Suggest treatment for numbness and weakness in the arms
Patient: I was injured at work.  I was grabbed by a intoxipated patient that was in a chair.  She grabbed my left arm and pulled me down and grabbed me by my neck.  I immediately had pain and tingling down my left arm.  Now I have numbness/tingling and weakness in both arms/hands.  My MRI C-5C-6 right paracentral disc extrusion is impinging the spinal cord and narrowing the AP diameter of the canal to 4 mm.  No cord signal abnormality.  C-6 C-7 spondylosis with central canal narrowing to 6 mm with ventral cord impingement.  Moderate bilateral neural foraminal stenosis.  I have done PT and injections.  Now they are talking surgery???? Doctor: Hi there, thanks for your question at HCM.Surgery is definitely the last step in treatment ladder of Spine related pain.Since you have already tried pt , injections and medications.And I presume they have not worked. Surgery is also indicated on new onset weakness. On the other hand if u have significant improvement in pain and weakness, may be you can wait. Hope this helps.All the best. Regards. Dr.SBK