Upper Cervical Chiropractic/cervical myelopathy


Dear doctor,
My 65 year old father went to a neurologist about his weakness in his right hand.an MRI scan has been done with this result:
normal cervical lordosis is seen.
vertebral bodies are normal in shape,signal and aligmant.
no bone marrow signal abnormality is seen.
intervertebral disks are normal in height and signal.
posterior disk protrusion with impigment upon the thecal sac is seen at c3-c4,c4-c5,c5-c6,c6-c7 levels.
no evidence of disk herniation,canal or intervertebral forminal narrowing is seen in other cervical levels.
there is abnormal T2 high signal in cervical cord at the level of c5,c6 intervertebral disk consist with myelopathy.

The result of electrodiagnosy:
needle EMG findings:
neurogenic changes was seen in some samples.
electro diagnostic diagnosis:
bilateral chronic c5,c6,c7,c8 neurogenic process which is sever and ongoing in right c5,c6 roots and moderate in other roots.

I have a question according to these results,is surgery recommanded in the case of my father?and what are the consequences if he wont accept to do this surgery?are there any possible ways to treat this?


Thank you for your question. With the information given I cannot say whether surgery is necessary as I am not a surgeon.  You should ask your medical provider if surgery is recommended and the consequences.  It is not possible to answer the question from a radiology report alone.  

With that said it seems there are some nomenclature discrepencies mainly disc herniation vs disc protrustion. Click the link I have attached and you will notice that a herniation vs a protrusion are basically one and the same. So the radiology report stating that there is disc protrusion but no evidence of disc herniation doesn't add up. If there is in fact disc protrusion into the thecal sac on that many vertebrae then this is a very serious situation.  It is also not known if this is an acute trauma or a chronic problem.  


There are other ways to care for nerve problems other than surgery.  But again form the info given there is not enough info to make any kind of decision. You should direct these questions to your healthcare provider. What did they say?

You could consult with an Upper Cervical Chiropractor and bring your imaging with you to the appointment. Upper Cervical care has helped a lot of people come back from very serious problems.  

I hope this helps,

Kind regards,

Dr. Blom

Upper Cervical Chiropractic

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Grayson Blom


My area of expertise is the detection and correction of subluxation. A subluxation is the misalignment of a bone to the extent that it puts abnormal pressure on and interferes with the communication between the brain and the rest of the body. Putting pressure on nerves and interfering with those mental impulses going from the brain to the rest of the body. Brain to body communication is essential to maintain health! According to Grayís Anatomy the purpose of the nervous system is to control and coordinate all the cell, tissues, organs, and systemís in the body and to adapt that personís body to the environment around them. So if the purpose of the nervous system is to control and coordinate everything in the body then it would make sense that we would want to take care of this system. Therefore interference to the nervous system or lack of communication between the brain and the body would then be the most common cause of health problems in the world today.


Trained and certified in the Upper Cervical Procedure through the KCUCS, Blair Upper Cervical Society, and in the Othrospinology procedure. Post graduate Upper Cervical diplomate through in the Upper Cervical Procedure through Sherman College.

KCUCS - Knee Chest Upper Cervical Specific, IUCI - International Upper Cervical Institute, Blair Upper Cervical Chiropractic Society, ICA Ė International Chiropractic Association, Palmer College of Chiropractic Alumni.

Feb 2008 Palmer College of Chiropractic, Davenport IA Degree: Doctor of Chiropractic May 2004 Boise State University, Boise ID Degree: Bachelor of Science Major: Biology Microbiological emphasis Minor: Chemistry, and Music Theory

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