Persistent Neck Pain and Radiculopathy After Multiple Cervical Surgeries

DESCRIPTION

A 38-year-old male physician experiences chronic neck pain radiating to his right upper extremity (RUE) despite undergoing three cervical surgeries in late 2010. Although a C6-7 laminotomy and discectomy provided some relief, he continues to suffer from ongoing neck pain, dysesthesia in all extremities, fatigue, and decreased sensation in the bilateral thumb and index finger. Neurological examination reveals mild hyperreflexia and significant canal narrowing at multiple cervical levels, suggesting ongoing nerve compression and persistent symptoms.

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Apr 28, 2026

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Persistent Neck Pain and Radiculopathy After Multiple Cervical Surgeries

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Presentation Transcript

Dr GR • 38 yo male (physician himself) with chronic neck pain radiating to RUE, underwent 3 cervical surgeries in late 2010 (by other surgeons) • C5-6 ACDF 10/2010 without much benefit • C6-7 right laminotomy and discectomy and a subsequent C6-7 endoscopic foraminotomy late 2010, alleviated the RUE radiculopathy • Still has persistent neck pain, dysesthesia all extremities and chest area, easy fatigue • PE: decreased sensation bilateral thumb and IF; mild hyperreflex with bilateral patella DTR 3+