Non-surgical Treatment of Cervical Herniated Disc

Locating the Cause of Pain
Interestingly, not every herniated disc causes symptoms. Some people discover they have a bulging or herniated disc after an x-ray for an unrelated reason.

Most of the time the symptoms prompt the patient to seek medical care. The visit with the doctor usually includes a physical and neurological exam; review of medical history, symptom evaluation and the history of treatments and medication the patient has tried.

An x-ray may be needed to rule out other causes of back pain such as osteoarthritis. A CT or MRI scan verifies the extent and location of disc damage. Sometimes a myelogram is necessary.

Cervical Herniated Disc Treatment – Non-Surgical
Most patients do not need surgery! Initially, the doctor may recommend cold/heat therapy or medications. During the first 24 to 48 hours cold therapy helps to reduce swelling, muscle spasm and pain by reducing blood flow. After the first 48 hours, heat therapy can be applied. Heat increases blood flow to warm and relax soft tissues. Increased blood flow helps to flush away irritating toxins that may accumulate in tissues as a result of muscle spasm and disc injury. Never apply ice or heat directly to skin; instead, wrap the cold or heat source in a thick towel for no longer than 15-20 minutes.

Medications may include an anti-inflammatory to reduce swelling, a muscle relaxant to calm spasm, and a pain-killer (narcotic) to alleviate intense but short-lived pain (acute pain). Mild to moderate pain may be treated with non-steroidal anti-inflammatory drugs (NSAIDs). These work by relieving both swelling and pain. Discuss NSAID use with your physician first.

The doctor may also recommend physical therapy. The doctor’s orders are transmitted to the physical therapist by prescription. Physical therapy includes a combination of non-surgical treatments to decrease pain and increase flexibility. Ice and heat therapy, gentle massage, stretching, and neck traction are some examples.

In four to six weeks, the majority of patients find their symptoms are relieved without surgery! Be optimistic about your treatment plan and remember that less than 5% of back problems require surgery!