Neck Pain (Cervical Disc Herniation)

The spine consists of 7 vertebrae in the neck. This tissue between the vertebrae called intervertebral disc is a flexible and there is no structure. This structure provides shock absorption and mobility of the neck during the activity. The back part of the vertebrae located in the arc-shaped structure surrounding the spinal cord and protective properties.

Each level of the vertebral foramen is called the spacing between the vertebrae as a pair of symmetric boundary based emerging from the spinal cord, muscles, tissue and other body structures dispersed in the transmission of movement and sensation are available.

Trauma, stress, accidents, or as you get older, the center of the disc contents the loss of water, poor posture, smoking, sedentary life can't do as good as it used to be the task of the disc cushioning can make. Disc continues to deteriorate, as the outer layer rupture and also the center of the disk through a crack in the outer layer overflowing into the space where the nerves and spinal cord are located neck painna causes. This style neck hernia is usually more acute (sudden onset, growing in a short time) is fatal.

Nerve degeneration in the outflow areas in the neck-attached disk and connective structures is disrupted, and the border with arthritis and the formation of bony protrusions spondilotik seen with chronic fitiklasma to head to more (and growing thriving in a long time) is fatal.

What are results in neck pain?

The patient's complaints were neck pain, arm and numbness in the hands and changing tables can show in the form of loss of power. Usually starting from the neck to the arm, the scapula, and from there, sometimes there is pain radiating to the chest. This pain may be accompanied by numbness and loss of strength. Fitiklasma very heavy the legs, from the neck down in a mild stroke that affects can be seen in the tables of serious clinical extending up to the table. Patients with neck pain as well as headaches can be a half. The pain that shot to the arms and fingers of the patient with relaxation shows a positional lift your arm above your head. Rest, pain relievers and provides little benefit. To sustain the patient is limitation of motion in his daily life too. Especially at night, falling asleep from the pain the patient is forced. Keeping your arms relaxed on your head with a pillow that is forced struggles. Insomnia and chronic pain reduces the quality of daily life. In advanced stages, carrying heavy objects should be forced to keep on hand may decrease.

  • C4 – C5 (C5 nerve root) – Epaulette Shoulder (deltoid) muscles and may cause weakness in the upper arm. There is usually numbness or tingling. Can cause shoulder pain.
  • C5 – C6 (C6 nerve root) – biceps in the upper arm muscle (biceps) and can cause weakness in the extensor muscles of the wrist in front of. Numbness and tingling along with pain may radiate toward the thumb side of the hand. This is the most common cervical disc herniation is located.
  • C6 – C7 (C7 nerve root) – back of the upper arm ( triceps) muscles, weakness of the extensor muscles of the wrist and creates. Tingling numbness and pain may be felt in the right and middle finger spread downward from this region. This is the most common cervical disc herniation is located.
  • C7 – T1 (C8 nerve root) – can cause weakness in the muscles of the hand. Numbness and tingling, and pain in the little finger of the hand you can spread around.

You need to go to the doctor State:

  • Falling, crashing, such as trauma or after several blows to the head
  • Neck pain is accompanied by fever and headache
  • True if the pain in your arm span
  • Your hands, in your arms, numbness, burning or weakness if you have
  • If neck pain is accompanied by weakness in the arms and legs
  • Does not respond to painkillers
  • Persist for longer than 1 Week

Diagnosis Of Neck Pain

A detailed history and physical examination of the disease with strength, loss of sensation and the refeks are assessed.

Diagnostic tests: c-spine and neck magnetic resonance study, the most frequently used diagnostic methods. In addition, according to the requirement computed tomography, EMG, and other diagnostic methods, may be desirable.

Neck Pain Treatment

Medical Treatment Of Neck Pain

The vast majority of hernias do not require neck surgery.

  • Short-term (1-2 days) after relaxing the muscles of the neck rest, exercises esnetici
  • Hot and cold applications, light massage
  • Medication (pain killers and Nov relaxants, non-steroidal anti-inflammatory drugs)
  • Physical therapy
  • Trigger point injections, epidural or foraminal injections

Surgical Treatment Of Neck Pain

Not exceeding medical treatment or surgical treatment with physical therapy, with significant spinal cord and nerve root compression, apparent power, and is required for patients with sensory loss. Approached from behind or from the front of the neck by surgical methods.

Anterior Cervical Mikrodiskektomi

Caused by compression of the nerve roots or spinal cord in the neck, this surgery is applied in order to overcome. Neck pendant from the front part of a half-inch style is injected into the cervical spine 2-3 entering through a small incision. Under the microscope, cervical disc, which is emptied, and that makes herniye the head bone. After it was emptied within the disk together with bone grafts placed between the vertebrae and two bone putty put in the cage Fusion (ossification integration) is.

In selected cases, in order to maintain neck movement and cervical disc prosthesis can be applied to the distance function is flushed to disk.

Posterior Mikrodiskektomi

This process is done by entering a section from the nape of the neck incision uzunlama. Especially in isolated disk hernias extending from the side is preferred. In this process, the distance of the disk, emptied the part that is taken just got engaged.