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Information & Treatment
About the treatment
Symptoms and Pain Localisation
A herniated cervical disc can cause neck pain (cervicalgia) and pain radiating down the arms (cervicobrachial neuralgia).
These pains may be accompanied by feelings of weakness, numbness or tingling in the hands or fingers, depending on which nerve root is affected.
Headaches and neck stiffness are also common.
About the treatment
Causes & Factors
Cervical disc herniation is often the result of progressive degeneration of the intervertebral discs.
Aging, repeated microtrauma or acute injury can cause the annulus fibrosus to rupture, resulting in exit of the nucleus pulposus and compression of the nerves.
Risk factors include age, prolonged poor posture and a history of neck injuries.
About the treatment
Duration and treatment
Pain due to a herniated cervical disc generally resolves in less than 6 weeks with conservative treatment (rest, anti-inflammatories, physiotherapy).
- If pain persists or worsens, we recommend consulting a doctor.
- If pain persists beyond 6 weeks, an X-ray examination (MRI or CT scan) may be necessary.
- If conservative treatment fails, surgery to decompress the nerve may be considered.
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Diagnosis
No X-ray during the first 6 weeks unless there are signs of severity. After 6 weeks: MRI or CT scan recommended to assess nerve compression in the cervical region and consult a specialist.
Conservative Treatment
Relative rest with limitation of sudden movements of the neck. Painkillers, anti-inflammatories and infiltrations to relieve neck and arm pain. Time off work may be prescribed if necessary.
Physical therapy
Focused on neck muscle strengthening, postural correction and improved mobility. It can also prevent recurrence once symptoms have been resolved.
Indications for Surgery
Surgery proposed when conservative treatments have failed or when neurological signs are severe. The aim is to decompress the affected nerve roots to relieve pain and restore function.
When to seek emergency treatment
In the event of arm weakness, coordination problems, numbness or severe pain that does not improve with conservative treatment.
Types of Surgery
Surgical options for treating a herniated cervical disc include microsurgery, minimally invasive techniques, as well as discectomy with cervical fusion to stabilize the spine.
Post-operative convalescence
Around 80% of patients experience relief from arm pain immediately after surgery. Post-operative neck pain gradually diminishes over 2 to 3 weeks.
Persistent pain
Residual pain may persist if the nerve has been compressed for too long. Neuropathic pain is usually treated medically, according to the doctor's advice.
Cervical Discectomy and Fusion Surgery
In cases of severe disc herniation, a cervical fusion discectomy may be required to stabilize the spine. This technique uses an implant to maintain the spacing between the vertebrae after the disc has been removed.
Purpose of the operation
The aim is to decompress the nerves to relieve arm pain and improve neck function. Post-operative rehabilitation aims to strengthen cervical muscles and improve posture.
FAQ
Answers for our patients
If you have any further questions, please do not hesitate to contact us.
How can I make an appointment?
You can book an appointment directly on our website or by telephone on 04 72 43 03 43 (choice 1).
How long does it take to get an appointment?
Appointments take around 1 to 2 months. In an emergency, your GP can contact us directly by email.
How does the first consultation work?
At your first consultation, you will complete an iPad questionnaire in the waiting room so the doctor has your information in advance. The consultation will then determine whether surgical or non-surgical treatment is needed.
What documents should I bring to my visit?
Please bring your carte vitale, your GP's referral letter, and any radiological examinations already carried out.
