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Protrusion of the 4th and 5th cervical disc Symptoms, treatment and cause
مقاله تخصصی

Protrusion of the 4th and 5th cervical disc Symptoms, treatment and cause

3 weeks ago
220 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

بیرون زدگی دیسک گردن مهره 4 و 5

آخرین بروزرسانی: 06 دسامبر 2025
بیرون زدگی دیسک گردن مهره 4 و 5 یکی از مشکلات شایع در ناحیه گردن است که می‌تواند باعث درد، بی‌حسی و محدودیت حرکت در ناحیه گردن و شانه‌ها شود. این اختلال معمولا به دلیل فشار بر روی اعصاب ناشی از جابجایی یا آسیب دیسک‌ها ایجاد می‌شود. در این مقاله، شما با علائم، علت‌ها، و روش‌های درمانی این مشکل آشنا خواهید شد تا بتوانید از آن پیشگیری کرده و در صورت بروز آن، اقدامات لازم را انجام دهید. همچنین، نکاتی در مورد بایدها و نبایدها در زندگی روزمره برای کاهش علائم و جلوگیری از تشدید وضعیت ارائه خواهیم داد.
بیرون زدگی دیسک گردن مهره 4 و 5

دیسک گردن C4-C5 چیست؟ Knowledge of anatomy and injury

Cervical disc of the 4th and 5th vertebra (C4-C5) is one of the most important parts of the cervical spine where the discs act as shock absorbers between the vertebrae. These discs naturally protect against pressure and various movements in the neck area. Similar problems can occur in 5th and 6th cervical disc also.

In this situation, the disc between the C5-C6 vertebrae is damaged and similarly, causes pain symptoms and movement limitation in the neck and shoulders. It is important to pay attention to the symptoms of these disorders and take treatment if necessary. When the C4-C5 cervical disc is damaged or protruded, it can cause pressure on the surrounding nerves and painful symptoms such as numbness, weakness and burning sensation in the neck and hands.

This type of injury usually occurs due to disc erosion, impact or incorrect movements. In the cervical disc of the 4th and 5th vertebra, the protrusion of the disc in particular can transfer a lot of pressure to the nerves and cause problems such as neck and chest pain, decreased arm movement power, and chronic pain in different areas of the body. Various treatments such as physiotherapy, anti-inflammatory drugs and in more severe cases surgery can help improve the condition.

The main causes of protrusion of the 4th and 5th cervical disc

Disc protrusion of the 4th and 5th cervical vertebrae is one of the common problems in the cervical spine area that can be caused by various factors. This condition occurs when the disc between the vertebrae protrudes abnormally and puts pressure on the nerves. This pressure can cause pain, numbness, and even weakness in various parts of the body, including the neck, shoulders, and arms. Various reasons can lead to the protrusion of the cervical disc of the 4th and 5th vertebrae, which we will mention below the most important ones.

  • Increasing age

With increasing age, the intervertebral discs lose their water and become dry over time. This decrease in flexibility can cause the discs to crack or protrude, including the 4th and 5th cervical disc.

  • Injuries caused by impact

Sudden blows or accidents can put a lot of pressure on the cervical discs and cause displacement and damage to the discs. These blows usually cause acute and rapid problems in the neck area.

  • Incorrect movements and prolonged sitting

Sudden movements of the neck, lifting heavy objects incorrectly or sitting for a long time in incorrect positions can damage the cervical discs and lead to cervical disc protrusion of the 4th and 5th vertebrae.

  • Genetics and hereditary talent

In some people, there is a genetic predisposition to cervical disc problems. These people may suffer from prolapse with less damage to the discs.

  • Additional weight and pressure on the spine

People who are overweight are more prone to herniated discs, especially in the neck area, due to the extra pressure on the spine.

Finally, cervical disc protrusion of the 4th and 5th vertebrae can be caused by a combination of these factors. To prevent this problem, it is very important to follow preventive measures such as maintaining the correct body position, avoiding sudden movements and doing regular exercise. In case of symptoms, timely treatment can help reduce pain and improve the condition.

Symptoms of disc protrusion 4 and 5

The protrusion of the 4th and 5th cervical disc can cause different symptoms in a person, which vary depending on the severity of the injury and the amount of pressure on the nerves. These symptoms appear mainly in the neck, shoulders and arms and can severely affect a person's quality of life. Symptoms of cervical disc rupture can be more severe and sudden. In such a situation, the pressure exerted on the nerves can cause severe symptoms such as severe pain, numbness, and unbearable weakness.

Disk protrusion symptoms 4 and 5

Among the common symptoms that may occur as a result of cervical disc protrusion of the 4th and 5th vertebrae, we can mention pain, numbness and burning. In case of serious disc rupture or damage, the symptoms appear suddenly and more severely. The symptoms of bulging disc of cervical vertebrae 4 and 5 include the following:

  • Neck and shoulder pain

Chronic pain in the neck area is one of the most common symptoms of 4th and 5th cervical disc protrusion. This pain is usually felt in the upper parts of the shoulders and the back of the neck and may also be transferred to the arms.

  • Numbness or weakness in hands

If the disc puts pressure on the nerves, there may be numbness, burning or weakness in the hands and fingers. These symptoms usually occur in one or both hands and the person may lose the ability to perform daily activities.

  • Burning or shooting in the arm area

People who suffer from herniated cervical vertebrae 4 and 5 may experience a burning or shooting sensation in the arms or shoulders. This state is usually caused by pressure on the nerves in the neck area.

  • Decreased range of motion of the neck

Cervical disc protrusion can lead to limited neck movement. The person may have trouble turning the neck or looking around and these movements are painful for him.

  • Pain in the chest or back of the neck

Pain may also be transferred to the chest area and this can be confused with other symptoms such as shortness of breath or feeling of pressure.

If you experience any of these symptoms, it is better to see a specialist doctor as soon as possible so that an accurate diagnosis and appropriate treatment can be performed. Timely treatment can prevent the aggravation of the condition and help improve the quality of life.

Precise diagnosis of C4-C5 disc protrusion

Accurate diagnosis of 4th and 5th cervical disc protrusion usually requires a comprehensive evaluation of clinical symptoms and the use of advanced imaging methods. To make a correct diagnosis and ensure the type and severity of the injury, doctors first pay attention to the patient's medical history and the symptoms he reports. After that, different methods are used to confirm the diagnosis.

The first step in diagnosing cervical disc protrusion of the 4th and 5th vertebrae is a clinical examination. The doctor makes an initial evaluation by examining the range of motion of the neck, pressure on different points of the neck, and evaluating neurological symptoms such as weakness or numbness in the hands and shoulders. If the doctor suspects a herniated disc, he usually uses imaging methods to confirm the diagnosis.

MRI imaging is one of the best ways to identify a herniated disc. This method has the ability to accurately display the changes in the discs and the pressure on the nerves and can clearly show the exact location of the damage. In addition, in some cases, the doctor may use a CT scan or X-ray to check for signs of damage to bone structures and discs.

Herniation of the 4th and 5th cervical vertebrae

Herniation of the cervical disc of the 4th and 5th vertebrae, which is also called the protrusion of the cervical disc of the 4th and 5th vertebrae. It occurs when the discs between the vertebrae slip out of place and put pressure on the spinal canal or surrounding nerves. This condition can cause severe pain, numbness, weakness and even movement problems in the neck, shoulders and arms.

In cervical discs, the discs act as shock absorbers and are located between the vertebrae. As the discs age or become strained, the outer layer of the disc may become damaged and the inner material of the disc may protrude. This protrusion can put pressure on the spinal nerves or nerve roots and cause painful symptoms.

In cervical disc herniation of the 4th and 5th vertebrae, the patient experiences severe pain in the neck, shoulders and hands. Also, burning sensation, numbness or weakness in the arms and hands are other common symptoms of this condition. If the herniated disc causes severe pressure on the nerves, more advanced treatments such as surgery may be needed.

Non-surgical treatments usually include physical therapy, painkillers and anti-inflammatory drugs. In more severe cases, surgery may be needed to relieve pressure on the nerves and fix the problem. Timely diagnosis and appropriate treatment can help improve the quality of life and reduce pain.

Treatment of cervical disc protrusion 4 and 5

Treatment of 4th and 5th cervical disc protrusion is usually done by non-surgical and surgical methods. In the early stages, non-surgical treatments such as physical therapy, pain medications, and lifestyle changes can be effective. If there is no improvement, surgical options are considered to relieve pressure on the nerves. The choice of treatment method depends on the severity of the symptoms and the amount of damage.

Non-surgical treatment options for cervical disc 4 and 5

Non-surgical treatment for 4th and 5th cervical disc herniation includes physical therapy, anti-inflammatory and pain-relieving medications, and lifestyle changes. Physiotherapy aimed at strengthening neck muscles and improving range of motion is effective in 60-70% of cases.

Analgesic and anti-inflammatory drugs are also effective for reducing pain and inflammation and help relieve symptoms in about 50-60% of cases. In some cases, injecting steroids in the affected area can help relieve pain and reduce inflammation, which is about 70% effective;

Exercise and corrective movements to improve C4-C5 neck disc

Exercise and corrective movements are one of the most effective ways to improve the condition of the cervical disc of the 4th and 5th vertebrae. Stretching and strengthening movements of the neck muscles help to reduce the pressure on the discs. Strengthening exercises can strengthen neck and shoulder muscles and prevent further injuries.

These methods are especially effective in the initial phases of treatment and can help reduce pain and improve movement in about 70% of cases. Also, these exercises help to maintain and improve the correct posture of the body, which is useful to prevent the recurrence of disc protrusion.

The time of necessity of interventional and surgical treatments

In cases where non-surgical treatments cannot reduce the symptoms or there is a lot of pressure on the nerves, interventional and surgical treatments are necessary. The right time for surgery is usually when symptoms become more severe and daily movement or function is affected.

Surgery is required in about 20-30% of patients with 4th and 5th cervical disc protrusion. Surgical procedures include discectomy and spinal fusion, which help relieve pressure on the nerves and relieve pain. After careful evaluation, the specialist doctor decides to perform surgery.

Prevention of cervical disc disease 4 and 5

It is very important to prevent cervical disc protrusion of the 4th and 5th vertebrae. Because this problem can lead to chronic pain and limited movement. To reduce the risk of this problem, it is necessary to follow simple but effective tips.

One of the most important prevention factors is maintaining the correct body position. Correct sitting at a desk and when using a cell phone or computer can put less pressure on the cervical discs. Also, avoiding sudden movements of the neck and lifting heavy objects in the wrong way are also important factors in preventing damage to the discs.

Regular exercise, especially strengthening the neck and shoulder muscles, can help stabilize the spine and prevent cervical disc problems. Stretching and strengthening exercises help to reduce the pressure on the discs and increase the flexibility of the muscles.

Also, managing body weight and avoiding excess weight can also reduce extra pressure on the discs. In addition, proper rest and avoiding repeated physical stress play an important role in spine health. By observing these points, it is possible to prevent the protrusion of cervical disc 4 and 5 to a large extent.

Frequently asked questions about C4-C5 cervical disc herniation

1. How long does it take for C4-C5 disc pain to go away?

The duration of pain reduction caused by C4-C5 disc protrusion varies depending on the severity of the injury and the treatments performed. In most cases, the pain improves after a few weeks of non-surgical treatment, but in some people this process can take longer.

2. Does C4-C5 disc protrusion affect the hand and arm?

Yes, C4-C5 disc protrusion can cause pressure on the cervical nerves and lead to numbness, weakness or pain in the hands and arms. These symptoms are usually due to the pressure on the nerve roots.

3. What care is required after C4-C5 disc protrusion?

Primary care includes rest, use of painkillers, physical therapy and avoiding sudden movements. It is also very important to maintain the correct body position and perform strengthening exercises for the neck muscles.

dryazadapanahi

Dr. Yazdan Panahi

Student of Shahid Beheshti University of Tehran. The top rank of the specialized board of neurosurgery. 7-year history of performing complex operations on the base of the skull and brain and spinal cord tumors, 7-year history of complex operations on the spine

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