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Herniated Disc of the Cervical Spine (Part I)

Have you ever heard someone complaining of pain from a “slipped disc?”  If so, they are referring to a herniated disc.  Discs can bulge when they lose water content, making the disc flatter with less cushioning.  When a disc becomes too weak and begins to bulge, it puts pressure on the surrounding nerves. This pressure can cause nerve pain, numbness, tingling and weakness. Herniated discs can occur in the cervical spine (neck) or in the lumbar spine (lower back).  Today, I will share my experience with patients who have a herniated disc in the cervical spine. This condition can occur without any obvious cause or injury.  Some of the risk factors include: trauma, an accident or sudden twisting, a repeated or sudden strain on the back (as from lifting a heavy weight) or certain jobs that require heavy lifting.  Some people are at a higher risk for this condition, but how do you know when you have actually hurt yourself? Symptoms of a herniated disc in the cervical spine include: Sudden neck or shoulder pain that travels down your arms Numbness, tingling, or weakness in one or both arms In some cases, weakness in legs, loss of balance, partial or

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Neck (Cervical Spine) Fracture

I have treated numerous patients suffering from neck fractures, and each injury is different from the next. A neck fracture can happen for many different reasons. Common causes include falls, collisions, diving into shallow water, sudden twists to the neck or severe blows to the head and neck area. The first thing I do with an injured patient is assess the severity of the injury. Is it associated with dislocation or instability? Which cervical bones are broken? Is there a spinal cord or nerve injury? This information helps me determine the best option for treatment. Common treatment options include immobilization, bracing and surgery. Immobilization is safest immediate option at the accident scene, when there is a possibility of a broken neck, as it minimizes or prevents further spinal cord injury.  Bracing is recommended as ongoing treatment  for minor or stable fractures, when allowing the neck to become more stable. A neck brace or collar is often worn until the neck completely heals, usually lasting between 8 – 12 weeks. Certain exercises are often used for a fractured neck that will strengthen and stretch the muscles supporting the cervical vertebrae. This is essential for proper recovery, and is often done with

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