2013-11-27
Causes, symptoms and treatment of cervical disc protrusion
Patients with severe neck pain due to herniate disc accountable for more than 50%. Therefore, we should not underestimate neck pain, because in severe cases, it can even cause hand numbness or loss of hand muscle strength, resulting in disability.
4 types of cervical spondylosis, causes and symptoms
Clinical cervical spondylosis can be roughly divided into four categories: Non-Radicular Neck Pain, Radiculopathy, Cervical Spondylitis, and Instability. The causes and symptoms of each are different.
| Category | Reason | Symptoms |
|---|---|---|
| Non-radicular neck pain | Cartilage degeneration or muscle cramps | Neck pain |
| Cervical spondylitis | Nerve roots compressed by bone spurs or cartilage |
Stretching from the neck to the arms and fingers |
| Radiculopathy | Cervical spine stenosis | Numbness, imbalance, incontinence |
| Instability | Injury due to accident | May include the above symptoms |
This article focuses on the symptoms of cervical disc herniation. The cervical spine joints where the cervical disc is most compressed is C5, 6. Generally, X-rays show that the space between the vertebrae is reduced and the vertebrae have signs of degeneration.
The reflex pain and numbness of each cervical disc protrusion can be distributed in different positions of the hand (Figure 1, 2, 3, 4 and 5). To distinguish the protruding disc, it is necessary to check the muscle strength of the hand in detail, perform a reflex nerve test, and identify the patient’s symptoms to confirm the diagnosis.
Cervical cartilage and pain
| Cervical cartilage position | Affected area or paralysis | Weakened muscles |
|---|---|---|
| C4,5 (C5 nerve root is compressed) Figure 1 | Neck, Shoulder and upper arm | Biceps |
| C5,6 (C6 nerve root is compressed) Figure 2 | Neck、Shoulder、Lower arm, fingers, thumb and index fingers | Biceps |
| C6,7(C7nerve root is compressed) figure 3 | Neck、Shoulder、Shoulder blades、upper arm、index and middle fingers | Triceps |
| C7,T1(C8nerve root is compressed) figure 4 | Neck、Shoulder blades、arm、4th and 5th fingers | Finger muscle strengths |
| T1-T2(T1nerve root is compressed) figure 5 | Neck、Shoulder Blades and lower arm | Finger Muscle Strength |
圖一︰C4－C5椎節壓著C5神經線
圖二︰C5－C6椎節壓著C6神經線
圖三︰C6－C7椎節壓著C7神經線
圖四︰C7－T1椎節壓著C7神經線
圖五︰T1－T2椎節壓著T1 神經線
Treatment
Generally, patients suffering from cervical disc protrusion feel that the neck pain is very sudden, and the neck will feel sore in the initial stage, and the pain will suddenly turn into severe pain and neck weakness. It is difficult to raise the head or the head cannot move flexibly. In addition, the neck and shoulders are strained and extreme pain. In severe cases, some patients may also experience numbness of their hands. The patient often rests and sleeps until midnight. The severe pain in the neck will cause the patient wake up with pain, making it difficult to fall asleep again, affecting the quality of sleep and causing emotional instability.
Decompression of disc protrusion
The treatment of cervical disc and lumbar disc pain is mainly through Cox Decompression Manipulation (Cox®Technic). During Cox® Decompression manipulation technique , the patient’s neck pain will not be significantly reduced after one or two treatments. However, since the pressure in the disc cannot be reduced all at once, the patient can use ice pack or take pain killer at this time. Analgesic and anti-inflammatory drugs are used to relieve pain and reduce pain in the affected area. Of course, the patient should rest more and not move too much, so that the affected area can be gradually treated. When the disc condition improves, it is necessary to strengthen the neck muscles and improve the wrong posture in work or daily life.
Cox ® Decompression Treatment
