A diffuse cervical bulge occurs when the annulus tears and soft nucleus material protrudes from the disc. Symptoms include pain, tingling, and numbness. Diagnosis is made through a physical exam and MRI. Treatment includes anti-inflammatory drugs, injections, physical therapy, and surgery. Prevention includes proper lifting techniques, maintaining a healthy weight, exercise, and avoiding smoking.
The vertebral column is made up of 33 vertebrae; seven of which make up the cervical spine. Discs sit between each vertebra and act as a cushion to help absorb shock. Discs consist of two layers. The outer layer is a fibrous material called the ring and the inner layer, which is made up of a softer material, is called the core. A diffuse cervical bulge occurs when the annulus tears and soft nucleus material protrudes or protrudes from a large portion of the disc.
Not everyone with a widespread cervical swelling will experience symptoms. However, as the swelling can press on the nerves in the spine, various symptoms can occur. Symptoms may include pain in the neck, which may radiate to the shoulders, arms and hands. A person may also have tingling or numbness in their hands.
Not all causes of a diffuse cervical swelling are found. Some people may have genetically weaker discs and be more prone to developing a bulge in the spinal discs. Injury to the neck area from a fall, car accident, or heavy lifting can cause widespread neck movement in some people.
A diagnosis is made after a physical exam by a doctor. Your doctor will take a medical history and test your range of motion. An MRI of the spine will usually be ordered to determine the location of the diffuse cervical swelling. Treatment will depend on the severity of your symptoms.
If symptoms are mild, over-the-counter anti-inflammatory drugs or steroids may be prescribed. For individuals who have more severe pain, epidural or steroid injections into the cervical area may reduce the pain. Other treatments may include heat and ice therapy. Ice can reduce inflammation and heat can relax muscles. Physical therapy may be recommended to improve flexibility and lengthen the neck.
For individuals who are not helped by other less invasive approaches, surgery may be an opportunity. A procedure called discectomy may be performed. This involves removing the part of the disc that is swelling or pressing on the nerve.
It may not be possible to prevent widespread cervical swelling in all cases; however, there are some things that can reduce your risk. Using proper lifting techniques, such as bending the knee and not straining the neck muscles can help. Maintaining a healthy weight and getting regular exercise, which strengthens the entire spine including the cervical area, can keep your discs healthy. Avoid smoking which can weaken spinal discs.
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