When should you see a neurosurgeon for neck pain?

Written in association with: Mrs Anne Mitchener
Published: | Updated: 24/10/2024
Edited by: Conor Lynch

Neck pain is a common complaint that affects millions of people worldwide. While it is often caused by muscle strain or poor posture, persistent or severe neck pain can sometimes signal a more serious underlying condition that may require specialised care.

 

In such cases, consulting a neurosurgeon could be essential for diagnosis and treatment. But how do you know when to seek expert help? We discuss just that in this article below. 

 

Persistent or worsening pain

If your neck pain lasts longer than a few weeks despite rest, physical therapy, or over-the-counter pain medications, it may indicate a deeper issue, such as a herniated disc, spinal stenosis, or degenerative disc disease. These conditions can worsen over time if not treated appropriately, and a neurosurgeon can offer surgical and non-surgical solutions to alleviate pain and prevent further complications.

 

Nerve-related symptoms

Neck pain accompanied by symptoms such as numbness, tingling, or weakness in your arms, hands, or shoulders could indicate nerve compression or damage. This can occur when spinal discs degenerate or shift, putting pressure on nearby nerves. A neurosurgeon specialises in spinal disorders and can evaluate whether surgery is necessary to relieve nerve pressure and prevent long-term damage.

 

Difficulty moving or turning your head

Restricted range of motion in your neck, especially if it’s painful to turn your head or look up or down, can be a sign of structural issues in the spine. Conditions like cervical spondylosis or osteoarthritis can cause stiffness and immobility, which may benefit from intervention by a neurosurgeon. Imaging tests, such as MRIs or CT scans, can reveal the root cause and guide treatment options.

 

Signs of spinal cord compression

In some cases, neck pain can result from spinal cord compression, leading to more severe symptoms such as difficulty walking, loss of coordination, or bladder and bowel control problems. These are red flags that require immediate medical attention, as untreated spinal cord compression can lead to permanent disability. A neurosurgeon can perform decompression surgery to relieve pressure on the spinal cord and prevent further damage.

 

If you experience any of these symptoms alongside neck pain, consulting a neurosurgeon can be crucial to identifying the problem and receiving the appropriate care. Timely intervention can prevent worsening symptoms and help restore function and quality of life.

By Mrs Anne Mitchener
Neurosurgery

Mrs Anne Mitchener is an experienced consultant neurosurgeon based in both central London at the Cromwell Hospital, and in Esher, Surrey. Mrs Mitchener is an expert in treating degenerative spine including pain in the following regions: back pain (also known as lumbar spondylosis, or degenerative disc disease), neck pain, (cervical spondylosis), arm pain (brachalgia) and leg pain (sciatica).

She offers spinal steroid injection treatment to the facet joints for spinal joint pain, and to the trapped nerves (nerve root block and epidurals). She also undertakes radiofrequency denervation/rhyzolysis treatments. Common surgical treatments she offers include the surgical management of spinal disorders such as slipped/herniated/prolapsed discs with percutaneous minimally invasive cervical discectomy (and fusion) and lumbar discectomy, as well as cervical and lumbar laminectomy for spinal cord compression known as spinal stenosis. Mrs Mitchener also treats abnormal gait (myelopathy), back injuries, spinal/vertebral fracture with kyphoplasty, osteoporosis diagnosed by Dexa scan, and carpal tunnel syndrome (surgically by carpal tunnel decompression)

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