Doctor insights on:
Herniated Or Slipped Disc Symptoms
Herniated disc: If you have a confirmed herniation with an MRI, the first line of treatment is usually a steroid injection around the nerve performed by a qualified pain physician. You may require more than one, but no more than three in a year. If the herniation is large and you have weakness, surgery is the best option. Along with these treatments, you may be given an antiinflammatory medication as well. ...Read moreSee 1 more doctor answer
The disks are protective shock-absorbing pads between the bones of the spine (vertebrae). The disks of the spine are also referred to as intervertebral disks. Although they do not actually "slip, " a disk may move, split, or rupture. This can cause the disk cartilage and nearby tissue to fail (herniate), allowing the inner gel portion of the disk to escape ...Read more
Typical spinal : Stenosis symptoms in the lumbar spine are pains radiating to the leg(s) with progressive standing and walking relieved by bending over or sitting while a disc herniation causes pain into the leg(s) worse with sitting and bending and usually better standing or walking. Both feel better typically lying down. Obviously, there are variables based on several factors in terms of symptom presentation. ...Read moreSee 1 more doctor answer
Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?
Start w conservative: Start w conservative treatment including physical therapy, epidural injection at the site of the nerve root irritation, and bracing as needed for pain relief. Core strengthening is very important. Surgery may be needed if all else fails. A good physical exam, history, and review of various imaging studies go into deciding what surgery you may need. Please keep us updated. ...Read more
Weeks to Months: Generally most people can get relief from sciatic pain doing the conservative care within 3-6 weeks. If it persists after that, it can take up to 6 months to heal by itself. Consider core strengthening exercises while you are on your own at home. You may still be a candidate for epidural steroid injections that may help relieve the pain while your body heals itself. ...Read moreSee 2 more doctor answers
Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read moreSee 1 more doctor answer
Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read moreSee 2 more doctor answers
Annular tear: Sometimes the herniated disk has annular tear that releases the spongier nucleus pulposus out that can cause a chemical neuritis on the nerves that is similar to sciatica. Also if the MRI reflects any listhesis (slipping of one bone on the other) there may be a compression on the nerves that will not be appreciated on the MRI because you are lying down and not allowing gravity/forces to move it. ...Read moreSee 1 more doctor answer
Yes: If you haven't been evaluated by an orthopedic surgeon - recommend that. ...Read more
Ddd in l&cspine. 2 l discs are torn, one herniated. 4 herniated cervical & bone spurs, stenosis, facet arthritis.No accidents or trauma. Only ddd?
So? Forget the MRIs: Your only 27, we don't treat mris, we treat people. It doesn't matter what the studies show because we have to treat you. Certain spinal conditions have a genetic predisposition, but what are your symptoms? What are you doing about it? Find a doctor who wants to make you feel better. ...Read more
Aging, injury: Disc bulges are normal variants & not an issue that should cause a problem. This occurs with disc loading as well. A disc herniation is an actual disruption of the disc's coating layers allowing disc material to move out of a normal position. This is a more frequent finding as we age as the disc degenerates which is accelerated by obesity & smoking. Overloading a disc's weight capacity=herniation. ...Read more
Herniated cervical disc n bulged lumbar disc. Is chiropractor treatment or physiotherapy better? Is traction n spinal manipulation the same?
Difference between herniated discs, nerve compression, radiculopathy, sciatica, spinal stenosis, spondylosis and osteoarthritis. I get various diagnosis?
It may be that you : Have them all as everyone ages so by 49 as a male, there are degenerative or arthritis changes in the spine termed spondylosis. By age 60, 20% have some narrowing or stenosis of the spinal canal. Disc herniation can lead to it too all resulting in nerve compression which can cause arm/leg symptoms termed a radiculopathy or in leg also known as a sciatica. ...Read moreSee 2 more doctor answers
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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