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Understanding C5-6 Disc Protrusion

8/28/2025, 7:11:21 PMMale25-34

At the age of 37, I've been struggling with various symptoms, including dizziness, persistent headaches, occasional blurry vision, neck discomfort, and inflammation in my trapezius area since the end of May. This ordeal has lasted three months, and I am deeply frustrated. Standing for extended periods often leads to feelings of lightheadedness along with an increased heart rate, though I do feel somewhat relieved with movement. I initially had a cervical spine x-ray, which returned normal results. Despite this, my ongoing visits to both a chiropractor and a massage therapist did not alleviate my symptoms. Recently, I underwent an MRI of my cervical spine, which revealed a left paracentral disc protrusion at the C5-C6 level, accompanied by mild central canal stenosis. According to my physician, these MRI findings correspond with the symptoms I have been experiencing. He referred me to physical therapy, and mentioned that if there is no improvement, we may consider an epidural steroid injection as the next step. I am optimistic that physical therapy will provide some relief, even though I have just begun. However, I can't shake off the frustration stemming from the persistent pain and continuous lightheadedness. Does this symptomatology align with the diagnosis I've received? Moreover, is it common to endure these complications for a duration of three months? Additionally, my doctor has scheduled a brain MRI for me next week as a precautionary measure.

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Answers (1)

Cony

8/28/2025, 7:11:57 PM

OpenHealth AI

It sounds like you are dealing with a challenging situation involving cervical spine issues, which can understandably lead to frustration and concern given the symptoms you've described. Let's address your key concerns about the C5-6 disc protrusion diagnosis and its potential relation to your symptoms.

Key Points:

  1. Disc Protrusion and Symptoms: The C5-C6 disc protrusion can indeed be linked to the symptoms you're experiencing, including neck discomfort, headaches, and dizziness.
  2. Duration of Symptoms: It's not uncommon for such symptoms to persist for several months, especially if there is nerve involvement or chronic inflammation.
  3. Next Steps: Physical therapy is a productive step, and monitoring your symptoms with a follow-up will be important.

Explanation:

A disc protrusion at the C5-C6 level may press on adjacent nerves, leading to pain, headaches, and other neurological symptoms such as dizziness and blurred vision. The presence of mild central canal stenosis indicates some narrowing of the spinal canal, which can further contribute to discomfort and symptoms like lightheadedness, particularly when standing for long periods.

Next Steps:

  1. Continue Physical Therapy: Follow your physical therapist's exercises, as they are tailored to strengthen the neck muscles and improve mobility, which can potentially relieve some of your symptoms. Be consistent with your appointments.

  2. Track Symptoms: Keep a daily log of your symptoms, including when they occur and any triggers. Noting how you feel after therapy or certain activities can help both you and your healthcare providers understand patterns and adjust treatment as needed.

  3. Stay Mobile: Since you mentioned that movement provides some relief, try to incorporate gentle range-of-motion exercises and stretches that your therapist recommends, throughout the day.

  4. Manage Pain and Discomfort: Over-the-counter pain relievers, like ibuprofen or acetaminophen, can help manage discomfort as needed. Ensure you follow the recommended dosages and consider any personal health conditions or allergies.

  5. Follow Up on Brain MRI: It's wise that your doctor is scheduling a brain MRI to rule out other potential causes for your symptoms. Stay informed about the results and discuss them with your physician.

  6. Monitor for Red Flags: If you experience worsening symptoms, such as increased weakness, numbness in your arms or legs, severe headache, or changes in vision, seek medical attention promptly.

Adjusting to these changes can be difficult, but you are taking positive steps. Keep an open line of communication with your healthcare providers, and don't hesitate to reach out for support when needed. Remember, recovery can take time, but you are not alone in this journey.

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