Cervical Disc Herniation

Cervical Disc Herniation

Cervical discs serve to protect the delicate spinal cord and cervical nerves that exit through the spaces (foramina) between these vertebrae. In order to prevent the friction related damage to cervical vertebrae and to ensure the ease of movement, these cervical vertebrae are protected by cervical discs that serve as shock absorbers.

Disc herniation occurs when the delicate spinal discs sustain damage due to the natural wear and tear over time, which can lead to displacement or misalignment.

What is cervical disc herniation?

Cervical disc herniation refers to the herniation or tearing of cervical discs as a result of a cracked vertebral capsule. Misalignment can lead to pinched nerves, increasing the likelihood of injury and pressure, which may result in various signs and symptoms.

Most commonly reported cervical disc herniations occur at C5-6 and C6 –C7

Sign and symptoms:

Sign and symptoms of cervical disc herniation are:

          Pain across the supply of affected nerve

          Numbness

          Weakness of muscle movement depending upon the nerve involved (cervical nerves supply shoulder, neck, upper limb and chest region).

The area of involvement varies with the location and severity of damage to cervical vertebrae.

How does it happen?

In order to maintain some degree of flexibility and movement across the vertebrae (gliding movements) that help in locomotion and weight bearing of the body, the space between two successive vertebrae is separated by spinal discs and a fluid that act as shock absorbers. However, as a result of aging, the amount of fluid decreases and degenerative changes destroy spinal discs. Due to the degenerative changes, the vertebrae lose their ability to sustain trauma, pressure and stress and undergo:

          Trauma or tearing of the vertebra capsule.

          Cracking of capsule

          Expulsion of nucleus pulpous

And other similar alterations that impact the integrity of nerves passing through these foramina, potentially to noticeable nerve complications.

Certain factors can increase the likelihood of early degenerative changes in the discs, which may contribute to cervical herniation.

          Smoking

          Advancing age is one of the significant risk factors that is directly related to wear and tear changes in the vertebrae, with most cases reported among 35 to 55 years of age.

          Trauma or strain to cervical vertebrae also leads to aggravated pace of injury or degenerative changes.

          Some occupational activities also increase the risk of damage and degeneration. These include porters, weight lifters and body builders.

Treatment of Cervical Disc Herniation:

A highly effective treatment for many people suffering from Cervical Disc Herniation of the Neck is Spinal Decompression Therapy combined with Physiotherapy.  Follow the link for Additional information on how Spinal Decompression Therapy for Neck Pain.

Author

  • Registered Physiotherapist BSc, BScPT, MSc, PhD: A graduate of the University of Toronto in Human Biology, Sharon completed her Bachelor of Science in Physical Therapy at the University of Toronto. She went on to pursue further graduate work, completing her Master of Science from the Rehabilitation Sciences Institute and a PhD from the Institute of Medical Science both from the University of Toronto. Her interest in Physiotherapy originated while pursuing her first undergraduate degree while struggling with postural challenges and seeking physiotherapy treatment. Her interest in medicine, working with people, and developing and adhering to therapeutic plans inspired her to pursue a career in Physiotherapy. Her interest in research, orthopaedics, neurology, therapeutic agents and pressure injuries (bed sores) lead her to pursue graduate work. Sharon emphasizes a holistic approach to rehabilitation. Her experience of raising a son with a disability has continued to inform her career that has spanned over 25 years. She is able to appreciate the rehabilitation process not only from the professional perspective, but from the client perspective. Her extensive knowledge of biomechanics, orthopaedics, exercise prescription, electrophysical agents with a strong background in research enables her to provide evidence based treatment when designing and implementing rehabilitation plans. With a special interest in patient and family engagement through her volunteer work, Sharon is able to ensure that treatment that is provided takes into consideration the unique challenges that individuals may experience when adhering to treatment recommendations in their busy lives.

Share this post