Common Specialities
Common Issues
Common Treatments

Slip Disc Tips

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.

3379 people found this helpful

Herniated Disc - Understanding The Effects And Diagnosis Of It!

Dr. Neelabh 92% (59 ratings)
DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
Herniated Disc - Understanding The Effects And Diagnosis Of It!

Herniated disc also known as a slip disc or prolapsed disc and it 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:

  1. An untreated case of Herniated disc may cause permanent damage to the nerves.
  2. 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.
  3. 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.
  4. Symptoms may improve or worsen.

Diagnosis of Herniated Disc:

MRI of the spine is the investigation of choice. If patient has developed weakness or loss of sensation of the limbs, he might need EMG and NCV tests also.


Treatment or diagnosis of Herniated disc or slipped 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.

  1. 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.
  2. physiotherapist should be appointed for recommending the types of exercises.
  3. Taking pain relievers also soothes the pain.
  4. Stronger medicines prescribed by doctors include-muscle relaxants, narcotics to deal with the pain, medicines for nerve pain such as "gabapentin"  or "duloxetine".
  5. 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 microdiscectomy.
4272 people found this helpful

Back Pain - Causes And Treatment!

Dr. Swarup Kumar Ghosh 88% (82 ratings)
MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Back Pain - Causes And Treatment!

 Back Pain Causes And Treatment.

There are several back pain causes – but, distinguishing causes is significant to the future resolution of the matter, and your doctor or hired therapist can assist you to figure that out. a lot of usually than not the underlying downside has been a gift for a few time before the pain evolves, or the matter is aggravated by a trying movement or state of affairs leading to pain.

In my expertise, there are 5 primary causes of mechanical back pain.

  • Poor posture
  • Injuries and accidents
  • Stress
  • Ageing.
  • Medical conditions

1. Posture:

Each a part of the body was designed to be in a very specific position. However, even though we tend to start with good posture, modern-day living and also the necessities of our work environments usually mitigate against U.S. and favor poor posture. Over time this weakens the mechanical came upon of the body that, once tested, could break down and also the result is a pain. the issues I see most are results of poor sitting, standing and dealing postures. usually, a little modification in a very person’s posture eliminates this sort of back and neck pain. it’s vital to find out and maintain an honest posture.

2. Injuries And Accidents:

Overuse of muscles Associate in Nursing joints in an inefficient movement pattern will cause back and neck pain. this can be because of excessive strain being placed on one muscle cluster because of Associate in Nursing imbalance within the performance between muscle teams and might lead to muscle and joint injury. I see fractures to spinal bones caused by falls and car/bike accidents.

3. Stress:

Just as your temperament responds to fret in some ways thus will your body. The initial reaction of your body to fret is to tighten. once the muscles of your body tighten this features an alteration result on the nerves and ligaments and also the joint to that those muscles attach. this could in itself cause pain and pressure on the organs that the tight muscle surrounds. This usually ends up in poor performance of the organ. If this continues for any length of your time bodily health will be compromised in some ways. Despite what we tend to might imagine, muscles remember or yield to stress simply, thus usually the injury addressing is that the results of terribly previous stress.

4. Aging:

The most common reason behind back and neck pain I see is aging. usually, folks, ar suggested that there’s no treatment accessible to contend with aging-associated pain – this can be not true. The relief from pain that treatment will bring usually leaves patients astounded and curious why they need place up with their discomfort for therefore long. actually, ligaments get thicker and joints and discs dry out with age and this method may end up in nerves and muscles around the spine being affected. this could lead to pain, numbness, pins and needles and weakness. the foremost common age connected conditions I treat ar chronic disc illness (spinal stenosis) or at bay nerves. An at bay nerve may end up in pain distant from the spine, unremarkably mentioned as neuralgy. This terribly painful condition responds excellently to acceptable treatment.

5. Medical Conditions:

On every day, I treat autoimmune disease and Osteoarthritis, Spondylolisthesis, Scoliosis, and pathology. though these are physiological conditions they can also be helped and managed well with physiatrics treatment.

1 person found this helpful

How To Treat Slip Disc With Sciatica?

Dr. Saipriya Tewari 90% (74 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesia, PDCC - Pain Management, Fellow of Interventional Pain Practice
Pain Management Specialist, Delhi
How To Treat Slip Disc With Sciatica?

The intervertebral discs are made-up of two concentric layers, the inner gel-like Nucleus Pulposus and the outer fibrous Annulus fibrosus. As a result of advancing age, the nucleus loses fluid, volume and resiliency and the entire disc structure becomes more susceptible to trauma and compression. This condition is called as degeneration of the disc. The disc then is highly vulnerable to tears and as these occur, the inner nucleus pulposus protrudes through the fibrous layer, producing a bulge in the intervertebral disc. This condition is named as herniated disc. This can then cause compression to the spinal cord or the emerging nerve roots and lead to associated problems of Sciatica radiating pain from back to legs in the distribution of the nerve. Other symptoms could be a weakness, tingling or numbness in the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency.

Excessive weight, bad postures, undue movements, improper weight lifting and other kinds of traumas may weaken the intervertebral discs. When this occurs the pulpous nucleus will bulge against the annulus, or even be squeezed through it (extruded disc).

The first steps to deal with a herniated or prolapsed lumbar disc are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point, it is convenient to have some plain X-rays done, in search of some indirect evidence of the disc problem, as well as of degenerative changes on the spine.

If in a few days these measures have failed, the diagnosis has to be confirmed by means of examinations that give better detail over the troubled area, as the MRI, CT which will show the disc, the space behind it and in the first case, the nerves. In some instances, the EMG (electromyography) is also of great value, as this will show the functionality of the nerves and muscles.

Once the diagnosis has been confirmed, one of the best alternatives existing today is the Ozone Discolysis as the results obtained are excellent and practically has no complications. This novel treatment avoids the use of surgery in 80% of those who needed it. In most patients left with painkillers as the only treatment, the symptoms eventually disappear, only that this could take weeks to months. Ozone speeds up these developments, see the same result in a few weeks. The problem has to be seen and approached integrally and frequently the combination of therapies has to be used, most frequently physiotherapy. Also, it has to be known that those who had a herniated disc have 10 times more chances of having another herniation than the rest of the population.

If despite the ozone therapy the symptoms persist, Drill Discectomy/ Laser Discectomy are good alternatives before open surgery (Discectomy) which has to be contemplated in those true emergencies, as mentioned above, this is possibly the first choice.

Once the conservative treatment fails:

Early aggressive treatment plan of pain has to be implemented to prevent peripherally induced CNS changes that may intensify or prolong pain making it a complex pain syndrome. Only 5% of total LBP patients would need surgery & 20% of discal rupture or herniation would need surgery. Nonoperative treatment is sufficient in most of the patients, although patient selection is important even then.

Depending upon the diagnosis one can perform & combine properly selected percutaneous fluoroscopic guided procedures with time spacing depending upon pt`s pathology & response to treatment.

Using precision diagnostic & therapeutic blocks in chronic LBP, isolated facet joint pain in 40%, discogenic pain in 25% (95% in L4-5&L5S1), segmental dural or nerve root pain in 14% & sacroiliac joint pain in 15% of the patients. This article describes successful interventions of these common causes of LBP after conservative treatment has failed.

LESI: Lumbar Epidural Steroid Injection

Indicated in – Acute radicular pain due to irritation or inflammation.

  • Symptomatic herniated disc with failed conservative therapy
  • Acute exacerbation of discogenic pain or pain of spinal stenosis
  • Neoplastic infiltration of roots
  • Epidural fibrosis
  • Chronic LBP with acute radicular symptoms
  • Epidural- lumbar injection

ESI Treatment Plan

Compared to interlaminar approach better results are found with a transforaminal approach where drugs (steroid+ LA/saline +/- hyalase) are injected into anterior epidural space & neural foramen area where herniated disc or offending nociceptors are located. Whereas in interlaminar approach most of drug is deposited in posterior epidural space.Drugs are injected total 6-10 ml at lumbar, 3-6 ml at cervical & 20+ ml, if caudal approach is selected. Lumbar ESI is performed close to the level of radiculopathy, often using paramedian approach to target the lateral aspect of the epidural space on involved side. Cervical epidural is performed at C7-T1 level.

SNRB- Selective Nerve Root Block 

Fluoroscopically performed it is a good diagnostic & therapeutic procedure for radiculopathy pain if

  • There is minimal or no radiological finding.
  • Multilevel imaging abnormalities
  • Equivocal neurological examination finding or discrepancy between clinical & radiological signs
  • Postop patient with unexplainable or recurrent pain
  • Combined canal & lateral recess stenosis.
  • To find out the pathological dermatome for more invasive procedures, if needed

Intradiscal Procedures 

Provocative Discography - Coupled with CT

A diagnostic procedure & prognostic indicator for surgical outcome is necessary for the evaluation of patients with suspected discogenic pain, its ability to reproduce pain(even with normal radiological finding), to determine type of disc herniation /tear, finding surgical options & in assessing previously operated spines.

Percutaneous Disc Decompression (PDD)

After diagnosing the level of painful offending disc various percutaneous intradiscal procedures can be employed

Ozone Discolysis: Ozone Discectomy a revolutionary least invasive safe & effective alternative to spine surgery is the treatment of choice for prolapsed disc (PIVD) done under local anaesthesia in a daycare setting. This procedure is ideally suited for cervical & lumbar disc herniation with radiculopathy. The total cost of the procedure is much less than that of surgical discectomy. All these facts have made this procedure very popular at European countries. It is also gaining popularity in our country due to high success rate, less invasiveness, fewer chances of recurrences, remarkably fewer side effects meaning high safety profile, short hospital stay, no postoperative discomfort or morbidity and low cost.

Dekompressor: A mechanical percutaneous nucleosome cuts & drills out the disc material somewhat like morcirator debulking the disc reducing nerve compression.

Epidural Adhenolysis or Percutaneous Decompressive Neuroplasty for Epidural Fibrosis or Adhesions in Failed Back Surgery Syndrome (FBSS)

A catheter is inserted in epidural space via caudal/ interlaminar/ transforaminal approach. After epidurography testing volumetric irrigation with normal saline/ L.A./ hyalase/ steroids/ hypertonic saline in different combinations is then performed along with mechanical adenolysis with spring loaded or stellated catheters or under direct vision with epiduroscope.

Top Physiotherapists in Gurgaon

Dr. Sanjeev Kumar Singh 91% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

Today’s lifestyle is full of stress, long commuting hours, staying back in office to meet that deadline. All this can lead to musculoskeletal problems. These top physiotherapist in Gurgaon, can help you with determining any kind of musculoskeletal problems as well as treatment. They can help you with the simplest of thing like posture correction to post surgery physio like in case of knee or hip replacement. They also help in treating as well as the training required for sports. Below is the list of Top 10 Physiotherapist in Gurgaon, you can refer in case you are suffering from any kind of muscle or joint injury, pain or discomfort. 

1. Dr. Deep Arya


Consultation fees: ₹500

Dr. Deep has 21 years of practice and runs his own clinic as Arya Physiotherapy Clinic, Gurgaon. His clinics are very well equipped with high facilities and world class technology. His areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

2. Dr. Rajesh Pal (PT)

BPTh/BPT, MPT - Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics), MBA - Hospital Management

Consultation fees: ₹500-600

Dr. Rajesh Pal has 18 years of experience at  PAL Physiotherapy and GNH Hospital, Gurgaon. He is a trusted physiotherapist and a trusted name in Gurgaon. His areas of specialisation are backache related disorders and sport injuries. 

3. Dr. Ranjana Arora

B.P.T, M.P.T(ORTHO), Certification In Gym Instructor & Prenatal & Post Natal

Consultation fees: ₹500

Dr. Ranjana is known for her hardwork and dedication for her patients. She has 16 years of experience and currently practices at Physioslimfit Wellness Centre.. Her areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis. She also specializes in Pain management, Aerobics,  Gym Instruction and pre- post natal exercise.

4. Dr. Sachin Singh

BPT, Master of Hospital Administration

Consultation fees: ₹400-500

Dr. Sachin has 20 years of experience and is amongst the leading physiotherapist in Gurgaon. He is currently associated with Neurortho Physiotherapy Clinic, Gurgaon. He actively participates in various medical camps and specialises in dealing with back pain related issues like-  slip disc and cervical spondylosis. He also take sessions on postural training and frozen shoulder in different corporate offices.

5. Dr. Gaurav Tyagi

BPT, MPT- Ortho

Consultation fees: ₹500

Dr. Tyagi has around 9 years of experience in treating various types of musculoskeletal pain, orthopaedic and neurological conditions. He also treats sports injuries, geriatric care and rehabilitation. He is currently working as a HOD of Physiotherapy and Rehabilitation in Anahat Multispeciality Hospital, Gurgaon and was previously associated with some of the reputed hospitals like Brij Medical Center, Nu Tech Mediworld and Qi Spine.

6. Dr. Pallavi Jain

BPTh/BPT, MPT - Physiotherapy

Consultation fees: ₹900

Dr. Pallavi Jain has 7 years of experience as a physiotherapist in Gurgaon. She currently practices at W Pratiksha Hospital. Other than being a physiotherapist, she is a certified Mat Pilates Level 1 Instructor. Sh also has hands on experiment on treating cases of  trauma injury, paralytic care, parkinson's disease and rheumatoid arthritis.

7. Dr. Yogyata Gandhi (PT)

Antenatal and Postnatal Fitness Instructor, CSPT, BPTh/BPT, Certification in Lactation

Consultation fees: ₹400 - 600

Dr. Yogyata Gandhi is a consultant physiotherapist who is associated with paras hospital Gurgaon. She has 10 years of experience in this field and specialises as sports and musculoskeletal physiotherapist and antenatal physiotherapist.  She is a certified pregnancy yoga and fitness expert and runs her own prenatal yoga classes in association with gynecologists.

8. Dr. Geyata Shrivastava


Consultation fees: ₹200

Dr. Geyata is a well known physiotherapist, with  9 years of experience and practices at Dr. Geyata Shrivastava clinic. Her clinic is known for using the best and latest technology in machines for treating any pain and bone related ailments. Areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

9. Dr. Neha Mittal


Consultation fees: ₹600

Dr. Neha is currently affiliated with Mayom Hospital, Gurgaon. She has 11 years of experience as  physiotherapist. She is expert in treating some very rare critical and challenging cases. She is a certified Kinesio Taping Therapist, qualified Mulligan mobilization practitioner and Thera Band Trainer. Her rares of experiment are treatment of Orthopedic, Post-Surgical, Neurological, Pediatric, Gynecological, Cardiopulmonary, Sports Physiotherapy, Lifestyle and Obesity conditions.

10. Dr. Neetu Rathi (PT)

MPTh/MPT - Neurological Physiotherapy, BPTh/BPT

Consultation fees: ₹500

Dr. Neetu other than being a physiotherapist, she is a certified in different procedures like clinical dry needling, workplace ergonomics, kinesio taping (CKTT), mulligans manual mobilization therapist, cupping and manual therapy and pilates. Her areas of interest are treating cases with low back pain, knee pain and neck pain, antenatal and postnatal cases, ACL Reconstruction Rehabilitation, Paralysis, Neuro Physiotherapy and Sports Injury.

Top 10 Physiotherapist in Bangalore!

Dr. Sanjeev Kumar Singh 91% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

Physiotherapy is effective in restoring the mobility and functioning in any case of musculoskeletal sprains and surgeries. You can contact these top 10 physiotherapist in Bangalore in case if you or your loved one are suffering from disorders such as meniscal injuries, mental health, sciatica, shin splits, shoulder problems, spinal injuries, and sprains in ankles, thumbs, necks etc. The top physiotherapists in Bangalore are listed below:

1. Dr. Aamir Kaleem

M.P.T, Bachelor of Physiotherapy

Dr. Aamir Kaleem is a Clinical Physiotherapist with 19 years of experience. He currently practices at Quantum Physiotherapy. He is a member of Indian Association of Physiotherapist. His areas of specialisation are orthopaedic physiotherapy, transcutaneous electrical nerve stimulation (TENS), Cryotherapy/ Cold Therapy and Manual Therapy.

Consultation fees:  ₹250

2. Dr. Sumanjit Sharma


Dr. Sumanjit Sharma (P.T.) is a sports and musculoskeletal physiotherapist with 9 years of experience. He is a member of Indian Association of Physiotherapist and currently practices at Stride Rehab Care. He actively participates in various medical camps and specialises in dealing with back pain related issues like-  slip disc, cervical spondylosis and frozen shoulders.

Consultation fees:  ₹400-500

3. Dr. Manali Gupta


Dr. Manali Gupta with 7 years of practice. She is a geriatric, orthopedic and neuro physiotherapist. She currently practices at Nap Heal and Wellness Physiotherapy Clinic, Bangalore. Few of the areas of her specialization are lumbago, sports physiotherapy, global postural reeducation - RPG. 

Consultation fees:  ₹250

4. Dr. Sandeep Dhar
 MSPT (Master of Physical Therapy), BPTh/BPT

Dr. Sandeep Dhar is an experienced physiotherapist with 10 years of experience. He practices at  Columbia Asia, Bangalore. He is specialises as orthopedic and sports and musculoskeletal. He is also known for his other treatments like cryotherapy, electrical stimulation, range of motion and strengthening exercises. He is a member of Indian Association of Physiotherapists.

Consultation fees:  ₹650

5. Dr. Nithin Krishna K (PT)

MPTh/MPT - Neurological Physiotherapy, BPTh/BPT

Dr. Nithin Krishna with 9 years of experience  he practices at his own clinic Telerad RxDx diseases. His areas of expertise are areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis. He specialises as Neuromuscular Physiotherapist.

Consultation fees:  ₹250

6. Dr. Kamalika Bhattacharya

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT

Dr. Kamalika M Bhattacharya has more than 20 years of experience and has done her masters from UK. She has worked with Singapore Armed Force and Changi general Hospital as a Senior Physiotherapist and is also an experienced fitness coach.  She has expertise in outpatient orthopedics, musculoskeletal physiotherapy, spine, shoulder, and spinal manipulation. She is currently practicing at Fostr Healthcare.

Consultation fees:  ₹300

7. Dr. S. Gomathi


Dr. S Gomathi with 18 years of experience and a reputed physiotherapist. She currently practices at Dr.Gomathi's Physiotherapy Clinic and Trust Physiotherapy Clinic, Bangalore. She is a member of Indian Association of Physiotherapist. In her career she has treated many cases of weight reduction, pain management, paralysis management, maintaining venous circulation, soft tissue and joint mobilization, Heat and cold therapy, range of motion exercise.

Consultation fees:  ₹300

8. Dr. Rajveer Singh(pt)

BPTh/BPT, Fellowship in Orthopaedic Rehabilitation (FOR), MBA (Healthcare)

Dr. Rajveer Singh has 11 years of experience and practices at trinity physiotherapy. He specializes in treatment of coccydynia or tailbone pain. Other than this he also specializes in post surgery, knee pain, sports, geriatric physical physiotherapy. He is a member of Indian Association of Physiotherapist & Indian Red Cross Society.

Consultation fees: ₹400

9. Dr. Raksha Srinivasan


Dr. Raksha Srinivasan is a physiotherapy with specialization in sports and manual Therapy as well as MD in Acupuncture. She is a member of Indian Physiotherapy Association and currently practices at Rapid Recovery Physio, Bangalore. Her areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis.

Consultation fees: ₹500

10. Dr. Dhanajeyan Jayavel

BPTh/BPT, MPTh/MPT - Musculoskeletal Physiotherapy, Certificate course in Manual therapy (CMT)

Dr. Dhanajeyan Jayavel is an experienced physiotherapist with 19 years of experience. His specialization are clinical, cardiovascular & pulmonary, geriatric, orthopedic physiotherapy. He is recipient of many awards and recognition in his field. He is currently practising at Spectrum Physio Centre, Bangalore.

Consultation fees: ₹500

Disc Related Problem - Do you Think You Need Surgery?

Dr. Kapilchand Narra 92% (22 ratings)
B.P.T, M.P.T
Physiotherapist, Hyderabad
Disc Related Problem - Do you Think You Need Surgery?

You might be an elite athlete or just a commoner. There is always a possibility for you to develop back pain while carrying out your daily activities. You might not be aware, but regular activities—like sitting at the computer, running on the treadmill or simply crawling into your bed for a good night's sleep—can affect the health of your spine. You are always at the risk of damaging your spine. These damages lead to back pain. It has been found that faulty postures can cause back pain by causing straining of the back muscles, injuring the tendons and damaging the vertebrae or ligaments. Back pain can be caused due to the overuse of a particular activity or for undertaking a new activity. Besides all these possibilities, most people put the blame on their discs for back pain.

What is a disc?

The human spine is composed of 24 bony vertebrae. These are placed one on top of the other. There is a thin intervertebral disc between each vertebrae. These discs look like jam doughnuts. They are made up of a hard outer shell known as the annulus fibrosis. They have a soft, jelly-like inner core known as the nucleus pulposus. They are shock absorbers.

What Happens To The Discs When An Injury Occurs?

The jelly-like soft core in the discs can often get shifted as a result of the accident or injury. Thus, the discs become a reason behind back pain. The pain could be due to the problems with the disc while carrying out tasks like

  1. Prolonged sitting

  2. Bending

  3. Lifting

  4. Twisting

  5. Pulling

Symptoms Of Disc-Related Pain:

Symptoms tend to vary due to the nature of the injury and the damage caused. However, some common symptoms have been listed below:

  1. Localised back pain

  2. Pain in thighs, lower legs and feet

  3. Tingling sensations

  4. Numbness or muscular weakness


It is best to consult a doctor to know about the treatment needed for back pain related to disc. Initial treatment after detection of the problem includes the following ways:

  1. Intake of non-steroidal anti-inflammatory and pain medication.

  2. Application of heat and ice packs.

  3. Physiotherapy.

  4. Home exercise program as suggested by the doctor.

  5. Practicing of core and lumbar strengthening exercises.

One must stop movements that aggravate the pain and don’t take difficult physical activities. You must take adequate rest to set things right.

Do You Need Any Surgery?

It is not always needed for all disc related problems. Most issues with the disc vanish after a week. Surgery is sought only after nonsurgical treatments prove useless. The decision must be taken by a doctor.

6063 people found this helpful

Slipped Disc - 5 Tips To Help You Prevent It!

Dr. Amit Shridhar 90% (23 ratings)
MBBS, D (ORTHO), DNB (Orthopedics), MCH (Orthopedic), Spine Fellowship DePUY, Medtronics Spine Fellowship
Orthopedist, Delhi
Slipped Disc - 5 Tips To Help You Prevent It!

Slipped disc, also known as spinal disc herniation, is a medical condition which affects the spine. The spinal column of the human body is composed of a series of bones (also known as the vertebrae), which are stacked on top of each other. All these bones are cushioned from all sides by discs, which absorb any and all shocks from day to day activities such as lifting, twisting and walking. All discs have two parts: a soft inner portion, and a hard outer ring. Due to weakness or injury, the inner part of the disc can protrude through the hard outer ring. When this happens, the condition is known as a slipped disc.

How to prevent slipped disc?
Slipped disc can be avoided by maintaining a few things:

  1. Exercise: Slipped discs are generally associated with age; so regular exercise can help delay the deterioration of the discs. Regular exercise can also help strengthen your back muscles.
  2. Keeping your weight in control: The more your weight, the more the strain your back muscles go through, so it is essential to maintain healthy weight that should ease the pressure.
  3. Stop smoking: Nicotine is harmful for the discs present in your back, as it lowers the capability of the discs to properly absorb the nutrients needed for staying healthy.
  4. Maintaining proper posture: While slouching or slumping alone might not be responsible for a slipped disc, but if your back muscles are already strained, the bad posture could make it even worse. It’s necessary to maintain good posture not only while walking or standing, but also when sitting, as well as sleeping.
  5. Be careful while lifting: Lifting heavy objects can put a lot of strain on the back muscles, as well as the disc surrounding it. Be cautious not to lean sideways or twist your back while in the process of lifting; and always lift only as much as you can manage.

Available treatment options for slipped disc
Generally, a slipped disc is supposed to improve, given rest, medication and exercise. It can take anywhere between one to three months to achieve complete recovery.

  1. Keeping active: After having suffered from a slipped disc, keeping active is very important. While it can be a bit problematic to move, gentle exercise is essential. Swimming is helpful, as the water doesn’t put a lot of strain on the joints, while still supporting your weight.
  2. Physiotherapy: Physiotherapy is an important part of the recuperation programme. Using techniques such as manipulation and massage, physiotherapists work to restore function and movement in patients.
  3. Medication: This includes painkillers such as paracetamol, or any other medicine prescribed by the doctor. Over the counter medications are available, but they should always be taken with caution.
  4. Surgery: A few cases of slipped disc require surgery, especially if the patient’s symptoms have not improved even after other treatments, or if the patient has problems with walking or standing.
3790 people found this helpful

How Panchkarma Can Help Treat Slip Disc?

BAMS, MS - Ayurveda
Ayurveda, Jaipur
How Panchkarma Can Help Treat Slip Disc?

The fast pace of modern life and sedentary work lives are affecting the physical health and posture of most people. As a result, persistent issues of back pain and slipped discs have emerged in the public health discourse. Health experts note that age remains a prime factor behind such health conditions; however, smoking and the consumption of alcohol can also aggravate these conditions in most people. In addition, obesity and excess body weight can trigger back pain and slipped disc.

Symptoms of slipped discs
Slipped discs manifest themselves in shoulder pain and uneasiness in the neck and arms. Patients that suffer from this condition also experience numbness in the upper arm. Back pain remains the primary symptom of this problem and tends to worsen at night. Also, patients may experience muscle weakness at night and a sensation of burning pain in the affected area. Advanced stages of slipped discs make it impossible for patients to walk short distances.

Conventional treatment
Medical intervention seeks to diagnose the symptoms and relieve the discomfort caused by slipped discs. Doctors also recommend methods to prevent recurrence. Conventional allopathic treatment advocates the use of painkillers or traction. This line of treatment can trigger side effects; in certain cases, treatment may not meet with much success.

The benefits of opting the Ayurvedic way
Ayurvedic treatments can help patients to avoid surgery. This form of traditional Indian medicine is safe and effective for patients of all age groups. The treatment is 100% natural and therefore, it does not cause any unwanted side effects or discomfort in the body. Ayurveda stresses on holistic healing; the practitioners of Ayurveda often create a detailed treatment plan for all patients that seek their help. However, patients must be advised to take consultations from a trained medical practitioner.

Resort to Ayurveda for a complete cure-

  1. Patients can seek Ayurvedic treatments because these offer a tangible alternative for the treatment of prolapsed discs. According to Ayurveda, slipped disc problems may be triggered by the imbalance of the Vata element in the human body. Ayurvedic treatment targets this imbalance, and helps restore the basic function and strength of the healthy human body. Ayurvedic treatment also targets weaknesses in the lower part of the body.
  2. Ayurvedic medications comprise herbal tablets, capsules, decoctions, and oils. These applications remain very effective in providing relief to patients suffering from mild to moderate back pain and the associated symptoms of slipped discs.
  3. Patients suffering from chronic back pain with severe intensity may be required to undertake Ayurvedic therapies like Swedana or Sudation therapy. Abhyanga therapy can also be applied through the use of medicated oils. Shodana therapy, which helps to detoxify the body, is also a recommended course of treatment. These interventions are used to heal the nerves so that the symptoms of a herniated disc and muscular spasms are alleviated.
  4. Ayurvedic treatments such as Basti chikitsa, Kati basti, Pneuropanchkarma can help to treat slip disc problem.

If the back pain has been a nagging concern for a while now, it is time, you consult an Ayurvedic practitioner, and take the way to complete recovery from the pain.

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Anushka Sharma Suffering From Bulging Disc - Know The Symptoms, Causes And Treatment Of The Condition

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Anushka Sharma Suffering From Bulging Disc - Know The Symptoms, Causes And Treatment Of The Condition

One of the most loved Bollywood actresses, Anushka Sharma, has reportedly been diagnosed with bulging disc, more commonly known as a slipped disc or a protruding disc.

As per the media reports, the actress, who has been busy promoting her upcoming movie ‘Sui Dhaga’, has been advised rest by doctors.

So , let’s take a look at the symptoms, causes and treatment of bulging disc.


A bulging disc happens when the tough outer layer of the disc bulges into the spinal canal. It is one of the most common spine injuries which can occur in your lumbar spine (lower back), cervical spine (neck) or thoracic spine (upper and mid-back).

The symptoms of bulging disc can vary on the basis of the location and severity of the condition. There is a possibility that a person suffering from a slipped disc does not have any signs till the bulging area does not press against a nearby nerve.

A person, however, may feel severe pain if the spinal nerve is pressurised by displaced disc material.

The signs of bulging disc may include:

The most common sign of the disease is intense pain radiating to the hips, buttocks, legs and feet due to damaged disc. In the cervical spine, pain can radiate from the neck, down the arm and to the fingers. The other signs are numbness, weakness, tingling and muscle spasms.

Causes of a bulging disc:

Among the most common reasons for a bulging disc are injury, wear-and-tear, ageing, excess body weight, severe trauma, etc. 

Genetics may also be the reason for developing this condition. People with family history of degenerative spine conditions are more prone this disease.

What are the treatments?

People who are diagnosed with a bulging disc are generally recommended treatments that relieve its symptoms. These treatments include warm compresses, exercises, medication and rest.

If the condition of the patient does not improve even after the above mentioned measures, the doctor will advise surgery.

How to prevent a bulging disc?

Bulging disc can not be entirely prevented but you can be physically active, do some back strengthening exercises and yoga to reduce the chances of suffering from it.

We hope the condition of Anushka is not severe and she soon returns to her full-fledged schedule to keep us enthralled with her flawless on screen performances. Wish her a speedy recovery !

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