Cervical Disc Degeneration Conditions

about degenerative discs in the neck

While age may bring wisdom, it can also bring discomfort. A life’s worth of twisting, poor posture, or injury can takes its toll on a person's neck:

• The fluid-filled cervical discs separating the vertebrae in the spine become less flexible, thinner, and are less effective shock absorbers.
• The soft gel-like center of the cervical disc dries out and shrinks, narrowing the space available for nerve roots and the spinal cord.
• The ligaments that surround the cervical disc become brittle and tear more easily.

This deterioration is referred to as cervical disc degeneration, or cervical degenerative disc disease.

Symptoms of Cervical Disc Degeneration

Degenerative disc disease in the neck (the cervical spine) causes:

• Decreased flexibility
• Neck pain
• Stiffness
• Pain radiating to the back of the  shoulder or into the  arms
• Numbness and tingling in the arms and hands
• Weakness

Diagnosing Cervical Disc Degeneration

A doctor will determine whether you have degenerative disc disease in the neck by:  

• Checking the flexibility, strength, and range of motion in your neck, arms, and legs
• Ordering imaging tests such as x-rays, an MRI, or a CT (CAT) scan

If degenerative disc disease is present, the images will often show a narrowing of the spaces between your vertebrae, which indicates that one or more discs have thinned or collapsed. The x-rays may also show bone spurs. Sometimes disc deterioration and bone spurs can compress nerve roots.

Treatment for Cervical Degenerative Disc Disease

Pain and discomfort may be a natural part of ageing or may result from injury, regardless, something can be done about it. The treatment for cervical disc degeneration depends on the extent of the deterioration.

Nonsurgical treatments. If there is no evidence of nerve root compression with muscle weakness, a doctor may recommend:

• A soft cervical collar to rest the neck
• Non-steroidal anti-inflammatory drugs
• Physical therapy

Surgical treatments. If rest, medication, and physical therapy don’t help or if tests show nerve root or spinal cord compression, a doctor may advise surgery to lessen pain, weakness, and tingling:

• Cervical fusion. The surgeon removes the deteriorated cervical disc and replaces it with a spacer, then fuses the vertebrae on either side of the spacer.
• Cervical disc replacement. The surgeon removes the deteriorated disc and replaces it with an artificial cervical disc that preserves motion.

The best treatment depends on the unique situation. Always discuss treatment options with a healthcare professional.