Cervical Herniated Disc
ABOUT HERNIATED DISCS IN THE NECK
Healthy discs between the vertebrae in your neck are filled with fluid and provide space between the vertebrae.
When the discs deteriorate, they become thinner, more brittle and bulge out. If the outer lining of the disc tears, everyday activities can cause the fluid to leak out, further narrowing the space between the vertebrae and causing nerve root compression.
Doctors refer to a leaking disc in the neck as a slipped, or ruptured, or herniated cervical disc.
SYMPTOMS OF CERVICAL DISC HERNIATION
When a disc herniates, the leaking fluid may push out against the nearby spinal nerves or the spinal cord. This causes pain, weakness, and numbness in your neck, shoulders, or arms. Your pain can vary from dull, aching, and difficult to localize, to sharp, burning, and easy to pinpoint. The type and location of pain and symptoms depend on which disc has herniated and how it is pressing against your spinal cord and nerve roots.
DIAGNOSIS OF A HERNIATED DISC IN THE NECK
If you have these symptoms, your doctor will check for a herniated cervical disc by
- Gauging the flexibility, strength, and range of motion in your neck, shoulders, and arms
- Ordering imaging tests such as x-rays, an MRI or a CT (CAT) scan. Regular x-rays show bone; an MRI or CT (CAT) scan show both bone and soft tissue.
An MRI scan shows the location of cervical disc herniation and nerve root compression.
A CT scan shows the bony anatomy in the cervical spine and the space available for the spinal cord and nerve roots.
TREATMENT FOR A CERVICAL HERNIATED DISC
Doctors treat herniated discs to relieve pain, weakness, and numbness, all of which can be debilitating.
If you do not have evidence of nerve root compression with muscle weakness, your doctor may recommend:
- A soft cervical collar to rest your neck
- Non-steroidal anti-inflammatory drugs
- Physical therapy
If rest, medication, and physical therapy do not help or if tests show spinal cord or nerve root compression, your doctor may advise surgery to lessen pain, weakness, and tingling:
- Cervical fusion. The surgeon removes the cervical herniated disc and replaces it with a spacer and an anterior cervical plate.
- Cervical disc replacement. The surgeon removes the herniated disc and replaces it with an artificial cervical disc that preserves motion.
The best treatment for you depends on your unique situation. Discuss treatment options with your doctor.