Doctor insights on:
Warning Signs For Disc Herniation
Could a disc herniation (l4, l5)lead to permanent nerve damage. If so what are signs of nerve damage around l4, L5 does nerve damage show on a mri?
L4-5 S1 disc herniation pain radiating to legs a sign things are getting worse. not much pain before. doing pt.Was feeling better but pain back worse?
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
Yes: Disk herniation may cause pain, numbness and weakness limiting activity and work. You may have to reduce the number of hours and stop working all together. Fortunately disk herniations are treated well by endoscopic spine surgery. This minimally invasive procedure is with a small video camera inserted through a pen sized tube. This allows direct visualization and removal of the disk. ...Read moreSee 1 more doctor answer
Varies : A disc acts as a cushion between two vertebrae in the spinal column. The disc consists of an inner soft part surrounded by tough fibers known as the annulus. If the annulus tears, the soft inner part can herniated out through the tear. It can then cause irritation of a nerve and subsequent pain. Herniations can heal by themselves, but they can also cause severe pain. Many treatment options. ...Read more
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 moreSee 1 more doctor answer
90% are treated : without surgery with time the biggest healer along with guided exercise, activity modification, not smoking, and for symptom relief-use of various medications if no contraindications like oral steroids, NSAIDs, Neurontin or Lyrica (pregabalin). Epidural steroid injections can be considered. If no better &leg or arm symptoms predominant over back or neck pain, surgery an option with > 90% success rate. ...Read moreSee 1 more doctor answer
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
Swimming: You can add find and snorkel to make it easy ise pain as you guide. ...Read more
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 moreSee 1 more doctor answer
Yes: There are several sources at the tissue level that can contribute to pain in this case. The disc rupture is one, injury and stretch to ligamentous tissue is another, the loss of height increasing facet joint stress is yet another, as well as muscle strains near the site of injury. In many cases, it is not only what can be seen on the MRI that causes pain, but some things that are not seen. ...Read more
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
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 moreSee 1 more doctor answer
Yes: Bending, lifting and twisting all load the discs and can injure or reinjure them. ...Read more
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
Hey doctors I am medical student and I am wondering about options of managment of disc herniation & if there is radio freq. On managment list?
Time.: If you put 100 patients with symptomatic disk herniations and put them in a black box, and let them out after a month, greater than 80 of them will likely be better. To accelerate the healing, and to prevent deconditioning, exercise and stretching are helpful. Other options include nsaids, cortizone (hydrocortisone) injections, and narcotics. Rad hz is more for facet joint mediated pain, and arthritis not hnp. ...Read moreSee 1 more doctor answer
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