[Cervical disc herniation--diagnosis and treatment]
- PMID: 26672182
[Cervical disc herniation--diagnosis and treatment]
Abstract
A cervical disc herniation (CDH) is a frequently encountered pathology in primary care medicine. It may give rise to a compression of a nerve root (a radiculopathy, with or without sensory-motor deficit) or of the spinal cord (myelopathy). The majority of CDHs can be supported by means of a conservative treatment. When a radiculopathy is found and a clinico-radiological correlation is present, a moderate neurological deficit appears suddenly, or if it is progressive under conservative treatment or if pain is poorly controlled by well-conducted conservative treatment performed during 6 to 8 months, surgery is then recommended. A symptomatic cervical myelopathy is, by itself, an indication for a surgical treatment.
Comment in
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[Management of herniated cervical discs and smarter medicine].Rev Med Suisse. 2015 Dec 9;11(498):2349. Rev Med Suisse. 2015. PMID: 26790244 French. No abstract available.
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[Response].Rev Med Suisse. 2015 Dec 9;11(498):2349. Rev Med Suisse. 2015. PMID: 26790245 French. No abstract available.
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