Cervical Disc Herniation: Rehabilitation and Recovery Tips - Rehabilitation

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Herniated disc


Doctor, will a cervical disc herniation not heal? I'm currently doing neck traction, but I'm unsure whether to go every day or every other day.
Some say going every day is better for recovery, while others suggest every other day to allow the muscles to rest.
I asked the physical therapist, but there wasn't a definitive answer.
Thank you for your guidance.
Also, the doctor is concerned about my anxiety, so we started on January 8th.
Will the initial sessions be ineffective?

Jayen288, 50~59 year old female. Ask Date: 2023/05/11

Dr. Wang Zhaomin reply Rehabilitation


If there is no discomfort after traction, treatment can be administered more frequently (such as daily traction).
As symptoms gradually improve, the interval between treatments can be extended.
Once symptoms are completely resolved and the patient is in a stable condition, consideration can be given to discontinuing treatment.

Reply Date: 2023/05/11

More Info


Cervical disc herniation is a common condition that can lead to significant discomfort and functional impairment. Understanding the nature of this condition, its rehabilitation, and recovery process is crucial for effective management.

Understanding Cervical Disc Herniation
Cervical disc herniation occurs when the soft inner gel-like core of a cervical disc protrudes through a tear in the tougher exterior. This can lead to compression of nearby nerves or the spinal cord, resulting in symptoms such as neck pain, radiating pain into the arms, numbness, tingling, and weakness. The severity of symptoms can vary widely depending on the extent of the herniation and the degree of nerve involvement.


Rehabilitation and Recovery Tips
1. Physical Therapy: Engaging in a structured physical therapy program is essential. A physical therapist can tailor a rehabilitation program that includes exercises to strengthen the neck and shoulder muscles, improve flexibility, and enhance posture. This can help alleviate pressure on the affected discs and nerves.

2. Frequency of Therapy: The frequency of physical therapy sessions can vary based on individual needs. Generally, attending therapy sessions 2-3 times a week is common. Daily sessions may be beneficial initially, especially if the therapist provides guidance on exercises to perform at home. However, it is also important to allow muscles to rest and recover. Therefore, a balanced approach—such as attending therapy every other day—can be effective.
3. Home Exercises: In addition to therapy, performing prescribed home exercises is crucial. These may include gentle stretching, strengthening exercises, and postural training. Consistency is key; even if you feel improvement, continuing these exercises can prevent future issues.

4. Pain Management: Managing pain through medications, heat therapy, or ice packs can help facilitate participation in rehabilitation. Non-steroidal anti-inflammatory drugs (NSAIDs) can be effective for reducing inflammation and pain.

5. Ergonomics and Posture: Maintaining proper posture during daily activities is vital. This includes using ergonomic furniture, ensuring your workstation is set up correctly, and avoiding prolonged periods of looking down or holding the neck in awkward positions.

6. Gradual Return to Activities: As symptoms improve, gradually reintroducing normal activities is important. However, it’s essential to listen to your body and avoid activities that exacerbate pain.

7. Psychological Support: Anxiety about recovery can hinder progress. Engaging in relaxation techniques, mindfulness, or even counseling can help manage stress and improve overall well-being.


Addressing Your Concerns
Regarding your specific questions, it is important to understand that while cervical disc herniation may not fully "heal" in the traditional sense, many individuals experience significant improvement in symptoms and function with appropriate rehabilitation.
Starting rehabilitation on January 8th is a positive step, and the initial sessions will help establish a baseline for your recovery. It is normal to feel uncertain about the effectiveness of early sessions, but they are crucial for setting the stage for future progress.
If you are unsure about the frequency of your therapy sessions, consider discussing this with your physical therapist. They can provide personalized recommendations based on your condition and response to treatment.
In summary, cervical disc herniation can be managed effectively with a combination of physical therapy, home exercises, pain management, and lifestyle modifications. While recovery may take time, many individuals find relief and improved function through consistent and targeted rehabilitation efforts. Always consult with your healthcare provider to tailor a plan that suits your specific needs and circumstances.

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