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Doctor insights on: Pathophysiology Of Disc Herniation

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What is a disc herniation like?

What is a disc herniation like?

It is when the inner: Material or nucleus pulposus moves through outer layer or annulus fibrosis which is thick & tough in most areas with the nucleus gel like at a younger age and dries out as we age to a consistency like crabmeat. As we age, the annulus develops cracks or tears which can expand & allow the nucleus out. The peak incidence for this is between ages30-50. Stepping on a jelly doughnut is an example. ...Read more

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How should I address c-5, c-6 disc herniation?

How should I address c-5, c-6 disc herniation?

Depends: A c5/6 cervical disc herniation is a commonly seen pathology in a spine surgical setting. Many can be treated conservatively without surgery with time, meds, and therapy. There are cases that are more severe in which surgery may need to be done in acute (emergent) or chronic (failure of non-op) conditions. See a spine specialist. ...Read more

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Central or paracentral disc herniation. What is that?

Central or paracentral disc herniation. What is that?

Location: A central disc herniation is when the herniation bulges equally down the center of the canal. A paracentral herniation is when the disc is more towards the left or right. This may lead to symptoms going down one leg more than the other. ...Read more

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Can a second disc herniation heal without surgery?

Can a second disc herniation heal without surgery?

Can occur: There is evidence that a ruptured disc tends to desiccate and shrink over 9-10 months in many patients if no further trauma occurs. Issue however, is compromised if progressive symptomatic deterioration requiring more rapid interventions. ...Read more

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Are there exercises for disc prolapse and disc herniation?

Are there exercises for disc prolapse and disc herniation?

Yes: There are exercises for patients with disc issues. Most deal with core abdominal strengthening and may also help with flexibility. There are different programs, such as mckenzie, that aim to help the back and leg pain. Before starting a program, check with your spine specialist for what is best and safe for your particular issue. ...Read more

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What's the difference between disc herniation and dissecation?

Twofold : Disc desiccation is drying out the disc. A disc herniation is for example like when jelly comes out of a jelly donut. ...Read more

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What is the recommended exercise for disc prolapse and disc herniation?

Many possibilities: There are many exercises for disc disease. Some include stretching-lying on your back and pulling one knee to the chest and repeat with the other; strengthening-see my back exercise health guide for tips; reverse arch push ups-doing push ups but not with a rigid back instead arching your back backwards. Consult with your doctor or physical therapist for the best exercises for your condition. ...Read more

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I have a disc herniation causing a pinched nerve so will I need to have part of the disc removed?

I have a disc herniation causing a pinched nerve so will I need to have part of the disc removed?

Disc removal : Most disk herniations that cause nerve pain will get better with conservative treatment in 6-8 weeks. If the pain does not improve at that point then epidural steroid injections or surgery to remove the disc can be an option. Talk to your primary doctor about a referral to a surgeon if you pain does not improve in 6-8 weeks. ...Read more

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Commuting for work on the freeway with a disc herniation and its worsening my symptoms. Any way i can minimize it? (symptoms i mean)

Commuting for work on the freeway with a disc herniation and its worsening my symptoms. Any way i can minimize it? (symptoms i mean)

Core Exercises: Typically core strengthening exercises are the best to help relieve pressure and forces in the spine. I would try and google some or look them up on youtube to see descriptions. If you can do them yourself, wonderful otherwise ask your doctor to get a referral to a good physical therapist for further assistance. If not better with this I would suggest seeing a spine specialist. ...Read more

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