Cervical Spine
Neck pain, scapular pain, arm pain, and numbness need accurate source diagnosis.
Cervical pain may come from muscle and fascial overload, degenerative facet joints, disc disease, foraminal stenosis, cervical radiculopathy, or, less commonly, spinal cord compression. Symptoms may stay in the neck, but they often radiate into the shoulder blade, shoulder, or arm and can cause numbness, weakness, or loss of hand dexterity. My consultation focuses on diagnosing the true pain generator, confirming whether the problem really comes from the neck, reviewing MRI / CT / X-ray findings, and giving a second opinion after procedures performed in other clinics. In many patients, properly selected conservative care, image-guided blocks, thermolesion / RF, and in selected cases orthobiologic support can reduce pain and postpone or avoid surgery.
Symptoms
- Neck pain and stiffness
- Pain radiating to the shoulder blade or arm
- Numbness or tingling in the hand or fingers
- Weak grip or reduced fine hand control
Conservative treatment
- Detailed clinical examination with MRI / CT / X-ray review
- Physiotherapy, posture work, and ergonomic correction
- Targeted pain-medication strategy
- Selective nerve root or facet blocks
- Thermolesion / RF ablation for selected pain generators
- Orthobiologic treatment in selected indications
When is surgery needed?
Urgent surgical or neurosurgical evaluation is needed for progressive weakness, myelopathy, gait problems, or clear structural compression that keeps causing arm pain despite well-led conservative treatment. My role is honest qualification, pain control, and verification of prior procedures.