 at 6:04 am

    Post count: 8355

    #22994

    I am unclear about your MRI findings if you had an ACDF (fusion) of C4-7 years ago. These findings note “C4-C5: Bilateral facet hypertrophy is noted” and “C5-C6: Bilateral facet hypertrophy is noted”. If these levels were fused, the radiologist did not note this and if these levels were fused some years ago, facet hypertrophy should disappear over time.

    The C3-4 level will not cause hand weakness. This is the C4 nerve which does not descend below the shoulder and does not innervate (activate) muscles down the arm. You might have had the need for surgery due to “mild to moderate right neural foraminal stenosis” but I would have expected significant right upper shoulder/trapezius pain as the symptom present that required surgery.

    The C7-T1 level is another story. The nerve that originates from this level (C8) does go to the hand and supply the muscles of the hand. You do not include the findings of the C7-T1 level which are important to know.

    You certainly might have ulnar nerve entrapment in the shoulder (thoracic outlet syndrome) elbow or the wrist which could be causing some or all of your symptoms. See https://neckandback.com/conditions/thoracic-outlet-syndrome/, https://neckandback.com/conditions/cubital-tunnel-syndrome/.

    Dr. Corenman

    (Video) C3 C4 C5 Definitions. Cervical Spinal Cord Injury Symptoms, Causes, Treatments, and Recovery.

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.

    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

    jsb

    Participant

    September 15, 2016 at 7:58 am

    Post count: 4

    Dr. Corenman,

    I omitteded the preface for each level which was the same… “There has been anterior discectomy and fusion. Anterior fixation hardware and disc prothesis noted with associated artifacts.”. The C7-T1 comments on the report are not in the conclusion section and only note the same hardware and “Mild facet hypertrophy is noted.”

    I will ask the neurologist about eliminating the other possible entrapment locations. The original MRI looked bad at the C3-C4 and C7-T1 levels and much improved after the fusion. Perhaps the pain and numbness are from stretching the decompressed nerves as well as the progressing muscle wasting in the left hand and the new numbness in the right hand. Thanks for your advice, your site is outstanding.

    Donald Corenman, MD, DC

    Moderator

    September 17, 2016 at 7:17 am

    Post count: 8355

    (Video) ACDF SURGERY C5-C6-C7 TWO MONTHS NO NECK BRACE / FOUR MONTHS AFTER SURGERY

    #23002

    I worry that your compression might be from an entrapment neuropathy (as noted by my previous post). The EMG/NCV test will be helpful to determine this but a good clinical examination is important too. Please keep us informed.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.

    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.

    jsb

    Participant

    October 9, 2016 at 11:07 am

    Post count: 4

    Dr. Corenman,

    I had the NCV on my right arm which showed moderate chronic denervation in the right triceps, FDI and EDC and mild chronic denervation of the APB. The report indicated moderate, chronic right sided C7 and C8 radiculopathics with nothing active. The right shoulder blade, right forear pain continues with dull pain in the center of my back. The finger-tip and thumb numbness is constant. Why is this presenting now when I had no right side symptoms before the fusion? How could C7-T8 be causing new problems (after fusion)?

    (Video) Neck pain after C5-C6 disc replacement surgery - DMX review with Ross Hauser, MD

    I was also examined by a specialist for thoracic outlet syndrome. His feeling was that “while you very well might have thoracic outlet syndrome” he would not continue with anything until the original work was considered stable. He was concerned about the muscle wasting on my left hand having progressed so much after surgery.

    The right hand/arm issues that started one month after fusion are not getting any better and the left side is still painful with no improvement in strength. I am concerned about losing right hand dexterity. I am hoping there is some way to identify the source of the new pain.

    jsb

    Participant

    October 14, 2016 at 12:20 pm

    Post count: 4

    #23202

    Dr. Corenman,

    The second NCV on left side (2 months between) shows worsening. I am having a constant ache from the tops of my shoulders down the forearms and into index fingers when I stand. Lying flat on my back, I can make the little fingers go numb, standing or sitting, it moves the ache to the front of my arms and causes hand weakness and numbness in my index/thumb area. Since the problem is on both sides, I think there has been a shift in my spine or the fusion site is moving. Shortly after the ACDF, I felt a hump sensation when lying flat on my back on a hard surface. I also had sciatic leg pain. After a month of doing light abdominal exercises, the leg pain went away along with the hump feeling. Is it possible that my spine rotated and shifted upward (or downward) and I am feeling pressure at the nerve outlets of C8 (foramen)? It makes sense to me that there was initial downward pressure that I felt in my lower back and that strengthening that area pushes the whole works back up. It also makes sense that the pressure is from the bottoms of the outlets since I can reproduce numbness by tilting my head to either side (numbness is opposite the side I tilt towards) or rolling my shoulders inward. I am assuming the fusion is fixed after 3.5 months. The ACDF folks are suggesting a myelogram. Should I be looking at an MRI or X-Ray while flexing?

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(Video) Neck Pain, Cervical Disc Herniation & Radiculopathy-Everything You Need To Know - Dr. Nabil Ebraheim

FAQs

Why do I still have nerve pain after ACDF? ›

Some patients will have pain, numbness or weakness that does not completely improve and may be permanent. This is typically due to permanent nerve or spinal cord injury as a result of long standing nerve compression.

Can symptoms get worse after ACDF surgery? ›

Pain that moves around.

In addition, arm pain and tingling may not immediately go away, and in some cases may feel worse before it feels better.

What does a failed cervical fusion feel like? ›

Symptoms may include chronic pain in the back, neck, or legs, which can be dull or sharp, aching, burning, or radiating. The pain may continue after surgery or reappear several days or weeks afterward. It can worsen as scar tissue builds in the spinal nerve roots, which extend from the spinal cord.

What is the most life threatening complication for patients who have a cervical discectomy? ›

Background. Among the several complications associated with anterior cervical discectomy and fusion (ACDF), airway compromise is considered one of the serious life-threatening conditions and usually requires emergent treatment, including airway establishment and hematoma evacuation surgery.

How long does nerve pain last after ACDF surgery? ›

It can take several weeks or months to recover after surgery, and most people experience significant relief of symptoms after healing. 1 However, you might have persistent neck pain or a permanent decrease in your neck mobility, and there is a risk of complications, including nerve damage.

How long does it take for nerves to heal after ACDF surgery? ›

Typically, patients make a full recovery within two to six weeks. After you recover from anterior cervical discectomy and fusion surgery, you should be able to resume regular activity with your range of motion impacted minimally, if at all.

What are the symptoms of loose screws after spinal fusion? ›

“If the hardware is prominent under the skin the patient may feel a painful bump,” Dr. Lieberman explains. “If the hardware loosens or is irritating the surrounding tissue and nerves, the patient may feel pain or may feel and hear crepitus—a crackling sound or popping sound.”

What can go wrong with ACDF surgery? ›

Complications attributed to ACDF included; dysphagia, hematoma, worsening myelopathy, recurrent laryngeal nerve palsy, CSF leaks, wound infection, radiculopathy, Horner's Syndrome, respiratory insufficiency, esophageal perforation, and instrument failure.

How long does it take for nerves to regenerate after neck surgery? ›

Successful nerve growth to the neuromuscular endplate may take as long as 6-12 months after surgery. After this period, nerve maturation and initial muscle recovery may take 12-18 months. Remember our body is hard at work healing before any electrical recovery can even be detected in the growing nerve fibers!

Can a failed cervical fusion Be Fixed? ›

After any spine surgery, a percentage of patients may still experience pain. This is called failed back or failed fusion syndrome, which is characterized by intractable pain and an inability to return to normal activities. Surgery may be able to fix the condition but not eliminate the pain.

Can a neck fusion come undone? ›

Occasionally the patient is not able to fuse over a period of time, then the metal may fatigue due to mobility at the fusion site and may fracture. Some of these patients may go on to fuse after the metal breaks, while other may need a revision surgery.

Can you have neck surgery twice? ›

But, in rare cases, your surgeon may opt to perform a revision surgery (or second surgery) to treat failed back surgery (also known as FBS, failed back surgery syndrome, FBSS, and post-laminectomy syndrome). In rare situations, a second cervical spine surgery may be necessary to treat neck pain.

Why does my neck still hurt after neck surgery? ›

The most common reason for experiencing continued nerve pain after a fusion surgery is inadequate decompression of a pinched nerve during the initial procedure. If the spinal cord nerve is still fully or partially compressed, you'll have lingering pain and symptoms afterward.

Can you ruin a cervical fusion? ›

While uncommon, as with all surgery there are a number of risks and potential complications that can occur as a result of a cervical decompression and fusion surgery, including: Hemorrhage or formation of a wound hematoma. Damage to the carotid or vertebral artery resulting in a stroke or excessive bleeding, even death.

What is pseudarthrosis after fusion? ›

Pseudarthrosis refers to a failure of fusion after an index procedure intended to obtain spinal arthrodesis [4,5,12]. The term suggests the presence of a false joint, although it is commonly used to describe a lack of fusion that occurs after an attempted arthrodesis.

Can ACDF cause nerve damage? ›

Injury to the recurrent laryngeal nerve (RLN) is a common and important complication of ACDF, with reported incidence ranging from 0.2–16.7% (1-7). Injury to the nerve may occur via direct intraoperative contact, or indirectly due to compression secondary to traction, endotracheal cuff inflation or intubation (8,9).

How long does it take for numbness to go away after cervical surgery? ›

Forty-one percent of the CSM patients experienced residual UE numbness for at least 2 years after cervical posterior decompression surgery. Female sex and preoperative severe UE pain were the predictive factors for residual UE numbness.

What are permanent limitations after spinal fusion? ›

damage to a spinal nerve, which can cause weakness, pain, and bowel or bladder problems. additional stress on the bones adjacent to the fused vertebrae. persistent pain at the bone graft site.

What are signs of nerve regeneration? ›

How do I know the nerve is recovering? As your nerve recovers, the area the nerve supplies may feel quite unpleasant and tingly. This may be accompanied by an electric shock sensation at the level of the growing nerve fibres; the location of this sensation should move as the nerve heals and grows.

Is cervical nerve damage permanent? ›

Cervical myelopathy is a serious condition affecting the cervical spine, and if left untreated it can lead to significant and permanent nerve damage including paralysis and death. In most cases, this is an urgent surgical condition.

Does nerve pain get worse before it gets better? ›

If left untreated, the numbness, tingling, and burning caused by peripheral neuropathy will get worse over time. The damaged nerves will continue to send confusing messages to the brain more frequently until the spinal cord gets so used to sending the signals, it will continue to do it on its own.

Can plates and screws cause pain? ›

You might feel some pain, swelling or discomfort. Don't worry, it's normal. Your bone fracture was repaired thanks to the application of plates and screws used in orthopedic surgery. It might help to rest your limb on a pillow, and this will probably reduce your pain.

How can you tell if you have nerve damage after back surgery? ›

Tingling, numbness, muscle weakness, or burning are the most common signs and symptoms of nerve damage after surgery. Numbness is the most annoying and troubling problem caused after surgery. It is basically losing sensation in a particular area of the body that affects a person's lifestyle.

What happens when screws are removed from bones? ›

For instance, after screws are removed, there is a hole in the bone where the screw was. This area of bone is now slightly weaker and could break more easily after a fall or accident. New bone will grow and fill in the hole during the months after surgery.

How long does it take ACDF to fuse? ›

It usually takes up to 12 months for the vertebrae to completely fuse. In some cases, instrumentation (screws with or without a plate) will also be used to add stability to the spine.

Can ACDF surgery cause paralysis? ›

ACDF surgery involves repairs close to the spinal cord. Any injury to the spinal cord can result in dire consequences for the patient. It can cause weakness, pain, loss of sensation or paralysis. The extent of the paralysis depends on how much damage is done to the spinal cord or nerve roots.

What is the success rate of ACDF surgery? ›

This surgery has a high success rate. Between 93 to 100 percent of people who've had ACDF surgery for arm pain reported relief from pain, and 73 to 83 percent of people who had ACDF surgery for neck pain reported positive results.

What are the signs of nerve damage? ›

The signs of nerve damage
  • Numbness or tingling in the hands and feet.
  • Feeling like you're wearing a tight glove or sock.
  • Muscle weakness, especially in your arms or legs.
  • Regularly dropping objects that you're holding.
  • Sharp pains in your hands, arms, legs, or feet.
  • A buzzing sensation that feels like a mild electrical shock.

What does severe nerve pain feel like? ›

Nerve pain often feels like a shooting, stabbing or burning sensation. Sometimes it can be as sharp and sudden as an electric shock. People with neuropathic pain are often very sensitive to touch or cold and can experience pain as a result of stimuli that would not normally be painful, such as brushing the skin.

When is nerve damage permanent? ›

As a specialist in peripheral nerve surgery, Dr. Seruya wants his patients to know that after a period of 12-18 months nerve damage can become permanent.

What is failed neck surgery syndrome? ›

Failed back or neck (surgery) syndrome refers to patients who have chronic pain following a surgical procedure on the back or neck. Most people experience satisfactory results from back and neck surgery.

What are symptoms of Pseudarthrosis? ›

What are the symptoms of pseudarthrosis? The symptoms of pseudoarthrosis are similar to those of osteoarthritis and include; lack of mobility, persistent pain, joint clicking and in some cases, redness and even fever.

What causes a spinal fusion not to fuse? ›

An instrumented fusion can fail if there is not enough support to hold the spine while it is fusing. Therefore, spinal hardware (e.g. pedicle screws) may be used as an internal splint to hold the spine while it fuses after spine surgery.

What pain does C3 C4 cause? ›

C3 root compression is very rare and may present with pain and numbness around the mastoid and pinna. C4 root compression may cause pain and numbness in the back of the neck, over the scapula, and sometimes the anterior chest.

Why does my neck pop after ACDF surgery? ›

- Air bubbles inside the joint can pop. The synovial fluid between your joints lubricates movement, and when the pressure changes in this fluid, it creates gaseous bubbles. According to a 2015 study, the creation of these bubbles makes a cracking or popping sound.

Is ACDF considered major surgery? ›

ACDF surgery is a major procedure, and you will need to take it easy during your recovery. However, if you are unable to do daily activities within 4-6 weeks of your appointment, you should see your surgeon right away.

Can you have a second ACDF surgery? ›

Although the incidence of second surgery for adjacent segment disease (ASD) after anterior cervical discectomy and fusion (ACDF) has been reported, its risk factors remain elusive. Few studies have had a sufficiently large number of patients, long follow-up time, and high follow-up rate for investigation.

How much range of motion do you lose with cervical fusion? ›

In particular, one small study found that a group of patients with three- or four-level cervical fusions had, compared to their preoperative cervical ranges of motion, lost an average of: More than 25% of extension/flexion (forward/backward) More than 25% of lateral bending (side to side)

Is it better to stop at C2 or C3 4 in elective posterior cervical decompression and fusion? ›

Conclusion: In patients undergoing elective PCLF, those instrumented to C2 had only longer operative times compared with those stopping at C3/4. No differences were seen in EBL, LOS, 1-year PROs, and complications. Type of C2 screw had no impact on outcomes.

What does a failed cervical fusion feel like? ›

Symptoms may include chronic pain in the back, neck, or legs, which can be dull or sharp, aching, burning, or radiating. The pain may continue after surgery or reappear several days or weeks afterward. It can worsen as scar tissue builds in the spinal nerve roots, which extend from the spinal cord.

What nerves are affected by C6 and C7? ›

The C6-C7 disc is 6th cervical disc near the lower part of the neck, near the top of the shoulders. The nerve root that would be affected by the C6-C7 disc herniation controls the arms, the shoulders, the heart, the lungs, and more.

How serious is cervical radiculopathy? ›

Cervical radiculopathy (also known as “pinched nerve”) is a condition that results in radiating pain, weakness and/or numbness caused by compression of any of the nerve roots in your neck. Most cases of cervical radiculopathy go away with nonsurgical treatment.

Why do I still have nerve pain after ACDF? ›

Some patients will have pain, numbness or weakness that does not completely improve and may be permanent. This is typically due to permanent nerve or spinal cord injury as a result of long standing nerve compression.

How long does nerve pain last after ACDF surgery? ›

It can take several weeks or months to recover after surgery, and most people experience significant relief of symptoms after healing. 1 However, you might have persistent neck pain or a permanent decrease in your neck mobility, and there is a risk of complications, including nerve damage.

How long does it take to fully recover from ACDF surgery? ›

Recovery After ACDF Surgery

Some factors that impact recovery time include your overall health and lifestyle choices, complications during or after the procedure and how closely you follow your recovery instructions. Typically, patients make a full recovery within two to six weeks.

Why is pseudoarthrosis painful? ›

Causes of Pseudarthrosis

If the bones do not “weld together” properly, then motion may continue across the area. For some patients, motion in that area can cause pain similar to that of a broken bone that never heals.

Can hardware be removed after spinal fusion? ›

Your surgeon will normally re-open your original incision. They will remove any scar tissue that has grown over the hardware. If your spine has fused correctly they will remove the hardware. If your fusion has not been successful they may put new hardware in its place.

How long does it take for a spinal fusion to fuse? ›

While it typically takes 3 to 6 months for adjacent vertebrae to fuse into one solid bone after surgery, the healing and fusion process may take longer in some patients due to: Smoking or other nicotine products (which contain toxins that hamper bone growth)

How long does it take for nerves to regenerate after neck surgery? ›

Successful nerve growth to the neuromuscular endplate may take as long as 6-12 months after surgery. After this period, nerve maturation and initial muscle recovery may take 12-18 months. Remember our body is hard at work healing before any electrical recovery can even be detected in the growing nerve fibers!

Can ACDF cause nerve damage? ›

Injury to the recurrent laryngeal nerve (RLN) is a common and important complication of ACDF, with reported incidence ranging from 0.2–16.7% (1-7). Injury to the nerve may occur via direct intraoperative contact, or indirectly due to compression secondary to traction, endotracheal cuff inflation or intubation (8,9).

What does it feel like when nerves are healing after surgery? ›

As your nerve recovers, the area the nerve supplies may feel quite unpleasant and tingly. This may be accompanied by an electric shock sensation at the level of the growing nerve fibres; the location of this sensation should move as the nerve heals and grows.

How long does it take for nerves to heal? ›

Most people improve within three to six months, but surgery may be needed based on the lack of clinical improvement and other tests, including an ultrasound and electromyography. The chance of nerve regeneration is greater within the peripheral nervous system.

What are the signs of nerve damage? ›

The signs of nerve damage
  • Numbness or tingling in the hands and feet.
  • Feeling like you're wearing a tight glove or sock.
  • Muscle weakness, especially in your arms or legs.
  • Regularly dropping objects that you're holding.
  • Sharp pains in your hands, arms, legs, or feet.
  • A buzzing sensation that feels like a mild electrical shock.

How do you know if you have nerve damage after surgery? ›

Tingling, numbness, muscle weakness, or burning are the most common signs and symptoms of nerve damage after surgery. Numbness is the most annoying and troubling problem caused after surgery. It is basically losing sensation in a particular area of the body that affects a person's lifestyle.

What does severe nerve pain feel like? ›

Nerve pain often feels like a shooting, stabbing or burning sensation. Sometimes it can be as sharp and sudden as an electric shock. People with neuropathic pain are often very sensitive to touch or cold and can experience pain as a result of stimuli that would not normally be painful, such as brushing the skin.

What can go wrong with ACDF surgery? ›

Complications attributed to ACDF included; dysphagia, hematoma, worsening myelopathy, recurrent laryngeal nerve palsy, CSF leaks, wound infection, radiculopathy, Horner's Syndrome, respiratory insufficiency, esophageal perforation, and instrument failure.

How long does it take for numbness to go away after cervical surgery? ›

Forty-one percent of the CSM patients experienced residual UE numbness for at least 2 years after cervical posterior decompression surgery. Female sex and preoperative severe UE pain were the predictive factors for residual UE numbness.

Is neck fusion a disability? ›

You may qualify for Social Security disability benefits for your cervical neck fusion or impairments. However, you must show that your symptoms are severe. They must cause problems doing normal activities. Additionally, they must keep you from working for at least 12 months.

Why is my pinched nerve not healing? ›

In the most severe cases, recurring compression against the nerve may result in permanent damage. Talk with your doctor if you experience a pinched nerve that keeps coming back or lasts for longer than several days.

How does a neurologist check for nerve damage? ›

a nerve conduction test (NCS), where small metal wires called electrodes are placed on your skin that release tiny electric shocks to stimulate your nerves; the speed and strength of the nerve signal is measured.

When is nerve damage permanent? ›

As a specialist in peripheral nerve surgery, Dr. Seruya wants his patients to know that after a period of 12-18 months nerve damage can become permanent.

Is nerve damage a disability? ›

If you suffer from a condition that causes nerve damage that is so severe that it impacts your ability to work for at least a year, you may be eligible to receive Social Security Disability benefits.

Can an MRI show nerve damage? ›

Nerve damage can usually be diagnosed based on a neurological examination and can be correlated by MRI scan findings. The MRI scan images are obtained with a magnetic field and radio waves. No harmful ionizing radiation is used.

Does gabapentin heal nerve damage? ›

In mouse study, nerve pain drug gabapentin promotes regeneration of neural circuits. Summary: Long-term treatment with gabapentin, a commonly prescribed drug for nerve pain, could help restore upper limb function after a spinal cord injury, new research in mice suggests.

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1. Numbness in Hands and Pain in Legs, Posterior Cervical Laminectomy and Fusion - Deuk Spine Institute
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3. ACDF SURGERY C5-C6-C7: 10 Months Post Op update & MRI + Xray Images
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4. ACDF SURGERY C5-C6-C7 ONE WEEK AFTER SURGERY
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5. 2 days post op c6-c7 fusion. Second surgery/ hybrid. ACDF after disc replacement.
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