Spinal Conditions Affecting the Neck
Understanding Neck-Related Spinal Conditions
The neck, or cervical spine, is a complex and vital part of the spine that supports the head and enables a wide range of movement. However, degenerative changes, disc problems, and nerve compression can lead to pain, discomfort, and neurological symptoms. Two of the most common spinal conditions affecting the neck are nerve pain (cervical radiculopathy) and myelopathy.
Nerve Pain (Cervical Radiculopathy)
Nerve pain in the neck occurs when the nerves that exit the cervical spine become compressed or irritated, often due to a herniated (prolapsed) disc or degenerative changes in the spine. This compression can lead to pain radiating from the neck into the shoulder, arm, and even the hand.
Symptoms of Cervical Nerve Compression:
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Sharp, burning, or shooting pain spreading from the neck to the shoulder and arm.
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Numbness or tingling in the arm, hand, or fingers.
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Weakness in the muscles of the arm or hand, affecting grip strength.
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Symptoms may improve on their own, but persistent issues may require specialist assessment.
When to Seek Help
While some cases resolve naturally, persistent or worsening pain, weakness, or numbness should be assessed by a spinal specialist. Early intervention can help prevent long-term nerve damage and functional impairment.
Treatment Options at Thames Spine
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Physiotherapy & Exercise Therapy – Strengthening and stretching exercises to reduce nerve pressure.
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Medication – Pain relievers, anti-inflammatory drugs, and nerve pain treatments.
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Targeted Spinal Injections – Reducing inflammation around the compressed nerve.
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Surgical Options (if necessary) – Procedures such as cervical decompression or discectomy to relieve nerve pressure.
Cervical Myelopathy (Spinal Cord Compression)
Cervical myelopathy occurs when the spinal cord is compressed due to narrowing of the spinal canal (spinal stenosis), often caused by degenerative changes, disc herniation, or bony overgrowths. Unlike nerve pain, myelopathy affects the spinal cord itself, potentially leading to significant neurological impairment.
Symptoms of Myelopathy:
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Stiffness, numbness, or tingling in the arms and hands.
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Clumsiness and difficulty with fine motor skills, such as buttoning a shirt.
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Poor balance and unsteadiness, increasing the risk of falls.
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Weakness in the arms or legs, which may progress over time.
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Severe cases may lead to paralysis if left untreated.
Why Urgent Assessment is Crucial
Unlike nerve compression, which may improve with time, myelopathy is a progressive condition that requires urgent medical attention. If left untreated, it can lead to permanent spinal cord damage and disability.
Treatment Options for Myelopathy at Thames Spine
- Urgent Imaging & Diagnosis – MRI scans to assess the severity of spinal cord compression.
- Surgical Intervention – Procedures such as cervical decompression or spinal fusion to relieve pressure on the spinal cord and prevent further deterioration.
Expert Neck and Spine Care at Thames Spine
At Thames Spine, Mr. Daniel Rolton, Consultant Spinal Surgeon, specialises in the diagnosis and treatment of neck-related spinal conditions. Whether you are experiencing nerve pain or signs of cervical myelopathy, early assessment and treatment can make a significant difference in your recovery.
If you have persistent neck pain, arm weakness, or difficulties with coordination and balance, contact Thames Spine today to schedule a consultation and explore the best treatment options for you.