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Herniated disc at C6–C7 level. Cervical disc herniations occur in the neck, most often between the fifth and sixth (C5–6) and the sixth and seventh (C6–7) cervical vertebral bodies. There is an increased susceptibility amongst older (60+) patients to herniations higher in the neck, especially at C3–4. [23]
The McKenzie method is a technique primarily used in physical therapy.It was developed in the late 1950s by New Zealand physiotherapist Robin McKenzie. [1] [2] [3] In 1981 he launched the concept which he called "Mechanical Diagnosis and Therapy (MDT)" – a system encompassing assessment, diagnosis and treatment for the spine and extremities.
As treatment, McKenzie recommended exercises and postural instructions which restore or maintain the lumbar lordosis. Although exercises involving lumbar spine extension are emphasized in this treatment protocol, particularly in the early stages, lumbar flexion exercises are usually added at a later time in order that the patient has full range ...
Microdiscectomy (or microdecompression) is a minimally invasive surgical procedure in which a portion of a herniated nucleus pulposus is removed by way of a surgical instrument. [2] The purpose of this procedure is to relieve the pressure and reduce the local inflammatory reaction around a nerve root, caused by the herniated nucleus pulposus.
Exercise plus joint manipulation has been found to be beneficial in both acute and chronic mechanical neck disorders. [14] In particular, specific strengthening exercise may improve function and pain. [15] Motor control using cranio-cervical flexion exercises has been shown to be effective for non-specific chronic neck pain. [16]
There is no evidence that chiropractic spinal adjustments are effective for any medical condition, with the possible exception of treatment for lower back pain. [2] The safety of manipulation, particularly on the cervical spine has been debated. [3] Adverse results, including strokes and deaths, are rare. [4] [5]
In cervical spondylosis, a patient may be presented with dull neck pain with neck stiffness in the initial stages of the disease. As the disease progresses, symptoms related to radiculopathy (due to compression of exiting spinal nerve by narrowed intervertebral foramen) or myelopathy (due to compression on the spinal cord) can occur. [2]
Total disc replacement (TDR), or artificial disc replacement (ADR), is a type of arthroplasty in which degenerated intervertebral discs in the vertebral column are replaced with artificial disc implants in the lumbar (lower) or cervical (upper) spine.