![]() ![]() Since the disc is not removed completely, it can herniate again in the future. Because a fusion is not done, the disc space is not distracted and the associated collapse that occurs with a disc herniation can continue and place pressure on the nerve where it exits the spine. Generally, only a disc herniation that is off to the side of the spine can be approached. First, because the spinal cord is in the way, visualization of the disc space is limited. There are several potential disadvantages. ![]() Potential advantages of this procedure are that a fusion is not necessary and the recovery time may be shorter. The nerve root needs to be gently moved to the side to free up the disc herniation. ![]() A high speed burr is used to remove some of the facet joint, and the nerve root is identified under the facet joint. This approach may be considered for a large soft disc herniation that is located on the side of the spinal cord. This procedure is performed through a vertical incision in the posterior (back) of your neck, generally in the middle. X-ray: Application of radiation to produce a film or picture of a part of the body can show the structure of the vertebrae and the outline of the joints.Myleogram: An x-ray of the spinal canal following injection of a contrast material into the surrounding cerebrospinal fluid spaces can show pressure on the spinal cord or nerves due to herniated discs, bone spurs or tumors.Magnetic resonance imaging (MRI): A diagnostic test that produces three-dimensional images of body structures using powerful magnets and computer technology can show the spinal cord, nerve roots, and surrounding areas, as well as enlargement, degeneration, and tumors.This will indicate whether there is ongoing nerve damage, if the nerves are in a state of healing from a past injury, or whether there is another site of nerve compression. Electromyogram and Nerve Conduction Studies (EMG/NCS): These tests measure the electrical impulse along nerve roots, peripheral nerves, and muscle tissue.Computed tomography scan (CT or CAT scan): A diagnostic image created after a computer reads x-rays can show the shape and size of the spinal canal, its contents, and the structures around it.The delicate spinal cord and nerves are further supported by strong muscles and ligaments that are attached to the vertebrae.ĭiagnosis is made by a neurosurgeon based on your history, symptoms, a physical examination, and results of tests, including the following: ![]() These nerves serve the muscles, skin and tissues of the body and thus provide sensation and movement to all parts of the body. The spinal cord is bathed in cerebrospinal fluid (CSF) and surrounded by three protective layers called the meninges (dura, arachnoid, and pia mater).Īt each vertebral level, a pair of spinal nerves exit through small openings called foramina (one to the left and one to the right). This space, called the spinal canal, is the area through which the spinal cord and nerve bundles pass. These discs allow the spine to move freely and act as shock absorbers during activity.Īttached to the back of each vertebral body is an arch of bone that forms a continuous hollow longitudinal space, which runs the whole length of your back. The cervical spine (neck region) consists of seven bones (C1-C7 vertebrae), which are separated from one another by intervertebral discs. The right mattress should help you to get a better night’s sleep and ease some of your neck and/or back pain.Your neck is part of a long flexible column, known as the spinal column or backbone, which extends through most of your body. Changing your mattress can help ease some of your spine pain. Look for a mattress that is not too firm or too soft. Any activity that keeps you busy and thinking about things besides pain can help. You may not be able to avoid pain, but you will at least feel like you have some control over your life. Find ways to distract yourself from the pain so you can enjoy life more. Alcohol contributes to sleep problems, and lack of sleep makes pain worse. Smoking makes pain worse by causing circulation problems that lead to more pain. Moving is important to managing pain effectively. Talk to your healthcare provider about what exercises are safe to do while living with spinal cord compression. Stress can intensify inflammation and pain. MR images show an hourglass appearance of the spinal canal, with effacement of the CSF space. Both activities can help your body to relax, which may ease pain. In addition, nerve root and spinal cord compression can be aggravated by dynamic mechanisms, particularly in the cervical spine. Practice deep breathing and meditation. ![]()
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