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There are a lot of folks walking around with a c-spine herniated nucleus pulposis (HNP) and don't know it until for some reason an MRI is ordered...!!

What would tell me to refer you to my boss (a neurosurgeon) would be an MRI that demosntrated moderate-severe compression of the spinal cord, that you have symptoms of upper extremety wasting/weakness of the muscles, inability to work with your arms above your head for any length of time AND abnormal nerve conduction studies (NCV's & EMG's) of the upper extremeties. A neurologist often could be the referring physician as well...

The key is an advanced degree of spinal cord compression AND those symptoms I mentioned above...

A neurosurgeon is the final authority as to whether you need surgery --or not...

2011-09-13 10:53:58
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Q: What effects do you get from moderate central canal stenosis due to a broad-based right paracentral 4mm disc protrusion at C5-6?
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