Cervical Disc Disease: Care Instructions

Overview

Cervical disc disease results from damage, disease, or wear and tear to the discs between the bones (vertebra) in your neck. The discs act as shock absorbers for the spine and keep the spine flexible. When a disc is damaged, it can bulge out and press against the nerve roots or spinal cord. This is sometimes called a herniated or "slipped disc." This pressure can cause pain and numbness or tingling in your arms and hands. It can also cause weakness in your legs.

An accident can damage a disc and cause it to break open (rupture). Aging and hard physical work can also cause damage to cervical discs.

The first treatments for cervical disc disease include physical therapy, special neck exercises, heat, and pain medicine. If these fail, your doctor may inject steroids and pain medicine into your neck. Surgery is usually done only if other treatments have not worked.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and contact your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

• Be safe with medicines. Read and follow all instructions on the label.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • Store your prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
• Don't spend too long in one position. Take short breaks to move around and change positions.
• Wear a seat belt and shoulder harness when you are in a car.
• Sleep with a pillow under your head and neck that keeps your neck straight.
• Follow your doctor's instructions for gentle neck-stretching exercises.
• Don’t smoke, vape, or use nicotine or tobacco. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good.
• Avoid strenuous work or exercise until your doctor says it is okay.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

• You are unable to move an arm or a leg at all.

Contact your doctor now or seek immediate medical care if:

• You have new or worse symptoms in your arms, legs, belly, or buttocks. Symptoms may include:
  • Numbness or tingling.
  • Weakness.
  • Pain.
• You lose bladder or bowel control.

Watch closely for changes in your health, and be sure to contact your doctor if:

• You do not get better as expected.