Doctor insights on:
What Can Be Done For The Pain Of A Herniated Disk
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 moreSee 1 more doctor answer
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
Nonop v surgery: Like a lot of disc herniations, they are found frequently in people with no pain & when the cause of symptoms they are treated non surgically with time, medication, activity modification, guided exercise & life style changes. Epidural steroid injections are an option. When pain does not get better & severe enough &/or creating neurologic issues then surgery which can be done several ways. ...Read moreSee 1 more doctor answer
Causes of herniated disk after anethesia from nerve block .Can this cause adisk C6 to herneate i had a artifical disk put in.I had blocks done forrsd?
Degeneration: It is unlikely that a nerve block could cause herniation of vertebral disks. It is more likely that as we get older existing degereration in the spine could cause this. It is possible a cervical epidural could exacerbate an already present herniated disk. ...Read moreSee 1 more doctor answer
What can be done about back and feet ache caused by herniated disk, when physiotherapy didn't work?
Correct PT?: When people let me know that pt is not working my first question is who, where, and what was done during therapy. More often that not the treatment did not include an important intervention. Not all pt is made the same. Discuss this with your physician. If therapy has been appropriate then further evaluation or testing may be necessary to determine what part of the spine is causing the pain. ...Read moreSee 1 more doctor answer
Going to ER for back injury. Will X-ray show herniated disk? MRIs not done in local ER, unsure if muscle or disk is problem.
Not X-rays MRI rec'd: MRIs for the lumbar spine are not usually urgent, thus it would be a good idea for you to see your primary care MD or a spine specialist who can order this. In young people usually back pain is a muscle issue as the discs are only likely to be bulging. The typical treatment is Physical therapy for core strengthening and muscle relaxants or anti-inflammatories as needed for symptomatic relief. ...Read moreSee 1 more doctor answer
Do i need another back surgery? I have a herniated disk at l5-s1, i've been suffering for over 3 years now. I had a surgery in november of 2009, all that was done was scraping the calcium off of the nerve to relieve sciatica. It all started again 6 mont
Pinched Nerve: Sounds like you have a pinched nerve in your back. I would suggest seeing a pain/spine specialist to evaluate you further to evaluate what level and what can be done to treat you. There are interventional treatments besides medications and surgeries that might reduce or eliminate the pain altogether. ...Read moreSee 2 more doctor answers
I have severe neck pain that shoots to my elbow..I had a CT scan done but it didn't show a herniated disk. He said it could still be that and that it was pinching a nerve ..How can I sleep to make the pain easier to handle.?
Herniated disk on L5 and have dull achy pain on legs especially knees. MRI showed nerve not pinched but touching disc. Have done physical therapy ?
How long does it usually take for an epidural steroid injection to alleviate the pain of a herniated disk?
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 moreSee 1 more doctor answer
Depends: Sometimes they are not the cause of a pain as they can be found in people who have no spine problems. For those that it does, most just get better with time. Additional help can be through: activity modification, guided exercise , medication, epidural steroid injections, and if all fails, surgery. Being a smoker, obese and not an exerciser but you at a higher risk of failing treatment. ...Read more
Time & exercise: A herniated disc does not necessary require treatment. If there is associated nerve root compression/irritation then treatment may be required. Understand that 90% of pain associated with nerve root irritation will resolve with time. Otc prescription nsaids, oral steroids, heat/cold and stretching exercises will help resolve the acute pain. If not then epidural steroids may be beneficial. ...Read moreSee 1 more doctor answer
Depends: Believe it or not many herniated discs cause no symptoms at all. If the herniation irritates or compresses a nearby spinal nerve root, people will often report back and leg pain on the side of the herniation. Depending on which disc herniates, the pain can occur on the front, side or back of the thigh and leg and can go down into the foot. Some people will have weakness and numbness. ...Read moreSee 1 more doctor answer
Yes you can: You can over treat any disease. It all depends what the complains of the patient are. If the pain is very minimal and the person can control it with over the counter medication, every other form of treatment would be considered over treatment. On the other hand, there are forms of disc herniation that fail all conservative measures and need surgery. Every case is unique and requires common sense. ...Read more
The best ...: Most are diagnosed through a clinical evaluation with testing done to confirm the diagnosis as the number of disc herniations found in patients without symptoms increases with age. Knowing that, MRI is probably the best imaging test followed by a ct. A myelogram-ct is excellent as well with a contrast MRI the best test for people with prior back surgery to distinguish post op scar from a disc. ...Read moreSee 1 more doctor answer
Possibly: If the herniation is acute (just happened) a common course is that these issues resolve on their own within 6-8 weeks. Often physical therapy and anti-inflammatories are important in the healing process. If the pain does not resolve with these conservative measures or is accompanied by lower extremity weakness/numbness you should seek the care of an expert as soon as possible. ...Read moreSee 1 more doctor answer
Depends: It depends on size, amount of inflammation, location (neck, mid back, low back, against spinal cord, against nerve but not cord). Sometimes it keeps nerves or spinal cord from working properly. Other times it causes pain. Sometimes it is silent (no symptoms, problems). Most improve with time. Treatment depends on how severe the symptoms are, whether or not they are worsening, & how long they last. ...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
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