Arm Pain (Cervical Disc Herniation) at DRHC Dubai Neck Pain Clinic

Arm pain can be a distressing symptom, often affecting daily activities and overall quality of life. One common cause of arm pain is cervical disc herniation. At DRHC Dubai, we specialize in diagnosing and treating this condition, helping patients find relief and regain function.

What is Cervical Disc Herniation?

The cervical spine, located in the neck, consists of seven vertebrae separated by intervertebral discs. These discs act as cushions, absorbing shock and allowing for flexibility in the spine. A cervical disc herniation occurs when the inner gel-like substance of a disc (nucleus pulposus) protrudes through its tough outer layer (annulus fibrosus). This herniation can compress nearby nerves, leading to pain, numbness, and weakness.

Causes and Risk Factors

Cervical disc herniation can result from various factors, including:

• Degenerative Disc Diseases: Age-related wear and tear can cause discs to lose hydration and elasticity, making them more prone to herniation.
• Trauma and Injury: Sudden injuries, such as whiplash or a fall, can lead to disc herniation.
• Repetitive Strain: Activities that involve repetitive neck movements or poor posture can contribute to disc degeneration and herniation.
• Genetics: A family history of disc problems may increase the likelihood of developing a herniated disc.

Symptoms of Cervical Disc Herniation

Symptoms can vary depending on the location and severity of the herniation. Common symptoms include:

• Arm Pain (Radiculopathy): Sharp or burning pain that radiates from the neck down to the shoulder, arm, and even the fingers. This pain is often unilateral (affecting one side).
• Numbness or Tingling: Sensations of pins and needles or loss of sensation in the arm or hand.
• Muscle Weakness: Weakness in the shoulder, arm, or hand muscles, which can affect grip strength and dexterity.
• Neck Pain: Pain in the neck that may worsen with movement.
• Headaches: In some cases, herniation can cause headaches, particularly if the compressed nerves affect the head and neck region.

Diagnostic at DRHC Dubai

Accurate diagnosis is essential for effective treatment. At DRHC Dubai, we use a comprehensive approach to diagnose cervical disc herniation, including:

• Clinical Evaluation: A detailed review of your medical history and a physical examination to assess symptoms and neurological function.
• Imaging Studies: MRI (Magnetic Resonance Imaging) is the preferred method for visualizing soft tissues, including discs and nerves, allowing for the precise identification of herniations. X-rays and CT scans may also be used for further evaluation.
• Nerve Conduction Studies: These tests help assess nerve function and determine the extent of nerve compression.

Treatment Options

Treatment for cervical disc herniation at DRHC Dubai is individualized based on the severity of symptoms and the patient's overall health. Options include:

Non-Surgical Treatments

• Physical Therapy: A tailored program of exercises to strengthen neck and shoulder muscles, improve flexibility, and reduce pain.
• Medications: Anti-inflammatory drugs, pain relievers, and muscle relaxants can help manage symptoms.
• Cervical Collar: A soft collar may be recommended to support the neck and limit movement during the acute phase.
• Injections: Epidural steroid injections can help reduce inflammation and pain by delivering medication directly to the affected area.

Minimally Invasive Procedures

• Microdiscectomy: A minimally invasive procedure to remove the portion of the herniated disc that is compressing the nerve.
• Foraminotomy: A procedure to widen the space where the nerve exits the spinal canal, relieving nerve pressure.

Surgical Options:

• Anterior Cervical Discectomy and Fusion (ACDF): Removal of the herniated disc through the front of the neck, followed by fusion of the adjacent vertebrae to stabilize the spine.
• Cervical Disc Replacement: In cases where fusion is not desirable, an artificial disc may be implanted to maintain mobility and reduce the risk of further degeneration.

Rehabilitation and Recovery

Rehabilitation is a crucial part of the recovery process. At DRHC Dubai, our rehabilitation team provides personalized care, including physical therapy and pain management strategies, to help patients regain strength, mobility, and function.