Herniated Cervical Disc, Cervical Radiculopathy

Fig. 1: Sagittal view of the cervical spine
(larger view)

Fig. 2: Disc herniation of the cervical spine
(larger view)

Developing a cervical herniated disc is less common than a lumbar herniated disc for two reasons:

1. There is far less disc material in the cervical spine
2. There is substantially less force across the cervical spine

When they do occur, most cervical disc herniations (commonly referred to as Cervical Radiculopathy) will extrude out to the side of the spinal canal and impinge on the exiting nerve root at the lower level (e.g. C6 at C5-C6) (Figure 1 and Figure 2).

If the space for the nerve root (foramen) is already compromised because of associated disc space collapse or bone spurs (osteophytes), the added impingement of the disc may irritate the nerve root and cause a radiculopathy (arm pain). If the foramen is not compromised, the radiculopathy may be temporary and relieved with conservative treatment.

Herniated cervical disc treatment options

In general, most cervical disc herniations or cervical radiculopathy will heal with time and conservative treatment and will not require surgery.

• Article written By:
• Peter F. Ullrich, Jr., MD

November 2, 2006

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