Desk work and long hours on a phone have made neck herniation and loss of the neck's natural curve far more common. Fzt. Kemran Hafız works on cervical problems along two lines: bringing pain under control and re-educating posture.
About your physiotherapist
Fzt. Kemran Hafız provides one-to-one care for neck herniation at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.
It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.
Numbness spreading into the arm and reduced grip strength point to the nerve root being affected. The less well-known sign is dizziness: the deep muscles of the neck tell the nervous system where the head is in space, and when that information is disrupted, balance complaints can appear.
Fzt. Kemran Hafız uses a neurological exam to determine which level an arm sign is coming from; if dizziness is present, the programme includes work aimed at that too. Where there is a clear loss of hand dexterity or progressing numbness, a physician assessment is arranged first.
In a neck herniation, symptoms spreading into the arm follow a different pattern depending on the level affected. The C6 root typically shows numbness in the thumb and index finger with reduced wrist-flexion strength. C7 typically shows numbness in the middle finger and back of the hand, with weakness straightening the arm (triceps). The C8 root brings numbness on the little-finger side and thinning of the small hand muscles.
This distinction is made by examination, not guesswork; it determines which muscle to strengthen and how progress will be tracked.
Known as cervicogenic dizziness, this pattern arises when the position information the neck's muscles and joints send to the brain is disrupted. Unlike inner-ear dizziness, it is usually triggered by neck movement and eases together with neck treatment.
This distinction matters because a dizziness whose source is misjudged delays the right treatment. Fzt. Kemran Hafız examines whether it is neck-related as part of the assessment.
Most neck herniations with an arm sign are also managed without surgery; what decides the path is whether the sign is progressing.
| Aspect | Physiotherapy (non-surgical) | Surgery |
|---|---|---|
| Who it is for | A stable or slowly improving neurological sign | Rapidly progressing weakness, gait instability |
| Goal | Restore lost strength and balance | Surgically relieve pressure on the nerve/spinal cord |
| Follow-up | Regular neurological re-assessment | Surgery followed by rehabilitation again |
| Who decides | With physiotherapy and neurology/PMR assessment | Neurosurgeon/spine surgeon or orthopaedic physician |
In a neck herniation with an arm sign, progress is tracked regularly across three areas.
| Measure | What is tracked |
|---|---|
| Muscle strength | Wrist/elbow/hand muscle strength according to the level affected |
| Balance | Single-leg stance and eyes-closed balance tests |
| Sensation | Change at the boundary of the numb area |
Progressing weakness in the arm, a clear loss of hand dexterity, gait instability, or symptoms spreading into the legs require urgent assessment. If Fzt. Kemran Hafız finds such a sign during examination, the physician referral is made without delay.
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Fzt. Kemran Hafız · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.
Dizziness triggered by neck movement and eased by neck treatment is usually neck-related; the exact distinction is made through assessment, and inner-ear causes must also be ruled out.
A newly started or rapidly progressing loss of dexterity should be assessed without delay; long-standing mild signs can start with a physiotherapy assessment.
The neck muscles relay the head's position information to the brain; when that is disrupted, balance can be affected. Balance work aims to rebuild that connection.
Through strength, reflex and sensory examination; the distribution of numbness and weakness shows which cervical nerve root is affected.
Yes — regular re-assessment at intervals is recommended to confirm the gain is lasting and to keep up a programme that prevents recurrence.
Independent, authoritative health sources. For information only; not a substitute for medical advice.
For a neck that suddenly locks: fast relief in the acute phase, then work aimed at preventing recurrence.
After a physician's diagnosis, a programme that aims to restore balance in vertigo and dizziness through vestibular rehabilitation and positional exercises.
Assessment that reads the X-ray finding correctly, plus exercise targeting the deep neck muscles.
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