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Doctor insights on: Herniated Disk Pain

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Herniated disk pain increased after physiotherapy, what's wrong?

Herniated disk pain increased after physiotherapy, what's wrong?

See details: Physical therapy is often not an effective treatment for a true disc herniation. If the herniation does not respond to conservative therapies then surgery is an option. ...Read more

Dr. Thomas Dowling
817 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 a herniated disk. The pain is not bad. Is a laminotomy surgery worth it?

I have a herniated disk. The pain is not bad. Is a laminotomy surgery worth it?

No: The reasons to consider surgery for a herniated disc are neurological deficits such as weakness, balance problems, bowel/bladder issues or severe pain that cannot be otherwise controlled. "not bad" pain by itself rarely requires surgery. ...Read more

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Herniated disk -> back pain-sudden change in pain?

Herniated disk -> back pain-sudden change in pain?

There can be changes: Disc herniations can present in various ways & change their pain pattern as they heal or progress or even recur as in 5% of cases. They can initially present as back pain & then radiate to a leg(s) & back pain will improve or stay the same. Leg pain can start as initial pain & improve & back pain can get worse & then resolve (centralization). Sometimes there is no pain, just neurologic issues. ...Read more

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I have a herniated disk. The pain is not bad.I have a heavy/tense leg. Is a laminotomy worth it?

Maybe: A heavy/tense leg feeling may be due to weakness caused by the herniated disc. This would warrant surgery depending on how long it has been going on and how debilitating it is to you. ...Read more

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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.

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

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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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Besides surgery, how can you take care of a herniated disk to minimize pain?

Besides surgery, how can you take care of a herniated disk to minimize pain?

Several things: Medication can help. Adjust the way you do things (avoiding positions and movements that aggravate your pain, but still stay as active and "normal" as possible. If simple measures fail, an injection may be helpful. Ask your provider for options. ...Read more

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Will an MRI show a herniated disk even after the pain has gone?

Will an MRI show a herniated disk even after the pain has gone?

It may or it may not: As disc herniations have been shown to shrink in size or resolve over time as demonstrated on sequential mri's over a period of 6 months 60% are smaller or not demonstrated any longer in persons who had sciatic symptoms, also realize that asymptomatic people with MRI can reveal a disc herniation and sciatica can occur without a herniation with other sources for the pain. ...Read more

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Does a cervical herniated disk cause horrible shoulder pain?

It can: Severe shoulder pain is a common symptom seen in cervical disc herniations. There can be further radiation of pain down the arm as well. ...Read more

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Dr. Adam Lewis
736 doctors shared insights

Lumbar (Low Back) Herniated Disk (Definition)

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 pain, numbness and tingling. ...Read more