Dr. Vishal Nigam

A disc prolapse or herniated or slipped disc refers to the condition of the spine in which the outer fibers (the fibrous ring) of the intervertebral disc gets injured. It makes the soft central portion known as the nucleus pulposus bulge out of its enclosed space. This ruptured material then enters the spinal canal, putting pressure on the spinal cord as well as the spinal nerves. A disc prolapse can be caused by several reasons. These include age-related degeneration of the spine, trauma or accident, injuries incurred while lifting heavy objects, strain, and bad posture.

The disc prolapse mainly occurs in young and middle-aged men and women and it can affect a person anytime. In some cases, it takes months to surface while in others, it can erupt over several weeks. These cases are the result of the gradual weakening of the outer fibers or sedentary lifestyle that puts constant pressure on the disc, making the fibrous ring bulge out. In case of accidents and injuries, when one falls from a major height or bends forward putting high stress on the intervertebral disc, the eruption is instant and the disc sustains severe injury.

Spots of disc prolapse: A disc prolapse can occur in three places – Lower back (lumbar spine), neck (cervical spine), and mid-back (thoracic spine).

Signs and symptoms of disc prolapse: Disc prolapse is normally characterized by pain in the above-mentioned places but it can also be painless. The symptoms of slipped disc include numbness and tingling sensation in arms and legs, weakness in arms or legs, pain behind the shoulder or in the buttock, running pain in one or both arms and legs, loss of control over bowel and bladder movement (in extreme cases), numbness in genital area, and impotence in men (in extreme cases).

Diagnosis and treatment: A slipped disc can be diagnosed through an X-ray, CT scan, or MRI scan. The neurosurgeon or spinal surgeon prescribes the course of treatment after proper diagnosis. In most of the cases where the condition is a result of bad posture or sedentary lifestyle or age-related degeneration, the treatment involves administration of painkillers and physiotherapy. In such cases, the symptoms go away within six or eight weeks. It is only cases of trauma or severe injury that need surgical intervention.

Prevention: A disc prolapse can be prevented in a lot of cases through counseling and education. Many times, people are not aware of the symptoms or tend to take back or neck pain lightly, which aggravates the condition leading to more damage and late recovery. Also, bad posture and sedentary lifestyle are known to put pressure on the spinal cord, which can cause slip disc. So, if one is aware of these facts, one can avoid disc prolapse. Last but not the least, regular exercise and adequate rest keep the back and bones healthy. It is the best prevention against back pain and disc prolapse. So, one should keep it in mind and follow it as well.

In case you have a concern or query you can always consult an expert & get answers to your questions!

A neck strain and sprain is not a serious injury. However, they can still cause significant dysfunction and pain.
Causes of Neck Strain
The anatomy of the cervical spine is such that it not only houses, but also protects the spinal cord. Along with this it supports the head and allows it for mobility and motion. But this area, which allows the spine to be flexible can also leave it vulnerable for injury.

Triggers for the onset of neck muscle strain can be:

1. Too much time spent in an uncomfortable position, such as humping over the steering wheel while driving, bending over the computer monitor, talking on the phone while placing it in the crook of the neck.

2. Sleeping on a very high or too firm pillow can lead to an uncomfortable position of the head thus leading to the strain of the neck

3. Carrying heavy objects on one side of the body

4. Any trauma that might have impacted the neck, such as an accident, whiplash or a fall that might have had a head landing

Most events of a neck muscle strain or the soft tissue sprain, such as the tendons and ligaments lead to stiff neck along with pain in shoulders. There is also pain and difficulty in moving the neck or head.

Neck muscle strain remedies

Minor strains in the tendons, ligaments and muscles of the neck usually heal within a day or two. But till the symptoms subside, there are a few self care remedies that are effective in reducing the stiffness and pain. These are:

1. Application of cold or ice packs: The cold reduces the inflammation, which in turn allows the strain to heal. This ice pack should be applied for 20 minutes interval in the first 24 hours.

2. Application of heat: Heat helps in bringing the nutrient rich blood to the affected area in order to stimulate a healing response. Moist heat as well as heat from a hot shower or bath can be used. Some people might find relief from applying heat wraps such as thermacare.

3. Over-the-counter or OTC medications: Anti-inflammatory medication, such as naproxen and ibuprofen reduces inflammation, thereby leading to the reduction in pain. Pain relieving medicines such as acetaminophen can also be taken as this reduces the perception of pain.

4. Massage of the affected area: A gentle massage in the affected area helps in stimulating the blood flow of the area which in turn helps in a quick healing. In case you have a concern or query you can always consult an expert & get answers to your questions!

Slip disc is a condition of the spinal column which consists of a stack of vertebras from the cervical, thoracic and the lumbar spine.The bones of the spine are cushioned by discs that are present to absorb shocks. Trauma to the spine may cause the disc to bulge or be ruptured. This may lead to pain in the neck and the back. 

Causes of slip disc

Slip disc is caused when the jelly like substance present in the discs bulges out. The damaged disc thus puts pressure on the adjacent nerve causing excruciating pain. The various causes of a slipped disc are:

1. Incorrect form during exercise: If you are into weight lifting, it is important that you use proper form during exercising. Moves like barbell squat and deadlifts can put pressure on the spine and lead to disc problems, if not done correctly. Make sure you work on your core strength and keep your lower back straight while exercising. 

2. Smoking: Smoking causes the discs to lose their flexibility and thus, increases the risk of slipped disc.

3. Ageing: Ageing decreases the content of water in the spine, thus leading to inflexibility.

The symptoms of slip disc are:
1. Pain on one side of the body that tends to aggravate over time
2. Activities such as sitting and coughing may lead to pressure on the spine causing pain
3. Your range of motion on certain movements may be restricted
4. Pain in the neck while moving it
5. Numbness in the shoulder and the neck region
6. You may experience tingling sensations in the genitals, hips and the legs
7. You may have muscles spasms which lead to sudden contraction of the muscles
8. It may also lead to partial paralysis of the lower body

Prevention
1. If you are overweight, try to reduce weight and then focus on maintaining healthy weight levels
2. Maintain proper posture while sitting or standing
3. Exercise on a regular basis to build strength and keep your joints healthy
4. Don't remain in seated position for an extended period of time. Take small breaks in between to stretch

In case you have a concern or query you can always consult an expert & get answers to your questions!