Neck / Cervical

Hernia model

Hernia model

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What is a Hernia?

A hernia is when the soft centre of a disc is pushed out through a small tear in the disc wall. The shooting pain is caused by an intervertebral vertebra that is tearing due to incorrect loading. Such a tear is called a herniation in the medical world. 

With a hernia we can experience an acute shooting pain in the neck and mid back.  With this type of condition your brain is very clever, it will communicate to your muscles to cramp/spasm in the spine (neck and shoulders) to prevent you from loading the disc and causing more trauma/tearing, unfortunately the muscle spasm can be very painful.


Hernia Stages.






Hernias have different stages with a grade 0 - 5

0.  Normal intervertebral disc: No displacement of the nucleus (inside)

1. Disrupted disc: Nucleus bulging to one side

2.  Mild rupture fibrosus (outside):  Nucleus ruptures/herniates through 25-50% of fibrosus  

3.  Bulging:  Moderate rupture of fibrosus/nucleus ruptures/herniates through 50-75% of fibrosus

4.  Hernia:  Severe rupture of fibrosus/nucleus ruptures/herniates through 75-95% of fibrosus

5.  Prolapse: Complete rupture of fibrosus/nucleus ruptures/herniates through 100% fibrosus, nucleus flows into marrow.

In all degrees of an intervertebral herniation, it is possible that the intervertebral disc presses against a nerve root.


Chiropractic for a Hernia. 

What can a chiropractor offer for you?

Neck complaints such as hernia are usually easy to remedy through chiropractic treatments. Corrective actions prevent further damage to the intervertebral

prevent discs and nerves and promote recovery. Chiropractic treatments aim to correct incorrect posture, increase spinal mobility and restore the function of irritated nerves.


This is done by using chiropractic techniques (see our techniques page). One of the techniques is chiropractic manipulation. Pressure is put on the joint with the hands and the joint is set in motion. This restores the freedom of movement of the joint and reduces the pain.

What are the causes of
a hernia? 

The most common causes.

  • Injuries due to an accident or trauma

  • Sitting in the wrong position for a long time

  • Lifting and bending incorrectly

  • Having a bad mattress for your spine

  • Poor posture when sitting, standing, walking and lifting

  • Too little exercise

  • Pregnancy

  • Stress

  • Weakening of the muscles of the core

  • Overweight

  • Congenital defects or hereditary factors

What are the symptoms of a hernia?

The most common symptoms for hernias in the neck (cervical spine).

With a hernia, the pain we feel is the pressure on a nerve and the disc damage itself. The nerve pain that is mainly felt in the neck, shoulder, shoulder blade and into the arm. It almost never happens that the sciatica pain manifests itself in both arms, but if that is the case it maybe a more serious type of hernia.

If a nerve is irritated, the pain can be felt in a large part of the arm and sometimes into the fingers. Patients initially describe the pain as a sharp, aching pain that gradually becomes numb. If it lasts longer, the pain is often experienced as burning or tingling. In addition to the chiropractic treatment of the spine, the chiropractor will advise special exercises. To promote the healing process, it is desirable that these exercises are performed regularly. This is individual to the patient depending on the cause of the irritation and part of the nerve that is entrapped. 

Most common symptoms:

  • Pain in the neck, shoulder, shoulder blade, arm

  • Pain with certain movements (neck extension, rotation, arm movements)

  • Radiation pain over the shoulder, shoulder blade, arm and hand

  • Referral manifests as tingling or numbness in the arm down to the hand

  • Pain in the neck when coughing/sneezing/bearing down