Cervical Disc Disease Treatment: Drugs That Can Help
Neck pain is one of the main symptoms of cervical disc disease, in which discs between vertebrae become herniated or deteriorate, sometimes pinching nerves.
Several different drugs, from pain relievers to anti-inflammatory drugs such as steroids, can help ease your neck pain while you heal. Depending on the extent of your neck pain and the type of cervical disc disease, you can either take these medications alone or use them together with physical therapy or other treatments.
On the night of March 28, 1986, Howard Heit's car was struck in a head-on collision. He left the scene of the serious crash thinking how lucky he was that he hadn't been hurt. "And then four to six weeks later, I started noticing twitches in the muscles of my neck and upper back. These progressed to marked spasms of my neck, shoulders, and upper back," he recalls.
The pain never ceased. All day, every day it plagued him. It became difficult for him to walk -- and almost impossible for him to work...
Drugs typically used to treat cervical disc disease include:
Acetaminophen (Tylenol). Acetaminophen is usually among first-line drug treatments for pain. It can help with neck pain, but don't fall under the common misperception that acetaminophen is completely harmless just because it's readily available over-the-counter. Research shows that regular acetaminophen use can damage the liver, even in people who take the drug at the recommended dose. To make sure you're using acetaminophen as safely as possible, follow the directions carefully and don't take any more than the label suggests and your doctor recommends.
Avoid using alcohol while taking acetaminophen to minimize the risks to your liver. Also, acetaminophen could be an ingredient in some other over-the-counter medications you may be taking. Look at all drug labels to be sure you're not taking too much acetaminophen.
Nonsteroidal anti-inflammatory drugs (NSAIDs). Ibuprofen (Motrin, Advil) and naproxen (Aleve) are staples in the treatment of cervical disc disease because they reduce both pain and inflammation. Like acetaminophen, many NSAIDs are available over-the-counter, but they also need to be taken carefully. NSAIDs can have some serious side effects, such as gastrointestinal bleeding, ulcers, and liver and kidney damage, especially when used for long periods of time. NSAIDs have also been linked to an increased risk of heart attack or stroke.
Cox-2 inhibitors such as Celebrex are a newer generation of NSAIDs that are available by prescription and may have fewer digestive side effects.
It's important to read the labels carefully and never exceed the doctor's recommended dose. You'll also want to avoid taking NSAIDs together with certain other medications because of the possibility of drug interactions. Talk to your doctor about all the drugs you take. Be especially cautious about taking NSAIDS if you are over 65, and/or you have kidney or liver problems.
Your doctor will make the decision as to whether to put you on an NSAID after weighing the benefits against the risks.
Narcotic painkillers. Opioids such as codeine (contained in Tylenol with codeine), hydrocodone (contained in Vicodin and Lortab), and oxycodone (such as OxyContin, and contained in Percocet and Percodan) can provide significant relief when neck pain is particularly intense and other non-narcotic pain medications aren't sufficient for pain relief. So can tramadol (contained in Ultram), a narcotic-like analgesic. Although opioids are effective for pain, they should be used with caution because they can lead to drowsiness, nausea, constipation, and depressed breathing. These prescription painkillers also have the potential for abuse and addiction when not taken as directed. Narcotic painkillers are best used over the short term (one to two weeks) and under your doctor's guidance.