Chauhan, RohilHarvey, DanielSegar, AnandWhite, Steven2025-02-022025-02-022025-01-24N Z Med J, ISSN: 0028-8446 (Print); 1175-8716 (Online), Pasifika Medical Association Group, 138(1608), 129-131. doi: 10.26635/6965.67090028-84461175-8716http://hdl.handle.net/10292/18575A 43-year-old Māori male presented to a secondary care orthopaedic spine centre with a 2-year history of persistent neck pain and bilateral C6 radicular arm pain. Over the past year, these symptoms had worsened, and the patient developed fine motor skill impairment, upper limb weakness, balance impairment and urinary incontinence, significantly affecting his ability to work and ambulate.© 2025 The New Zealand Medical Journal. The NZMJ is free for individuals to subscribe with no payment required.32 Biomedical and Clinical Sciences42 Health Sciences11 Medical and Health SciencesGeneral & Internal Medicine32 Biomedical and clinical sciences42 Health sciencesJournal ArticleOpenAccess10.26635/6965.6709