Cervical Disc Herniation · Neck Hernia · Treatment Options

Cervical Disc Herniation Treatment

From medication and physiotherapy to interventional procedures and, when needed, microsurgery and disc replacement — let us choose the right option together.

Dr. Özgür Akşan · Neurosurgery · İzmir, Türkiye

Send your MRI and we will review your case and the options together — a second opinion is welcome.

Which option, in which situation?

A cervical disc herniation is not a single condition; symptom severity, nerve compression and response to treatment shape the approach. Treatment starts with the least invasive step, and every case is assessed individually.

1

Medication & physiotherapy

Most recent-onset or mild-to-moderate cervical herniations improve without surgery, with medication, rest and physiotherapy. Treatment usually starts here.

2

Interventional pain procedures

In selected cases that do not respond enough to medication and physiotherapy, cervical epidural injection, nerve root block or radiofrequency may be considered.

3

Surgery — microsurgery / arthroplasty

When arm pain persists, weakness progresses or response is insufficient, microsurgery (anterior approach), disc replacement or — in selected cases — endoscopic techniques are evaluated.

When an evaluation may help

Pain radiating from the neck to the arm, shoulder or fingers (brachialgia) that persists
Numbness, tingling or weakness in the arm or hand
Insufficient response to medication and physiotherapy, wanting to know the next options
Cervical disc herniation seen on MRI, unsure whether surgery is needed — or seeking a second opinion

Not every neck hernia needs surgery

Most herniations improve with medication, rest and physiotherapy; in selected cases that do not respond enough, interventional procedures such as cervical epidural injection or nerve root block may be considered. Surgery is evaluated when arm pain persists, weakness progresses or the response is insufficient. In the neck, the predominant techniques are microsurgery (anterior approach) and disc replacement, with endoscopic methods reserved for selected cases. The right path is decided together, case by case. This page is for general information and does not replace a medical consultation.

Dr. Özgür Akşan

Neurosurgeon

A careful, case-specific approach to cervical and lumbar disc herniation — from conservative treatment to microsurgery, disc replacement and, in selected cases, endoscopic surgery — with a realistic assessment of every option.