Cervical disc herniation

Definition

Disease causing pain by disc which are pulled out from their original space and compressing the nerve

The neck consists of seven bones. Flexible discs are situated between the bones. A herniated disc means that the center of the disc (nucleus pulposus) is pulled out and compresses the spinal nerves. In particular, the cervical (neck) spine has relatively small spaces between the bones and nerves compared to the lumbar (back) spine, frequently causing severe symptoms, which is why early diagnosis is critical.

Symptoms

Stiff neck and pain of shoulders and arms

  • 1.Repeating stiffness with intermittent relief
  • 2.Spiking pain in the shoulders and numbness of arms
  • 3.Numbness of hands and fingers
  • 4.If severe, gait disability, paralysis of arms or legs, urinary disability

Cause

Degenerative change

  • Extended use of computer or smartphone
  • A long driving
  • Flexion of neck for extended hours
  • forward head posture
  • High pillow

Trauma

  • Direct trauma such as accident, fall, or collision
  • Sudden postural change, bending or rotation neck

Treatment

Diagnosis : X-ray, CT, MRI

Non-surgical treatment

  • Rest
  • Physiotherapy
  • Exercise therapy
  • Medication
  • Injection
  • Neuroplasty

Surgical treatment

  • Anterior cervical foraminotomy
  • Posterior cervical foraminotomy
  • Anterior microscopic discectomy and interbody fusion