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14100 Parkway Commons Dr, Suite 100 · Oklahoma City, OK 73134
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Cervical Spine

Neck Pain & Cervical Conditions

Neck pain arising from the cervical spine can range from localized stiffness to radiating arm pain, weakness, or in advanced cases, spinal cord compression. Our spine specialists evaluate each case carefully to determine the appropriate course of action.

Related conditions:
Back PainSciaticaDisc HerniationSpinal Stenosis All Conditions →
Overview

Understanding Cervical Spine Conditions

The cervical spine — the seven vertebrae of the neck — is a frequent site of disc degeneration, herniation, and arthritic change. These conditions can compress nerve roots (causing cervical radiculopathy) or the spinal cord itself (causing myelopathy), each requiring a different treatment approach.

Cervical myelopathy is a particularly important condition to recognize, as spinal cord compression can cause progressive weakness, coordination problems, and balance difficulties. When identified early, surgical decompression can halt or reverse these changes.

Common Symptoms
  • Neck stiffness and pain
  • Pain radiating into the shoulder, arm, or hand
  • Arm numbness or tingling
  • Hand or arm weakness
  • Difficulty with fine motor tasks (buttons, writing)
  • Balance problems or unsteady gait (myelopathy)
  • Electric sensation down the spine with neck flexion
Common Causes
  • Cervical disc herniation
  • Cervical spondylosis (arthritis)
  • Cervical stenosis
  • Cervical myelopathy (cord compression)
  • Foraminal stenosis
  • Degenerative disc disease
  • Neck muscle strain or whiplash
Treatment

Treatment Pathway

Most spine conditions respond well to a stepped approach — starting with the least invasive options and progressing only when needed. Our surgeons evaluate each patient individually to determine the most appropriate path.

1
Rest, activity modification & physical therapy
Cervical physical therapy, posture correction, and gentle stretching help most cases of mechanical neck pain and mild radiculopathy.
2
Medications & cervical collar
Short-term anti-inflammatory medications and a soft cervical collar can reduce inflammation and provide symptom relief.
3
Cervical epidural or nerve block
Targeted injections can relieve nerve root inflammation and provide diagnostic information about the pain source.
4
Surgical decompression
For radiculopathy that fails conservative care, or myelopathy with cord compression, surgical decompression restores space for the nerves or spinal cord.
Surgical Considerations

When Surgery May Help

Cervical surgery is most commonly performed for herniated discs causing persistent arm pain or weakness, and for cervical stenosis with myelopathy where the spinal cord is at risk. Anterior cervical discectomy and fusion (ACDF) is among the most reliable procedures in spine surgery. For myelopathy, early intervention generally leads to better outcomes, and delay can result in permanent neurological deficit.

General medical consensus supports surgical intervention only after conservative measures have been adequately trialed, except in cases of significant neurological compromise or progressive deficit, where earlier intervention may be warranted.

The information on this page is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified physician regarding your specific condition. Surgery is not appropriate for every patient, and our physicians evaluate each case individually.

Not Sure If Surgery Is Right for You?

Our surgeons take a conservative approach — surgery is recommended only when it is clearly the best option. Schedule a consultation and we will walk through your imaging, history, and all available treatments together.

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Related Conditions

Other Conditions We Treat

Patient Questions

Frequently Asked Questions

What causes neck pain that radiates into the arm?
Neck pain radiating into the arm (cervical radiculopathy) is most commonly caused by a herniated cervical disc or bone spur (osteophyte) compressing a nerve root. This causes pain, numbness, or weakness that follows the path of the compressed nerve, typically down the arm to the hand and fingers.
What is cervical myelopathy?
Cervical myelopathy is compression of the spinal cord in the neck, usually caused by cervical stenosis from degenerative disc disease, bone spurs, or thickened ligaments. Symptoms include hand weakness, difficulty with fine motor tasks, balance problems, and in severe cases, leg weakness. It is a serious condition where surgical decompression is generally recommended to prevent progression.
What is ACDF surgery?
Anterior cervical discectomy and fusion (ACDF) is a procedure performed through the front of the neck to remove a herniated disc or bone spur compressing a nerve root or the spinal cord. The disc space is fused using a bone graft and plate. ACDF is one of the most commonly performed cervical spine surgeries with well-established outcomes.
What is cervical disc replacement?
Cervical disc replacement (cervical arthroplasty) is a motion-preserving alternative to fusion that replaces a diseased disc with an artificial implant. It is appropriate for selected patients with cervical disc herniation or radiculopathy and may reduce the risk of adjacent segment degeneration compared to fusion.
Is neck surgery safe?
Cervical spine surgery performed by a fellowship-trained neurosurgeon carries a well-established safety profile. Serious complications are uncommon. The decision to operate is made when the expected benefit clearly outweighs the risk, typically when neurological symptoms are progressive or quality of life is significantly impaired despite conservative care.
(405) 748-3300  ·   Fax: (405) 749-1671  ·  Monday – Friday 8:00 AM – 5:00 PM
Clinical References
AANS — Cervical RadiculopathyNASS — Neck Pain

Ready to Find Relief?

Our fellowship-trained spine specialists will evaluate your condition and discuss every available option — surgical and non-surgical.

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