Neck Pain, Cervical Disc Herniation & Radiculopathy-Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 6 ก.ย. 2024
- Dr. Ebraheim's animated educational video describes Neck Pain, Cervical Disc Herniation & Cervical Radiculopathy.
Cervical disc herniation occurs most frequently at the level C6-C7. It can occur at C5-C6.
The patient will complain of neck pain due to nerve root irritation with pain radiating to the ipsilateral upper extremity. The patient may complain of numbness, paresthesia and weakness. Coughing, sneezing and neck movements make the pain worse.
Careful examination of the patient is important. Each nerve involves ed will show its effect on the motor power, sensation and reflexes.
Herniated disc C3-C4 bulge (affects C4 nerve root)
•C4 sensory deficit around the shoulder area.
•The diaphragm is supplied largely by C4, could affect the respiratory system.
Herniated disc C4-C5 bulge ( affects nerve root C5)
•Sensory C5: affects sensation around the shoulder area.
•C5 biceps reflex is primarily C5.
•Motor: deltoid C5, C5-C6 elbow flexion
Herniated disc C5-C6 bulge ( affects nerve root C6)
•Sensory C6: affects sensation in the index finger and the thumb.
•C6: brachioradialis reflex
•Motor: C6 wrist extension (Extensor carpi radialis longus & brevis), C5,C6 biceps: elbow flexion.
Herniated disc C6-C7 bulge ( affects nerve root C7)
•Sensory: affects the area of the middle finger.
•Motor C7: elbow extension (triceps), wrist flexion, finger extension.
•Reflexes C7: triceps reflex
Herniated disc C7-T1 bulge ( affects nerve root C8)
•Sensory C8: affects the area of the medial two fingers and the medial part of the forearm.
•Motor: C8 finger flexion
•No reflexes
Herniated disc T1-T2 bulge ( affects nerve root T1)
•Sensory T1
•T1 interossei muscles (abduction & adduction), the patient will not be able to spread the fingers or bring them closer together.
•No reflexes
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Very informative...superior explanation. Your swearing oath to be helpful is honest and applauded.
(Standing applause, and cheering)
Wow...be well and well wishes...thank you for your expertise...not 5 star ratings but 1000 star rating....
Very important details. Straight to the point. Thank you from someone that suffers pain in these areas, & clueless
Extremely helpful to the layman's understanding of c5 through t1 nerves and carpal tunnel syndrome.
I had these problems for over 15 years including disability in my right arm for 6 years and a doctor who wouldn’t listen or even try to figure it out (offered me meds like Aleve, antidepressants and benzodiazepines only). It turns out I had inflammation in my whole spine which is now deteriorated and deformed from all those years without treatment. They say it’s seronegative rheumatoid arthritis or fibromyalgia…sure. Our medical system failed me (Canada).
I'm 20 years into the same, doctors wouldn't even look into it, it was all psychological pain in their eyes. UK here
Same problem with me even my MRI shows i have a c5-c6 central disc protrusion but my doc here in canada says everything is fine my right arm my shoulder my ribs and breast bone are in pain but no help i am really depressed 😔
@@skyways9237 don't let that depression beat you, it's the hardest part of the battle living with pain that "doesn't exist" stay strong, I like to believe there is hope, it's all I have left.
@@PhuriousStyles Thank you dear for this moral support much needed 🙏🏻
Me too surviving from pain last 6 years. C4 C5 c6 c7. Is thier any good treatment. Which doctor I have to consult..
I finally understand. Thank you for making it easy!
Yes Sir that was very helpful. So helpful to know THAT I AM SCREWED BIG TIME!
What did you do? I have all of these symptoms extending down my arm
Hey did yours get better? I’m currently going through this and I’m over it. So much pain in my arm!
Are you talking about a operation
I know what you mean
@@Orisha1986 sorry for not getting your message sooner. I hope you have gotten some relief with your cervical neck radiculopathy? My pains just continue to come & go when it feels bored or it’s pissed off at me. (lol) so I’ve done nothing in the way of an operation. But I have been through P. T. a few times and that helps but it’s just not long lasting. So like I said in my original post……I’m so SCREWED!
Best of luck 🍀
Dr, Ebraheim, Thank you so much for your video. It was a great review and very carefully explained!!!!
Best video i have seen on this. Really informative and different to the others. I actually learned something new and different.
Extremely helpful.
I hope the real doctors also watch this.. the neurologist in Pakistan they really don't consider disc bulge a major issue. They just recommend medicines.
Thank you Sir for the great informations, really helpful.
I wish my doctor would watch this. The C6 diagnosis I have doesn't fit this information. C7 and C8 according to this. Been ongoing some years now.
I do get tingling in all of my fingers on both hands. Not all of the time. But if I drive for twenty minutes I will have it for a few days.
My spinal cord was being pressed on at the C5. The neurosurgeon relieved pressure in the front spine replacing the C5 with a cage and screws. On the backside he put screws and rods from my c3 to c7. He removed bone to relieve pressure on the backside. He then used some of my ground up bone and doner bone to fuse my cervical spine.
Thank you for your brilliant explanation. Very clear and easily understandable.
Thank you so much for your honest amd accurate assessment. This was very eye opening. You're a life saver!!!❤
well explained. please explain how to manage a such mild condition without surgery.
Great info I had a lot of shoulder and elbow pain that was sore for long time now all gone, but now it all nerve pain which so much worst.
Very straight forward and clear! Thanx!
Exceptional work, thank you professor.
As always excellent review Dr. Nabil Ebraheim!
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This was so helpful may god bless you
Thank u so much doctor .. I need this in formation thnx
Best explanation I've seen
Thanks
I was able to use the McKenzie Technique of chin tucking to correct my C-5 (also iced the scapula). This technique didn't work for my C-4, so I had an artificial disc replacement (Mobi-C) 8 years ago. It was completely paid for by insurance and was well worth it!
Highly recommend this surgery if you're unable to get it to self-correct through exercises. The book Neck by Robin McKenzie may help..
Thanks for all informations! You doing great things to help people to understand own body! Big respect;) Regards from Lithuania;)
Thank you professor. That was extremely helpful
Very helpful video, thank you. Can these be corrected by simple exercises? I have arthritis and I blamed these symptoms on this fact. It's getting so I can not complete simple daily tasks. I am 55 years young, and until recently, very active in the construction field. I'm not ready to give up. I need answers. Thanks again.
I hear ya buddy. I’m the big 5-0 and I definitely am not ready to give up. This sucks to say the least. Good luck with your issues .
@achiqyaku8852Hi did the Traction work for you?? Plz lmk
Very well explained
If we not make surgery, what the effect way to reduce the pain causing from c3-c4-c5 ? I use my method is massage and reduce the pain from shoulder, but the pain from c4-c5 keep coming back
Very helpful, thank you
Danke für den Unterricht.
Thank you so much for the straight forward information
Thank you for this my C5 and C6 nerves are damage and my hand are in so much pain as wells as my neck. I understand why now.
Now are you okay ? And what treatment you took ?? I am facing the same problem and this pain is so severe i cant tell
I need help as well
excellent video, very helpful, thank you
Great this is best video good and nice thank you .
EXCELLENT PRESENTATION
Very good information. But treatment for weakness muscle weak etc not mentioned anywhere without operstion
Really helpful Sir....thanks
Orthopedics do very little for extreme pain and weakness, as PT is impossible until inflammation is reduced. Pain clinic with knowledgeable anesthesiologists do so much more, I have found.
Great view, thank you very much dr.Nabil
Yes it z very helpful. Thanks for making the video 🙏👍
Im going through a hernia they said it’s in my c6-c7 but im getting pain not on my neck but back bottom of my shoulder to my pec and down to my hand not the middle finger but the finger next to my thumb
I wish there was a video like this for middle/upper back. I've got confirmed 2 herniations in c5/6 and c6/7 as well as "ventral cord flattening" whatever that means. also "slight reversal of the expected cervical lordosis" so have all the symptoms you listed here. When i press the right side of my spine lower down between my shoulder blades there is a part that feels similar to the c5/6 and c6/7 spot but it is way below where the MRI was done. I have my point/middle thumb on my right finger are partly numb and my whole arm gets the "pins and needles" feeling as well as shoulder pain.
A symptom I don't understand is between my spine and shoulder blade it feels VERY painful. the other parts hurt bad too but this is the WORST pain. nearly as bad as when I move my neck just wrong and it feels like my whole body goes limp from the pain but at all times. I cant lay down or sit down in comfort because of this and so for most nights I can't sleep and just have to walk and pace back and forth for HOURS.
Another symptom i've started having is slightly weak legs and I peed myself in my sleep once (to be fair this was my first night on the pain medication). I have to pee a LOT lately and my balance isn't quite right. I'm sure some of this is the pain meds but im worried the pee/muscle weekness are signs of things getting worse.
I wasn't able to get pain meds from my normal doctor even after 3 months of working with him to finally get an MRI he suddenly "realized" i was in a car accident and he refuses to see patients with car accidents. This is just after the MRI proving I NEED some pain relief. I was stuck with just the 300mg per day of gabapentin . I went to the emergency room to get some as I couldn't sleep and was starting to see things from lack of sleep. they gave me 7.5mg of hydrocodine as well as 20mg baclofen and 10mg ketorolac as well ass an upped dose of 900mg per day of gabapentin. This is REALLY helped with the pain except that they only gave me a 3 day supply and i ran out today. I need to wait until the 20th (nearly a month after my MRI) to get to see another doctor to get the pain relief I need and speak about surgery/shots or whatever he thinks is best.
Anyways do you think this might be the drugs? another herniation lower down? should I call the doctor and beg for an earlier appointment out of fear for losing use of my legs/bladder control? etc. I'd go see a doctor but I've already spent all the money I can afford plus more just doing this so I really have to wait for the insurance approved doctor if possible.
Anyways this video is super old so I don't actually expect a response especially before the 20th but if you happen to know let me know!
I’m going threw the same thing rn. And I literally feel life less. I can’t move , my mood keeps changing . Nerve are punching me, I keep losing concentrate. It literally feels like a brick is on my neck. I can deal with the soreness.
Thanks much appreciated it 🇯🇲 one love
🇯🇲 ❤
Thank you, very helpful ❤️
Can you please also advise on healing solution for disc bulge
Excellent!
Thanks, usefull information
As a radiologist the history I get are " UE weakness ".. never ever been given a level
Looks like I have C5-C6 issue. What sycks is I didn't even do some extreme lift to make this happen, rather I just fell asleep sitting upright but with my head hanging to the left. Originally thought it was a pulled back muscle until my thumb went numb
Really helpful.
I have pain in C4 when I press on it. Whiplash/concussion injury 1.5 years ago
Special thanks .
Thanks doc
Thaki you for best informations
Very helpful
Thanks Doctor
Thanks so much
Thank you
100% helpful sir
Fantastic. 👍
very wonderful good health
Thank you.
جميع المعرضه مفيده ارجو ترجمتها للعربيه لغرض الفائده
Thank you!
thanks I have C6 at 5.2mm space cervical canal 50% smaller.
What is salution physiotherapy and medicine
Hi Nabil,
Thanks for this amazing video!
I have a question, with a cervical herniated disc, can I do bodybuilding in the gym? Or are there some exercises that I can and cannot do?
This is very important for me to know! It means a lot!
Thanks
He won't answer bc risk of being sued.
plsmake vedio about solving problem c3-c4 disc degenerate deseases
Sir,, I'm suffering from C5C6 disc protrusion and right hand thumb numbness.. shall I continue my dumbell exercise for hands
Thanks
Thaku sir
Yes that was very helpful thank youi need surgery on c3 and or is it though c6. But thanks again my dr. Knew what he was talking about. Lol
But any treatment for this..operation is needed or not? ..plz tell me that this can cure with the help of medicine also
Pia Patil hey listen I m feeling pain when I move my neck from left side to rt side in rt side of my chest pain starts from neck and goes to chest pls any one reply dos any one feel symptoms like this
@Achiq Yaku i have cervical issue, i already visited chiropractor still working with it. And still have the symptoms, the numbness on my right thumb and left toes.
There is an honest mistake!! It’s said in the video C7 and T1 will affect C8!! I think you mean C7 and C8!!!
Sir , I have right side radiculopathy. Problem in c3, c4, c5. It lead to numbness in right thumb, index finger.
Pls tell treatment
Surgery. Intersomatic box with screws or functional prosthesis. Good luck.
I have the same systom like u, how are u now, did u did any surgery?
Will the future come out of the Chinese version?
As thank you very much
Do a video on t4 and t4 herniated disc
U are very good
My problem is Hirayama disease please help me how to improve it
Sir what is the treatment of this case
I seem to have a bulge between C3-C4 but my pain area is limited mostly to neck and shoulder
(Levator scapulae)
Hi, i also have a small bulge at c3-c4 and i am getting pain at the back of the neck and in the lines of shoulder blade. It's in the left side only. Can you tell me how are you now and what treatment did you do
@@pradiptakar Hi, there is not much we can do in short term. Modern medicine is hopeless in curing these kind of issues. There is a medicine in our own backyard i.e yoga. Start with yogic stretches for neck and shoulder ec: Marjaryasana, greeva sanchalana etc etc and then move on to slightly advanced asanas. Join a yoga class focussing more on neck and shoulder.
It was helpful
If my hands are numb and painful, that can't just be from C3-C4, right? My MRI shows abnormality on two levels: C3-C4 and C5-C6 but my doctor thinks he'll only operate on C3-C4. I'm concerned.
Better treat all levels to avoid second surgery.
Can I do dumbbells excersize if c5 c6 is affected?
Blood report - all is good, just vitamin B12 and vitamin D is low
most problem is that -
1) Cervical vertebrae ;
*Diffuse disk bulge at C3 - C4 and C4 - C5 level spinal canal narrowing and thecal sac indentation .[Disk desiccation seen]
2) Lumbor spine ;
Mild loss of lumbor lordosis.
Mild diffuse disk bulge at L2 - L3, L3 - L4 & L4 - L5 level.
Now i am a very painful soldiers specialy left caller bone.. like its frozen soldiers. And when i rotate my left shoulder a sound come from scapule...it's just like broken bone
Pls say what i have do now
..i want recover my full body..now i feel so sorrow
Do you get ear painand fullness and eye problems? I have bulging discs too.
How you feeling now
What’s present situation now
C3 to C6 compression treatment ? If patient 70 years old
فغلاً روعة , بارك الله فيك
Thank u .super
Sir my father cirvical spine cord nerve problum c2 c4 ç4 ç5 ç6 ç6 me
Prublum he
How do you fix it? I’m in so much pain
Do you feel better?
I thought I was suffering from Writters cramp later I found this video.. Can disc herniation of C5 cause difficulties in writting
Which medicine is good for c8 disorder
I have this at C4-5, C5-6 and C6-7. It causes me angina also.
Same. I had c5-6 acdf surgery 2 years ago, and its failed. Now in PT and getting injections, but think more surgery on the 3 levels is in my future.
Do you get ear pain and fullness and eye issues as well?
Have you numbness on right thumb and left toes, sometimes i got sciatica issue.
Süper ,,tehankyou verdi maç,
I had a C6-C7 fusion after disc herniation. feeling came back to right arm but symptoms of no motor control of major muscles such as my sternal head of pec major, righr outside tricep muscle and muscle along shoulder blade, all on right side do not move or flex. They do not respond to tens unit either. Any ideas? DRs are all unsure
I have C6-7 herniated disc too. I am into second week of physical therapy. So far hasn't made much difference. Had this condition for almost couple of months and it's worrying me to have surgery.
@@afara2000 honestly surgery is no big deal. It's so low, I have no loss of range of motion. Only thing sore was the throat, but went to normal after 2 weeks. My condition helped a bit, but I waited to long to get good results. If I could go back, I would do the surgery immediately.
Do you ever get ear pain and fullness with eye issues?
@@starlite7785 i do not. Been about a year out now and oct will be a year since surgery. Still no c7 nerve root response and no motor control of muscles, but other muscles are learning to compensate
Tq dr
人体进行运动是否要激活细胞的活跃才得到健康功效?
Ya opretion sahi he isme please sir
I have neck pain
Does the weakness caused is a disability