Doctor insights on:
Does A Herniated Disk Get Worse Over Time
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
What options do I have to help with my herniated disk? I can't stand for longer than 20 to 30 min at a time..
Did you had any: Treatment yet, if you did fine if not consider pain clinic I think they could help you. Good luck thank ...Read more
Treating back pain: Herniated disk can be painful. To help with this physical therapy and pain medication but since it is chronic I would suggest acupuncture, feldenkrais therapy and improving your core strength. If it gets worse, they may recommend epidural injections and evaluation by a specialist. ...Read more
You save money and: You have a 90% chance of getting better on your own, the same success as if I were treating you non operatively although I could make you more comfortable physically and mentally while your body healed itself as well as giving you advice as to how to minimize its recurrence. ...Read more
Depends: A herniated disk is only problematic when it puts pressure onto a spinal nerve, resulting in pain, numbness, and/or weakness in the nerve distribution. As we age, most people develop disk bulges and herniations that are expected aging changes and do not produce symptoms or warrant treatment. Most symptomatic herniations can be treated without surgery, however a small percentage may need surgery. ...Read more
Usually 6-10 weeks.: Usually 6-10 weeks. People heal in different time frames. During the healing process, I advise patients to avoid heavy lifting or strenuos activity. I do encourage them to begin a walking program. Check out spine-health. Com. Good luck. ...Read more
Same day low back: A microdisectomy or a minimally invasive version are typically same day surgeries with return to all activities by 3 months for best results according to studies but most activities by 2 weeks depending on conditioning and health status. For cervical, this is usually done with a fusion but all activities around same time period as lumbar but no contact sports usually with a fusion, . ...Read more
It depend: As you know we have so many operation for herniated disc. It take about 8-12 weeks. ...Read more
Does PMS make herniated disk pain worse? My disk pain is chronic, nerves damaged... But seems worse with PMS. Is that why it feels worse?
I have a herniated disk in my back/ shoulder area. I have being seeing a surgeon for it but surgery is not an option at this time so what do I do?
I have a herniated disk in my l4/l5 area how long will it take to get better been having it for 4 weeks now back doesn't really hurt just in my leg?
Can take long time: Here is the good news....According to greenburg, 50% of all things such as herniated disks or other examples of what we would refer to as "compressive neuropathies" resolve without any out side intervention. The bad news....It can take a very long time. In my case, when I got sciatica after doing legs with a buddy it took over 9 months for my back and leg feel normal again. ...Read more
What is best for a moderate pain herniated disk, rest or activity? I waited a week before resuming running/incline walking and the pain is now worse.
I had herniated disk surgery. My surgeon said I could go back to work in 3 weeks. I am a nurse aide at a nursing home. Is this a reasonable time.
Discuss with surgeon: Everybody is different in terms of rehab from such a surgery. It also depends upon the relative complexity of the procedure, any complications encountered, progress of patient through rehab, etc. If you are concerned about this time frame or the work you would be going back to then, I would discuss things with both your PMD as well as the surgeon. Make docs fully aware of your job duties. ...Read more
Doc wants to remove disk and do fusion, herniated disk L5 s1. What is recovery time and what is there a high chance of pain relief?
Depends on procedure: There r many ways 2 fuse: anterior, posterior, or both. The 1 2 best advise u is ur surgeon. If u have doubts get an answer 2 which procedure is proposed ; why. If still not satisfied getting a second opinion is in order, but get all the details 1st. ...Read more
I have 2 herniated disk on my lower back due to a car accident, every time I'm on my period my back hurts to the point I can't walk, is that normal?
It is not normal: Pain is never normal. There are various lower back disorders which could cause pain during the period. I can appreciate your concerned about your health, but finding a proper diagnosis and treatment may be the answer to your worries. Rec.: see your physician for examination, tests and referral, if needed, for the treatment. ...Read more
Herniated disk & ruptured & bulging, have endometriosis even after partial hyster. Had it & have it bad, back pain bad, can endo make back pain worse?
Yes: Endometriosis spills all over, and one of the muscles where it can seed is the psoas. The psoas plays a role in back pain and overall stability of the spine, it can cause compression of the spine and sacroiliac joint when in severe spasm. Try upward dog or cobra positions with deep breathing to see if it helps to alleviate component of your pain that's muscular. ...Read more
Sharp pain in neck by shoulder. 2nd time in 2yrs. Excruciating pain when I turn my neck. Pain went away after 2 days. Herniated disk maybe? Need MRI?
Is there any kind of relief I can get from my back pain? I have sharp pains running up and down my legs from my waist down. I do have a herniated disk at my l5s1 and have had 3steroid injections in the past 3 weeks. Yesterday my pain started, so my doctor
Sorry to hear about your back and leg pain. The l5-s1 disk is probably pinching your leg nerves (sciatic nerves) causing leg pain called sciatica. Lumbar disk surgery should be considered if steroid injections have not relieved the pain.
Traditionally lumbar disk surgery was done through a large incision with significant muscle retraction, damage and bone removal to get to the disk. Today most lumbar disk herniations can be removed minimally invasively with the spine endoscope. This outpatient surgery is done with a small camera the size of a pen through an incision the size of your finger nail. Most people have quick relief from their pain and decreased recovery.
For more information about lumbar disk herniations and sciatica and endoscopic spine surgery please see my health guides. Good luck! ...Read more
How can I tell if my l side sciatic px is from piriformis syndrome or herniated disk? The pain intensity varies & at time only in my l low back/buttock. When I have leg pain to my left foot goes cold.
Sometimes: It's very difficult to differentiate between those two. A good physical exam and history necessary. Avoid positions that worse the pain. An MRI sometimes necessary to r/o hnp. Ice, rest and stretching exercises will improved a piriformis syndrome. Also the use of nsaids meds sometimes indicated. Can take long. I went through ps symptoms in the past. Good luck. ...Read more
Depends: Sometimes they are not the cause of a pain as they can be found in people who have no spine problems. For those that it does, most just get better with time. Additional help can be through: activity modification, guided exercise, medication, epidural steroid injections, and if all fails, surgery. Being a smoker, obese and not an exerciser but you at a higher risk of failing treatment. ...Read more
Time & exercise: A herniated disc does not necessary require treatment. If there is associated nerve root compression/irritation then treatment may be required. Understand that 90% of pain associated with nerve root irritation will resolve with time. Otc prescription nsaids, oral steroids, heat/cold and stretching exercises will help resolve the acute pain. If not then epidural steroids may be beneficial. ...Read more
Depends: Believe it or not many herniated discs cause no symptoms at all. If the herniation irritates or compresses a nearby spinal nerve root, people will often report back and leg pain on the side of the herniation. Depending on which disc herniates, the pain can occur on the front, side or back of the thigh and leg and can go down into the foot. Some people will have weakness and numbness. ...Read more
Yes you can: You can over treat any disease. It all depends what the complains of the patient are. If the pain is very minimal and the person can control it with over the counter medication, every other form of treatment would be considered over treatment. On the other hand, there are forms of disc herniation that fail all conservative measures and need surgery. Every case is unique and requires common sense. ...Read more
The best. ..: Most are diagnosed through a clinical evaluation with testing done to confirm the diagnosis as the number of disc herniations found in patients without symptoms increases with age. Knowing that, MRI is probably the best imaging test followed by a ct. A myelogram-ct is excellent as well with a contrast MRI the best test for people with prior back surgery to distinguish post op scar from a disc. ...Read more
Possibly: If the herniation is acute (just happened) a common course is that these issues resolve on their own within 6-8 weeks. Often physical therapy and anti-inflammatories are important in the healing process. If the pain does not resolve with these conservative measures or is accompanied by lower extremity weakness/numbness you should seek the care of an expert as soon as possible. ...Read more
Depends: It depends on size, amount of inflammation, location (neck, mid back, low back, against spinal cord, against nerve but not cord). Sometimes it keeps nerves or spinal cord from working properly. Other times it causes pain. Sometimes it is silent (no symptoms, problems). Most improve with time. Treatment depends on how severe the symptoms are, whether or not they are worsening, & how long they last. ...Read more
Proper evaluation: This needs an appropriate evaluation. How much damage is it causing. A few need immediate emergency surgery while most need appropriate physical therapy. In some cases injection of corticosteroids in the back in a location called the epidural space between the spinal cord and the vertebrae, this is done to decrease swelling around the disk to decrease pain and let the herniation resolve. ...Read more
No: No. "ruptured nucleus pulposus, herniation of intervertebral disk or history of operation for this condition" are all causes for rejection for induction, enlistment or commissioning into all branches of the armed forces. ...Read more
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