Doctor insights on:
What Is The Treatment For A Bulging Disc In Your Back
Specialists: About 40% of the population have a herniated disk and no symptoms. Treatment is based on patient's symptoms and clinical findings. See your family md for proper evaluation first. They can help determine which way for you to go next- therapy, injections, etc. They will also guide you to neurosurgeons and orthopedic spine specialists who can determine proper treatment. ...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
See below: The first step is to see a doctor who specializes in the evaluation and treatment of these conditions. Believe it or not, many people have bulging discs and do not have any symptoms. A specialist in this area could help determine if this bulging disc is in fact the cause of symptoms and if so can usually prescribe a therapy program which should help. ...Read more
Exercise: Exercise is the number 1 treatment for deg disease. Now once to have attempted this and if you still need more help then you can discuss medication with your doctor ...Read more
First, lifestyle : Changes in terms of not being a smoker, staying trim, regular exercise (emphasis on core strength ) & regular sleep habits. Most are treated non op with back support, pt, medication & pain management options which could include: epidural steroid injections, 90% are treated without surgery and if surgery is needed 95% success rate when leg pain worse than back pain and a nonsmoker. ...Read moreSee 1 more doctor answer
Depends: If you've done the physical therapy and no relief, then injections like epidural steroid injections or facet joint injections may be the next treatment options. There is growing evidence that stem cell therapies can also be helpful and heal tissues but are not covered by insurance at this time. ...Read moreSee 1 more doctor answer
Depends on symptoms: There is no specific therapy for "disk degeneration" since many with this finding have no pain or symptoms. But some do and the treatment would depend on your specific symptoms and objective findings. Specific strengthening exercises, physical therapy, maintaining an ideal body weight and bone health, not smoking and positive thinking can be generally recommended. ...Read more
A range of options.: A pinched nerve is first treated with rest, physical therapy, and medications. Those that do not get better over time may need an evaluation by a pain specialist for blocks (injections) to the cervical spine to help control the pain. Only in a few cases is surgery needed. There are various surgical procedures available for a pinched nerve depending on the findings on an mri. ...Read moreSee 1 more doctor answer
What is the difference between a bulging or slipped disk? Is a slipped disk the same as a herniated disk? Please help thanks for all the help
Synonyms: The terms bulging disk, slipped disk, herniated disk are roughly the same idea that they disc has moved out of place where it should be and possibly compressing nerve or spinal cord. Typically though herniated disk signifies a slight increase in severity of pathology over a bulging disc. It gets a little more specific if terms like disc protrusion and disc extrusion come into the mix. ...Read moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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
If you have a diffuse disk bulge with a superimposed right paracentral and foraminal extrusion what is the best way to treat it waiting for the answer
The : The question describes a finding from an MRI examination. Treatment should always focus on patient symptoms. That being said, typical symptoms from a right paracentral and foraminal disc extrusion would include elements of pain, numbness and tingling radiating into the right leg. Conservative therapy would include rest and oral anti-inflammatory medications. Therapy may progress to include an imaged guided steroid injection around the involved nerves. Physical therapy may be involved. Patients who fail to respond adequately to these conservative measures will require evaluation from a neurosurgeon. ...Read more
I have a bulging disc on the left side of the lumbar region that is trapping the nerve that goes down my leg what would you suggest as treatment?
Conservative care: I usually suggest conservative care with physical therapy and possible a epidural cortisone for the majority of my patients. Eighty percent of disk herniations heal without surgery. If, on the other hand you have neurological deficit like weakness or severe sensory loss, then i would consider surgery. In that case i favor minimally invasive discectomy the majority of the time. ...Read more
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 moreSee 3 more doctor answers
Depends on pain: Depending on pain levels and individual results will vary. If no pain there is no specific treatment that will reverse a bulging disc. It is best to not use tobacco, to stay fit and keep your abdominal and back muscles strong. Medications like antiinflammatories and muscle relaxers are often helpful when causing pain. If there is severe enough pain, an epidural injection may help. ...Read moreSee 2 more doctor answers
Facet blocks.... : Which are diagnostic. If your pain goes away, radiofrequency ablation will take your pain away for two to 5 years. You probably have arthritis in the small joints of the neck. If you have radiating pain to the arms, could be due to cervical disk disease. See your local pain management physician. ...Read more
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