Doctor insights on:
How Do You Get A Herniated Disk
Usually from some: Type of injury like a fall or by getting hit by something or someone ranging from sports to a car accident. Sometimes the fracture occurs without trauma with an underlying problem occuring within the bone such as from a tumor, an infection, secondary to use of certain medications or even due to poor diet, smoking, malabsorption problems, metabolic condtions like osteoporosis or thyroid issue. ...Read more
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
Time, PT, surgery: Most herniated discs do not need to be fixed. They are not symptomatic and the body will adapt to them. If there is a symptomatic herniated disc, it will likely heal on its own. If persistent, mckensie pt can help. In rare cases of persistent leg pain with a herniated disc, surgery is the best way to remove the offending fragment. ...Read moreSee 2 more doctor answers
Careful exercise: Start by avoiding prolonged positioning ; repetitive twist/bend maneuvers. If had physical therapy, resume exercises. Use of otc medication will help control symptoms. Cardio workouts may help except for rowing ; maybe running. If did not have pt, may want to get a session to learn exercises. Weight control ; not smoking are key. Time is biggest healer-90% better without surgery. ...Read more
Various Ways: Good thing is that you may successfully manage symptoms from herniated discs with conservative options including anti-inflammatories (if not medically contra-indicated for you), physical therapy, spinal injections. Only few will need surgery for persisting symptoms or for progressive neurologic deficit or changes in bowel or bladder function. ...Read moreSee 1 more doctor answer
Too vague: Bulging disks are natural. We as surgeons do not treat bulging disks unless they are causing nerve irritation. In these cases we start with therapy, and progress treatment depending on response. The most invasive treatment is disk decompression which is surgical. I would suggest you see a spine specialist if you have a specific spine or nerve complaint. ...Read more
Treating back pain: Herniated disk can be painful. To help with this physical therapy and pain medication but since it is chronic i would suggest acupuncture, feldenkrais therapy and improving your core strength. If it gets worse, they may recommend epidural injections and evaluation by a specialist. ...Read moreSee 1 more doctor answer
You save money and: You have a 90% chance of getting better on your own, the same success as if i were treating you non operatively although i could make you more comfortable physically and mentally while your body healed itself as well as giving you advice as to how to minimize its recurrence. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
" bulging disk": Initial treatment for symptomatic bulging disc is conservative (eg physical therapy, non-opioid analgesics, etc.) and also addresses preventative measures. Depending on severity of the symptoms, injections for pain control may be utilized. For more severe cases, surgery may be indicated. The course of treatment is determined by symptoms and objective findings. ...Read moreSee 1 more doctor answer
Injections: Epidural Steroid injections helps most people with documented herniations that are the source of there sciatica type pain. That said the question is how long will you get relief for and there is no real good answer for that. Some people can get relief for months and others it can be days/weeks. We notice most people get relief for a longer time if at least 2 injections are planned. ...Read moreSee 3 more doctor answers
Refractory symptoms : Herniated disk surgery should only be considered in the presence of all 3: a)mri evidence of a herniation that is visibly pinching a nerve b)symptoms of a pinched nerve that anatomically corresponds well with MRI evidence c)meds, pt, and epidural injections are first considered. A good predictor of successful surgical outcome is increased nerve pain with nerve tension on exam(straight leg raise). ...Read moreSee 1 more doctor answer
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