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Doctor insights on: Back Sprain Vs Herniated Disc

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How to know if it is a herniated disc or lower back sprain?

How to know if it is a herniated disc or lower back sprain?

Leg pain: Usually a symptomatic herniated disk will cause radicular pain (ie leg pain). Therapy can often help regardless of cause. ...Read more

Dr. Peter Ihle
1,161 Doctors shared insights

Sprains And Strains (Definition)

-R used interchangeably. They refer 2 injuries 2 mucles & ligaments. 3 degrees: 1=tweaked or hurts but no harm no foul, 2=damage 2 the structure with some bleeding & prolonged pain, but with ice, time, rest, & activity modification they heal over a few weeks, 3=a complete disruption such as an ACL tear. If this happens in a muscle body, there's no repair available, painful, ...Read more


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Have you ever heard of anybody with really bad posture from a lower back sprain ever overcome it?

Have you ever heard of anybody with really bad posture from a lower back sprain ever overcome it?

Yes: The answer to your question is complex, but it is possible. Back sprain is simply pulled muscles. If there are no congenital issues, then the muscles can be trained and stretched to their natural position. Try core and mckenzie stretching exercises. ...Read more

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I just put apple cider vinegar on my painful back sprain, how long does it take to heal?

I just put apple cider vinegar on my painful back sprain, how long does it take to heal?

Usually 8 weeks: Most back sprains heal in 8 weeks no matter what treatment is used as long as you do no re-injure it. This explains why so many methods claim to heal sprains.
The main ingredient of acv is acetic acid. However, vinegars also have other acids, vitamins, mineral salts, and amino acids.
Some small studies have hinted that apple cider vinegar could help with several conditions, such as diabetes and ob. ...Read more

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Can a really bad back sprain at the L3 L4 and L5 that doesn't heal correctly cause an anterior pelvic tilt?

Can a really bad back sprain at the L3 L4 and L5 that doesn't heal correctly cause an anterior pelvic tilt?

Yes: Yes it is possible. How common it is, not sure. U should definitely see an Orthopedic doc who specializes in back's. They can get physical therapy modalities for u plus other treatment and follow up plans. ...Read more

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My back sprain is taking a long time to heal. Should I be worried? How can I speed it up?

My back sprain is taking a long time to heal. Should I be worried? How can I speed it up?

See below: This is a problem that requires a face-to-face meeting with your doctor. In that meeting, your doctor will listen to you, perform a throrough examination and possibly order labs or other tests. Based on this information, he/she will be able to tell you what's wrong and what to do about it. ...Read more

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I was prescribed 10 mg of Baclofen for a back sprain/tightness. Is constipation a common side effect? Will it go away as I take the medication?

I was prescribed 10 mg of Baclofen for a back sprain/tightness. Is constipation a common side effect? Will it go away as I take the medication?

Common side effect: Unfortunately baclofen does cause constipation as a side effect in many patients. Cases of intestinal obstruction have been linked to the use of baclofen as well. My recommendation is to either reduce the dose or to visit your GP and change over to an alternative medication such as Orphenadrine. You can also try increasing your fluid and fibre intake as well as taking mild laxatives. ...Read more

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Lowe back sprain 3months ago. Still on meds but still hurts as much. Had an MRI scan last week but my legs are hurting now so I am worried. Help?

Lowe back sprain 3months ago. Still on meds but still hurts as much. Had an MRI scan last week but my legs are hurting now so I am worried. Help?

Difficult to advise: With wisdom from a distance. However, suggest studying the work of Robin McKenzie & John E Sarno for understandings likely to be helpful. MRI does not see the cause of pain; only one way of looking at anatomy, better for soft tissue than CT & no radiation, yet can easily be interpreted in misleading ways which sell fear, procedures & treatments which not only don't work but can make things worse. ...Read more

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Diagnosed with lower back sprain 3 weeks ago, cracking and stiffness and pain of back. Teen athlete I play HS lacrosse. When will my back be painless?

Back pain: You must give your back a chance to recover. That means no back exercises for 3-6 weeks. At night lie flat in bed without a pillow. Use either heating pad set on low or use ice packs whichever is more comfortable. Ibuprofen for pain also se a physical therapist for back exercises. Good luck! ...Read more

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Diagnosed with lower back sprain in mid April and I still have lower back pain in June, when will this go away I am doing PT 2x it always feels tight?

Exercise & study: Low back pain may be muscular in origin so keep working on core and pelvic stability program. If continues consider evaluation with studies like X-ray. ...Read more

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Back injury, dead lift sprain or herniated disc, how can I tell?

Back injury, dead lift sprain or herniated disc, how can I tell?

Leg pain: A herniated disc would produce leg pain siatica a back strain produces back ache with muscle tenderness both improve with time and rest alone ponder the self inflicted nature of your injury. ...Read more

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I'm on Oxycodone and 600mg ibuprofen every 4-6 hours for a lower back sprain., can I replace the ibuprofen with robacacet? The pain is still intense.

No.: These are similar narcotics. What you need is a good doc. A back sprain never requires heavy narcotics such as you are taking. Get a second opinion or should I say a third after mine. If your diagnosis does not change (I doubt it.) switch to a Pain Management specialist. Prolonged pain can change the way you brain feels pain. This must stop. Do not become a doctor-caused addict. ...Read more

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My husband has a herniated disc. Should he sleep on his back?

My husband has a herniated disc. Should he sleep on his back?

Not neccessarily: I have unsuccessfully tried to make a science out of sleeping positions and mattress types for various conditions. Sleeping on the back is usually best for herniated discs- particularly if the disc is not all the way out. Sleeping on the back places the back in extension and reduces many discs. If the disc is fully extruded, he may be more comfortable on his side which will provide more room. ...Read more

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How do I no if I need back surgery from herniated disc?

How do I no if I need back surgery from herniated disc?

Ortho: A decision for or against disc surgery needs to be reached by an orthopedic specialist, after a thorough review and examination. Pros and cons need to be discussed with you so an informed decision can be reached. ...Read more

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Doctors, what are the treatments for a back herniated disc?

Several: Treatments include non steroidal anti-inflammatory medications, physical therapy, chiropractic care, epidural steroid injections and avoiding strenuous activities. If conservative measures fail, surgery. Check out spine-health. Com. ...Read more

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What is the best painkiller for a herniated disc in the spine?

What is the best painkiller for a herniated disc in the spine?

NSAIDS: Usually the best medicine is an anti inflammatory (advil, alleve, etc.) and possibly a muscle relaxant to reduce any muscle spasm. ...Read more

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Can a herniated disc in your lower spine cause middle thoracic back?

No: There should not be any pain your thoracic spine from a lumbar herniated disc. If you have degenerative changes at lumbar levels, you may have them at your thoracic as well. One caveat, and a very rare one, is if you had enough of a herniation in upper lumbar areas to damage the cord and cause a syrinx. However, this would have been seen on MRI and you'd have more symptoms. Incontinence? Yes=er. ...Read more

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What is the average time to heal from a lumbar herniated disc, naturally?

Depends on severity: It depends on the severity of your injury and how diligently you do the prescribed back exercises to help your body recover, can range from 8 weeks to several months or even longer if you do not follow through with the exercises as discussed with your doctor. I would definitely consult your physician for an exam and specific guidance for your recovery. Physical therapy can also be very helpful. ...Read more

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What is the best way to position my body for bed if I have a lumbar herniated disc?

What is the best way to position my body for bed if I have a lumbar herniated disc?

Typically however: You are most comfortable. If you are concerned about doing something to provoke the problem, speak with a good physical therapist. ...Read more

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How do you differentiate back pain due to muscular causes from back pain due to herniated disc?

Physical exam: Backache due to muscular spasm usually is localised to the affected area with spasm clinically evident herniated disc usually causes pain radiating along the pinched nerve affected usually down one leg EMG of the lower extremities and MRI of the lumbar spine may be necessary in some cases to settle the diagnosis. ...Read more

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I have a herniated disc on my upper shoulder blade is surgery really going to fix it permantly?

I have a herniated disc on my upper shoulder blade is surgery really going to fix it permantly?

Cervical spine: The herniated dick is in the cercical spine. Your surgeon has to determine the evidence that the pain comes from the hernietaion, correlation between symptoms and findings and the electromyogram. If there are criteria for surgery and the pain is related to the disk that is suspected. Surgery should help. ...Read more

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I have a herniated disc on my upper shoulder blade. Is surgery really going to fix it permanently?

See below: There are no "discs" in your shoulder blade. A degenerative joint or disc in the neck can refer pain to the shoulder blade. A pinched nerve in your neck or upper back can also cause pain near the shoulder blade. There are many non-surgical options to consider before surgery including medication, physical therapy, and injections. Discuss these options with your md. ...Read more

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I have three herniated disc in my neck. I have constant disabling pain in my spine between my shoulders. What can I do to be pain free?

I have three herniated disc in my neck. I have constant disabling pain in my spine between my shoulders. What can I do to be pain free?

Be seen: I would definitely consider being seen to discuss treatment options. Rest and medications and non-invasive onterventions such as physical therapy/ traction are the more conservative options; epidural steroids and surgical intervention are more powerful options, but clearly more involved. ...Read more

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I am trying to recover from a herniated disc in low back. I am riding my bike but after a few minutes I get a stabbing pain should I stop riding?

Avoid spinal felxion: The flexed position you assume while riding a bicycle can increase pressure on a herniated disc, causing pain and possibly more damage. Walking or swimming are usually better for disc herniations. ...Read more

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I have a herniated disc from l-3. I'm in pain 24-7 from my lower back and siatic nerve. Will the disc heal on its own, and will the pain exceed.?

I have a herniated disc from l-3. I'm in pain 24-7 from my lower back and siatic nerve. Will the disc heal on its own, and will the pain exceed.?

Not likely, c a doc: A herniated disc causing so much pain with radiculopathy (pain spreading down the leg) needs evaluation by gp or orthopedist or back specialist). If u already know u have a herniated disc, this represents an acute inflammation or strain of muscles near the disc and requires anti-inflammatory therapy, etc, or a tumor pressing on nerve, first c a doc, then doc will decide on referral or x-rays, etc. ...Read more

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I've had a herniated disc for 7 month at c6& 7&now I'm having issues with my lower back and degen disc disease runs in my family n can't find dr here!

I've had a herniated disc for 7 month at c6& 7&now I'm having issues with my lower back and degen disc disease runs in my family n can't find dr here!

? U live.: Ur pcp should b able 2 refer u 2 a spine specialist or rheumatologist. If none in ur area google 4 1 in ur area. U may have 2 travel a bit but it will b worth it. ...Read more

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Can you tell me what do you do for a herniated disc in your back?

Can you tell me what do you do for a herniated disc in your back?

Careful exercise: Start by avoiding prolonged positioning ; repetitive twist/bend maneuvers. If had physical therapy, resume exercises. Use of otc medication will help control symptoms. Cardio workouts may help except for rowing ; maybe running. If did not have pt, may want to get a session to learn exercises. Weight control ; not smoking are key. Time is biggest healer-90% better without surgery. ...Read more

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Can a herniated disc be the source of back problems?

Can a herniated disc be the source of back problems?

Back pain: A herniated disc in thie spine can frequently cost back discomfort. Often times when a disk herniates it puts pressure on ligaments in the spine which results in stiffness as muscles around the spine tighten to reduce the amount of movement which occurs. If the disc herniate in close proximity to a nerve then it is also common to experience pain which radiates down the lower extremities. There are many other causes for back pain however and consequently I would recommend that you discuss this further with your physician. ...Read more

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What is a good treatment for herniated disc in back?

What is a good treatment for herniated disc in back?

First, lifestyle: Changes in terms of not being a smoker, staying trim, regular exercise (emphasis on core strength) & regular sleep habits. Most are treated non op with back support, pt, medication & pain management options which could include: epidural steroid injections, 90% are treated without surgery and if surgery is needed 95% success rate when leg pain worse than back pain and a nonsmoker. ...Read more

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Can a herniated disc be made worse by sleeping on your back?

Can a herniated disc be made worse by sleeping on your back?

No: Usually, sleeping on one's back will not worsen the disc herniation, however, it can exacerbate the pain depending upon the location of the hernation. ...Read more

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How long does it take herniated disc to have calcium after an injury to the throsac spine.?

How long does it take herniated disc to have calcium after an injury to the throsac spine.?

May be unrelated: Calcium deposits in the intervertebral discs are usually a sign of degenerative changes in the structure of the disc. They do not produce pain, Sometimes the calcium can multiply and cause disc herniation. This causes nerve pain and would require treatment. Primarily this is a chronic degenerative change. For severe symptoms see your doctor ...Read more

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What are the most effective ways to get a herniated disc back in place? I have a large herniated disc in the L4/L5 region.

What are the most effective ways to get a herniated disc back in place? I have a large herniated disc in the L4/L5 region.

Herniated disc: Not too much to get it back into place - given that it is a large one. But you do things to make it less symptomatic - PT, core strengthening, injections, medication, Stem Cell/PRP disc injections. ...Read more

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I have 1mm bone fragments in my back and a herniated disc with spondelonestheysis (dont know how to spell). What would the next steps be?

I have 1mm bone fragments in my back and a herniated disc with spondelonestheysis (dont know how to spell). What would the next steps be?

Not clear: You may havespondylolisthesis, but is it symptomatic, does it limit you in any way. If there aree no symptoms, it has toi be followed and treated medically. If it si progresing the treatment may be surgery, depending on the symptoms. ...Read more

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Is there a merit to claims that spinal discs can be stretched and hydrated? Is that the same as making a herniated disc heal back to normal?

Is there a merit to claims that spinal discs can be stretched and hydrated? Is that the same as making a herniated disc heal back to normal?

Disc will change: Discs are not solid structures and will change shape, so a bulging disc may not be as pronounced or may worsen over time. Because back pain and bulging discs are very common, be wary of any claims to cure back pain and bulging discs. Standard treatment of physical therapy, stretching, core strengthening with anti-inflammatories are the most likely to help. ...Read more

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I have a history of herniated disc I still have pain in lower back and feel very weak I took signoflam to relieve my pain. Can I take two signoflam.

Not a good idea: Unfortunately this combination tablet which contains acetaminophen500 mgm and a non steroidal called aceclofenac a non steroidal inflammatory drug.100mgm per tablet is not available in usa. Check with the pharmacist or doctor how often and how many pills you can take it per day. ...Read more

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I recently found out that I have a small herniated disc in my lower back. It does not hurt so bad as of now but when I try to walk for exercise it hur?

I recently found out that I have a small herniated disc in my lower back. It does not hurt so bad as of now but when I try to walk for exercise it hur?

Physical therapy: Would see a doctor to evaluate you for physical therapy.
Proper exercise techniques can be learned from a skilled therapist and avoid continued injury to your back. ...Read more

Dr. Thomas Dowling
846 Doctors shared insights

Bulging Disk (Definition)

Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more


Dr. Payam Rafat
1,209 Doctors shared insights

Sprain (Definition)

A sprain is a medical term that describes an injury to soft tissue structures in the area. Common examples are a lumbar sprain, in which you might injure muscles in your back; or an ankle sprain in which you could injure ligaments about the ankle. Sprains can be from mild to severe, and so ...Read more