u/MamaLJ8

37F looking for opinions

In January 2026, I had an MRI that showed a large cervical disc extrusion at C6-C7. The report described:

C6-C7: Large disc extrusion extending inferiorly with associated elevation of the posterior longitudinal ligament. There is mass effect on the right ventral rootlet and moderate right subarticular zone narrowing. There is moderate canal stenosis with a residual canal diameter of 7 mm.

IMPRESSION: Large disc extrusion at C6-C7 with mass effect on the right ventral rootlet, moderate right subarticular zone narrowing, and moderate canal stenosis.

My symptoms at the time included neck pain, arm pain, numbness/tingling, and weakness consistent with C7 nerve involvement. I was evaluated by spine surgeons and ACDF was discussed as a the only option.

I chose conservative management because I have two young boys and wanted to avoid surgery if possible. Since then, I have gradually improved. My pain is significantly better than it was in January. Overall I am almost completely functional I just have to be careful when turning my neck.

Today (June 2026), I felt a “pop” in my neck while pulling a blanket. Since then, I’ve had some mild increased tightness and anxiety that I may have re-injured the area. I do not currently have any new neurologic deficits, but the event has me concerned. We are also going to Orlando for Disney and Universal in September and I worry about the rides.

My questions:

1. For a large C6-C7 disc extrusion that is now about 6 months old, how often do you see spontaneous regression or resorption on repeat MRI?
2. If symptoms have improved substantially, how likely is it that a repeat MRI would show improvement even if the original herniation was large?
3. Does a popping sensation followed by muscular tightness typically suggest anything concerning, or is that commonly muscular/facet-related?
4. In your practice, what factors would make you recommend ACDF despite overall symptom improvement?
5. If you were your patient’s surgeon and they were improving clinically, would you repeat the MRI before making a decision about surgery?

I understand no one can provide medical advice over Reddit, but I would appreciate any general thoughts or experiences!