Which nonoperative treatment options are effective for cervical disc herniations

Few studies evaluating the effectiveness of nonoperative treatment are available. A commonly accepted treatment is to decrease the associated inflammatory response with the use of nonsteroidal antiinflammatory drugs, oral corticosteroids, or epidural and selective nerve root steroid injections. Rest by use of an orthosis such as a soft collar and reduction of activities may be useful. Traction, physical therapy, and manipulation are frequently attempted but are often poorly tolerated in patients with acute cervical disc herniations.

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