Hello, my name is Sheyan Armaghani. I'm one of the orthopedic spine surgeons at the Florida Orthopaedic Institute. Florida Orthopaedic Institute has locations at 10 different areas within the Tampa Bay area. I myself predominantly see patients out of our Citrus Park clinic off of Gunn highway as well as our Telecom location off of Fletcher. Today I'll be talking to you about the diagnosis and the treatment of common cervical spine conditions. First, we'll talk a little bit about how this may affect you. Approximately 10.2 million visits are made annually to physicians, offices and hospitals, outpatient departments for neck pain. More than 80% of individuals experienced neck pain during their lifetime with 30 to 50% of the general adult population reporting neck pain annually. First, we'll talk a little bit about what the anatomy is like in the cervical spine. This is a common bone within the cervical spine.
Just to orient you a little bit, this is as if you're laying down, up here is where your mouth in the front of your head would be, and this is the back of your neck. We call this area here the lamina and this is the covering that protects your spinal cord, which sits in here. We also have the vertebral body, which is right in the middle and that kind of protects everything from the front in between. Each vertebral body is the cushioning between the bones, which is the disc, just to show you what things would commonly look like on an MRI. You can see the same anatomy here. This is a, a cervical spine MRI looking at you from the side. Okay, so over here is where your mouth and the front of your face would be. And this white strip is the skin of the back of your neck.
Your brain is here and the spinal cord is the dark kind of line that goes all the way down, all the way down. The kind of grayish squares are the vertebral bodies, the bones that we were talking about on the previous slide. And the black between each vertebral body is the disc or the cushioning between each of the bones. Now over time, however, sometimes these discs can degenerate, which is just part of normal aging, but depending upon how the disc degenerates and how small the canal is that holds your spinal cord, sometimes you can get pressure on nerves which can cause neck pain and arm pain, which we'll get into later. Going over to this image of the MRI. This is kind of like what we were looking at previously where you have yourself laying down. This is the laminate that we were talking about this see the muscles of the back of your neck and your spinal cord is the gray oval in the middle.
The thing to pay close attention to is the space that goes out from the spinal cord here and here. These two spaces are widely open and those are the spaces where your nerves go out of your spinal cord and then down your arms. We'll see in a second what it would look like if there was potentially a problem. But most people when they have an issue, some people come in with just neck pain. Other people with a cervical spine condition come in with just arm pain. However, most people have a combination of both, whether it's 50% and 50% neck pain, the arm pain or 90% arm pain and only 10% neck pain. So when you try to think about what are the conditions that can cause each of these, it's a good thing to break it down into what is giving the patient or yourself the most discomfort and what could be those diagnoses.

Florida Orthopaedic Institute brings highly skilled orthopedic care to Tampa Bay and the surrounding area by offering virtually unmatched expertise in every orthopedic subspecialty. Our physicians are known nationally and throughout the world for their work in orthopedic surgery and have been named among the best orthopedic physicians in America.

As Florida’s largest orthopedic group, our mission is to provide an internationally recognized level of orthopedic care, achieving exceptional outcomes through continuing research and specialty expertise.

Florida Orthopaedic Institute is supported by a professional staff of more than 500 people, based in a 100,000 sq. ft. facility on a 12-acre campus. The main campus includes a state-of-the-art orthopedic surgery center that serves patients and surgeons. With exceptional expertise in every orthopedic specialty, Florida Orthopaedic Institute is literally a one-stop shop for orthopedic care, with no need to refer patients outside the institute.

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