Cervical Disc Herniation

Cervical Disc Herniation

Cervical disc herniation, sometimes called a slipped or prolapsed disc in the neck, occurs when one of the spinal discs in the cervical spine bulges or ruptures. This can irritate or compress nearby nerves, leading to neck pain, arm symptoms, and in some cases, spinal cord compression.

At The New Foscote Hospital, our orthopaedic and spinal consultants provide accurate diagnosis, personalised treatment, and expert surgical care when required. We help patients manage symptoms, restore mobility, and return to normal activity — whether through conservative care or advanced surgical intervention.

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What Is a Cervical Disc Herniation?

The cervical spine consists of seven vertebrae (C1–C7) and the discs that sit between them. These discs act as shock absorbers and allow for movement and flexibility. A herniated disc occurs when the soft inner portion of a disc pushes through its tougher outer layer — often at the C5–C6 or C6–C7 levels.

If the herniation presses on a cervical nerve root, it can cause radiculopathy (nerve pain, weakness, or tingling in the arm). If the spinal cord is compressed, more serious symptoms may develop.

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Symptoms

Cervical disc herniation may cause one or more of the following:

• Neck pain – which may be sharp, aching, or radiating
• Pain down one or both arms – especially with certain neck movements
• Numbness or tingling – in the shoulder, arm, hand, or fingers
• Muscle weakness – affecting grip strength or arm movement
• Reduced neck mobility
• In severe cases – unsteadiness, coordination problems, or bladder/bowel changes (due to spinal cord compression)

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Causes and Risk Factors

Cervical disc problems can develop gradually or follow a specific injury. Risk factors include:

• Ageing and disc degeneration
• Repetitive neck strain – from posture or occupation
• Sudden neck movements or trauma
• Genetic predisposition
• Previous spinal issues or surgery

Most disc herniations develop between ages 30 and 60.

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Diagnosis

Diagnosis includes a combination of:

• Physical and neurological examination
• MRI scan – to confirm the location and severity of disc herniation
• CT scan or X-ray – to rule out other causes of pain (CT at our sister hospital)
• Nerve conduction studies – in some cases

At The New Foscote, we offer fast access to imaging and consultant assessment to help confirm a diagnosis and plan your care.

View our diagnostic imaging services

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Treatment Options

Conservative Management

Most patients with cervical disc herniation improve with non-surgical care, such as:

• Physiotherapy – to improve strength, flexibility, and posture
• Pain relief – including anti-inflammatory medication or nerve pain tablets
• Activity modification – to avoid aggravating movements
• Spinal injections – such as nerve root blocks for pain management

Surgical Intervention

If symptoms persist or worsen — especially with nerve or spinal cord involvement — surgery may be required. Options include:

• Anterior cervical discectomy and fusion (ACDF) – the most common surgery, removing the damaged disc and stabilising the spine
• Cervical disc replacement – in suitable cases, preserves movement and reduces adjacent level stress
• Posterior cervical foraminotomy – less invasive option for certain nerve root compressions

Your consultant will guide you through the best treatment plan based on your condition, symptoms, and lifestyle.

Learn more about our orthopaedic department

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Recovery and Rehabilitation

Following treatment — whether conservative or surgical — recovery is supported by:

• Targeted physiotherapy
• Pain management and posture correction
• Gradual return to daily activities
• Follow-up with your consultant and care team

We aim to support every patient in making a safe and lasting recovery.

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Why Choose The New Foscote Hospital?

• Consultant-led spinal and orthopaedic care
• Rapid access to imaging and treatment
• On-site physiotherapy and post-operative support
• Calm, private environment with personal care
• Trusted by patients across Oxfordshire, Northamptonshire, and Warwickshire