Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Herniated Disc Tips

Manual Therapy!

Dr. Prof.M.Anand 90% (157 ratings)
T.M.M.F, pain management, T.M.M.F.,
Physiotherapist, Madurai
Manual Therapy!

There is no need for surgery, for disc bulge/prolapse/herniation/sciatica.
Manual therapist can push the disc back to it's normal place. 

1 person found this helpful

Reasons Behind The Lumbar Disk Pain

Dr. Shyam Bhairi 90% (61 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Hubli-Dharwad
Reasons Behind The Lumbar Disk Pain

There are many structures in the lumbar spine that can cause pain. Any kind of trouble to the nerves and veins that goes through the spine, joint issues, the disks themselves, the bones and the muscles - would all be able to act as a cause behind the pain.

Numerous lumbar spine conditions are interrelated. For instance, an unstable joint can lead to disk degeneration, which can put weight on the nerve roots and cause the disk to collapse at times. The following are the main reasons behind the lumbar disk pain:

  1. Problems in the muscles: The biggest reason behind lumbar disk pain is muscle strain or other muscle issues. Strain because of truly difficult work, twisting, or different activities that can put pressure on your spine like heavy lifting, cause the disk to rupture or slip at times.
  2. Disk degeneration: Intervertebral disks are pads that are spongy and act as shock absorbers. This can cause pain in your disk. This condition can be referred to with many names, however, is famously known as degenerative disk disease.
  3. Lumbar Disk Herniation: Herniated disks are most common reasons behind the lumbar disk pain. A herniated disk may be caused all of a sudden because of damage to the spine or truly difficult work or happen gradually as a form of general wear and tear in the spine. Leg pain (sciatica) is the most widely recognized symptom of a herniated disk.
  4. Sacroiliac Joint Dysfunction: The sacroiliac joint, which attaches to the base of the lumbar spine and the tip of the tailbone, can cause lumbar disk pain or even sciatic pain if there is any kind of fracture in the joint that allows for movement or rather, limits any particular movement.
  5. Spondylolisthesis: Spondylolisthesis happens when one vertebra slips behind the other or underneath it. The slip most normally happens in the lower lumbar vertebrae (e.g. L4 –L5 or L5 – S1). In case that the slipped vertebra presses the nerve root at that point, it can bring about shooting leg pain and gradually foot pain as well.

There are certain ways in which this problem can be treated to a certain extent. These methods are as follows:

  1. Common medications: Muscle relaxants. This solution works as an anti-depressant of the nervous system and expands as well as relaxes the tense muscles, easing pain from muscle stiffness or fits
  2. Back supports: A few patients find that a back support can be used to bring comfort and gradually diminish the pain. There is some proof that using a brace every day, can speed up the healing process and lessen the pain. A back support may likewise be useful after back surgery.
  3. Back Braces: Epidural steroid infusion. This infusion includes a steroid inserted specifically into the external piece of the dural sac, which surrounds the spinal chord. An x-ray, called fluoroscopy, is utilized to control the needle in the right area. The objective of the infusion is to soothe the pain by decreasing irritation around a compressed nerve root.

Herniated Disc - Know How It Affects You!

Dr. Pramod Saini 88% (10 ratings)
MBBS, MS - Orthopaedics, FNB Spine surgery, Fellowship In Spine Surgery (AO Spine)
Orthopedist, Noida
Herniated Disc - Know How It Affects You!

A herniated disc also known as a slip disc or prolapsed disc refers to the problem where one of the discs located in between the bones of the vertebrae(backbone) gets damaged and stacks itself upon the nerves. The tender inner portion of the disc gets protruded over the outer ring. Herniated disc causes severe neck pain and back pain. It occurs when the outer ring gets weak and tears down. The most common symptoms include pain and numbness, especially on one side of the body. The pain extends down to the arms and legs. It worsens during nighttime. The muscles become weak. Overweight people are likely to have this disease, as the discs carry extra weight. Old people are vulnerable to a slip disc.

Effects of Herinated Disc:

  • An untreated case of herniated disc may cause permanent damage to the nerves.
  • In certain cases, a herniated disc is capable of cutting off nerve impulses to the "caudal equine"nerves, present in the lower back and legs. This leads to loss of bladder control or bowel control.
  • Saddle anaesthesia is another long-term effect. Nerves are compressed by the slip disc, causing loss of sensation in the inner portions of your thighs, the back of your legs and surrounding the rectum region.
  • Symptoms may improve or worsen.

Diagnosis of Herinated Disc:

Treatment or diagnosis of herniated disc or slip disc can be either conservative or surgical in nature. The nature of treatment is determined according to your discomfort level and the kind of pain you are experiencing, or how much the disc has slipped out.

  • The pain caused by herniated disc can be relieved by undertaking an exercise schedule which includes stretching and strengthening the spine and its surrounding muscles.
  • A physiotherapist should be appointed for recommending the types of exercises.
  • Taking pain relievers also soothes the pain.
  • Stronger medicines prescribed by doctors include-muscle relaxers, narcotics to deal with the pain, medicines for nerve pain such as "gabapentin"  or "duloxetine".

In case of the symptoms not subsiding within a span of six weeks, a surgery may be recommended by your doctor. The surgeon may have to remove the damaged part of the disc. This surgery is called a microdiskectomy. In case you have a concern or query you can always consult an expert & get answers to your questions!

3707 people found this helpful

Microdiscectomy For Lumbar Disc Disease And Sciatica

Dr. Namit Singhal 90% (26 ratings)
MCH Neuro Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
Neurosurgeon, Agra
Microdiscectomy For Lumbar Disc Disease And Sciatica

Microdiscectomy for symptomatic lumbar disc in young patients who have failed nonoperative treatment has a high success rate based on outcome measures, patient satisfaction, and return to active duty. Patients with sequestered or extruded lumbar disc herniations had significantly better outcomes than did those contained herniations. Patients with contained disc herniations and smoking have less satisfaction rates.

1 person found this helpful

Herniated Disc - When Is Surgery Recommended For It?

Dr. Arun Sharma 89% (35 ratings)
MBBS, MS - General Surgery, MCh - Neuro Surgery
Neurosurgeon, Delhi
Herniated Disc - When Is Surgery Recommended For It?

The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.

Effects of Herniated Disk
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back.  It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord. 

Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disk to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.

When is Surgery Recommended for Herniated Disc?

Surgery for herniated disc is recommended only after options like steroid injections, pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage. 

There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.

The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition. 

Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disk. At times, emergency surgery is also required to avoid paralysis in a patient.

1 person found this helpful

When Should You Consider Undergoing Surgery For Sciatica?

Dr. Vikas Bhardwaj 82% (10 ratings)
MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
When Should You Consider Undergoing Surgery For Sciatica?

Sciatica pain can be mild to intense. Many with lumbar herniated disc and sciatica often wonder whether or not they require a surgery. Needless to say, it is never an easy decision. But the good news is that micro discectomy surgery has a higher rate of success when it comes to relieving sciatica pain. When compared to many other options, this one is relatively minimally invasive. It doesn’t alter the structure of the spine permanently since it works by removing a small portion of the disc, which has herniated or extruded out of the disc.

When your sciatica pain stems from lumbar disc herniation, a small open surgery with the help of magnification is the prevalently opted surgical approach. On the other hand, a laminectomy is done when the bone or disc pinching the nerve root is required to be removed.

When should you consider undergoing surgery for sciatica?
Typically, neurosurgeons recommend considering surgery for sciatica in a host of situations which include the following:

  1. Severe pain in the leg lingering for more than six weeks, which mainly affects one side of the leg or buttock
  2. Intense pain in the low back and buttock, which continues through the course of the sciatic nerve andextends to the lower leg and even foot. This pain can be described as sharp and searing rather than a dull thud.
  3. When pain has not alleviated even after non-surgical treatments that may include non-steroidal anti-inflammatory drugs (NSAIDs),oral steroids, injections, manual manipulations, and physical therapy
  4. When the patient is not able to take part in the day to day activities due to intense lower back pain and the symptoms tend to become severe during movements like sneeze and cough.
  5. When the symptoms are continuing to worsen, thereby indicating nerve damage, particularly when the progressive signs have their root in neurological issues
  6. It is important to note here that surgical intervention may only be needed when the patient experiences progressive weakness in the lower portion of the body or sudden loss of bladder or bowel movement, which may stem from cauda equina syndrome. Two surgeries, namely lumbar laminectomy and microdiscectomy are performed on the basis of the cause as well as the duration of the sciatica pain.
  7. In some cases, the symptoms are unique on the basis of the underlying causes of sciatica. For instance, trying to bend the body backward or walking a longer distance than normal may trigger unbearable symptoms. On the other hand, when the affected individual tries to bend the body forward, it can lead to symptoms stemming from the lumbar herniated disc.
  8. In case sciatica occurs after an accident, injury or trauma, or if it happens in tandem with other symptoms, then it requires an immediate medical attention.

Thus, choosing to go for a surgery depends on several factors that only your doctor can assess and decide upon. In case you have a concern or query you can always consult an expert & get answers to your questions!

2587 people found this helpful

Herniated Disc - How Surgery Will Help?

M.Ch - Neuro Surgery, DNB (Orthopedics)
Neurosurgeon, Hyderabad
Herniated Disc - How Surgery Will Help?

The spinal column supports the entire body. This is made of a number of individual bones stacked together with rubbery discs between them. These discs cushion the bones and act as shock absorbers. In some cases, the soft center of these discs can push through the exterior casing. This is known as a herniated disc. Not all herniated disc cases require treatment. However, in serious cases, treatment may include medications, surgery and physiotherapy. Surgery is usually the last resort for a herniated disc. There are four main types of surgeries that can be used to address this issue.

They include:

  1. Laminotomy or Laminectomy: This is a minimally invasive surgery. For this procedure, the doctor will make a small incision along the backbone through which an opening will be created in the Lamina or vertebral arch. This helps relieve pressure on the nerve roots and hence resolves pain caused by herniated discs. In some cases, the lamina may need to be removed. This is known as a laminectomy.
  2. Diskectomy or Microdiskectomy: A Diskectomyis one of the most common procedures used to address herniated discs in the lumbar region. For this procedure, the surgeon will make an incision along the neck or back. He will then remove a portion of the disc or the whole disc that is affected. This helps reduce pressure on the nerve roots. A Microdiskectomy refers to a minimally invasive form of this procedure. These procedures can be performed as an inpatient or outpatient procedures depending on the patient’s medical state.
  3. Artificial Disk Surgery: This procedure is performed while the patient is under general anesthesia. It is typically advised in cases where a single disc in the lower back region has herniated. An incision is made in the patient’s abdomen through which the damaged disc is removed and replaced with an artificial disc. This artificial disc may be created using plastic or metal. Artificial disc surgery is not recommended for arthritic and orthopedic patients or in cases where more than one disc is affected.
  4. Spinal FusionSpinal fusion is also performed while the patient is under general anesthesia and may require hospitalization for several days. For this procedure, two or more bones of the spinal column are fused together permanently to immobilize that part of the spine. This can be done with the help of bone grafts from a donor or any other part of the body along with plastic or metal screws and rods.

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

1839 people found this helpful

Operating A Herniated Disc - Is It Safe?

Dr. Vikas Bhardwaj 82% (10 ratings)
MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
Operating A Herniated Disc - Is It Safe?

When asked to go for surgery, be it for any problem, it can be really scary. This is pretty understandable!. If you are confronted with such a decision whether to go for surgery for your herniated disc problem, then read on to gain an understanding in this regard.

What is a herniated disc?
The bones which form our spine also known as the vertebrae are cushioned by small spongy discs. When these discs are in healthy condition, they help to keep our spine flexible by acting as a shock absorber for the spine. But whenever a disc gets damaged, it might break open or bulge. This is known as a herniated disc. It is also known as ruptured or slipped disc.

When there is a herniated disc, it does not always show any symptom, but when it presses on the roots of the nerves, it causes numbness, pain, and weakness in that area of the body where that nerve travels. The common cause for leg pain and back pain is a herniated disc in the lower back portion. It can also cause numbness down the leg and in the buttock.

Surgical treatment or non-surgical treatment – Which is better?
In case of a herniated disc, surgery works well for most but not all. In case of herniated disc surgery, patients often experience 6 to 12 weeks of severe numbness in the lower portion of the body caused due to a herniated disc, one group of people was advised to have surgery soon, and the other group of people was asked to go for the non-surgical treatment. After two months, the group of people who had surgery felt better than the non-surgical group. Surgery works best when one opts for it within 6 months after the symptoms show up.

Many people are also able to manage their symptoms by opting for non-surgical treatment as well. It includes changing the way in which they do their activities. For example, if sitting longer worsens the condition, the person is advised to stand and do his/her work. Or one can also switch between standing and sitting. Exercise is also a part of the non-surgical treatment. Aerobic exercises are beneficial to reduce the symptoms of a herniated disc. Steroid injections are also included in the non-surgical treatment.

What are the risks of surgery?
At the time of surgery, there might be a slight risk of damaging the spine or the nerves, but it is very rare. If not cared for properly, the patients have slight chances of infection in the surgical site.

To make an informed decision, discuss the options with your doctor, analyze the pros and cons of your situation and decide accordingly.

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

2470 people found this helpful

Herniated Disc - Is There A Way It Can Be Prevented?

MBBS, MD - Radiology, DNB (Radiology), DM (Diagnostic & Interventional Neuroradiology), CCST (UK)
Neurosurgeon, Kolkata
Herniated Disc - Is There A Way It Can Be Prevented?

Rubbery cushions (discs) between the bones (vertebrae) stack up to form the spine. When a nerve between the disc and vertebrae is pressed and inflamed, that condition is called herniated disc. The herniated disc is also referred to as the ruptured disc or the slipped disc. This is caused when the soft jelly is pushed out due to a tear in the exterior. Herniated discs can lead to an irritation of the nerves and result in tremendous pain. It may also cause the arms and legs to become numb and weak. However, some people suffering from this condition may not display any symptoms at all.

Herniated disc generally occur in the lower part of the vertebral column. The herniated disc may also be seen in the thoracic spine or cervical spine. The symptoms of a herniated disc include pain in the legs, feet, or the buttocks, pain in the shoulder blade, tingling of the feet, numbness of the feet and hands, muscle weakness, neck pain or muscle spasm in the neck. Most common causes of herniated discs are aging, excessive weight or lifting of heavy weight.

Prevention of herniated disc

  1. Herniated discs are very commonly found in people who are aged between 35 or 55 years. They are seen more commonly in the men in comparison to the women.
  2. A herniated disc cannot be prevented easily, but there certain things that you can do to reduce the risks. Maintaining the proper techniques of lifting is important. You should not be bending at your waist. You should always bend the knees and keep the back straight. This helps you to use your leg muscles which are very strong to support the weight.
  3. As the saying goes, precaution is better than ​cure, so here are few precautions that can be taken to avoid herniated discs. Practicing a proper posture can help in reducing the risk of a herniated disc. It is extremely important for an individual to maintain a healthy posture while standing, sitting, walking, and even sleeping. It is imperative that you stretch your muscles when you are sitting in one position for a long time.
  4. Another important thing to avoid is high-heeled shoes, as they are few of the most common causes of a herniated disc. It would be a good idea to go for flat and well cushioned comfortable footwear as they can go a long way in reducing the risk of the herniated disc.
  5. Exercising regularly can go a long way in keeping the muscles of the legs, stomach, and back very strong. You should try to balance your flexibility and strength by exercising regularly. The best form of exercise to avoid herniated disc or ruptured disc is aerobic exercise.
  6. It is true that as you start to age, the chances of getting a herniated disc increase significantly. However, if proper precautions are taken, the stress put on the spine can be effectively reduced, thereby eliminating the risk of a herniated disc. In case you have a concern or query you can always consult an expert & get answers to your questions!
2953 people found this helpful

Slipped Disc Problem - Why You Get It?

Dr. Gaurav Sharma 84% (30 ratings)
MD, FIPM, CCEPC, Fellowship In Pain Management
Pain Management Specialist, Jaipur
Slipped Disc Problem - Why You Get It?

Are you prone to slipped disc problem? + the ideal way to treat it

A slipped disc, also known as a prolapsed disc or herniated disc, is the term given to the phenomenon that occurs when a cartilaginous disc found between the vertebrae in the spine becomes slightly displaced or protrudes, thereby pressing on the nerves in the adjacent areas and causing back pain.
This happens when the soft inner part of the disc, known as nucleus pulposus, bulges out through a weakness in the exterior part of the disc. A prolapsed disc usually occurs in the lower region of the spine and can be of varying sizes. There might even be the development of inflammation around the disc in some cases.

Who is likely to get affected?
Most cases of herniated disc occur in patients between the ages of 30 and 50. The number of men affected is twice as many as the number of women.
Although the root cause of this problem is not yet known, there are a number of factors that may trigger it. These factors include working at a job that requires a lot of lifting, an occupation that involves remaining in a seated position for a long time, weight-bearing sports, obesity, smoking habits and increasing age.

Effective ways of treating the problem

The different methods that are commonly used to treat the problem are:

  • Medications - There are many different kinds of medicines that are effective in providing relief. These include painkillers, muscles relaxants, anti-inflammatory pills, etc.
  • Spinal injections - A number of spinal injections are used to treat slipped discs. The injection is done at the opening where the inflamed nerve roots are found and reduces pain, swelling and irritation in the area.
  • Radiofrequency ablation - This procedure makes use of an electrical current produced by radio waves to reduced pain and sensitivity in the affected area.
  • Ozone discectomyAs opposed to the surgical removal of the prolapsed disc, this new process makes use of an ozone-oxygen mixture that is injected into the spine to treat the problem. Many international studies have proved its superiority to traditional methods and surgeries.

Those affected by this problem are advised to keep exercising and continuing with their everyday activities as best as possible.

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

4290 people found this helpful
Icon

Book appointment with top doctors for Herniated Disc treatment

View fees, clinic timings and reviews