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Doctor insights on: Herniated Disc Protrusion Vs Extrusion

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What is the difference between a herniated disc a disc protrusion and disc extrusion. And which is most serious if the three?

What is the difference between a herniated disc a disc protrusion and disc extrusion. And which is most serious if the three?

Big difference: Disc Protrusion is when the distance between the edges of the disc herniation is less than the distance between the edges of the base. Disc Extrusion is when the distance between the edges of the disc material is greater than the distance at the base. Disc herniation may vary in severity from case to case. ...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


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I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

Ear problem?: Did you have an ear ache recently. Do you have water in your ear from swimming?, have you had a recent head injury? These are questions that need answers? If the dizziness persists, go to local er for evaluation as soon as possibile. ...Read more

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I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

I have herniated. Disc protrusion and a anular tear and a bulging disc been off work 4 two years still nothing happened taken meds will I be able to work again?

Not the same Job: There is correlation that if you have been off work for greater than 6 months from low back pain issues, you will likely never return to that same job again. I would suggest you consider a job change or get vocational rehab involved to discuss your options or need for new training for a job. When one door closes another opens up. Never give up! ...Read more

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Can hip pain be a symptom of herniated disc? I have l 3-4 disc protrusion (per mri) from lifting a heavy object. Initially I only had low back and hip pain. Over the period of 2 weeks I developed pain down my left leg and into the sole of my left foot.

Can hip pain be a symptom of herniated disc? I have l 3-4 disc protrusion (per mri) from lifting a heavy object. Initially I only had low back and hip pain. Over the period of 2 weeks I developed pain down my left leg and into the sole of my left foot.

Yes: A lumbar disc protrusion can definitely cause hip and leg pain. There are also many other potential causes including having a bad hip itself. A physical exam can usually determine the cause of your pain. Thank you for the question. ...Read more

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What does t6-7 4mm post disc protrusion with superior extrusion extending behind the lower on half of t6, measuring 9mm cc, causing mild impression upon the cord at and the midline mean & serious?

What does t6-7 4mm post disc protrusion with superior extrusion extending behind the lower on half of t6, measuring 9mm cc, causing mild impression upon the cord at and the midline mean & serious?

Pushing on Things: If these herniated disks are causing pain then getting epidural injections may be helpful. However if you are doing OK and no pain, then I would leave them alone. Eventually they will heal as much as they can, but can take as much as 6-9 months to resolve. Unless you are getting increased pain or weakness, I wouldn't worry. ...Read more

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T6-7 a 4mm posterior disc protrusion with superior extrusion extending behind the lower on half of t6, measuring 9mm cc, causing mild imp on cord and midline?

T6-7 a 4mm posterior disc protrusion with superior extrusion extending behind the lower on half of t6, measuring 9mm cc, causing mild imp on cord and midline?

Pushing on Things: If these herniated disks are causing pain then getting epidural injections may be helpful. However if you are doing OK and no pain, then I would leave them alone. Eventually they will heal as much as they can, but can take as much as 6-9 months to resolve. Unless you are getting increased pain or weakness, I wouldn't worry. ...Read more

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Idiagnosed with central cervical canal stenosis and far lateral disc protrusion and a disc extrusion indenting cord. How serious is this. Arm pain?

Idiagnosed with central cervical canal stenosis and far lateral disc protrusion and a disc extrusion indenting cord. How serious is this. Arm pain?

Cervical Stenosis: This is serious and something you need to see a neurosurgeon about. Do not do any strenuous activity and be very careful of any falls as these may worsen your condition and cause paralysis. Good luck ...Read more

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Fix without surgery? Large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

Fix without surgery? Large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

That is a MR Dx.: If U have no symptoms no need 2 treat. If U have severe symptoms U can buy some time with epidural steroids but not permanent. Surgery is very successful if symptoms match the MR findings.

Good luck. ...Read more

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Can a slipped disc or herniated disk in your neck kill you?

Can a slipped disc or herniated disk in your neck kill you?

It can't: Can't kill you but it can definitely cause weakness and numbness; sometimes severe dysfunction ...Read more

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How long should relief last after X-ray guided shots for herniated disk to conclude the disk is the prob? Some Drs tell me disc, others sacroiliac

How long should relief last after X-ray guided shots for herniated disk to conclude the disk is the prob? Some Drs tell me disc, others sacroiliac

After epidural: Injection your symptoms hopefully will improve for several weeks. You may need a series of three injections spaced 2-4 weeks apart. Your SI joint can be injected at the same time. Report your findings to your neurosurgeon. He or she will help you make surgery decision based on how you do. If injection doesn't help, you may need surgery sooner. ...Read more

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Can a slipped disc (herniated disk) make the back look deformed?

Can a slipped disc (herniated disk) make the back look deformed?

Not really: A disc herniation itself won't cause the back to look deformed. However, if you have a back muscle spasm, due to pain, it can cause you to have a posture that makes your back appear deformed. ...Read more

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Does a slipped disc (herniated disk) make the body look deformed?

No: A sipped or herniated disc doesn't make the body look any different unless the patient finds the pain to be less if they position themselves in an unusual way. ...Read more

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Could a slipped disc (herniated disk) make the body look deformed?

Not really: But if the pain is associated with movement, then your body may choose to move into a position of ease and that may make you feel deformed, but generally as the disc heals you will likely go back to being normal. ...Read more

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I think I may have degenerate disc disease or a herniated disk how soon should I go in I can barely move and it has been a few years last few weeks ar?

I think I may have degenerate disc disease or a herniated disk how soon should I go in I can barely move and it has been a few years last few weeks ar?

Anytime, but: You must be proactive in terms of lifestyle changes including: weight control, regular exercising & not smoking. Make sure you have adequate sleep and good vitamin d/calcium intake. Most people remain functional without spine surgery for lower back pain. You may require additional treatment that may include physical rherapy, medication as well as possible pain management techniques. ...Read more

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Herniated disk on L5 and have dull achy pain on legs especially knees. MRI showed nerve not pinched but touching disc. Have done physical therapy?

Herniated disk on L5 and have dull achy pain on legs especially knees. MRI showed nerve not pinched but touching disc. Have done physical therapy?

Incidental finding: Disc is an incidental finding that doesn't correlate clinically to your target symptoms, should be ignored better to look for another diagnosis a diagnostic injection can confirm generalized leg and knee ache atypical description for an L5 radiculopathy ...Read more

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How can I treat a herniated disk?

How can I treat a herniated disk?

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

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How can I address a herniated disk?

How can I address a herniated disk?

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

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How serious is a having a herniated disk?

How serious is a having a herniated disk?

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

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What do you recommend for herniated disk?

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

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What can be done for the pain of a herniated disk?

What can be done for the pain of a herniated disk?

Time, meds, exercise: Most disc herniations get better with time, 90%. Activity modification with guided exercise, medication and epidural steroid injections are options and if no better after 12 weeks, surgery may be an option. Lifestyle changes like not smoking, not being obese and regularly exercising will minimize any future back problems as well as taking adequate vitamin d and calcium. ...Read more

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Herniated disk poping noises pain on left side why?

Herniated disk poping noises pain on left side why?

Varies: A herniated disc can push on nerves that supply sensation in the hip and leg and are a fairly common cause of pain there. A disc that herniated can be associated with instability at times and this could potentially explain the popping and clicking. Don't hesitate to be seen for an accurate evaluation. ...Read more

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What is the definition or description of: Herniated disk?

See Below: A spinal disc is kind of like a jelly filled donut. The outer ring of the disc ("donut") is make up of a firm cartilage called the annulus fibrosus. The inner portion of the disc ("jelly") is called the nucleus pulposus. Over time or with trauma the annulus can eventually tear or rupture. The "jelly" in the middle of the disc can then squeeze out or "herniate" causing pain or nerve compression ...Read more

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Is there a chance to have a recurrent for the herniated disk?

Possible: If you have had a herniated disk, this can shrink and desiccate over several months, but a traumatic event could result in more local damage and cause additional herniation or even fragmentation and either could compress a nerve root. ...Read more

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Can you have too much treatment for a herniated disk?

If you had surgery: Since 90% od disc herniations resolve non operatively, surgery is often over indicated and then this is too much treament! ...Read more

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Which treatment works the best and fastest for herniated disk?

Which treatment works the best and fastest for herniated disk?

Depends: There is no "one best" treatment for a herniated disk. Most normal, healthy people with no back pain have detectable bulges in some of their disks so we know that not every herniated disk even needs treatment. You should see you doc and together design a treatment plan that treats your symptoms and gets you back as close as possible to your desired activity level. ...Read more

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Can I do sit-ups after herniated disk surgery?

Depends: Many variables needs to be considered including your status of overall fitness, location of your disk surgery, level of involvement and the nature / complexity of your surgery. Make sure you have a thorough discussion with your surgeon to minimize suprises and/or disappointment postop. ...Read more