A Case Report on Mild Left Para-Central Bulge of Intervertebral Disc- C4/5 and C5/6 with Mild Narrowing of Left Intervertebral Foramen Inducing Severe Neck Pain and Ipsilateral Symptoms

Abstract

Cervical disc bulge or other cervical spine diseases often results into neck and arm pain in patients formulating an etiology of direct impingement of nerve roots and associated inflammatory process. The clinical presentation also corresponds with the ipsilateral symptoms associated with the cervical disorder as depicted in the patient. A 33 year’s old South Indian male is diagnosed with Para-central bulge at the level of C4/5 and C5/C6-Intervertebral disc presented to the physical therapy with neck pain radiating into left sided upper and lower extremity pain. A magnetic resonance imaging revealed mild Para central bulge of C4/5 and C5/6-Intervertebral disc with mild narrowing of the left intervertebral foramen. Results from MRI scan show the alignment and the morphology of the vertebrae to be normal. Also, the CSF displays normal intensity in all sequences. The patient reported to physical therapy for cervical pain and Radiculopathy. After evaluation he was asked to continue with regular home exercise programme like cervical lateral flexion stretch, unilateral wall stretch which resulted to reduce the cervical pain and shows improvement in its subsequent symptoms. Key words: Cervical bulge, Intervertebral disc C4/5 and C5/6, Ipsilateral symptoms, Radiculopathy, Medical Respresntative, Severe Neck Pain.