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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

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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Lower back pain from lifting heavy barbell. Acute lower left back pain. No problems walking, running. Pain bending down. Strain or herniated disc?

Lower back pain from lifting heavy barbell. Acute lower left back pain. No problems walking, running. Pain bending down. Strain or herniated disc?

Most likely...: Most likely you have lumbar strain but it still could be something else... If the pain gets worse, starts shooting down a leg or doesn't go away, see a healthcare provider. Good luck. ...Read more

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Is it possible to have to strain to empty bladder at times, but have incontinence as well? I have herniated disc, sciatica. Mri confirmed. Annoyed!

Is it possible to have to strain to empty bladder at times, but have incontinence as well? I have herniated disc, sciatica. Mri confirmed. Annoyed!

This is an emergency: With that information of having to strain yourself to urinate and having episodes of incontinence, you need to seek treatment immediately, I would recommend the ER with a spine consult. ...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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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?

One can cause other: It is kind of you should be called instability, which can cause a muscle strain. We call that muscle guarding in the osteopathic world. The way to really differentiate a problem from a discrimination, use when the disc is pressing on the nerve causing shooting pain down the leg. This is when its a surgical problem. When the pain is on the back, even if there was a disk involve, it is non surgical. ...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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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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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?

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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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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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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When there is a herniated disc compressing a nerve, do the muscles innervated by the nerve become tight and weak?

When there is a herniated disc compressing a nerve, do the muscles innervated by the nerve become tight and weak?

YES: The main problem here involves progressive muscular atrophy and weakness secondary to the nerve compression, unless this can be reversed. This kind of issue often results in a decision to do operation to relieve the problems. The tightness, or spasms, may involve paraspinal muscles which contributes to an additional component of pain. ...Read more

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What is the best cardio after healing from herniated disc? Can I get back the muscles of my midsection (six pack)?

What is the best cardio after healing from herniated disc? Can I get back the muscles of my midsection (six pack)?

Swimming or cycling: Will not put as much strain on your back as jogging. Abdominal exercises such as situps or crunches should be avoided. Planks or yoga will assist in regaining toned abdomen. Thanks for trusting HealthTap! ...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?

Disc pain= leg pain: Usually low back muscle pain stays localized to the lower back, occasionally it can radiate up your spine. Pain from a herniated disc can cause not only low back pain, but more importantly leg pain. Your nerves are like electrical cords, when you put pressure on a nerve near your spine (like a herniated disc) you can cause pain along the entire length of the nerve; down your leg. ...Read more

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Swimming good for bulge disc/herniated disc lower back? What this also help with tight, stiff muscles? Help to put pressure of pinched nerves?

Swimming: Swimming is a very good activity for someone with back pain. The water helps to unweight the spine. I refer many of my patients for water therapy. ...Read more

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Mild back pain for 1-2 days, then 2wks later both hamstrings and calves had less tone, though other muscles are the same is this due to herniated disc?

Mild back pain for 1-2 days, then 2wks later both hamstrings and calves had less tone, though other muscles are the same is this due to herniated disc?

Doubtful: It does not sound like this should be due to a ruptured disc. I am not sure what you mean by less tone, however. A ruptured disc usually causes severe leg pain or weakness in one or both of your legs. Seek medical attention if you are concerned. ...Read more

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65 yr old male. I have herniated disc L4 L5. Can this cause muscle spasms in the pelvic floor?

Back pain sequellae: I think it's possible that you could have pain in the lower abdomen, pelvic area or into your legs due to the herniated disc. Maybe not directly from the disc pushing on the nerves, but possibly because you are moving differently, using different muscles, to "protect" the painful area in your back and prevent it from hurting. If unable to control bowels or bladder, see a doctor quickly. ...Read more

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Pain down the back of left leg and into my calf muscle. I am currently on workers comp. I have a work injury, its 3 herniated disc in my neck. Over the past 2 weeks I have been having pain in lower back side and pain in my left calf muscle. I woke up 2 nites

You: You could have a cord compression or myelopathy but this is not very common. This type of problem is more common with pinched nerves to the low back. Another possibility with calf pain is a blood clot in the area which should be evaluated immediately. Tell your doctor right away. After examination he may request a doppler test for further evaluation. ...Read more

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Think I just ruptured lower back herniated disc l4/l5. Acute sharp pain, intense muscle spasms. Hurts to move. What should I do?

Think I just ruptured lower back herniated disc l4/l5. Acute sharp pain, intense muscle spasms. Hurts to move. What should I do?

Seek Medical Attn: I would recommend seeking medical attention in the er or if you don't want to go, then at least call your primary care physician who knows your entire medical history for advice. ...Read more

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Herniated disc, severe back pain, no nerv siatica, Took antinfla. And muscle relax. Pills. After 4 week, no pain but my big toe is numb, what to do?

Herniated disc, severe back pain, no nerv siatica, Took antinfla. And muscle relax. Pills. After 4 week, no pain but my big toe is numb, what to do?

Numb big toe: Sound like your L5/S1 disc is involved if you are getting numbness in your big toe. A neuropathic med like gabapentin, lyrica, (pregabalin) etc. May help with numbness. Your L5 nerve root is affected. Might benefit from a selective nerve root block of your L5 nerve root with some steroid like dexamethasone, celestone, etc. Physical therapy may help your back symptoms too. ...Read more

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What would you suggest for tight muscles caused by tension...and I also have a herniated disc at L5 S1 and suffer with sciatica. Neck position for sle?

Muscle tension: If you wish to avoid taking muscle relaxants like flexeril or robaxin, (methocarbamol) consider stress management therapy. Wearing a soft cervical collar off and on takes pressure of the neck. For sciatic pain which is chronic, epidural corticosteroid injections and/or surgery may be needed and follow up with a neurosurgeon is advisable. ...Read more

Dr. Brian Le Dr. Le
2 doctors agreed:
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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?

Dr. Brian Le Dr. Le
2 doctors agreed:
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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Can herniated disc cause symptom just sometimes on straight leg test? Sometimes I get muscle twitching in feet other times not, same with big toe pain.

Can herniated disc cause symptom just sometimes on straight leg test? Sometimes I get muscle twitching in feet other times not, same with big toe pain.

Can be intermittent: If a herniated disc causes signs like straight leg raising or sciatic nerve tenderness, it can be intermittent. So can any neurological or muscular sign or symptom. Left alone most resolve with conservative treatment. And some people with herniated disc on imaging studies have no pain. ...Read more

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Have herniated disc in my thorasic area and lumbar too. Lately have a leg muscle weakness. Walking but feel fatigued. Can this weakness sign of paralysis?

Have herniated disc in my thorasic area and lumbar too. Lately have a leg muscle weakness. Walking but feel fatigued. Can this weakness sign of paralysis?

There can be many: Potential reasons for your symptoms including neural or nerve tissue compression or pinching by a disc herniation that can present without any pain especially with a disc herniation in the thoracic area. One also had to realize that finding disc herniations in adults without any symptoms is not that uncommon. You should see your physician for an evaluation to assess your complaints. ...Read more

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I have a herniated disc 5 months ago in L4 and L5 and im on lyrica (pregabalin) 150 it affects my sciatical nerve. But recently I feel a numbness and a burning sensation in my vastus lateralis muscle. Also I feel a pain in my heel when walking or standing

I have a herniated disc 5 months ago in L4 and L5 and im on lyrica (pregabalin) 150 it affects my sciatical nerve. But recently I feel a numbness and a burning sensation in my vastus lateralis muscle. Also I feel a pain in my heel when walking or standing

Disc: Disc herniations can cause pressure on both the exiting nerve and traversing nerves in the spinal canal. In most cases, conservative care is recommended initially and usually consists of NSAID medications (ibuprofen), physical therapy modalities, an epidural injection, and other non operative means. Continued pain and numbness after these may be an indication for a procedure called a microdiscectomy. This is typically an outpatient procedure where the pressure on the nerve is removed and has a very high success rate in terms of eradicating your symptoms. I recommend you speak with a fellowship trained spinal surgeon who can further evaluate you with a neurological exam and discuss all options available to help you feel better. ...Read more

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Had slight pain in knee and above for a few days, Some days better then other. Muscle twitches, hip pain. Sound like a clot? Herniated disc? No swelling.

Had slight pain in knee and above for a few days, Some days better then other. Muscle twitches, hip pain. Sound like a clot? Herniated disc? No swelling.

Inflamed knee: It sounds like you have some sort of inflammation in your knee. This can cause hip pain if you are favoring that knee when you walk. With a blood clot you would have a swollen ankle and lower leg. With a herniated disc you would probably have back pain and the pain in your leg would not just be in joints. Try ace wrap and ice on knee and see doctor if it is not resolving. ...Read more

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Had l5-c1 herniated disc yea. Sever gluteal muscle pain 4 weeks ago. Since 4 days I'm having lower back bone pain. Difficulty & Pain urinating.?

Had l5-c1 herniated disc yea. Sever gluteal muscle pain 4 weeks ago. Since 4 days I'm having lower back bone pain. Difficulty & Pain urinating.?

Here are some. ..: Go to confirm no UTI, poor bladder emptying, etc. By physical exam + testing UA & residual urine. As to managing the potential consequence from nerve compression affecting bladder nerve, work with Doc so to decide what and how. In the meantime, try to urinate on regular basis + using one of alpha-blockers to help relax bladder opening and prostate urethra. Hopefully, all things in lower spine will ...Read more

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Does muscle milk help herniated disk?

Does muscle milk help herniated disk?

No: Cant see any way in which drinking muscle milk would address a herniated disc. ...Read more

Dr. Thomas Dowling
848 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. Rohit Keswani
800 Doctors shared insights

Muscle Strain (Definition)

Muscle strain, also called a pulled muscle, is a condition where a muscle or its tendon is overstretched and torn leading to pain, decreased range ...Read more