Primary evaluation of nonoperative management for cervical disc herniation

ABSTRACT

Participants in this study were 28 patients who were diagnosed with cervical disc herniation by magnetic resonance imaging (MRI) at the Internal Medicine Department of the Military Hospital 108 between July 1997 and July 2001. Mean age of patients was 47.54 years, ranged from 34 to 66. Males 19, females 9. It was found that that out of these, 10 patients had 1-segment cervical disc herniation, 15 patients had 2-segment cervical disc herniation, and 3 patients had 3-segment cervical disc herniation. Total of herniated cervical discs was 49 per 28 patients. Good and moderate results of nonoperative management were achieved in 84% of root syndrome sub-group, in 33.3% of myelo-root syndrome sub-group and in 78.57% of total group. Internal management included cervical immobility, analgesics, non-steroid anti-inflammatory drugs, vitamin B, muscle dilation, sedation, cervical block and manipulation, and physiotherapy.