Nonoperative management of cervical disc herniations: An evidence-based approach

This article aims to review the available evidence in support of the various nonoperative treatment options for cervical disc herniations. There is a lack of evidence to support most medications, modalities, and acupuncture. There is good evidence to support the use of anticonvulsants and antidepressants for the treatment of neuropathic pain that can be related to cervical disc herniations. Physical therapy and manual therapy have been shown to help improve acute and chronic neck pain. Cervical epidural steroid injections, using an interlaminar approach, have been shown to provide short and long-term relief in pain related to cervical disc herniation.