HISTORY: 21-year-old senior high school football offensive line men sustained a neck injury while tackling. During the third quarter of a midseason game, he tackled an opponent player, and they both landed on the ground. The patient was facing down with opposing player just underneath his anterior torso. Shortly after the play, given he was near the ball, a pile up of players landed on his upper back. He sustained a hyperextension injury of his cervical neck since his head was laying on the player he tackled. Patient described an immediate "pop" sensation in his neck and had "complete weakness & numbness" of his R upper & lower extremities. PHYSICAL EXAMINATION: After safely placing patient in supine position on spine board, examination demonstrated he as alert and orientated x 4, had spinous process tenderness from C4-C7. Sensory testing along both extremities revealed significantly decreased and almost absent sensation in R upper & lower extremity. He was unable to raise / move his R arm or leg. His distal pulses and breathing were within normal ranges. DIFFERENTIAL DIAGNOSIS: Cervical Cord Compression, Cervical Fracture, Cervical Disc Herniation, Cervical Facet Radiculopathy, TESTS AND RESULTS: Cervical XRAYS: No osseous abnormality. Cervical CT Scan: L neural foramina stenosis at C3/C4, R neural foramina stenosis at C6/7. Mild to moderate spinal canal stenosis at C6/7 and C7/T1. Thoracic CT Scan: Normal CT chest, abdomen, pelvic, and thoracic spine. MRI Cervical Spine: C6-7 where a right paracentral / foramina disc protrusion. Mild central canal stenosis at T1-2 level due to diffuse disc bulge. FINAL/WORKING DIAGNOSIS: C6-7 cervical disc herniation with mild to moderate cervical cord stenosis at C6/7 and T1-2. TREATMENT AND OUTCOMES: R-sided weakness resolved after 4 weeks of supportive care, watchful waiting and physical therapy.