What Not To Do When You Have A Bulging Or Herniated Disc
Its natural to want to look for ways to relieve pain and prevent a reoccurrence of a herniated or bulging disc, but there are some dont that you should pay attention to as well, such as:
- DONT put off a diagnosis or treatment plan. Complications can arise.
- DONT jump right back into your regular activities when you start to feel better
- DONT lie in bed all day. You only need about 48-72 hours of rest. After that, you must get up and get moving to prevent doing more damage to your spine
- DONT lift anything heavier than what your chiropractor recommends
- DONT do anything that will jerk your spines, such as amusement park rides or dancing
- DONT wear high heeled shoes
- DONT sit on very low types of furniture, such as beanbag chairs.
- DONT do any activity or exercise that causes you to twist your back or do straight leg exercises, such as sit-ups with straight legs.
- DONT go running until your chiropractor OKs it. Walking is OK, running or jogging is not.
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If you have low back pain or believe you might have a herniated or bulging disc, or if you have suffered from sciatica, dont hesitate to request an appointment for a same-day appointment. We will gladly check with your insurance for coverage and will work hard to restore you to a life full of excitement and activity. No one should live in pain. Please call us today.
How Goodpath Can Help
It takes lifestyle modifications and real dedication to reduce pain for good. These exercises are a step in the right direction.
At Goodpath, were here to help. Take our back pain assessment now, and we can build an integrative plan specifically for you and your needs. Your program may include:
Personalized exercise videos. Led by one of our physical therapists, we will recommend specific exercises depending on your symptoms and condition.
Supplements and over-the-counter medicines
What Is The Best Slipped Disk Treatment
You may need more advanced treatments if your symptoms aren’t getting better. Your healthcare provider might recommend:
- Medication: Your provider may prescribe an anti-inflammatory pain reliever or muscle relaxant.
- Physical therapy: A physical therapist teaches you an exercise program to help relieve pressure on your nerves. Exercise loosens tight muscles and improves circulation.
- Spinal injections: Called an epidural or nerve block, a spinal injection is a shot of steroid medication directly into your spine. The medication reduces swelling and inflammation of the nerve from the disk herniation. This will allow your body to heal and return to activity faster.
- Surgery: In rare cases, a large herniated disk might injure nerves to the bladder or bowel. That may require emergency surgery. For nonemergency cases, surgery is an option when other treatments fail. There are various ways to perform spinal decompression surgery, but the goal is to relieve pressure on the nerve.
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How Much Does Physical Therapy Cost For A Herniated Disc In The Neck
Analyzing the cost of physical therapy can be challenging. Insurance reimbursement varies depending on insurance coverage and the location where the service is delivered. Most policies have unique co-pays, deductibles, and out-of-pocket amounts that can significantly impact the amount billed.
To help find appropriate therapy care that is both in network and cost effective, be sure to contact your insurance provider. Many clinics and hospitals have billing resources listed on their website to help estimate the cost. Self-pay plans or discounts may be available for individuals who are in financial need or who are uninsured.
What Is The Best Pain Management For A Herniated Disc
A herniated disc in the lumbar or cervical spine can lead to significant back pain. If the disc is pressing against a spinal nerve root, you may also have leg pain, numbness, weakness, and other symptoms. Some herniated discs cause you to feel pain thats severe enough to disrupt your daily life and normal activities.
The good news is that many herniated discs start to improve and heal within a few weeks. In the meantime, there are several treatments you can try to reduce pain and get back to your daily activities. Keep reading to learn the best at-home and doctor-prescribed pain management for a herniated disc.
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Bridges Using Stability Balls
Stability or exercise balls are often used for exercising to manage the condition of herniated disc by strengthening the back. Here are the steps of using one such ball:
What Are The Best Home Remedies For A Herniated Disc
Besides receiving medical treatment, there are ways you can reduce pain at home.
Use ice to reduce swelling for the first few days and then switch to heat, according to The Spine Hospital at the Neurological Institute of New York. However, people respond to heat and ice differently. Some might find heat helps while others prefer ice.
Moderate activity can help. Your physician or physical therapist will let you know when it is safe to begin exercises and explain what you can do to strengthen the back and stomach muscles. You should avoid any heavy lifting or twisting for six weeks.
Some people find yoga helpful but you should slowly resume this and other normal activities. Also, here are things you can do to help prevent another injury from occurring:
- Learn proper lifting techniques
- Use exercises to keep back and abdominal muscles strong
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Can A Herniated Disc Heal On Its Own
A herniated disc doesnt actually heal on its own, but the pain does become less intense and can even go away entirely as the nerve becomes less irritated.
However, it will mean weeks and possibly even months of some fairly intense episodes of pain.
Your own immune response will treat the material that protrudes out of the disc as a foreign object and send an immediate response, usually inflammation, which is very painful. The water from inside the disc will be absorbed by the body and the disc will shrink in size.
Not only is this process lengthy, but it is painful as well. Chances are that you will never recover your full range of movement and your risk for developing another bulging or herniated disc is quite high since you did not take steps to prevent a reoccurrence.
How Can Exercises Help
Exercises and physiotherapy are often important parts of recovery from a herniated disk. A doctor will usually recommend a few days of rest after experiencing a herniated disk.
Doing gentle activities and exercises will strengthen the muscles that support the spine and reduce pressure on the spinal column. They will also promote flexibility in the spine and may help reduce the risk of a herniated disk from recurring.
A doctor may suggest starting small and building up the level of activity slowly. They will discuss specific exercises that a person should and should not perform during the recovery period.
Gentle activities that can help with a herniated disk include:
Perform all exercises in a slow and controlled manner, especially when bending or lifting. Exercises should not hurt. If a person feels pain, they should stop doing the exercises and speak with their doctor.
Below, we discuss exercises that can help treat a herniated disk pain in the neck and back.
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Herniated Disc Treatment: Why Choose Johns Hopkins
- All physicians in our spine division are experienced in treating herniated discs, whether they result from an injury or gradual wear and tear.
- Our team has helped numerous patients relieve pain from disc herniation in the lower back and neck , as well as less common locations such as the midback .
- Although we consider nonsurgical treatments first, our orthopaedic spine surgeons are skilled in procedures such as spine decompression, disc removal and replacement, and spinal fusion that may be needed in rare cases.
- Is surgery the best treatment for your herniated disc? Our team can offer a second or third opinion, helping you make a more informed decision about your health.
Causes Of Herniated Disc
A herniated disc can cause severe pain. The most common cause of the herniation of your discs is aging. As you age, your discs will become thin and less flexible. This condition is generally called disc degeneration. This increases the chance of the disc getting ruptured due to pressure or sudden shock.
Sometimes, using your back muscles instead of leg muscles to pull or push heavy loads can cause damage to the discs. In rare cases, severe shock, blow, or fall have caused the disc to rupture. There are some other causes that, although they dont directly cause rupture or herniation of your discs. However, they can increase the chance of your disc getting ruptured.
Following are some risk factors that you should be aware of:
As you know, weight causes stress on discs. So if the weight of your body is above average according to your height. Then, this will exert extra pressure on your disc while working or sitting. As a result, it will increase the chance of discs getting ruptured.
Many occupations or jobs increase your chance of getting a herniated disc. If your work is physically demanding, like lifting, working in tight places, or other strenuous work. Then the chances of your discs getting ruptured will increase.
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What Surgical Procedures Treat Herniated Discs
If you’ve tried non-surgical strategies and you still have symptoms after three months, surgery may be a good option. Its often a simple outpatient procedure that takes less than an hour.
“Spinal surgery has come a long way, even in the past few years. Unless there’s a concern, most people go home the same day, and usually in just a few hours after the procedure,” Dr. Anand says.
There are two main surgical procedures for a lumbar herniated disc.
This procedure removes portions of the disc as a way to relieve the pressure on the spinal column. Microdiscectomy is sometimes called microdecompression.
In a laminectomy, a portion of the vertebral bone is removed. This creates more space for the spinal cord and nerves, so they aren’t being compressed.
There are two additional options for herniated discs in the cervical spine
Anterior cervical discectomy and fusion or cervical disc replacement
ACDF or CDR are both surgeries that remove the offending disc and insert either a bone graft or artificial disc to stabilize the area.
In this surgery, your surgeon will remove a small piece of bone from your vertebra to create more space for the pinched nerve.
After either surgery, most patients feel relief from symptoms like pain, numbness, and weakness right away. However, it could take several weeks or months for the nerves to fully heal.
Why Do I Feel Pain In My Leg If The Herniated Disc Is In My Back
The nerves in your legs come off of the spinal cord. As they come off, they run in the spinal canal and then come out between two of the spinal vertebrae. It is in the canal that the disc irritates the nerve, sending pain down the leg. .
When these nerves are still in the spinal canal, they are named by the associated disc level . Once they exit the the canal at the individual vertebrae levels, they are grouped together to make up named nerves, such as the sciatic nerve.
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Life After A Herniated Disc
If weakness and a lack of movement contributed to the disc herniation, it goes without saying that certain lifestyle changes will make a big impact on preventing a recurrence of the problem. Gentle activity like walking helps, or specific exercise classes to stay flexible and strong, such as pilates may benefit. Of course, we want people to be more aware of their posture and hydration.
Most people fully recover from a herniated disc and it is important people get the right advice from a registered professional. The goal of most practitioners is to help people out of pain and onto a path of long term wellbeing.
Myofascial Release And/or Massage May Help Reduce Pain
While myofascial pain may not be the original source of lumbar pain, it may be a secondary source of pain originating from a lumbar herniated disc as well as other structures.2 This can be worsened by poor posture and inactivity. Myofascial release is a form of manual therapy that has been shown to improve low back pain. While postural training and myofascial release can be initiated in physical therapy, there are methods that can be done at home in the meantime.
- Use a lacrosse ball or massage cane to put pressure on tender/trigger points in the lumbar area.
- Once a tender/trigger point is identified, maintain constant pressure for 1 to 2 minutes to allow for release of the muscle.
- Repeat these steps for multiple trigger points in the lumbar area.
- This technique may initially worsen pain as pressure is being placed onto inflamed muscles. It is highly recommended to use cold therapy after myofascial release to reduce pain.
Read more about Myofascial Release Therapy
While the pain from most lumbar herniated discs typically resolve in 6 weeks, you will want to manage it in the meantime and take control of your pain management. These tips may not work for everyone, and it may take time before finding what works best to help relieve your lumbar herniated disc pain.
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Medication For The Pain
There are a number of different medications for the relief of sciatic nerve pain caused by a slipped disc. Most of these are painkillers, but you can also use muscle relaxants and . The following medications are the most commonly used. They are all available without a prescription when taken at a low dose:
Some of the medication options have to be prescribed by a doctor. These include:
Anticonvulsants and antidepressants are typically not used unless the symptoms last for a longer period of time or the painkillers don’t provide enough relief.
Treating A Herniated Disc
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The Universal Guide To Herniated Discs: Everything You Ever Wanted To Know Straight From The Experts
In This Article: | | | | | | |
You might think of “the spine” as one solid-but-flexible piece but it actually consists of small, moving parts that all have to work in concert for proper mobility. Sometimes, though, that harmony has a few players who are way out of tunenamely your discs, the cushion-like pads between your vertebrae. When they become damaged and encroach on nerve roots branching off the spinal cord, thats when they can strike the wrong note maybe even a painful one.
Also known as slipped discs or ruptured discs, this is a relatively common condition that can occur anywhere along the spine, but is most likely to affect the lower back or neck.
Spinal discs are cushion-like pads located between the vertebrae. Photo Source: 123RF.com.
You might not feel much from a herniated disc in fact, some people don’t even feel it and never know it’s happening until they get imaging done for another reason, like trauma to the back but for some people, that slipping presses on adjacent nerves. That can definitely seem like a violin screech in an otherwise harmonious concert.
“It’s usually not herniation itself that’s problematic, or that sends someone in to see a doctor,” says Neel Anand, MD, professor of orthopedic surgery and director of spine trauma at Cedars-Sinai Spine Center in Los Angeles.
Activate Your Transversus Abdominis
The transversus abdominis is a core muscle that lies deep within your abdomen. A 2018 study in the Journal of Manipulative and Physiological Therapeutics found that improving the activation of this muscle was associated with lower pain and better day-to-day function in patients with a lumbar disc herniation.
HOW TO DO IT: Lie on your back with your knees bent to a 90-degree angle. Without allowing your back or pelvis to move, draw in your abdominal muscles and hold the contraction for 10 seconds before relaxing again. Be sure not to hold your breath. Complete three sets of 10 repetitions.
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