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The mainstay of treatment for degenerative disc disease is non-operative. Medications, physiotherapy- core trunk stability exercises, yoga helps to reduce the pain and stiffness.
When non-operative treatment modalities have failed ,surgery can be considered.
Surgery for a disc herniation is indicated in cauda equina syndrome, progressive neurological deterioration,  severe pain , Instability , failure to improve with conservative management.
This is the normal ageing process and occurs in exactly the same way as in the lower back. It is often termed Cervical Spondylosis. During the normal ageing process, the intervertebral disc loses water content and becomes stiffer and rigid. The disc over time degenerates and bulges. As this occurs, the height is lost at the front of the spine and the facet joints at the back of the spine start to take more load. Facet joint wear and tear (arthritis) then occurs. Predominantly its genetic in origin. Patients with degenerative disc disease in the low back will often have it in the neck and vice versa.

Treatment usually involves non-operative measures such as medications, physiotherapy programmes, core stability exercises, pilates, yoga. Intermediate options are spine injections like facet joint injections and trigger point injections. In carefully selected patients, Surgery can improve pain and function in up to 70% of patients if a focal cause can be identified accurately preoperatively.
It is radiating pain caused by nerve root compression in the cervical spine due to disc herniation, degenerative cervical spondylosis, nerve root irritation. Usually presents with occipital headache, trapezial or interscapular pain,axial  neck pain, unilateral arm pain, dermatomal numbness and tingling, weakness.There will be a gradual decline in hand function.  Most patients improve with non-operative management with awareness and education of condition, medications, physiotherapy and injections. Surgery is indicated in progressive and significant neurologicaldeficits and in failed non-operative modalities.
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