Cervical disc herniation, also known as herniated or slipped disc

Cervical disc herniation is primarily found in middle-aged individuals between 30 and 50 years old. It results from degeneration of the cervical disc and displacement of disc material from its typical position. Some cases might be due to injuries or accidents affecting the neck area.
Symptoms can range from mild to severe. Patients with cervical disc herniation often exhibit acute symptoms and have a brief duration of symptoms before seeking medical attention.
  • Nerve compression: Pain in the neck or scapula that radiates down the arm, potentially extending to the upper arm, elbow, forearm, wrist, or even the hand. Some patients may also experience numbness or weakness.
  • Spinal cord compression: This can result in abnormal hand function or clumsiness, difficulty walking, walking imbalance (ataxia), and numbness or weakness in the arms and legs. Spinal cord compression is a critical condition that requires immediate treatment.
  • Some patients may experience both nerve and spinal cord compression simultaneously.
To determine the cause of nerve and spinal cord compression in the neck, a Magnetic Resonance Imaging (MRI) test is typically performed. The MRI can reveal the pathology, location, and severity of the compression. It may be considered in conjunction with a plain X-ray.
Treatment strategies depend on the cause and severity of the compression. They typically include:
  • Lifestyle modifications
  • Medication
  • Physical therapy
  • Epidural steroid injections
  • Surgery, when indicated

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