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Doctor insights on: Herniated Disc Or Muscle Strain

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Is it herniated disc or muscle strain, how can I tell?

Is it herniated disc or muscle strain, how can I tell?

Back: While both can cause pain in your back slipped discs very commonly also cause nerve pinch type symptoms with pain radiating down the leg. Ultimately, an evaluation from your doctor and perhaps an MRI would be helpful. ...Read more

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Dr. Warren Strudwick
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Muscle (Definition)

It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more


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What is the difference between a herniated disk and a pulled muscle?

What is the difference between a herniated disk and a pulled muscle?

Both can be painful: But a pulled muscle is a tearing of the actual muscle fibers and will heal within 6 weeks and not cause any neurologic or nerve findings while a disc herniation is a tearing of the outer coating of the disc with a piece of the disc shifting its position out of its normal place which can lead to muscular pain or even compress nerve tissue leading to neurologic findings with most healing over time. ...Read more

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Dr. Warren Strudwick
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Lower back pain. How to tell the difference between muscle strain n slipped lumbar disc?

Lower back pain. How to tell the difference between muscle strain n slipped lumbar disc?

Some differences: Muscle strain: Soreness in the back, but not buttocks, thigh or leg. Better with rest, ibuprofen, heat. Heals in 6 weeks (unless re-injured). "Slipped disc": Actually a disc herniation. Has muscle soreness as above since muscles try to protect the back. May have buttock, thigh and/or leg pain. Worse after prolonged sitting. May have leg numbness, tingling or weakness. Does not heal in 6 weeks. ...Read more

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I have L4 and L5 compressed discs and possibly one in my neck, muscle strain & spasms would it be ok to go on a 5 hr road trip? I was in a car accident in aug/11 and injured my right shoulder, neck and back. I have a stiff shoulder (possible adhesive caps

I have L4 and L5 compressed discs and possibly one in my neck, muscle strain & spasms would it be ok to go on a 5 hr road trip? I was in a car accident in aug/11 and injured my right shoulder, neck and back. I have a stiff shoulder (possible adhesive caps

Take breaks: I would not recommend being the driver on this road trip if possible, especially not if you're taking pain medications that cause sedation or impaired ability to drive. During the trip, take regular breaks to get out of the car, stretch and relax. Take a break every 30-60 min, or whenever you find the discomfort increasing. ...Read more

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I have a herniated disc at t3-t4 from an accident burning pain in chest and muscle pain is this bad?

I have a herniated disc at t3-t4 from an accident  burning pain in chest and muscle pain is this bad?

Back pain: The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement ... It sounds like you are experiencing nerve pain. Before we can say if this bad, we need to know how severe is your conditions. Please see a pain management doctor or spine surgeon, you might benefit from a comprehensive evaluation and treatment. ...Read more

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I took 300mg of gabapentin last night before bed for a herniated disc and it made the pain worse I had trouble standing could not relax my muscle?

I took 300mg of gabapentin last night before bed for a herniated disc and it made the pain worse I had trouble standing could not relax my muscle?

Not likely: It would be very unusual for Gabapentin to make pain worse. It is very effective for a radiculopathy like Sciatica from a herniated disc. I strongly suspect your increased pain was unrelated to the Gabapentin. Gabapentin reaches maximum therapeutic effect after taking it for a number of days. 300 mg is likely an ineffective dose. **Ask your physician about increasing it to 600 mg. ...Read more

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Dr. Warren Strudwick
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A recent MRI found I have a herniated disc in neck. I have had it for 2+ years. Meds (muscle relaxers, pain meds) don't help. What are my options?

Neurosurgery consult: If you have neurologic symptoms in your arms or hands, such as numbness or weakness, i would consult with a neurosurgeon. Physical therapy can sometimes help, but not so much with symptoms that have been going on so long. ...Read more

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What are the pain differences between lower back muscle pain an herniated disc pain?

What are the pain differences between lower back muscle pain an herniated disc pain?

Radiation: Herniated discs usually cause radiating pain along the nerve pattern of the nerve they compress and often don't cause back pain. Back pain is usually representative of a structural problem at the sight of the pain either in the bone, joints, muscles or connective tissue. ...Read more

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If I have herniated disc-no pain, will riding bike in the "aero" position lead to worse leg muscle weakness?

If I have herniated disc-no pain, will riding bike in the "aero" position lead to worse leg muscle weakness?

Herniated Disc: Not necessarily. It depends on whether there is any nerve compression and where, anatomically, the compression is located. Your doctor can provide better advice by performing an MRI of the spine, if he hasn't already. Unless you have had sciatica or a previous history of leg weakness, you can always try a bicycle run and see if it affects you. ...Read more

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Is it possible that a c5-c6 herniated disc cause muscle issues in the dorsal area? If so, does an operation that removes the prolapsed part fix it?

Is it possible that a c5-c6 herniated disc cause muscle issues in the dorsal area? If so, does an operation that removes the prolapsed part fix it?

C5 and 6: Yes, c5 and c6 roots innervate a number of muscles on your upper back, including contributing to supraspinatus, infraspinatus, subscapularis and teres minor. If you are having weakness in these muscles, prior to surgery, i would recommend to have an EMG prior to surgery to make sure its due to nerve root issue. If you have surgery, it could help, but depends on time severity whether it recovers. ...Read more

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Dr. Adam Lewis
657 doctors shared insights

Herniated Disk (Definition)

Herniated disk is also known as Bulging disk. Herniated disk is a medical condition in which the gel like disk between the bones of the spine squeezes out of its center position. Because nerves run in the spine right next to the disk, a herniated disk can compress a nerve and cause symptoms such as low back ...Read more


Dr. Thomas Dowling
720 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


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Dr. Warren Strudwick
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