[vc_row][vc_column][vc_column_text]THE NORMAL DISC is a combination of strong connective tissue that connects one vertebra to the next. This human shock absorber consists of a tough outer layer called the annulus fibrosis. A herniated disc exists when the gel-like center called the nucleus pulposus exits through a hole caused by damage to the annulus fibrosis.

Classically, the patient complains of neck pain and a sharp, lancing pain progressing distally from the neck, shoulder blade and shoulder into the arm in a specific zone. Radiculopathy refers to the irritation of a nerve root, causing symptoms (pain, numbness, weakness, plus/minus reflex changes) in the zone of the nerve root.

Numbness, tingling or weakness of the leg is called sciatica. Similar symptoms may be experienced in the arms or around the trunk.

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Traditional treatments include early motion, traction, physical therapy, massage, modalities, acupuncture, osteopathic manipulation, chiropractic care, pain management, activity avoidance, and activity with job modifications. Heat in the form of long, hot showers, sauna, and heat packs can help reduce pain. Application of cold packs and gels could also offer some relief. Medications in the classes of aspirin, non steroidal anti-inflammatories, muscle relaxants, oral steroids, antidepressants, and narcotics could also be recommended. External stabilization in the form of a brace might prove to be beneficial in the short term.

When the patient is less symptomatic, specific treatments such as cervical stabilization will often assist with the resumption of function and endurance. Yoga and Pilates may be used to strengthen core muscles, while Medx treatment might help to strengthen neck muscles.

Cervical injections such as epidural steroid, facet blocks, or radiofrequency ablation may be recommended.

Cervical spine (neck) surgical treatments include anterior cervical discectomy and fusion (ACDF) and posterior foraminotomy or decompression, fusion and instrumentation.

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