Treatment of cervical disc without surgery Non-surgical methods are proposed as the first line of defense against pain and limitation caused by cervical disc. These methods are designed to reduce inflammation, improve flexibility and strengthen the muscles around the neck and can prevent the need for surgery. In most patients, especially in the early stages, non-invasive treatments are highly effective and help to improve the quality of life. ### Rest and lifestyle modification > According to one of the specialized articles published in Spine magazine: "Changing daily habits and reducing mechanical pressure on the spine can significantly reduce the amount of pain and inflammation caused by disc herniation. » Relative rest, avoiding repetitive movements, using ergonomic desks and chairs, and avoiding carrying heavy objects are among the basic principles in disease management. In many patients with **cervical disc 4 and 5** these lifestyle changes can significantly reduce the intensity of pain and allow the return to daily activities. ### Drug therapy and use of painkillers One of the most common ways to treat cervical disc is to use non-steroidal anti-inflammatory drugs, muscle relaxants and sometimes oral corticosteroids. By reducing inflammation and pain, these drugs enable the patient to resume normal activities. Of course, they should be taken under the supervision of a doctor, because arbitrary use may lead to complications such as digestive or kidney damage. The choice of the type of medicine is based on the severity of the symptoms, the patient's physical condition and medical history. ### Physiotherapy and strengthening exercises Physiotherapists speed up the healing process of cervical disc patients by using specialized techniques such as electrical stimulation, massage therapy and corrective movements. Strengthening exercises also play an important role in reducing the pressure on the cervical discs. In addition, it is very important to teach corrective movements to prevent symptoms from returning. This method is especially effective in patients with **symptoms of cervical disc rupture**. ### Epidural steroid injection: new methods Epidural steroid injection is one of the advanced and less invasive approaches in controlling cervical disc pain. In this method, steroid drugs enter the epidural space directly and by reducing the inflammation around the nerve roots under pressure, they cause a rapid reduction in pain. This method is usually recommended along with other non-surgical treatments and plays an effective role in shortening the recovery period and facilitating the rehabilitation process. The choice of this treatment is only possible after complete medical evaluations and detailed imaging studies to achieve the best results for the patient. New methods of cervical disc treatment Medical advances have made patients have more diverse choices for cervical disc treatment. Unlike in the past, when surgery was considered the only option, now modern and minimally invasive methods can effectively reduce neck pain and inflammation without causing wounds and major complications. These methods help the patient return to normal life faster by stimulating the tissue repair process, improving blood flow and reducing pressure on the neck nerves. ### Laser therapy and ozone therapy Laser therapy using low power laser rays increases cell metabolism, reduces inflammation and stimulates damaged tissues to regenerate. This method is usually painless and relieves symptoms in a few sessions. Ozone therapy, by injecting a controlled amount of ozone into the disc area, reduces the volume of the disc and releases the pressure on the nerve roots. This method is especially suitable for patients with mild disc protrusion and is considered as an effective alternative to surgery. ### Neck traction and manual therapy Traction or mechanical stretching of the neck is one of the most widely used methods, which is performed by a physiotherapist using specialized devices or manual techniques. By creating a distance between the vertebrae, this method reduces the pressure on the disc and nerves and helps to improve blood circulation. Besides that, manual therapy includes controlled and specialized movements performed by the therapist to correct the condition of the vertebrae and increase the range of motion. ### Chiropractic and complementary therapies Chiropractic is a science that focuses on correcting spinal misalignments and restoring the normal alignment of the vertebrae. With specialized manipulations, the pressure on the nerves is reduced and the normal movement of the neck is restored. Many patients experience a significant reduction in pain and improved neck flexibility after a few chiropractic sessions. In addition, complementary therapies such as acupuncture, massage therapy and yoga can also speed up the healing process. Cervical disc surgical treatment When non-surgical and modern methods fail to control the patient's symptoms, or severe neurological symptoms such as hand weakness, numbness, or impaired motor control occur, surgery is the main option. Surgery is actually the last stage of cervical disc treatment and can definitely relieve the pressure on the nerves. The choice of the type of surgery depends on the location of the injury, the severity of the protrusion and the general condition of the patient. ### Anterior and posterior discectomy In this method, the surgeon removes the damaged disc through an incision in the front or back of the neck. Anterior discectomy (ACD) is more common because it allows better access to the cervical discs. In contrast, posterior discectomy is usually chosen for specific cases or specific discs. This procedure can quickly reduce nerve symptoms such as numbness and shooting pain. ### Artificial disc surgery One of the modern surgical techniques is to replace the damaged disc with an artificial disc. This method has a great advantage because, unlike fusion, it preserves the normal movement of the vertebrae. Patients will have more flexibility after this operation and the risk of chronic dry neck will decrease. This method is more recommended for younger patients or people who need to maintain normal neck movement. ### Laminectomy and spinal fusion A laminectomy is a procedure in which part of the lamina bone is removed to make more room for the nerves. Then, if needed, fusion or welding of the vertebrae is done with screws and plates to increase the stability of the spine. This operation is usually recommended in patients with severe instability or extensive neck injuries and requires a longer recovery period. Care after cervical disc treatment After the completion of the treatment process, whether by non-surgical or surgical methods, after-care is of vital importance. In fact, without these cares, even the most successful treatment methods will not give full results. Changing daily habits, correcting body posture, proper diet, and using supportive tools all play a key role in preventing recurrence of the disease. Continuity in these measures completes the treatment process of the cervical disc and returns the patient to a healthy life. ### Correction of sleeping and sitting position One of the most important points is to observe the correct body position during rest and work. Using medical pillows and a standard mattress helps the neck to be in a normal position and does not put extra pressure on the vertebrae. In the workplace, the height of the desk and monitor must be adjusted, and long-term sitting without rest is prohibited. Following these simple principles can reduce pain in the short term and prevent the return of the disease in the long term. ### Using a medical necklace A medical collar is a support device that limits the neck movements, prevents excess pressure on the discs and gives the muscles a chance to regenerate. Correct use of the collar can significantly reduce pain and inflammation in the first weeks after treatment or surgery. However, it should be noted that long-term use without a doctor's prescription may cause neck muscle weakness. ### Anti-inflammatory diet Proper nutrition plays an essential role in strengthening the body and reducing inflammation. Foods rich in omega-3 fatty acids such as fatty fish (salmon, sardines, and tuna), green leafy vegetables, fresh fruits, nuts, and seeds all help reduce inflammation in spinal tissues. Following a healthy diet will not only help speed up the healing process, but will also make the results of the treatment more permanent. **Summary** Patients can control the symptoms of the disease in the early stages by rest, lifestyle modification, drug therapy, physiotherapy and new methods such as laser therapy or ozone therapy. In more severe cases, surgeries such as discectomy or replacement with an artificial disc can restore normal neck function. However, aftercare for cervical disc treatment, including postural correction, limited use of a medical collar, and adherence to an anti-inflammatory diet, is necessary to stabilize results. Dr. Yazdan Panahi, as one of the leading specialists in this field, offers the best treatment options according to the conditions of each patient, relying on his current knowledge and clinical experience.