Cervical hernia develops when the gel-like discs between the vertebrae tear and press on the spinal cord and nerve roots. The pain can be mild, but in some patients, it can reach a life-threatening level.
Symptoms vary depending on the level of nerve compression
Prof. Dr. Mahmut Akyüz, a specialist in Brain, Nerve, Spine, and Spinal Cord Surgery, stated that different symptoms can be seen depending on the level of the hernia. If a single nerve is affected, pain, aching, and tingling can develop extending to the arm, hand, and fingers. When the pressure increases, loss of strength in the arms and hands may occur.
When the spinal cord is compressed, the condition worsens. In this case, tingling, burning, numbness in the feet, difficulty walking, and problems with urinary and bowel control may be observed.
Examination and imaging are required for diagnosis
Prof. Dr. Akyüz emphasized the importance of learning in detail how the patient's complaints began for an accurate diagnosis. He explained that detailed neurological examination, appropriate radiological imaging, and, if necessary, electromyography (EMG) support the diagnosis.
The expert stated that treatment should not be planned according to a single template; the patient's pain level, examination findings, radiological results, and expectations should be evaluated together.
Non-surgical methods are preferred in mild cases
In small hernias that do not cause nerve compression, physical therapy, exercise, spa treatments, and medical massage therapies aimed at improving quality of life and reducing pain can be applied. Prof. Dr. Akyüz explained that these methods can benefit suitable patients.
Surgical treatment is considered for patients who do not improve despite medication, rest, and other treatments or who show neurological symptoms. The expert noted that timely intervention for the appropriate patient is important, as delaying too long can reduce the effectiveness of microsurgery.
Microsurgery method and recovery process
Prof. Dr. Akyüz stated that microsurgery is a reliable and successful method for cervical hernia. He explained that the surgery is performed through approximately 2-centimeter incisions using a special surgical microscope and lasts about 2 hours on average.
In the postoperative period, regular exercise is emphasized to support recovery. Weight control, consistent exercise programs, and physical therapy also contribute to the healing process.
The expert advised that after a successful operation, patients should avoid risk factors and maintain regular exercise. He added that exercise programs of one hour, three times a week, can help preserve the achieved results.