Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
150 Doctors are Online

What is the treatment protocol for a herniated disc?

Feb 2014
User rating for this question
Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 2004
Answered : 5930 Questions
What is the usually treatment protocol for a herniated disc ? My symptoms are numbness in my fingers , pins and needles in toes and tight forearms at times
Posted Thu, 8 Nov 2012 in Bones, Muscles and Joints
Answered by Dr. Saurabh Gupta 2 hours later

Thanks for posting your query.

I guess you are diagnosed with cervical disc herniation. The following is the treatment protocol options available to you:

1. First line of treatment for a cervical herniated disc is to take care of pain. Anti-inflammatory medications such as ibuprofen (e.g. Advil, Motrin) or COX-2 inhibitors (e.g. Celebrex) can help reduce the pain. For patients with severe pain from a herniated disc, oral steroids (such as Prednisone) may give even better pain relief. However, these medications can only be used for a short period of time (one week).

2. Additional conservative treatment options for a cervical herniated disc include-
*Physical therapy and exercise- 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.
*Chiropractic manipulation.
*Osteopathic medicine.
*Activity modification- Avoid activities like 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.
*Bracing. In some instances a cervical collar or brace may be recommended to help provide some rest for the cervical spine.
*Injections. Epidural steroid injections or selective nerve root blocks can be helpful to reduce inflammation in cases of severe pain.

3 Surgical interventions may be recommended when all of the following are present:
* Definite cervical root compression on diagnostic imaging studies
* Concordance symptoms and signs of cervical root-related dysfunction, pain, or both
* Persistence of pain despite non-surgical treatment for a minimum of six weeks, or presence of a progressive, functionally important motor deficit, or
* Cervical cord compression with clinical evidence of moderate to severe myelopathy

In your case it is not clear if you have any weakness of arms. If there are no noticeable weakness anti-inflammatory drugs and one of the conservative line of treatment can be helpful, unless MRI scan reveal a definite cervical root compression. Discuss with your orthopedic surgeon about these options.

Hope this information suffices. Let me know if you have any more concerns.

Wishing you good health...

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an Orthopaedic Surgeon

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor