Cervical Disc Herniation

6 min reading time Last Update Date: 04.07.2023
The treatment content titled Cervical Disc Herniation has been written by Doktorumsun and has been reviewed and approved by Prof. Dr. Şafak Sahir KARAMEHMETOĞLU (Physical Medicine And Rehabilitation).

What is Neck Hernia?

Neck hernia is a disorder that occurs when the nerves and spinal cord are compressed as a result of compression or rupture of the discs between the vertebrae in the neck region. This condition manifests itself with symptoms such as neck pain, shoulder pain, headache and arm pain. Neck hernia is one of the most common types of spinal problems.

What Causes Neck Hernia?

Neck hernia can occur with the effect of many factors such as aging, genetic predisposition, overweight, sedentary lifestyle, injury, trauma and repetitive movements. However, spontaneous neck hernias without a specific cause can also be seen.

What are the Symptoms of Neck Hernia?

Symptoms of neck hernia include:

  • Neck pain
  • Shoulder pain
  • Arm pain
  • Numbness or tingling sensation
  • Muscle weakness
  • Headache
  • Stiffness in the neck
  • Making noise in the neck

Hernia Symptoms in the Neck

Symptom Description
Neck pain It is the most common symptom of neck hernia. Severe pain may be experienced.
Headache Headache caused by neck hernia is usually felt in the neck and back of the head.
Shoulder pain Neck hernia can cause pain in the shoulder area. The pain is usually felt behind the shoulder.
Mismatch Numbness caused by neck hernia is usually felt in the neck, shoulder, arm or hand.
Weakness Weakness caused by neck hernia can be felt in the neck, shoulder, arm or hand. This weakness is usually progressive and may worsen over time.

How is Neck Hernia Diagnosed?

To diagnose a neck hernia, doctors usually perform a physical exam and may order imaging tests. During the physical examination, the doctor evaluates the sensitivity, muscle strength and reflexes in the neck area. Imaging tests may include X-rays, MRIs, and CT scans.

How to Treat Neck Hernia?

The treatment of neck hernia may vary according to the severity of the symptoms and the duration of the discomfort. Treatment options include pain relievers, muscle relaxants, physical therapy, massage, acupuncture, and exercises. Surgical options may be used when symptoms are severe and other treatments have not worked.

What Should Be Considered After Neck Surgery?

The recovery process after neck hernia surgery may vary depending on the patient's age, general health status, type of surgery and risk of complications. However, in general, patients are advised to pay attention to the following issues in the postoperative period:

  • Getting enough rest and sleep
  • Caring for wounds
  • Participating in physical therapy sessions
  • Not lifting heavy for a certain period of time
  • Using a special neck pillow to protect the head and neck area
  • Using the medicines recommended by the doctor regularly
  • Not driving for the first few weeks after surgery

How Long Does Neck Hernia Surgery Take?

Neck hernia surgery can take between 1 and 3 hours, depending on the type and size of the surgery.

Is Surgery Necessary for Neck Hernia?

Surgery is not necessary for neck hernia. Treatment methods include medications, physical therapy, exercises, and other treatment options. However, when symptoms are very severe and other treatments have not worked, surgery may be considered.

Is There a Risk of Neck Hernia Surgery?

Neck hernia surgery is a risky procedure like any surgery. However, risks can be minimized thanks to modern techniques and experienced surgeons. Following the doctor's recommendations in the pre- and post-operative period may help reduce the risks.

Result

Neck hernia is a condition that occurs as a result of damage to the discs in the neck region. Symptoms include neck pain, headache, shoulder pain, numbness and weakness. A physical examination, imaging tests, and electromyography may be done for diagnosis. Treatment options include medications, physical therapy, exercises, and surgery. In the postoperative period, it is important for patients to pay attention to certain issues by following the doctor's recommendations. The risks of the surgery can be minimized and the chance of the surgery to be successful can be high.

Which Department of the Hospitals Need to Make an Appointment for the Treatment of Neck Hernia?

For the treatment of neck hernia, patients should usually make an appointment with the Orthopedics department. The orthopedics department specializes in the diagnosis and treatment of musculoskeletal diseases and injuries.

  • Orthopedics: This section focuses on the diagnosis and treatment of bone, joint, muscle and connective tissue diseases. Patients with neck hernia can evaluate their condition and get information about treatment options by applying to an orthopedic specialist. The specialist doctor will determine the severity and treatment method of neck hernia with physical examination, imaging tests and additional tests if necessary.

Patients who want to make an appointment for the treatment of neck hernia can use the appointment system in health institutions or apply directly to the Orthopedics department of the relevant hospital. When making an appointment, clearly stating the complaints and situation mentioned will help the doctor make a better assessment.

Which department should a patient who does not know that he has a neck hernia make an appointment for the first examination?

A patient with a suspected neck hernia can usually make an appointment for an examination from the Orthopedics or Neurology department. These departments include specialist doctors who evaluate disorders related to the spine and nervous system.

  • Orthopedics: This section focuses on the diagnosis and treatment of bone, joint, muscle and connective tissue diseases. A patient with a suspected neck hernia can apply to an orthopedic specialist and explain his complaints in the neck region. The specialist doctor specializes in diagnosing neck hernia and recommending appropriate treatment methods, with physical examination and, if necessary, imaging studies.
  • Neurology: This section diagnoses and treats diseases of the nervous system. A patient with a suspected cervical hernia may apply to a neurologist and share symptoms such as neck pain, numbness or weakness in the arms. The specialist can evaluate nerve compression or other neurological problems due to cervical hernia using neurological examination, nerve conduction studies and imaging studies.

A patient with a suspected neck hernia can share his condition and symptoms with an orthopedic or neurologist. The specialist doctor will evaluate whether there is a neck hernia or another spinal condition, taking into account the physical examination, examinations and the patient's history. If necessary, further investigations or referral to another specialist can be made.

References

  • American Association of Neurological Surgeons. (2021). Cervical Disc Herniation. - https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Cervical-Disc-Herniation
  • Mayo Clinic. (2021). Cervical herniated disk. - https://www.mayoclinic.org/diseases-conditions/herniated-disk/diagnosis-treatment/drc-20354195
  • National Institute of Neurological Disorders and Stroke. (2021). Cervical Radiculopathy Fact Sheet. - https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cervical-Radiculopathy-Fact-Sheet
  • North American Spine Society. (2010). Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders. - https://www.spine.org/Portals/0/Documents/Clinical%20Care/Quality%20Improvement/Cervical_Radiculopathy_CPG.pdf
Note: The page content is for informational purposes only. Please consult your doctor for diagnosis and treatment.

Doctors Relevant for Cervical Disc Herniation

Fzt. Mert SEVİNÇ
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Op. Dr. Cem KARABULUT
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Uzm. Dr. İlknur ALTAYLI ENER
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Prof. Dr. Nurettin LÜLECİ
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Op. Dr. Hakkı YILDIRIM
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Uzm. Dr. Hidayet ŞATIROĞLU KAVALCI
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Op. Dr. Metin DEMİREL
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Uzm. Dr. Ömer Faruk ÇELİK
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Op. Dr. Süleyman GÜRBÜZ
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Murat TURAN
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