Spine, interconnected bones called vertebrae
It consists of the series. The vertebrae are connected to each other by a disc and a “facet”
It is connected by two small joints called joints. a vertebra
consisting of tightly connected tissues that connect one another
disc, a cushion or shock absorber between the vertebrae
It functions as such. Disc and facet joints affect your movements,
allow you to bend over and turn your neck and back
Allows.
The disc is located in the hard outer layer called “annulus fibrosus”.
injury and the gel called “nucleus pulposus”
It consists of a central structure in consistency. With aging
The central structure of the disc may begin to lose its water content and lead to deterioration in the functions of the disc. While there may be deterioration in the central layer of the disc, outer
Damages and tears may occur in the layer.
In this case, the central structure of the disc is in the outer layer
It may cause the tear to overflow into the canal through which the nerves and spinal cord pass. This condition is called disc herniation (hernia).
is called. When this event occurs in the neck, it is called cervical disc herniation. Cervical disc herniation can put pressure on the nerves and cause pain, aching, loss of sensation or loss of strength in the arms. Rarely, a cervical disc herniation can cause pressure on the spinal cord, which can cause problems in the legs.
HOW IS IT DIAGNOSED?
Your doctor will first determine the time the pain started,
will question its character and places of spread.
Muscle strength, sensation and reflex changes in the arms
with the examination to evaluate the disc
Can have an idea about the severity and location of the hemi. Your doctor’s diagnosis, direct radiography, computed tomography
(CT) or magnetic resonance imaging (MRI)
can be verified by use.
WHAT TREATMENTS ARE POSSIBLE?
Cervical disc herniations mostly require surgical treatment.
It can be fixed without any need. That’s why cervical disc
surgery to reduce pain from hernia
Non-options are applied first.
Your doctor may recommend short periods of rest, neck
anti-inflammatory, restricting movements, reducing edema
and analgesic medications to control pain, physical therapy,
exercise or epidural steroid injection therapy
Apply non-surgical treatments including
may suggest. The aim of non-surgical treatments is to
irritation to the nerves caused by the herniation material
to reduce, relieve pain and reduce the physical
to improve results. This is for disc herniation patients.
It can be successful with an organized care program that often consists of a series of treatment methods.
NON-SURGICAL TREATMENTS
The onset of pain due to cervical disc herniation
then, resume physical activity for a short period of time (1-2 days).
Resting may be helpful to reduce it. This is short term
to move again after a rest period
initiation, immobilization of joints and muscle
It is important to prevent weakening. Moreover
your doctor with the help of a nurse or physiotherapist
on special exercises to strengthen your neck
can start training and training. This type of exercises
can be done at home. Being able to exercise in a controlled manner
See a physical therapist if you want a special program for
you can visit. Exercises with your doctor or
It is important that you do as the physiotherapist describes.
Your doctor or physical therapist may also check for inflammation,
traction, electricity to reduce your pain and muscle spasm
may use stimulation, hot wrap, cold wrap, or manual therapy.
MEDICATIONS AND PAIN MANAGEMENT
Medications include painkillers called analgesics. Sometimes
Your doctor will recommend muscle relaxants. too insistent
If you have pain, your doctor will be more effective for a short period of time.
may recommend narcotic drugs. Medicines are only recommended
It is important to use the correct dosage. Overdose of medications
Using it will not help you heal faster.
It may cause unwanted side effects (constipation,
such as insomnia, stomach bleeding, kidney problems).
Ask your doctor what types of treatments you have had before.
Be sure to explain and if he recommends painkillers
Let him know how it affects you. Moreover
whether the drugs administered have any allergic effects.
Make sure your doctor notices.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are analgesics
and edema that occurs as a result of disc herniation
and is used to reduce inflammation. your doctor
nausea and upset stomach if he/she gave you inflammatory medication
You should monitor side effects such as bleeding. prescription
continuous use or long-term use of medication
Whether it will cause any problems
should be indicated by your doctor.
Trigger point injections cause pain along the spine
Local application applied directly to soft tissues and muscles
anesthetic agent (sometimes with corticosteroids)
injections. Used occasionally for pain control
Trigger point injections do not help heal a cervical disc herniation.
SURGICAL TREATMENTS
Surgical treatment, pain relief with medical treatment methods
persistent, significant loss of strength, significant spinal cord
It may be necessary for patients with pressure. of surgery
Its purpose is to remove the part of the disc that puts pressure on the spinal cord and nerves.
is to be eliminated. With this method called discectomy
makes. Depending on the location of the disc herniation, the surgeon may
He performs the surgery through incisions made in the front and back of the neck to reach the spine. Surgery can be performed from the front of the neck (anterior approach) or the back of the neck.
It will be performed by (posterior approach)
technical decision, exact location of disc herniation, surgeon’s experience
It is affected by many factors including options and options. Each
In both approaches, the pressure of the disc material on the nerve structures is eliminated. The results are generally good.
When approaching from the front, usually between the vertebrae
to provide fusion instead of the emptied disc material
Bone material or movement-protecting prostheses for
can be placed. Your doctor will inform you about the causes and consequences of this.
WHAT AFTER SURGERY
CAN I WAIT?
Many patients recover within a short period (sometimes from surgery)
can go home (in less than 24 hours)
After surgery, the doctor will allow you to resume normal daily activities.
advice on when you can continue
will be found.
Perfect to be applied even after surgery
rehabilitation programs in daily life
Help you quickly return to your activities
it could be. For this purpose, postoperative exercise
program or physical therapy is used.
Exercises to help you heal tell your doctor
You should consult about it.
Surgical treatment for cervical disc herniations
radicular (nerve root pain reflected in the arm) pain
It is effective in reducing But some neck pain continues
can.
Most patients respond well to discectomy. But every
cervical disc herniation, as in surgical intervention
Attempts to do this involve some risks. These risks include bleeding, infection, and nerve or spinal cord damage. from the front
hoarseness, difficulty swallowing during the surgical approach
Complications such as difficulty may develop. this type
Complications are usually temporary. Will be able to develop
The most important complication is major vascular or food
pipe injury. However, such complications
The incidence rate is very low. Additionally, pain relief from surgery
Failure to improve and symptoms reoccurring
It is possible. Disc herniation in around 963-5 patients
may recur and cause symptoms at a later time
it could be.
