Cervical Disc Herniation
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Pure disc herniations causing symptoms in the neck [cervical spine] is not common. The most common cause of neck and arm pain is the presence of a combination of disc material with bony arthritic ridges which develop overtime.

Disc herniations in association with arthritic spurs [ridges] cause compression on the nerve roots which leads to inflammation and pain. Some numbness and weakness may also be present. The pain usually worsens with activities and neck motion.

The MRI above shows the cervical [neck] spine. The spinal canal with the whitish fluid is violated by a large sized disc herniation as marked with the white arrow. The Red arrow points to the spinal nerves and spinal cord which are being pushed back by the disc herniation. The Blue arrow points to the white spinal fluid.

Fortunately, most neck and arm pain resolves within a few weeks. If the symptoms are not resolving/improving, physical therapy and injections are options with good success rates.

When a patient fails conservative management, a cervical fusion is an option to release the pressure on the nerves.

 
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