Conditions & Treatments
What is a cervical herniated disc?
Cervical discs are the cushions between the vertebrae in the upper back and neck. Herniation of the disc occurs when the gelatinous inner disc material, the nucleus pulpous, ruptures, or herniates, through the outer cervical disc wall.
Cervical Herniated Disc CausesA cervical herniated disc is caused by excessive stress being placed on the disc, whether as a result of
heavy lifting or other damaging motions. Pain and other symptoms can develop when the damaged disc pushes into the spinal canal or nerve roots.
Cervical Herniated Disc Symptoms
Symptoms of cervical herniated disc may include:
- Pain that radiates down the arm to the hand or fingers
- Numbness or tingling in the shoulder, arm, or hands
- Weakness of hand and or arms
Certain positions or movements of the neck can intensify the pain. The symptoms of a cervical herniated disc often resemble other disorders such as carpal tunnel syndrome, problems with the rotator cuff, and gout.
In some patients, a cervical herniated disc can cause spinal cord compression, where disc material pushes on the spinal cord. This is a much more serious condition and may require a more aggressive treatment plan. Spinal cord compression symptoms include:
- Awkward or stumbling gait
- Difficulty with fine motor skills in the hands and arms
- Tingling or "shock" type feelings down the torso or into the legs
Who is a typical cervical herniated disc patient?
Cervical disc herniation is usually seen in 30- to 50-year-olds. It may be seen in patients in their 80s, but this is rare, as normal aging tends to dry out the disc, preventing rupture.
Cervical Herniated Disc Diagnosis
Your spine doctor will consider your medical history and symptoms and give you a physical examination, during which the doctor will look for limitations of movement in the spine, problems with balance, and signs of pain, as well as any loss of extremity reflexes, muscle weakness, sensory loss, or abnormal reflexes that may suggest spinal cord involvement.
Nonsurgical Treatment of Cervical Herniated Disc
All treatments for a cervical herniated disc are designed to help resolve pain. Most episodes of arm pain due to a cervical herniated disc will resolve over a period of weeks to a couple of months, and, usually, pain from a cervical herniated disc can be controlled with medication. Once the pain improves, it is unlikely to return, although it may take longer for the weakness and numbness/tingling to improve.
Interventional treatments for cervical disc herniation may include:
- Physical therapy and/or exercises for exercises to help relieve the pressure on the nerve root
- Medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) to reduce swelling and pain and analgesics to relieve pain
- Epidural steroid injections and nerve root injections to help reduce swelling and treat acute pain that radiates to the hips or down the leg
Surgical treatment of cervical herniated disc
If pain from a cervical disc herniation lasts longer than 6 to 12 weeks, or if the pain and disability are severe, spine surgery may be a reasonable option. Spine surgery for a cervical herniated disc is generally very reliable and can be done with a minimal amount of postoperative pain and morbidity (unwanted aftereffects).
With an experienced Emory spine surgeon, the surgery should carry a low risk of failure or complications. The success rate for spine surgery for a cervical herniated disc is about 95-98% in terms of providing pain relief.
Some of the surgical procedures used to treat cervical disc herniation at Emory are:
NewsView all News
Emory Healthcare news from the Emory News Center
Spring allergy season is here: Q&A with an Emory allergist
March 28, 2017
Emory Johns Creek Hospital to hold free driver safety tests for community
March 22, 2017
Emory cardiothoracic surgery chief, Robert Guyton, recognized with prestigious ACC award
March 21, 2017
M. Hicham Drissi named Vice Chair for Orthopaedic Research
March 21, 2017
Emory Saint Joseph's Hospital craft fair to benefit Mercy Care
March 20, 2017
Female inventors contribute groundbreaking research and innovation
March 20, 2017
Emory University Hospital Midtown named a Coverdell Champion Hospital for stroke care
March 13, 2017
Emory Sports Medicine physician elected as new president of Johns Creek Healthcare Association
March 10, 2017
Single sport focus before age 12 poses injury risk in young athletes
March 10, 2017
Thirty-year-old pedestrian bridge connecting Emory University Hospital to clinics removed
March 09, 2017