u/Extra-Feedback-9982

▲ 3 r/HerniatedDisc+1 crossposts

26M from Germany with a C5/C6 cervical disc herniation causing right arm pain, tingling and some grip weakness.

I was previously diagnosed with the same C5/C6 issue about a year ago, but at that time the symptoms improved with physiotherapy.

Current episode started about 4 weeks ago after travel/sleeping in a bad position.

Initial symptoms were:

  • severe neck/arm pain
  • unable to sleep flat
  • tingling in fingers
  • arm weakness/fatigue

MRI showed a significant right-sided C5/C6 herniation with nerve compression.

I’ve been treated conservatively with CT-guided cortisone/PRT injections. I’ve completed 4 injections so far (1 per week). Pain has improved a lot and is now almost 0 most of the time. Sleep also improved significantly.

Current remaining symptoms:

  • tingling in fingers in certain positions
  • mild grip weakness/fatigue
  • occasional pulling sensation in arm

My neurosurgeon wants to continue until 6 injections total and start physiotherapy afterward.

I also got another opinion saying repeated injections only reduce inflammation and do not address the actual nerve compression.

I’m trying to understand:

  • Is completing 6 injections reasonable if pain already improved significantly?
  • Did anyone here recover fully with conservative treatment despite residual tingling/weakness?
  • At what point did you decide surgery was necessary (or avoid it)?

Would appreciate hearing experiences, especially from people with cervical C5/C6 issues.

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u/Extra-Feedback-9982 — 3 days ago