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Cervical Degenerative Disc Disease

Our vertebral discs – which serve as shock absorbers for the spine – gradually dry out as we age, affecting their strength and resiliency, leading to degenerative disc disease (DDD). Symptoms and diagnosis of mild to severe degenerative disc disease are reviewed below.

Causes and Symptoms of Cervical Degenerative Disc Disease

Disc degeneration is a normal part of aging, and is not usually a problem. DDD of the cervical spine is a relatively common condition for aging adults; however, many people who have cervical degenerative disc disease don’t even know it. They may only become aware of the condition when being examined for another health problem or during a routine checkup. However, DDD can cause the discs to lose height and become stiff. When disc height is lost, nerve impingement, bone and joint inflammation, and resultant pain can occur. Disc degeneration causes loss of the joint space, similar to arthritis pain and inflammation. In severe cases, this pain may be constant.

Diagnosis of Cervical Degenerative Disc Disease

All effective treatments are built upon accurate diagnosis. Your physician will use a combination of expertise and state-of-the-art diagnostic technology to ensure a correct diagnosis. This process includes:

  • Medical history. The doctor will ask you questions about your symptoms, their severity, and what treatments you have already tried.
  • Physical examination. You will be carefully examined for limitations of movement, problems with balance, and pain. During this exam, the doctor will also look for loss of reflexes, muscle weakness, loss of sensation or other signs of neurological injury.
  • Diagnostic tests. Most doctors start with x-rays, which allow us to rule out other problems such as tumors and infections. The films also allow us to see if there is any loss of disc space between the vertebrae. In some cases we also use a test called a discography to confirm the diagnosis; this test involves injecting contrast dye into the affected disc(s) to create a clearer image.

Non-Operative Treatment for Cervical Degenerative Disc Disease

For acute or sudden neck pain, doctors prescribe pain relief medications such as acetaminophen, anti-inflammatory agents, and muscle relaxants. Temporary bed rest or a brace may also be suggested; usually patients are encouraged to get up and gradually increase their activities of daily living.

Physical therapy is often prescribed, and usually includes stretching exercises to improve flexibility and extension exercises to help maintain the spine’s natural curve. A hot/cold therapy and gentle massage can also be beneficial for neck pain. Chiropractic care may also be considered at this time.

After acute symptoms subside (usually within two to three weeks), patients are encouraged to begin a daily exercise regimen. This may include low impact aerobics three times per week as well as daily neck exercises.

Surgical Treatment for Cervical Degenerative Disc Disease

If symptoms of cervical DDD persist despite these non-operative treatments, further diagnostic tests may be necessary. These tests may include an MRI, CT scan, Myelogram, or possibly Discography. If the surgeon discovers that one or more of the vertebral discs have herniated, surgery may be necessary. Your surgeon will consider various surgical options. A common technique is an anterior cervical discectomy and fusion (ACDF) – this involves an anterior (from the front) approach, removal of the offending disc, and then fusion of the adjacent vertebrae, usually with instrumentation. However, there are also other surgical options that will be considered, and your surgeon will carefully discuss these with you.

Specialists in Spine Surgery

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darryl-antonoacci-tnTogether Dr. Antonacci and Dr. Betz have a combined 50+ years of experience in complex spine surgery.

Specialists in Spine Surgery

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M. Darryl Antonacci, MD
Chief Spine Surgeon & Director
Specialist in Pediatric & Adult Spine
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Randal R. Betz, MD
Spine Surgeon
Specialist in Pediatric Spine
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Recovery after Treatment for Cervical Degenerative Disc Disease

Although cervical degenerative disc disease is a natural part of aging, it does not mean you have to live with neck pain. Doctors can help you return to a healthy and active life; for most patients this can be accomplished with non-surgical treatments. But even if surgery is needed, be assured that your doctor will discuss with you all aspects of the procedure and provide you with the best care possible.

 

Our Offices Are Conveniently Located in Manhattan and Central New Jersey

Have Your Spine Case Doctor-Reviewed by Nationally Renowned Spine Surgeon, Dr. Darryl Antonacci. After Doctors’s review, a staff member from Dr. Antonacci’s and Dr. Betz’s office will contact you typically within 48 hours for more information about your condition or to schedule an appointment.

Our Office Locations


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Near Princeton, NJ
3100 Princeton Pike,
Bldg. 1-D
Lawrenceville, NJ 08648
Office: 609-912-1500
Fax: 609-912-1600


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Upper East Side, NYC
800A Fifth Avenue,
Suite 301
New York, NY 10065
Office: 609-912-1500
Fax: 609-912-1600


NJ and NY Spine Surgery Treatment Centers


University Medical Center of Princeton (UMCP)
1 Plainsboro Road,
Plainsboro, NJ 08536
Mount Sinai Medical Center,
New York City

1 Gustave L. Levy Pl, New York, NY 10029
Saint Peter’s University Hospital,
New Brunswick, NJ

254 Easton Ave, New Brunswick, NJ 08901
 
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