When Discs Break Open
For most people, there is enough cushioning in the spine to allow for pain-free movement. In some people, however, age, arthritis, or degeneration can cause this cushioning to decrease. When spinal discs dry out, thin, swell, or bulge, sometimes these discs can break open. This is also known as a herniated disc and can cause neck pain, back pain, and chronic headaches. When this pain doesn’t improve, a surgeon may recommend anterior cervical discectomy and fusion (ACDF) surgery. Here’s what patients need to know before undergoing the procedure.

1. Surgery is not the first line of treatment
Surgery is an effective treatment option. However, the procedure is not the first one that doctors recommend. Some people who have herniated discs don’t even experience any pain and may not need surgery. Before opting for ACDF, physicians will usually recommend a range of less invasive treatment options. Some of these include exercise therapy, physical therapy, medications, or steroid injections.
2. Recovery will take some time
All surgeries require a period of recovery. After ACDF surgery, most people can resume some normal activities, such as driving, within a couple of weeks. Most people need up to 6 weeks to get through the first initial phase of healing. After follow-up with the surgeon, the recovery process typically involves physical therapy to restore range of motion and reduce pain. The length of recovery varies based on age, health, and other factors.
3. The procedure has high success rates
All surgery comes with some risk, but ACDF has a very high success rate. Over 93% of people who undergo the procedure experience an improvement in arm pain. As many as 83% of patients experience significant improvement in neck pain.
What to expect during surgery
During ACDF surgery, a surgeon makes a small incision in the front of the neck. The physician then removes the damaged disc and fuses 2 or more bones in the cervical spine. This fusion creates stability for the spine. Though stability is good, this procedure can sometimes reduce a person’s range of motion. A spine surgeon can help advise patients on whether the benefits of surgery outweigh the risk of a reduced range of motion.
Is ACDF right for me?
A surgeon can help assess if surgery is the right treatment option. Typically, a person is a good candidate for surgery when other treatment options have failed, and pain is interfering with daily life. ACDF surgery can be successful for people who have pain, weakness, or tingling in the arms, have neck pain, have pinched spinal nerves, and who have signs of disc damage. Speak with a surgeon to learn more about the benefits of this minimally invasive surgery.
Recent Posts
Tired Of Your Ankles Giving Out? Schedule Outpatient Ankle Stabilization
A previous ankle sprain or injury can cause the joint to repeatedly give way. Outpatient ankle stabilization surgery may be the answer.
Permanent Allergies: When To Say Yes To Nasal & Sinus Surgery
Can an allergy become permanent? Chronic nasal and sinus inflammation can lead to permanent allergies, which may require surgery.
How Long Do I Need To Go To Physical Therapy After My ACL Surgery?
After ACL surgery, physical therapy is necessary to achieve full recovery. Most patients require 6-9 months of PT to strengthen the knee.
Ice Cream? What To Expect For Your Tonsillectomy Or Adenoidectomy
A tonsillectomy or adenoidectomy removes small glands to prevent future infections. ice Ice cream can help patients during recovery.
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“The nurses were very nice and caring!”
“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“Everyone was friendly and the place was very clean.”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”
“Everyone was concerned with my comfort.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”
“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”
“The nurses were very nice and caring!”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Everyone was concerned with my comfort.”
“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”
“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”
“Rebecca was amazing. I have always had trouble in the past with getting an IV started. I told Rebecca I was concerned about it. She got it on the 1st try – no digging in my arm and NO bruising the next day.”
“Anesthesia staff was outstanding!”
“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“Everyone was friendly and the place was very clean.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”
“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”
“All staff were wonderful.”
“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”
“All staff were wonderful.”
“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”
“Anesthesia staff was outstanding!”
“Dr. Best…is the best!”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”
“Amazing nurses, very caring and friendly and put both me and my son at ease.”
“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“Dr. Best…is the best!”