History:
Mrs. Sarita Pisore, a 42-year-old homemaker, approached our spine care team with complaints of severe neck pain and progressive weakness in her left arm. The symptoms had been troubling her for several weeks, gradually worsening over time. Initially, she experienced discomfort in her neck and shoulder region, which later extended down her left arm—a classic sign of cervical radiculopathy. Over time, this radiating pain evolved into a more serious concern: a noticeable power loss in the left arm, making even simple tasks such as lifting, holding, or performing daily chores extremely difficult.
She also reported numbness, tingling sensations, and reduced sensation in her fingers, along with restricted movement of the neck, further indicating nerve root compression due to a possible disc herniation. Her symptoms not only limited her physical capabilities but also began to affect her overall quality of life, mobility, and independence at home.
Given the progressive nature of her complaints and the onset of motor weakness, Mrs. Pisore underwent a detailed clinical examination followed by imaging studies, including an MRI of the cervical spine. The scan revealed a prolapsed intervertebral disc at the C4-C5 and C5-C6 levels, causing significant compression of the spinal nerves supplying the left upper limb. This confirmed the diagnosis of cervical disc prolapse (slip disc) with radiculopathy and motor involvement, a condition requiring timely surgical intervention to prevent permanent nerve damage and restore limb function.
Clinical Evaluation & Diagnosis:
MRI Cervical Spine revealed disc prolapse at two levels: C4-C5 and C5-C6
There was posterior herniation of the disc material, leading to significant nerve root compression
The affected nerve roots were responsible for motor and sensory functions of the shoulder, arm, and upper limb
Associated disc desiccation and narrowing of intervertebral spaces were noted, consistent with degenerative disc disease
Diagnosis: Cervical Disc Prolapse with Radiculopathy and Motor Weakness
This condition was causing compression of the cervical spinal nerves, leading to pain, muscular weakness, and reduced limb function.
Postoperative Recovery Timeline:
Mrs. Pisore showed exceptional postoperative progress, with milestones achieved as follows:
Post-Op Day | Milestone |
---|---|
Day 1 | Ambulated independently |
Day 2 | Climbed stairs confidently |
Day 3 | Discharged from hospital—completely pain-free |
1 Month | Regained significant arm strength and function |
2 Months | Complete neurological recovery; able to lift 3 kg weights without discomfort |