How does cervical disc herniation lead to insomnia?

Insomnia caused by cervical disc herniation is mainly due to sympathetic cervical spondylosis. The compression of the sympathetic nerve by the protruding cervical disc tissue can lead to symptoms such as difficulty falling asleep, palpitations, chest tightness, etc. Patients can alleviate insomnia symptoms through the adjustment of the sleep environment, physical therapy, medication, and surgical treatment. Here are some methods:

1. Adjustment of the Sleep Environment: Patients can choose to sleep on their backs or sides. They can put the pillow on their shoulders or choose a memory pillow with neck support, which is helpful for the recovery of cervical curvature. It is also important to choose a suitable sleep environment, avoiding sleeping in stimulating environments with strong light, noise, or unpleasant odors. Relaxing activities such as reading or listening to music before bed can also aid in sleep.

2. Physical Therapy: Acupuncture, massage, and infrared radiation can be applied to the neck. Additionally, traction, massage, and acupuncture are other physiotherapy options that can promote blood circulation in the neck and, to a certain extent, alleviate insomnia symptoms caused by cervical disc herniation.

3. Medication: If the patient's insomnia symptoms are severe, they can take sedative-hypnotic drugs such as estazolam or diazepam under a doctor's guidance. Alternatively, central inhibitors such as eszopiclone or zolpidem tartrate can be prescribed to relieve insomnia symptoms.

4. Surgical Treatment: For patients with severe cervical disc herniation, if conservative treatment methods are ineffective, surgical treatment may be considered. Surgery can remove the protruding disc tissue, relieve compression on the spinal cord and nerves, and alleviate insomnia symptoms.

Patients with cervical disc herniation who experience insomnia are likely to have a significant relationship with psychological factors. It is recommended that patients undergo timely psychological counseling to avoid excessive mental stress. At the same time, proper physical exercise can improve the condition of cervical disc herniation and reduce the probability of insomnia.