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Cervical disc rupture
مقاله تخصصی

Cervical disc rupture

3 months ago
653 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

What is cervical disc rupture? A ruptured cervical disc is an injury or gap in the outer wall of the discs between the vertebrae of the neck, which usually occurs due to constant pressure, sudden movements or wear and tear from aging. This condition may release the gelatinous substance inside the disc and put pressure on the nerve roots or spinal cord, leading to symptoms such as numbness or weakness in the hands, numbness and weakness in the neck. Timely diagnosis and treatment of this condition is very important to prevent complications. Cause of cervical disc rupture - With increasing age, the discs degenerate and the possibility of rupture increases. - cervical arthritis - When a person lowers his neck, the pressure on the cervical discs multiplies. That's why people who keep their neck in a bad position for a long time.. For example, they study in a bad position, the risk of developing neck disc problems is higher. Unfortunately, due to the high use of mobile phones and computers, the prevalence of neck disc problems in young people has been increasing in recent years. Cervical disc rupture symptoms As mentioned, if a cervical disc ruptures, it can put pressure on the spinal cord and spinal nerves, leading to a series of neurological symptoms such as: - neck pain; These patients have severe and shooting pain in the neck, which is aggravated by moving or bending the neck... - shooting pain in the hands; The nerves that originate from the cervical spinal cord move to the hands. That's why these people experience severe pain (similar to electric shock) in their hands. Usually, this pain only appears in one hand and the other hand is fine.. - Numbness in the hand; These people may experience numbness or tingling in their hands... - Weakness in the muscles of the hand... A person may experience weakness in the muscles of their arm, forearm or hand... In severe cases, the patient may not be able to move their hands at all... Also, these patients may experience incontinence of urine and stool... Mahmoud Yazdan Panahi, a specialist in neurosurgery, is recommended to you by the neurosurgery team.. Cervical disc rupture If a person suffers from a herniated cervical disc and takes measures to treat it, it usually does not cause any complications for the person.. But if the ruptured disc is severe and puts pressure on the spinal cord, it can lead to paralysis of all four limbs, numbness and permanent incontinence.... For this reason, when symptoms of pressure on the spinal cord are observed, the patient must undergo emergency surgery.... Is cervical disc rupture dangerous?.. Complications related to cervical disc rupture are explained And it was said that if the degree of rupture is severe and puts pressure on the spinal cord, it can lead to permanent complications... One of the most dangerous complications of a ruptured disc is neck suffocation... It is very rare because most cases of disc rupture occur in the lower parts of the disc vertebra... Was the rupture diagnosed? The best way to diagnose a ruptured cervical disc is MRI.... In case of numbness or muscle weakness, using EMG/NCV can also be useful.... Although a skilled doctor can diagnose cervical disc involvement with a high probability by performing clinical examinations.... If you think that your cervical disc may be damaged, you can contact Dr. Mah.. site.... What happens if the disc breaks in the neck? If the cervical disc ruptures, the gelatinous material inside may come out of the disc wall and put pressure on the cervical nerves or spinal cord... This condition can cause symptoms such as severe pain in the neck, shoulder and arm, numbness or tingling in the hands, muscle weakness and sometimes dizziness or movement disorders... The severity of the symptoms varies depending on the extent of the rupture and the location of the injury... If not treated in time, this condition may lead to permanent nerve damage. It is very important to see a doctor and start the proper treatment... Is cervical disc rupture repairable? More than 75 to 90% of cases of cervical disc protrusion and rupture recover without the need for surgery.. In severe cases where symptoms are persistent and debilitating, surgical interventions may be required. A doctor should be consulted to choose the best treatment method.... Does cervical disc rupture get better with rest?... As explained, most cases of cervical disc rupture (especially mild cases) only need a period of supportive treatment and during this period, supportive measures should be taken. Use soft Klar.... After recovery, the patient should refrain from activities harmful to the cervical disc so as not to have a recurrence... Treatment of cervical disc rupture By performing appropriate sports activities and avoiding excessive pressure, most cases of cervical disc protrusion will improve without the need for surgery. or dexamethasone; The use of corticosteroids to reduce the pain in lumbar disc rupture is very common, but their long-term use is not recommended in any way because it leads to osteoporosis, stomach ulcers, blood pressure, diabetes, etc.. - Opium, codeine, oxycodone, morphine, methadone.. The most important complication of these drugs is dependence and addiction.. Therefore, strictly avoid using these drugs without consulting a doctor... Usually, these drugs are only used in severe cases of cervical disc. One of the most important side effects of these drugs is sleepiness... Do not drive after taking these drugs... Other side effects of taking the drugs include: itching, constipation, dry mouth, urinary retention, urinary retention, gallstones... cyclobenzaprine; These drugs can eliminate the spasms and cramping of the muscles around the spine and reduce the pain. Also, if the patient cannot sleep because of the pain, these drugs can help the patient due to their hypnotic effects.. - Topical ointments; Piroxicam or Devil's Claw or Harpagophytum Treatment of cervical disc rupture with physiotherapy Reliable evidence that shows that the use of physiotherapy can reduce the need for surgery, reduce the patient's pain and make it tolerable to some extent... In many cases, cervical disc rupture can be treated with physiotherapy, especially when the severity of the injury is not high... Ultrasound or electrical stimulation is among the common measures in this treatment. In cases where the cervical disc rupture is severe or the patient's pain cannot be controlled with painkillers, cervical disc surgery can be used... Two common surgical methods in this field are: - Laser surgery: if the degree of rupture is not too severe, you can use a laser... in this method, with the help of laser thermal energy, the water in the disc evaporates and its volume decreases.... by reducing the volume of the disc, the pressure on the spinal cord and nerves is removed and the patient's symptoms are relieved... it is placed in its place...
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