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Effects And Diagnosis Of Herniated Disc

Dr. Manoj Jain 89% (23 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Mumbai
Effects And Diagnosis Of Herniated Disc

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 Herniated 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 Herniated 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.

I am 55 years old male had a slipped disc operation double disc implants four and a half months ago still I am suffering from back pain every check up my doctor says it will take another one month taking pain killer tablet ultracet please suggest me thanks.

Dr. Shivraj Jadhav 90% (11 ratings)
MBBS, DNB (Orthopedics)
Orthopedist, Navi Mumbai
I am 55 years old male had a slipped disc operation double disc implants four and a half months ago still I am suffer...
Basically the pain lasts averagly for 3 to 4 months. you can consider physiotherapy. Also don't take ultracet too much. You can consider tablet dolonex dt. It's safe.
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I have massive back pain since 12 years due to slip disc. I do exercise and yoga to prevent the pain. My question is what is the permanent remedy to stop the pain.

Dr. Anuradha Sharma 92% (17046 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
I have massive back pain since 12 years due to slip disc. I do exercise and yoga to prevent the pain. My question is ...
Posture corrections must and avoid towards bending and long sitting. Physiotherapy treatment for few days.
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What mean l4 l5 diffuse disc bulge indenting the anterior thecal sac narrowing bilateral neural foramina. Please suggest me.

Dr. Gaurav Kumar 90% (23 ratings)
MS - Orthopaedics
Orthopedist, Hyderabad
Hi lybrate-user At your age it means little. Unless you have significant pain or weakness or numbness in leg/s ignore this report. Focus on maintaining a healthy active lifestyle and back exercises. Any problems feel free to revert.
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Hi, The Mr. findings are, L4-5 level: diffuse disc bulge with posterior-central, right posterior-lateral disc.

Ph.D. ( Russia), Post Graduate Diploma in Laser Medicine, M.M.S. ( Pune Univ), D. B. M. ( Pune Univ), B A M & S Bachelor of Ayurvedic Medicine and Surgery (BAMS)
Ayurveda, Pune
It is not difficult at all. However perfect advise really depends on physical examination & other data inputs PYANMED (holistic approach including PRIMARY EMPHASIS ON LASER THERAPY along with yoga, nutrition & Ayurveda) can be helpful Do not worry You may come on PVT chat with prior appointment.
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I am 33 year old male. I have sleep disc (6.8 mm). I have traction or medicine but no results. So what I am doing now.

Dr. Vishwas Virmani 95% (23738 ratings)
Physiotherapist, Noida
Chiropractic adjustment will help. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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Sir/Madam, My intervertebral between L4 & L5 is slipped resulting compression on sciatica nerve. Thereby I am unable to walk fro more than 3-4 minutes after which I start getting numbness and weakness in the legs. Kindly advice if there is any non surgical remedy for this problem. Thanks.

Dr. Shriganesh Diliprao Deshmukh 90% (3977 ratings)
International Academy of Classical Homeopathy, BHMS
Homeopath, Pune
2. Rhus tox 0/2 once a day for 4days Ruta 200 as above Sympht 200 as above Hyper200 once day for 5days Bell3 c liquid 4tims day Ask me in private so dat we can discuss in better manner and also u wil improve Also we can change d medicine
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Minimally Invasive Spinal Surgery - A Safer Alternative To Open Surgery!

DNB, Diploma In Orthopaedics (D. Ortho), MBBS Bachelor of Medicine and Bachelor of Surgery, Feloship In Joint Replacement
Orthopedist, Mumbai
Minimally Invasive Spinal Surgery - A Safer Alternative To Open Surgery!

Minimally invasive spinal surgery is a quicker and safer alternative to open surgery. The spinal discs, vertebrae and nerves are present deep inside the body. A small incision is made and the surgical instruments and a camera is inserted which push aside the muscles and reach the problem area.

Which medical conditions can be addressed with minimally invasive spine surgery?

1. Degenerative Disc Disease (osteoarthritis of the spine)
2. Herniated Disc (the disc protrudes from its right place)
3. Spinal Tumours
4. Vertebral compression fractures (collapse of the vertebra)
5. Lumbar spinal stenosis (narrowing of the space near the spinal cord)
6. Scoliosis (the spine curves sideways)
7. Spinal infections
8. Spinal instability

What are the goals of minimally invasive spine surgery?

1. Decompression: this procedure eases the pressure being exerted on the spinal cord or the nerve roots. This pressure can be the cause of pinched nerves.
2. Stabilization: sometimes, a segment of the spinal cord that has come loose can be the source of pain. A stabilizations surgery fuses the segment to the rest of the structure.

The three most common methods of minimally invasive spine surgery are-

1. Tubular: it is also called ‘muscle splitting’ surgery. A tubular retractor passes through the muscles of the back and reaches the spine.
2. Mini-open: it is a lot like open surgery but with fewer risks and blood loss. The possibility of post-operation infection goes down significantly.
3. Endoscopic: it is also called a keyhole surgery. A small camera is introduced through a small incision and guided to the spine. The camera gives an internal view of the spine to the doctors.

The three types of Minimally Invasive Spinal Surgery are-

1. Microdiscectomy: involves the removal of the intervertebral disc that is putting pressure on the spinal cord.
2. Foraminotomy: spinal conditions can lead to narrowed foramen (the area where the spinal nerve exits the spine). The aim of the surgery is to expand the foramen.
3. Microlaminectomy: this is yet another type of decompression surgery. The aim is to relieve pain caused pinched nerves or a segment of the bone pressing down on the nerves.

What are the benefits of minimally invasive spine surgery?

• Speedy and pain-free recovery after surgery
• A patient is discharged the same day
• Very little loss of blood
• Reduced chances of infection
• Less scarring because the operation is done through small incisions
• Less muscle damage

Are there any risks attached to minimally invasive spine surgery?

No surgery is free of risks or side effects. Some common problems in the aftermath of minimally invasive spine surgery are-

• Allergies
• Reaction to anaesthesia
• Blood clots
• Infections
• In rare cases stroke and paralysis.

Minimally invasive spinal surgery incorporates the latest advances in the world of technology. It is the relatively hassle-free procedure and convenient for both doctors and patients.

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Hi, I am 30 years old recently I have met with an accident doc advised me to do mri the reports are as such pll thickening opposing c3 to c5, diffuse disc bulges at c3-c4 and c6-c7, diffuse disc bulges at c4-c5, diffuse disc bulges with uncovertebral arthropathy and paradiscal osteophytes at c5-c6 level with compression of bilateral c6 nerve root, diffuse disc bulges at L4-l5 and L5-S1 level with possible nerve root compression at L5-S1.

Dr. Jayvirsinh Chauhan 95% (19228 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi, I am 30 years old recently I have met with an accident doc advised me to do mri the reports are as such pll thick...
Hello Saboora.. you can consult me at lybrate for homoeopathic treatment... it will help to reduce the pain maximum without side effects of usual pain killers... and will also help to recover very fast.
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