cervical spine and pilates

Our user asked: "I am 50 years old, I run and do pilates and spin several days a week and am in good health. I began experiencing severe pain in my lower neck, across my shoulder and down my right arm. A recent MRI revealed a significant right foraminal stenosis at C5-C6. Is this another way of saying bulging disc? In addition I have a bone spur at C6-C7. The conclusion was that the pain was being caused by an inflamed nerve due to the compression. I had a cervical injection about 10 days ago and am getting some relief. I am anxious to get back to my exercise routines but am concerned about doing too much and not giving by neck, shoulder and trap muscles enough time to heal properly. Are there specific pilates moves to avoid on the cadillac, reformer or mat? And which PT exercises would you recommend."

Ask a PT Response: "Foraminal stenosis is not the same as a bulging disc. Foraminal stenosis occurs when the holes (foramen) where the nerve roots branch out from the spinal cord become compromised (smaller) as a result of various variables such as arthritis, bony spurs, etc.. When this occurs the nerve roots that branch out have an increase likelihood of being impinged resulting in irritation to the nerve. Activities and exercises which require cervical extension, side bending to the affected side or rotation to the affected side usually aggravate the condition and are generally avoided. Postural training, traction and strengthening is an important aspect of treating this condition as well. It may be a good ideal to at least get an initial evaluation from a PT so that he or she can determine what exercises may be appropriate for you. What most therapists would usually tell their patients is to avoid activities and exercises which would exacerbate their condition. Some Pilates exercises which would put your neck in the aforementioned positions are generally not recommended. Good luck and thanks for using CyberPT."