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Treatment of Cervical Spinal Disc Herniation

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If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for cervical spinal disc herniation
723.55
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
4487.75
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
7561.75
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
7484.9
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
10709.7

Hospital Neuwerk Moenchengladbach

10/10
location_onGermany, Moenchengladbach

Department of Spinal Surgery

The Hospital Neuwerk, which is in Moenchengladbach, has over 10 specialized operating departments. Located in the northern part of the city, the hospital has been a coordination center for the region for many years. The hospital has 310 comfortable beds for ist patients. Due to a wide range of medical services, the hospital offe
Diagnostic tests for cervical spinal disc herniation
2082.45 help1982.45
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
15902.95 help14902.95
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
17998.55 help16498.55
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
19167.25 help17667.25
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
22662.5 help20662.5

Catholic Clinic Koblenz-Montabaur

10/10
location_onGermany, Koblenz

Department of Spinal Surgery

The Catholic Clinic Koblenz-Montabaur positions itself as a modern medical facility, which provides high-quality diagnostics and treatment in accordance with the international standards. The medical complex is the Academic Hospital of the University Hospital Mainz, which gives patients the opportunity to have access to the most
Diagnostic tests for cervical spinal disc herniation
2218.8
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
12110.25
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
19843.7
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
19589.95
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
27202

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for cervical spinal disc herniation
3270.05
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
18046.55
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
29239.7
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
30131.45
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
42023.9

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurosurgery and Interventional Neuroradiology

Beta Klinik is a modern hospital which consists of 30 specialized departments. The hospital is equipped with the state-of-the-art equipment of the university level. The operating rooms, an intensive care unit and the rehabilitation center correspond to the highest standards. It also concerns highly qualified physicians of the ho
Diagnostic tests for cervical spinal disc herniation
2597.25
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
13589.25
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
22008.55
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
22590
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
30987.95

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Diagnostic tests for cervical spinal disc herniation
2523.3
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
13393.5
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
21769.3
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
22395.7
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
31288.1

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for cervical spinal disc herniation
2226.05
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
11882.6
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
19362.3
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
19723.35
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
27135.3

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnostic tests for cervical spinal disc herniation
2436.3
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
12804.8
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
20391.8
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
21076.2
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
28944.9

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for cervical spinal disc herniation
2411.65
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
12916.45
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
21080.55
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
21554.7
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
29424.85

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Orthopedics

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for cervical spinal disc herniation
2247.8
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
11766.6
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
19298.5
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
19536.3
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
27347

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Diagnostic tests for cervical spinal disc herniation
2848.1
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
15342.3
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
25305.85
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
25969.95
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
36170.25

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for cervical spinal disc herniation
2824.9
Diagnostic tests for cervical spinal disc herniation
2891.6
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
15510.5
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
15788.9
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
25679.95

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for cervical spinal disc herniation
2381.2
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
13392.05
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
21954.9
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
22239.1
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
30535.55

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for cervical spinal disc herniation
2497.2
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
13442.8
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
22076.7
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
22040.45
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
30647.2

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for cervical spinal disc herniation
2097
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
11246.05
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
18073.25
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
18792.45
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
25412.7

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Orthopedics, Trauma and Reconstructive Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for cervical spinal disc herniation
2271
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
11975.4
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
19410.15
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
20009
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
27048.3

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Diagnostic tests for cervical spinal disc herniation
2553.75
Treatment of cervical spinal disc herniation with endoscopic or microscopic nucleotomy (1 segment)
13376.1
Treatment of cervical spinal disc herniation (2-3 segments) with nucleotomy
22213
Treatment of cervical spinal disc herniation (4 segments) with endoscopic or microscopic nucleotomy
22253.6
Treatment of cervical spinal disc herniation with discectomy and intervertebral disc prosthesis
30629.8
| from Booking Health GmbH

Pain in the neck and head region often causes patients to seek medical help. The discomfort may indicate not only injury, but also other serious complications, including cervical herniated discs. It is important to know what can be done when a cervical herniated disc occurs. It is also worth knowing what symptoms can make you suspect a cervical herniated disc.

Content

  1. Symptoms and diagnostics
  2. Conservative treatment
  3. Surgical options of treatment in European hospitals
  4. Nucleotomy
  5. Complications of untreated cervical herniated discs
  6. Treatment in European hospitals
  7. The cost of treatment

Symptoms and diagnostics

 

The cervical herniated disc is accompanied by such peculiar symptoms as nerve root spasms, weakness, and loss of sensation and reflexes. The most common signs of cervical hernia are pain in the arm or shoulder of the affected side, weakened muscle tone in the area of nerve impingement, and reduction or complete loss of deep tendon reflexes. The weakening of muscle tone depends on the degree and duration of nerve impairment. There may also be a loss of sensation in the corresponding part of the body, which is usually accompanied again by the weakening of the muscle tone. The advanced stages may be characterized by such symptoms of myelopathy (neurological impairment of the spinal cord) as impaired walking, spasticity, as well as various hyperactive and pathological reflexes.

Diagnosing this health condition requires a careful examination of the medical history, as well as neurological and radiological examinations, correlated observation. The first step in establishing the diagnosis is an X-ray scan. It will provide an opportunity to examine not only the cervical intervertebral area, but also diseases and disorders that have similar symptoms to cervical herniated discs, for example, spinal cord fractures and malignant tumors. If there is suspicion related to bone structure abnormalities, cervical imaging should be preferred. Magnetic resonance imaging of the cervical spine is the preferred method of diagnosis for patients with suspected myelopathy. At the same time, the use of this method alone is considered sufficient for diagnosing patients with corresponding neurological signs.

The following information is important in the diagnosis of intervertebral hernia:

  • Information about the onset of pain.
  • Time period since the onset.
  • Mechanism of injury.
  • Percentage of targeted and peripheral pain (for example, 90% neck pain versus 10% pain in the upper extremity).
  • Associated symptoms (fever indicates infection, weight loss suggests malignancy), and any other complaints.

When conducting diagnostics, doctors usually assess:

  1. The patient's range of motion, as it may indicate the severity of pain and degeneration of the herniated disc of the cervical spine.
  2. Neurological status (evaluation of sensory disturbances, motor weakness, and tendon reflex abnormalities).
  3. Identification of any signs of spinal cord dysfunction.

Cervical spinal disc herniation is disc damage with the protrusion of its inner part outward.

Treatment includes medications, massage and physical therapy, surgeries.

Cost of treatment with endoscopic or microscopic nucleotomy is from €3,095. You can find other prices on the Booking Health website.

The best hospitals in Europe are:

  1. University Hospital Rechts der Isar Munich
  2. University Hospital of Ludwig Maximilian University of Munich
  3. Clinic of Advanced Biological Medicine Frankfurt-am-Main
  4. Helios Hospital Berlin-Buch
  5. University Hospital Frankfurt-am-Main

Conservative treatment

 

Conservative therapy is aimed at controlling pain in the acute period. For this purpose, symptomatic and short-term treatments with medication for cervical disc damage are indicated.

The purpose of such a therapy is to facilitate the transition from the acute condition. During an exacerbation, drugs of such pharmacological groups are prescribed:

  • Nonsteroidal anti-inflammatory drugs. NSAIDs quickly and effectively relieve pain associated with inflammation in the cartilage or joint tissue. It is possible to take these drugs for no more than two weeks.
  • Corticosteroids. These drugs are recommended in case of ineffectiveness of NSAIDs. Drugs of hormonal action are injected into the joint cavity or intramuscularly. In the case of herniated cervical discs, long-acting medications are recommended.
  • Myorelaxants. They are designed to relax the spasmed muscles of the back. During the acute period, massages are forbidden, so medication should be used. On average, the course lasts several weeks.
  • B-vitamin complex. A combination of B1, B6, and B12 in high doses has analgesic and restorative effects in the presence of lumbago (lower back pain) or neck pain. As part of a complex treatment, injectable vitamins improve well-being and increase vitality, thereby helping to eliminate pain when nerve roots are compressed.

Surgical options of treatment in European hospitals

 

A severe course of cervical herniation may be an indication for surgical treatments. If no significant improvement is observed during several months of conservative therapy for cervical herniated disc, the patient is offered surgery. Also, if the cervical disc is severely damaged, and the size of the hernia exceeds 7 mm, spine surgery is mandatory. The small size of the mass located in the cervical spine is not an indication for surgery.

Among the existing techniques of spine surgery used to restore the functionality of the cervical spine, decompression tactics have become the most widespread. They are used in cases of compression syndrome, that is, when the pathological defect that occurred within the specific vertebrae produces pressure on the nerve roots, arteries, spinal cord, and other structures in the corresponding area. The following techniques can be used as a therapy for cervical herniated discs:

  • Microsurgical discectomy (excision of an intervertebral hernia with partial or total removal of the cervical herniated disc performed using a surgical microscope).
  • Laminectomy (partial or total resection of the vertebral arch, facet joints, and ligaments).
  • Endoscopic spine surgery (a technique that uses an endoscope inserted through miniature access; it is often prescribed for hernias, degenerative disc disease, or malignant tumors).

Stabilizing surgical tactics are also used at the cervical spine levels, each of which, by the way, can go together with other types of surgery. The most common stabilizing techniques are:

  • Arthrodesis (artificial disc replacement).
  • Vertebroplasty (a surgical procedure that involves injecting a cement solution into the damaged cervical area to restore its integrity and strength).
  • Transplantation (implantation of a fragment of bone tissue taken from a patient to consolidate the effect after surgery).

Nucleotomy

 

Nucleotomy is the most nonaggressive surgical procedure used for cervical herniated discs. Manipulation is performed through a tiny (up to 5 mm) puncture, usually under local anesthesia. Indications for this procedure are small disc prolapses at the protrusion stage, combined with chronic pain in the cervical spine.

The method is based on the impact of a certain type of radiation. Radiation currents are delivered through an electrode inserted inside the herniated disc along with fluid. All varieties of nucleotomy involve the destruction of approximately 15% of the total volume of the affected tissue, which results in a decrease in intradiscal pressure. As a result, the deformed discs return to the normal position, with their parameters being restored, and pain syndrome gradually disappearing.

Nucleotomy usually does not involve hospitalization: a person after a couple of hours can go home on their own. Rehabilitation is usually quick and goes without complications.

Complications of untreated cervical herniated discs

 

If untreated, a cervical herniated disc can cause a general deterioration of health, and provoke other specific complications.

Complications of herniation can cause great discomfort to the patient in the form of:

  1. Arm weakness and movement disorder. Sometimes the complication is so pronounced that the patient cannot do basic movements. There is also decreased mobility of the muscles of the arms and upper shoulder girdle. The most severe variant of the development of the pathology is paralysis of the arms or paresis (impaired muscle movement) due to the complete overlapping of the nerve endings by the herniated disc.
  2. Impairment of sensitivity of the skin. At first, the patient feels increased sensitivity of the extremities of the upper shoulder girdle, which decreases over time. This is followed by a decrease in sensitivity on the fingertips, and then the hands and forearms are affected, up to complete insensitivity of the hand.
  3. Spine nerve impingement, that may result in spinal cord compression. When such a complication occurs, serious medical attention is required. Some pinch locations can cause paralysis, leading to death.

Treatment in European hospitals

 

The patients suffering from cervical herniated discs are advised to look for a hospital that efficiently uses both conservative and surgical treatments for herniated discs. Herniated discs very often represent a borderline indication between conservative and surgical therapy. And if you have that "borderline case", with an unprofessional approach, you might be immediately put on the operating table, although the same condition could be successfully managed with conservative methods.

Besides, in a specialized hospital, unlike a regular one, doctors collect a complete medical history, conduct a thorough clinical examination, which is incredibly important. Without the absolute indications to perform surgery right away, doctors will first carry out conservative therapy, because they understand that surgery puts stress on the body, to say the least.

Treatment in European hospitals not only ensures the use of highly effective methods of therapy, but also modern rehabilitation methods. Each patient receives an individual scheme of rehabilitation therapy, which is monitored by experienced specialists. That is why you can find only positive feedback about the treatment in European hospitals.

We recommend to opt for the hospitals below that specialize in the treatment of cervical disc herniation:

  • Hospital Neuwerk Moenchengladbach, Germany.
  • Catholic Clinic Koblenz-Montabaur, Germany.
  • Charite University Hospital Berlin, Germany.
  • Beta Klinik Bonn, Germany.
  • University Hospital Freiburg, Germany.

You can find more specialized European hospitals on the Booking Health website.

The cost of treatment

 

Prior to the actual arrival at the hospital, it is difficult to predict the exact cost of treatment to be conducted. It will depend on the number of diagnostic tests done, therapeutic procedures prescribed, the need for hospitalization and optional rehabilitation, and other nuances. The cost of treatment of cervical herniated disc in European hospitals is usually calculated after the confirmed diagnosis and approved treatment plan. However, the average prices will give an idea of what to expect financially.

The average price for a diagnostic test for cervical disc herniation starts at 499 EUR.

The price of nucleotomy (1 segment) starts at 3,095 EUR.

The price of nucleotomy (2 – 3 segments) starts at 5,215 EUR.

The price of nucleotomy (4 segments) starts at 5,162 EUR.

The price for a discectomy and intervertebral disc replacement surgery starts at 7,386 EUR.

Feel free to contact Booking Health for any information regarding the treatment of cervical disc herniation.

Please leave your request on the website and a medical advisor will contact you as soon as possible.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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