Doctor insights on:
Pain Herniated Disk
What is best for a moderate pain herniated disk, rest or activity? I waited a week before resuming running/incline walking and the pain is now worse.
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
40 y/o male N.Delhi India suffering from lower back pain (L4L5 herniated disk) & spinal stenosis as per MRI. Pain in left side. Take NSAIDs. Advise pl?
Physical therapy: Chiropractor's manipulations, will helpGet a more detailed answer ›
Thoracic spinal pain no herniated disks what could this be? Feels like a vise grip with burning pain
History of low back pain bulging/herniated disks l3-s1, reinjured now left leg going numb, pain when using bathroom, and left ovary pain is that weird?
Pain: The symptoms you are feeling can be related to disc protrusion/herniation. If you have pain in the ovary and that may not be related to your back. These could be separate issues and you should check with your primary md and/or ob/gyn doc on this first. A urinary tract infection is also something to rule out here. ...Read more
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
75% better by 12 wks: 75% are better nonop within 2 to 12 weeks from onset of leg pain. ...Read more
Disc Herniation: Most herniated discs heal on their own--80%. For those that are too painful or fail to improve with pt, nsaid's, 6-18 weeks time, nerve blocks, other medications, then discectomy (plucking out the ruptured fragment) is very successful. In the neck, this is often accompanied by disc replacement or fusion. In the lumbar spine, discectomy is all that is necessary. ...Read more
Injections vs Surger: If pt is not helping, sometimes epidural steriod injections can help alleviate the pain. If those modalities fail and you are still experiencing pain, surgery may be an option. Fortunately, for the properly selected patients and in the right hands, surgery can be very successful. ...Read more
What are types of stretches or exercises that will help relieve pain from a herniated disk in the lower back?
Strengthen your core: Exercises that strengthen the muscles which support your spine will help keep the disc from getting worse. If you over stretch it can make things worse but stretching and strengthening exercises with a person who knows what they are doing, will help a lot. ...Read more
It should on it's. .: This should do it on own if you! Re non smoker & your leg pain was predominant pain. Occasionlly, the nerve can still remain irritated from it's prior compression &/or manipulation during surgery. Anti inflammatory meds or meds like neurontin, Elavil or Cymbalta (duloxetine) may help as well. If the pain is persisting, you may need a contrast MRI to see if there is a retained disc fragment or recurrent one. ...Read more
That depends on why: There is still leg pain. Sometimes it is related to inflammation early postop although a retained disc fragment, a recurrent disc herniation, an unrecognized conjoined nerve root was present, scar formation or wrong level was operated on. Maybe the leg pain was not related to preop disc identified. Speak to your surgeon about further imaging if needed & treatment based on clinical exam & images. ...Read more
How long does it usually take for an epidural steroid injection to alleviate the pain of a herniated disk?
Steroid injection: It usually takes a few days for the steroid to be effective. There is a wide variation on the response to this injection & symptom relief. The duration of relief also varies. ...Read more
Prednisone for pain: Prednisone is a temporary solution to help with an acute flare of your back pain. Some people who have herniated disk do not have pain and others have it chronically. When there is a flare or a worsening of pain, this can help but will not permanently make the pain go away. ...Read more
Husbands left side of lower back hurts when he walks, when laying down flexing right leg sends a sharp pain. Some swelling, herniated disk?
Cross SLR: This could be a sign of a lumbar spine intervertebral disc herniation or something else. See your doctor for further evaluation and examination. The history and exam may be able to diagnose a disc herniation. An MRI is often needed to confirm the diagnosis and to help guide treatment options. ...Read more
75% better 3 months: Most people get better between 2 to 12 weeks from the onset of their extremity pain. This is about 75% without any surgery & does not depend on any one type of treatment or any at all. The rest get better up to one year with about 10% needing surgery with appropriately indicated surgeries doing well 90% as long as they are non smokers, not obese & not diabetic. Those in shape do best in all! ...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 more
Anti-inflammatories: Generally, the majority of the pain in a herniated disc comes from the inflammatory process and thus anti-inflammatories such as Naproxen work well. If you also have nerve pain, drugs such as Neurontin (gabapentin) can help as well. Finally, muscle relaxers can help if you have a lot of spasms. ...Read more
Time: Often time is the best medicine. Research shows that pain from a herniated disc will resolve with conservative care and time. I would recommend physical therapy, nsaids, muscle relaxants and mild pain medication if needed. Chiropractic or osteopathic manipulation is also helpful. Mri after a few months of treatment and no improvements. ...Read more
Does PMS make herniated disk pain worse? My disk pain is chronic, nerves damaged... But seems worse with PMS. Is that why it feels worse?
Meds for spinal pain: First line for pain should be nsaid's i'd you tolerate them. Aleve is more convenient as it is twice daily, but Ibuprofen is fine if taken 4x daily. Tylenol (acetaminophen) is also good for pain, but not an anti-inflammatory. Next for sciatic/nerve pain would be lyrica/neurontin--both nonaddictive. Elavil, Cymbalta also good options especially if trouble sleeping. Narcotics only short time for severe/acute pain. ...Read more
Is there anything I can do at home to help with my lower back pain. I have a herniated disk and I'm getting surgery but until then im suffering :/?
Non-operative: You should try gentle stretching and core strengthening exercises. You can try a hot tub or heating pad but use it sparingly and don't injure yourself by too much heat. Injections can often relieve the sciatic pain by both reducing inflammation of the nerve and also dissolving some of the fat around the nerves which can often yield excellent relief. It all these fail then surgery may be needed. ...Read more
What should I do about my back/leg pain? I have a herniated disk in my l5s1 vertabrea, and have had 3 bilateral transformal steroid injections in my spine during the past 3 weeks, today my legs and back have a shooting pain going up and down and I can har
L5-S1: L5-s1 disks can cause severe sciatic leg pain. I would recommend consultation with a spine surgeon if you have failed 3 steroid injections. Leg pain secondary to herniated disk usually responds well to surgery. There are many surgical options including traditional and minimally invasive surgery. I would recommend looking for a surgeon who is experienced in endosocpic minimally invasive surgery. Endoscopic treatment is not always an option, but it is worth exploring due to less tissue damage, quicker discharge and recovery and less post operative pain. Please see my health guide on disk herniations and sciatica for more information. Good luck! ...Read more
Gentle Weaning: Generally, it is not recommended to stop suddenly. Rather, work with your doctor to reduce your dose in order to wean off about 10% of your daily dose every 3 days until off. This would be a very gentle weaning. ...Read more