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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!
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