Disc disease cannot explain nausea and abdominal pain. His headaches were now minimal. Your blood platelets contain growth and healing factors. Smooth pursuit eye-movement abnormalities were observed in relative cervical rotation in the setting of clinical examination of cervicogenic dysfunction. Treatments discussed on this site may or may not work for your specific condition. This can be a very unpleasant symptom, and it can be hard to control. This is what it means for a disk to become herniated. Can a herniated disc in the neck or whiplash cause blurred vision? Hereare brief explanatory notes: We see in some patients, with vision problems that relate to a problem of cervical spine instability, a swollen optic nerve. It is important to remember that the SCG is very close to the anterior surface of the C2-C3 vertebra. Imageology of internal carotid artery siphon in non-arteritic anterior ischaemic optic neuropathy. For more information on problems related to vision problems and the cervico-ocular reflex, please see our article: Oscillopsia caused by cervical spine instability. Nerves are resilient if the compression is intermittent and infrequent. Your spinal column is made up of bones called vertebrae. 10 Ischebeck BK, de Vries J, Van der Geest JN, Janssen M, Van Wingerden JP, Kleinrensink GJ, Frens MA. Chronic fatigue must be diagnosed and treated by a doctor. We will provide treatment options below. If you have any of the following symptoms, you should seek medical attention: headache, neck stiffness, tenderness, shoulder pain, fatigue, or grogginess. This is as mentioned above a problem of loss of blood flow to the optic nerve. 0 items. This pain is typically felt toward the back or side of the neck. A paper in the journal Practical Neurology (1) describes problems of a swollen optical nerve in this way: Patients with abnormal visual function most likely have demyelinating optic neuritis (swelling of the nerve sheath and optic nerve) or non-arteritic anterior ischaemic optic neuropathy (loss of blood flow to the optic nerve). Can a herniated disc in the neck cause blurred vision? When you are experiencing any of the following symptoms, you should see a doctor right away. In addition, the discs can also block the flow of blood to your brain, which can cause you to feel lightheaded and nauseous. A herniated disc in the neck can cause a lot of problems, including pain, numbness, and weakness. A ruptured disc can result in serious damage and paralysis, and if left untreated, it can lead to further damage. If you experience any of these symptoms, you should seek medical attention as soon as possible. The outer part of a disk is made up of fibrous cartilage that keeps the gel contained. It does not take much to set off a cascade of neurologic-like disorders. 2020 Aug 19;12(8). The branches of the superior cervical ganglion connect with the upper four cervical nerves, the nodose ganglion of the vagus nerve, petrous ganglion of the glossopharyngeal nerve, jugular ganglion of the vagus nerve, hypoglossal nerve, internal carotid nerve, and the left and right superior cardiac nerves. It is the pressure on the optic nerve that accounts for some of the vision changes that are seen with cervical spine instability. To show the similarities between the non-traumatic neck pain patients and the traumatic neck pain patients, the researchers noted the same symptoms in patients with Whiplash Associated Disorder (WAD). Here is what you need to know about herniated neck disc causes, treatments, and possible symptoms. Here are the learning points of this case: Whiplash injuries may disrupt normal cervical afferent and efferent projections. Spinal cord and cervical nerves and ganglia are within 3 mm of bone. While some relationship exists between functional signs and symptoms, such as in cervicogenic headaches, radiculopathy and dizziness, visual disturbances remain poorly understood., While there are many controversies surrounding vision and neck movement, the researchers here state: Our study confirmed the relationship between cervical driven oculomotor deficits measured during the Smooth pursuit neck torsion tests (SPNT) and some of the commonly reported visual complaints in patients with neck pain disorders. Can muscle atrophy cause double, blurry vision? While your bodys hormones are changing your basic system responses, such as blood pressure, hormone levels, and so on, you will experience nausea if you are experiencing intense pain and your nervous system is abnormally high. If the vertebrae are wandering, so would the nerves and the ganglia relay stations. Doctors typically first suggest a conservative approach to relief. Important nerves run extremely close to bone for their protection. Superior cervical sympathetic ganglion and pupillary dilation. While concussive symptoms resolved after seven days, eye-tracking showed a mild improvement and continued to exist in relationship with cervicogenic dysfunction. If your neck pain is severe or has been worsening for an extended period of time, you should see a spine specialist. Our goal is to provide long-term solutions. We are looking for swelling of the optic nerve that may explain vision problems by way of demyelinating optic neuritis (swelling of the nerve sheath and optic nerve) or non-arteritic anterior ischaemic optic neuropathy (loss of blood flow to the optic nerve). You may have inquired about the possibility of a pinched nerve causing dizziness, and the answer is yes a nerve in the neck under certain conditions can cause headaches known as cervicogenic dizziness. If these vasospasms impact the ophthalmic artery, the artery that supplies blood to the eye and eye area including the orbit this can lead to some of the symptoms are patients describe to us such as darkening, black spots, or grayness in the vision of one eye. Smooth pursuit eye-movement abnormalities are as they are described. An introduction to the treatment is best observed in the video below. He was 85% improved overall. It is important to note that it is not your responsibility to change your physical routine without consulting your doctor first. This patient is having C1-C2 areas treated. When the outer part gets tears or splits, the gel can poke out. [Google Scholar]. . The more the patient moved her head, the more eye-movement abnormalities were observed. Overall, his neck motion was much improved. The patient received Comprehensive Dextrose Prolotherapy to his whole neck, but PRP was used as the solution injected into the upper neck. Sharp, aching or burning pain, which may radiate outward. The superior cervical sympathetic ganglion. In our practice, we look also at the problems of cervical ligament instability. Please visit the Hauser Neck Center Patient Candidate Form, 1 Margolin E. The swollen optic nerve: an approach to diagnosis and management. Most of the time, the pain at the injection site goes away after the injection. Its possible that youll notice improvements in your fatigue once youve found the right treatment combination. There are other methods available that can help you reduce fatigue and improve your overall quality of life. . (Smooth pursuit neck torsion tests look for relationships between neck movement and eye function. The right side is Image B or normal size. Take the Quiz! For people who do have symptoms, the symptoms tend to improve over time. The ligaments are the strong connective tissue that holds the vertebrae in place. Nonsteroidal anti-inflammatory drugs are sold mostly at pharmacies as well as in large box stores. The superior cervical ganglion influence on the eye circulation and optic nerve is enormous. While our mission is to help as many people with chronic pain as we can, sadly, we cannot accept all cases. It can be hard to figure out exactly what causes a herniated cervical disk. At our center, this cause is often identified as cervical spine instability. He is also treating me for cervical lordosis. What both challenges have in common is that the cervical vertebrae are hypermobile and are moving in and out of their natural position. What are the symptoms of a pinched nerve at c6? Thus, any lesion affecting the superior cervical gangli may make it harder to focus ones eyes in a dark room. Cervical disc problems can cause nausea for a number of reasons. principles of language teaching ppt; best hvac systems 2020 consumer reports I have noticed that as my neck pain is progressing I get more frequent headaches and pain radiates into my jaw. 2022 Mar 23;19(7):3788. Non-steroidal anti-inflammatory drugs (NSAIDs), as well as regenerative medicine, can also help with neck pain. This dizziness may come and go or occur with motion of the cervical spine (neck), and it can involve unsteadiness, light-headedness, blurry vision, ringing in ears, nausea . Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. The goal of spinal stenosis medications is to alleviate pain and improve patient quality of life. It can also cause sweating, because the nerves that are affected by the herniated disc can also control the sweat glands. A patient came to Caring Medical after visiting multiple specialists without any explanation why his vision was blurry and he could not focus on objects. An introduction to nerve stretching and compression. In the July 2017 edition of The Journal of Orthopaedic and Sports Physical Therapy (4), she wrote: There is considerable evidence to support the importance of cervical afferent dysfunction in the development of dizziness, unsteadiness, visual disturbances, altered balance, and altered eye and head movement control following neck trauma, especially in those with persistent symptoms. In this article, our focus will be onvision problems. So what happens to the SCG affects the vagus nerve (and other nerves) and vice versa. Here again, the problems of vision connected to cervical degenerative disc disease. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, COVID Could Reactivate Chronic Fatigue Symptoms, Climate Change Harms Physical and Mental Health, Most Cancers Are Not Found Through Screenings, New Blood Test Could Spot Alzheimers Earlier, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Arthritis & Ankylosing Spondylitis of the Spine, Injections for Back Pain: What You Need to Know, Understanding Basic Information about Spinal Disk Problems. The wandering vertebra and the pull of these vertebras on the nerve, ganglia and blood vessels that attach to them. Below the video is a summary of the video with explanatory notes to help further and explain some of the concepts that Dr. Hauser is putting forth in explaining vision problems as they relate to neck pain. While vision problems are the focus, it is important to understand that anyone who suffered from a traumatic injury, such as whiplash in a car accident or sports injury, or someone suffering from degenerative problems of the neck, blurred, double vision is only one component of symptoms. (Theblockage or dysfunction of nerve messages or blood flow in the neck that we mentioned above). The main reason for your lack of success is that your doctors may have focused solely on the blurry vision and not explored the possibility of a greater problem of the soft tissue damage in your neck causing the blurred, double vision. It is normal for some patients to experience tiredness, especially if they are elderly. If you think you might have a cervical disc problem, its important to see a doctor so they can diagnose and treat the problem. The assault on eye blood flow, pressure, and homeostatic (balance) mechanisms is enough to not only cause various eye symptoms, including palinopsia (tracers, after image, static, or snow vision), oscillopsia (oscillating vision), entopic phenomena (floaters), but also serious eye conditions, including optic hypertension, glaucoma, and macular and retinal degeneration. If your symptoms persist, you may need to take medication or undergo surgery. He said his vision was back to normal and his ear fullness was gone. All rights reserved. What this study concluded was that a narrowing of the internal carotid artery siphon may increase the risk of developing non-arteritic anterior ischaemic optic neuropathy NAION. A pinched nerve or blood vessel causes cervical vertigo. If the condition is severe enough, a herniated cervical disc can even lead to pain or weakness in the lower body. At Axis Brain and Back Institute, the most common issue I operate on is a herniated disc. I have had neck problems for a long time. [Google Scholar] Learn more about your cervical disks, what can cause one to become damaged, the symptoms, and when to call your doctor. 2023 Brandon Orthopedics | All Right Reserved, Shoulder Arthroscopy: A Minimally Invasive Procedure For Shoulder Pain Relief. signo aries mujer; ford fiesta mk7 van conversion kit; He was unable to drive at night and was unable to play golf. Advertisement. The research and controversy surrounding neck pain and vision problems. Clocking Tinnitus And Anti In February 2019, researchers wrote in the Clinical Neurology and Neurosurgery of tinnitus being a symptom or manifestation of migraine headaches. For the past couple of years, I have had issues with blurred vision that seem to subside when I lay down and close my eyes for 20-30 min. This is the superior cervical sympathetic ganglion (in simple terms a nerve relay station that forwards neural messages) in its native habitat. Another way upper cervical instability affects vision is through the optic nerve. Vagal nerve problems can cause them. The nerves are the regulators of vascular tone. The condition is frequently accompanied by arm and hand problems and can affect the entire body. [Google Scholar] It is interesting to note that the research above also suggests that this problem with the neck muscles should be explored because not only is there a connection to vision problems, but, Contrasting (new) changes are present in deep and superficial neck muscles with implications for neck function that may explain some common WAD symptoms. If the muscle problem is affecting vision, it is affecting other symptoms as well. Altered Cervical Joint Position Can A Herniated Disc In The Neck Cause Blurred Vision In our offices, we see patients following acute head or neck trauma, such as concussion, whiplash, and sports injury who suffer from these various problems including double vision and other vision problems. The lack of nerve signals can result in oxygen deprivation, which can disrupt nerve signals. The more the patient moved her had, the more eye-movement abnormalities were observed, Manual therapy can help in acute situations. 95 percent of patients reported that Prolotherapy met their expectations in regards to pain relief and functionality.. There are many symptoms associated with whiplash, vision problems may only be one. Common Signs and Symptoms of Cervical Herniated Disc A cervical herniated disc can cause pain that radiates throughout the neck, shoulders, arms, and hands. So what happens to the SCG affects the vagus nerve (and other nerves) and vice versa. Depression: Back or neck pain can disrupt all aspects of a persons life: work, physical exercise, social activities, and sleep. People, perhaps like yourself with visual disturbance will usually report on many problems that this condition is causing them. The spinal cord is also protected by this section of the spine, which contains many of the nerve endings that send signals from the brain to the rest of the body. In addition to symptoms, the evaluation of potential impairments (altered cervical joint position and movement sense, static and dynamic balance, and ocular mobility (eye muscle movement) and coordination) should become an essential part of the routine assessment of those with traumatic neck pain, including those with concomitant injuries such as concussion and vestibular or visual pathology or deficits. If your neck is out of alignment, you will be corrected as soon as possible. I have so much going on,but here is my balance/dizzy symptoms. LinkedIn: #aryanspine #herniateddisc #spinesurgeon Ross Hauser, MD, is giving the injections. One possibility is that the pain is causing tension in the muscles and nerves in the neck, which can lead to headaches and migraines. In this video, Danielle R. Steilen-Matias, MMS, PA-C describes various challenges patients have with whiplash injury. Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. My neck has never been great, but does not appear to be my main issue today (unless its connected). If the disk is pressing on a nerve root, other symptoms can include: Numbness or tingling in a shoulder or arm that may go . A digital motion x-ray at our facility revealed multiple areas of cervical instability including significant anterolisthesis of C2-C3, C4-C5, and C5-C6, as well as gapping of facet joints bilaterally at C4-C5 and C5-C6, encroachment of the facet joint at C3-C4 and C4-C5 on the left with flexion and extension, as well evidence of overhang on lateral flexion of C1-C2. izziness is a common sign of a variety of illnesses. A common but not as commonly diagnosed cause of swollen optic nerve and problems of vision is increased intracranial pressure from cervical spine instability. If you have neck pain with one or more of the above symptoms, and especially if you have any weakness, you should see your doctor. I have seen a neurologist, cardiologist and ophthalmologist all say Im ok. So when a person has cervical instability, most probably, the C2-C3 vertebrae will lay right on the superior cervical sympathetic ganglion and cause compression. The researchers offer an explanation for the increased cervico-ocular reflex inpeople with neck pain as alteredafferent information from the cervical spine. It can be a physical issue because of a spine problem that also causes a vascular issue. There are many possible explanations for why neck pain might make a person nauseous. It relies on the glossopharyngeal and vagus nerves to send blood pressure in the carotid sinus and aorta arch, respectively to control blood pressure and pulse, not just so the eye structures can have appropriate circulation but the brain. 2016 Dec;17(1):1-1. 9 Hauser RA, Steilen D, Gordin K. The Biology of Prolotherapy and Its Application in Clinical Cervical Spine Instability and Chronic Neck Pain: A Retrospective Study. Finally, it is also possible that the nausea is a side effect of medication that is being taken for the neck pain. It relies on the glossopharyngeal and vagus nerves to send blood pressure in the carotid sinus and aorta arch, respectively to control blood pressure and pulse, not just so the eye structures can have appropriate circulation but the brain. Malrotation can affect the signaling of important nerves which impair the function of numerous systems. Many people contact us via email with their medical concerns. Common methods include hot and cold compresses, anti-inflammatory or pain medication, physical therapy or lifestyle . I cant wondering if the issue is tied to my spine? WebMD does not provide medical advice, diagnosis or treatment. Mine is a central posterior herniation. . When this happens, it can cause the body to feel tired. Intensity of visual symptoms should be considered in clinical practice as it might show a more pronounced relationship to oculomotor control deficits measured during neck torsion positions. This causes internal compression or cervical stenosis and reduced and distorted nerve messaging (in the case of this article vision problems). This pull or stretching can cause many of the symptoms we see in our patients including the vision problems. As you can see from all these connections, the superior cervical sympathetic ganglion is the primary messaging relay center. A 2020 case history presented in the medical journal Cureus (11), citing this research in support of treatment suggestions, described the case of a 22 year old woman who was in a high speed car accident. Symptoms often include neck pain and stiffness, headaches, dizziness, blurred vision, and ringing in the ears. The most common reason is that the herniated disc is pressing on a nerve that goes to the stomach. It helps if you first learn a little about your spine, how its constructed, and where your cervical disks are found. Proper nerve impulse is key to health. Once a diagnosis is made, doctors will be able to devise a treatment plan that is tailored to each patient. [Google Scholar] However, it is generally agreed that herniated discs can cause fatigue, as the pain caused by the condition can make it difficult to get a good nights sleep. It sits in the inner ear and works by adjusting fluid levels that act as the balance mechanism. Sympathetic nerves innervating the orbital structures come from the superior cervical ganglion and are conducted cranially in the internal carotid nerve. It is critical to have any of the following symptoms checked out if you are experiencing any of these symptoms. Signals from the nerves are not sent to the appropriate location, resulting in an interruption in oxygen flow. 2 Fu ZY, Li HY, Wang YL. The iris sphincter muscle (pupillary constrictor) which receives its impulses from the parasympathetic fibers of the third cranial nerve (oculomotor) constricts the pupil; whereas the iris dilator muscle (pupillary dilator) are innervated by sympathetic fibers running from the superior cervical ganglia. International Journal of Ophthalmology. Severe swelling in the hip area. You always want to make sure that some internal eye condition does not exist, as some of these (like retina injuries) can be emergencies. Ones daily routine may also be affected if it occurs several times per day. Oculomotor abnormalities have been reported in chronic whiplash cases, but there is limited knowledge of their presence in acute whiplash and how acute assessment may target early intervention. Headaches cause nausea and pain in at least 75% of migraine sufferers. This can cause headaches, neck pain, and dizziness, which can all lead to nausea. The cervical area of your spinal cord also contains nerves that connect to your arms, hands, and upper body. "Characteristics of visual disturbances reported by subjects with neck pain." A swollen optic nerve - "Patients with abnormal visual function most likely have demyelinating optic neuritis" Non-arteritic anterior ischaemic optic neuropathy. It is critical to describe all of the symptoms in as much detail as possible when discussing them with your doctor. In 2015, our research team published our findings in our paper The biology of prolotherapy and its application in clinical cervical spine instability and chronic neck pain: a retrospective study. This peer-review research was published in the European Journal of Preventive Medicine. We have a multi-step process so our team can really get to know you and your case to ensure that it sounds like you are a good fit for the unique testing and treatments that we offer here. stevens funeral home pulaski, va obituaries. If you are suffering from chronic neck pain, one of the most likely causes is a herniated disc. This condition is most likely caused by neck conditions. I have been having problems getting my eyes to focus. 2017 Jun 16(0):1-25. 2020;13(12):1941. (7). Here are some generalized examples of a person diagnosed with a herniated disc and a vision problem. (9), Here we wrote: In an effort to facilitate the diagnosis and treatment of clinical cervical spine instability and chronic neck pain, we investigated the role of proliferative injection Prolotherapy in the reduction of pain and recovery of constitutional and neurological symptoms associated with increased intervertebral motion, structural deformity and irritation of nerve roots. "Characteristics of visual disturbances reported by subjects with neck pain." A swollen optic nerve - "Patients with abnormal visual function most likely have demyelinating optic neuritis" Non-arteritic anterior ischaemic optic neuropathy. The paper cited at the top of this article is one that she co-authored. A patient who has vision impairment improved my neck pain treatments would certainly think so. In fact, you could often have one without any symptoms. It often comes on slowly with no clear cause. However, there are other possible causes for these symptoms, and secondary adaptive changes should also be considered in the differential diagnosis. This is demonstrated in the emails we get from people who are not sure if there is a connection. [Google Scholar] When a condition of cervical instability exists, the vertebrae wander out of position-taking with them and stretching the areas veins, arteries, nerves, and nerve bundles. The feeling of weakness. Constipation is a common condition. Treatment was focused on cervical manual therapy. It is important to remember that the SCG is very close to the anterior surface of the C2-C3 vertebra. If the compression is too intense and/or too frequent, damage to the nerve can occur. The idea that eye movements, gaze stability, and ocular reflexes are hampered by soft tissue neck injuries is a recognized but somewhat controversial subject. This has impacted things like driving and being a spectator at sports. A herniated disc in the neck can cause nausea for a number of reasons. The most common reason is that the herniated disc is pressing on a nerve that goes to the stomach. Your primary healthcare provider should be able to advise you if your magical spells are caused by a serious health problem such as heart disease or a brain tumor. Cervico-ocular reflex is increased in people with nonspecific neck pain. Most spondylosis patients have a question if the herniated disc can cause blurred vision? After his second visit, his symptoms were 70% improved and his balance was so much better than he was back to playing golf. The symptoms here include various vision disturbances. These conditions can lead to fatigue and discomfort, in addition to pain and discomfort. When the Vagus nerve is injured by compression caused by instability at C1-C2, this can cause vasospasms (narrowing of the arteries and reduction of blood flow). When the neck muscles are stressed, it can restrict the flow of blood in the eye muscles and often lead problems related to the eye. The idea that eye movements, gaze stability, and ocular reflexes are hampered by soft tissue neck injuries is a recognized but somewhat controversial subject. An example of regenerative medicine is the use of a patients own cells to increase the bodys ability to heal itself. Diminished ocular blood flow can cause symptoms, usually in one eye, blurred vision, or partial or complete loss of vision. This can cause the nerves to become irritated and inflamed. Sitting, standing, or walking for an extended period of time can increase fatigue. This may sound worrying, but it is not an uncommon occurrence. Cervical rotator muscle activity with eye movement at different speeds is distorted in whiplash. You'd better find some medical way to treat your neck problems. 2023 Brandon Orthopedics | All Right Reserved, Vertebral Compression Fractures: Causes Symptoms And Treatment, Cervical Spinal Stenosis: Causes Symptoms And Treatment With Prednisone, The Benefits Of Chiropractic Care For Spinal Stenosis, The Dangers Of Sitting For People With Spinal Canal Stenosis, Shoulder Arthroscopy: Procedure Recovery And More, Marrow Edema: Symptoms Causes And Treatment, How To Find Relief From Constipation And Sciatica, One Potential Symptom Of Degenerative Disc Disease Is Cramping. Prolotherapy is an injection technique that stimulates the repair of unstable, torn, or damaged ligaments. A herniated disc in the neck can cause many problems, including pain, tingling, and numbness. A case history is a description of one persons medical journey, treatment, and alleviation of symptoms. A program is initiated to help restore the correct and proper cervical spine curve. It can also cause fatigue. Gallbladder pain, which usually radiates to the shoulder, is felt in the right side under the ribs. Following a cervical spine injury, it may also cause cervical vertigo. On ultrasound the cervical sympathetic ganglion can be 1mm from the bone. Optic nerve damage caused by blood flow restriction. They also connect the vertebrae to each other so you can bend and twist your neck and back. Early intervention should focus on cervical manual therapy and may be important in supporting altered cervical afferents causing oculomotor dysfunctions following acute whiplash.. The next challenge, can it be treated? He had cracked his neck over a thousand times. By: J. Rafe Sales, MD. When you have a slipped disc, a pinched nerve, a herniated disc, or a nerve, the underlying problem is that the vertebrae are compressing these structures and causing pain and possible neurologic-type symptoms. A herniated disc in your neck can cause fatigue because it can put pressure on your nerves and cause pain. The researchers write: The cervical spine has undergone scientific scrutiny for many years. does paternity test give father rights. Deficits in afferent information are suggested by magneticresonance imaging studies showing a widespread presence of fatty infiltratesin the neck muscles of patients with chronic whiplash and to a lesser extentin patients with idiopathic neck pain (neck pain that is coming from an undiagnosed source).. The burden of managing these symptoms can also add to ones time and energy. Physical Therapy. A certain number of Prolotherapy visits to resolve the instability. On ultrasound the cervical sympathetic ganglion can be 1mm from the bone. When the cervical spine is unstable, it can cause a lot of pain. We are an out-of-network provider. A pinched nerve or blood vessel in the neck causes cervical vertigo. Dr.Julia Treleaven, Ph.D., is a member of the Neck Pain and Whiplash Research Group, Division of Physiotherapy, School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, Australia. In other words, does vision improvement mean the treatment is working? If you have any questions or would like to schedule an appointment, please contact us at 1-800-MEDICINE. The patient was a chronic self-manipulator of his neck. While it might sound worrisome, it is not an uncommon health problem as you age. When Do I Need Surgery for a Herniated Disk? International Journal of Environmental Research and Public Health. An increase in optic nerve sheath diameter can be due to increased intracranial pressure. The most common locations of the condition are the lower back, hips, legs, and feet. Posted on . I ended up getting a cervical spine epidural and having physical therapy and I was able to avoid surgery.

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