Our spine allows our body to stand upright and at the same time allows us to move flexibly. The spine consists of bones called vertebrae and support structures called discs between the vertebrae, which act as shock absorbers and provide flexibility. Discs consist of a jelly-like core in the middle and tight fibers that prevent this fluid core from spilling out. If these fibers tear and the core part protrudes into the canal through which the spinal cord and nerves pass, a hernia occurs. If this problem occurs between the lumbar vertebrae, it occurs as a herniated disc, and if it occurs between the cervical vertebrae, it occurs as a cervical disc herniation.
What are the causes of cervical herniation?
Traumas, strains, long periods of time. Prolonged inactivity or staying in the wrong position, genetic and anatomical structure, and wear of the disc as a result of water loss with advancing age can be counted among the causes of cervical herniation.
What are the symptoms of cervical herniation?
Although the most common symptom is neck pain, the pain can spread from the nape of the neck to the temples, shoulders, between the shoulder blades, chest and arms. Numbness and tingling may occur, especially in the hands and arms. Neck movements are restricted. In later periods, weakness in the hands and arms and clumsiness in fine movements may occur. Loss of balance, falls, and weakness in the legs may occur in patients with significant spinal cord compression.
How is the treatment of cervical disc herniation?
First of all, patient education is required. Exercises that will strengthen and relax the neck muscles should be designed specifically for the patient in a dose and manner appropriate to the patient. Painkillers, anti-inflammatory drugs and muscle relaxants play a role in reducing pain, but should not be used for a long time. Additionally, special injections, manual therapy and different complementary medicine methods can support the treatment. Most cervical hernias are treated with physical therapy without the need for surgery.
What should the patient with cervical disc herniation pay attention to in his daily life?
The patient should not remain fixed in the same position for a long time. . If possible, computer and phone use should be restricted. If it cannot be restricted, the patient has an obligation due to his/her job The neck should be rested by performing neck movements recommended by the physician at least every 30-60 minutes. Additionally, exercises should be done to strengthen the neck muscles. Habits such as sleeping on the edge of a sofa should be abandoned. An orthopedic pillow should be used that completely fills the distance between the head and shoulders when lying on its side and supports the neck curve when lying on its back. Again, neck supports should be used on long journeys.
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