Conservative Treatment for a Cervical Herniated Disc
When the initial pain from a cervical herniated disc hits, anti-inflammatory medications (NSAIDs) such as ibuprofen (e.g. Advil, Nuprin, Motrin) or COX-2 inhibitors (e.g. Celebrex) can help reduce the pain.
The pain caused by a cervical herniated disc is caused by combination of:
1. Pinching of the nerve root, and
2.inflammation associated with the disc material itself.
Therefore, taking anti-inflammatory medications to remove some of the inflammation can reduce this component of the pain while the pressure component ( pinching of the nerve root) resolves.
For patients with severe pain from a herniated disc, oral steroids ( such as Predisone or a Medrol Dose Pak) may give even better pain relief. However, these medications can only be used for a short period of time ( one week).
Additional Conservative Treatment Options for a Cervical Herniated Disc
In addition to anti-inflammatory medications, there are a number of non-surgical treatment options that can help alleviate the pain from a cervical herniated disk, such as:
- Physical therapy and exercise, Just as in the lumbar spine, Mckenzie exercises can be used to help reduce the pain in the arm. In the initial period a physical therapist may also opt to use modalities, such as heat/ice or ultrasound, to help reduce muscle spasm.
- Cervical traction. Traction on the head can help reduce pressure over the nerve root. It does not work for everyone but is easy to do, and if effective the patient can use a home traction device for pain from a cervical herniated disc.
- Chiropractic manipulation. Gentle manipulation can help reduce the joint dysfunction that nay be an added component of the pain. High velocity manipulations should be avoided as they can make the pain worse, or worsen any neurological damage.
- Osteopathic medicine. Osteopathic manipulation and special techniques to restore normal joint motion can be helpful in reducing pain from a cervical herniated disc.
- Activity modification. Some types of activities may tend to exacerbate the herniated disc pain and it is reasonable to avoid these activities to keep from irritating the nerve root. Such activities may include heavy lifting ( over 50 pounds), activities that can cause increased vibration and compression to the cervical spine ( boating, snowmobile riding, running, etc), and overhead activities that require prolonged neck extension and/or rotation.