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Milwaukee Bucks. Minnesota Timberwolves. New Orleans Pelicans. New York Knicks. Oklahoma City Thunder. Orlando Magic. Philadelphia 76ers. Phoenix Suns. Portland Trail Blazers. Sacramento Kings. Anderson MD. Since Peyton Manning missed the entire season after undergoing an anterior cervical discectomy and fusion to treat a pinched nerve in his neck, there has been an increased focus in both the media and the medical community on athletes with similar injuries. One of the most common causes of a pinched nerve in the neck is a herniated disc.
The intervertebral disc is a shock absorber that is located between the bony vertebral bodies in the neck, upper and lower back. It is composed of a firm outer layer and a gelatinous inner layer. When the outer layer is injured, the inner layer is extruded and can result in a pinched nerve.
While common in professional football players, these injuries are not limited to contact sports as Major League Baseball players such as Nick Markakis and Prince Fielder have all been diagnosed with a herniated disc in their neck. The keys to living a healthier lifestyle. In severe cases, this can be associated with arm numbness and weakness. While all athletes who experience these symptoms should see a medical professional, rest and anti-inflammatory medication will alleviate these symptoms in the vast majority of patients; however complete resolution of symptoms can take weeks to months.
Strenuous athletic activity in the setting of ongoing symptoms is not recommended as this may worsen the symptoms. Additionally, the pain associated with a disc herniation often leads to muscle cramps in the neck, which may prevent athletes from being able to turn their heads rapidly to identify the location of the football, tacklers, or other possible dangers that are common in athletic activity.
Once the severe pain has resolved, physical therapy is beneficial to help regain the range of motion and strength in the neck and arms. Athletes should not return to sporting activity prior to regaining full range of cervical motion and strength. The story became more frustrating for Peyton, as the degeneration of the spine at that level had become more severe and x-rays began to show signs of instability abnormal motion of the cervical bones.
Instability can make compression on nerves much more serious in certain positions and hamper any type of rehabilitation. At this point the prognosis was certainly worsening as far as his ability to get back on the football field. As his desperation increased, Peyton flew to Europe four times, trying various alternative therapies trying to improve nerve function including the use of stem cells.
There continued to be no improvement. Not only was his arm weak, but he also started losing proprioception or the awareness of his arm in space.
One can imagine that at this point he must have begun to fear that his career was in serious jeopardy. Finally, after failed conservative treatments and a long workup, Manning underwent a fourth surgery, which was a single-level anterior fusion. Watkins performed the operation on September 9 th , In this procedure, the surgeon removes the herniated disc and replaces it with bone a bone graft and places a metal plate, which is screwed in above and below the removed disc.
This takes the pressure off the affected nerve, stabilizes the spinal column and reduces pain and numbness as a result.
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