Jump to content. This topic is for a people who have a herniated disc in the lower back. If you are looking for information on a herniated disc in the neck, see the topic Cervical Disc Herniation. The bones vertebrae that form the spine in your back are cushioned by small, spongy discs. When these discs are healthy, they act as shock absorbers for the spine and keep the spine flexible. But when a disc is damaged, it may bulge or break open. This is called a herniated disc.
Clinical trials for Herniated Disc
To keep everyone safe, our visitor guidelines vary by location. A herniated disc happens when the disc between your vertebrae the bones that form your spine bulges out of place or squishes out through a tear in the outer layer. The herniated disc can then press against the nerves in your spine, causing pain in your back, legs, neck and arms. Typically, wear and tear on the outer layer of the disc causes a herniated disc.
Hoffman RM, Wheeler KJ, Deyo RA. Surgery for herniated lumbar discs: a literature synthesis. J Gen Intern Med ;– Search date.
When a disc herniates, the gel-like inner material leaks out into the spinal canal. Watch: Lumbar Herniated Disc Video. Here are 3 unique signs of a herniated or protruding disc to help you identify the underlying cause of your lower back problem:. An activity that exerts tremendous pressure on your lower spinal discs is sitting. If you have a herniated or bulging disc, this increase in pressure within your disc may cause the bulge to become more pronounced, which may aggravate your lower back pain when you sit.
See Lumbar Herniated Disc Symptoms. Herniated discs may affect these nerve roots through one or both of the following 2 methods 2 – 4 :.
3 Telltale Signs You Have a Slipped or Bulging Disc
A herniated disc can occur in the cervical spine neck or lumbar spine lower back. At right: The top disc has herniated, or “slipped,” and is pressing on a nerve. A normal disc is shown at bottom. A herniated disc is often diagnosed by a physician after a patient complains of back, neck or extremity pain.
It is only when the disc herniation is of a lateralized nature that the segmental nerve root is compressed or inflamed, producing radiation of axial symptoms to the.
We work hard to stay up-to-date on all of the advances in technology in the treatment of back and spine conditions. By offering Houston pain management services, we aim to get to the bottom of your condition and alleviate your pain. Regardless of whether you are experiencing a new condition or suffering as a result of a long-term untreated condition, we are here to provide the treatments you need.
There are many different symptoms related to herniated discs, including severe pain, tingling, numbness, and weakness. If you have recently injured yourself and suspect a herniated disc, turn to us for help. Please call us now at to get started!
The Effect of Ozone Therapy for Lumbar Herniated Disc
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The method includes (a) surgically remove a herniated portion of disc disc: method: fibrin sealant: herniated: polymeric compound; Prior art date:
A common back problem occurs when vertebral disks tear, bulge or rupture. In such cases, an injured disk can no longer cushion the vertebrae and absorb shock. This can lead to pain, stiffness and other symptoms. A herniated disk happens when a spinal disk tears. Spinal disks are gel-filled cushions that sit between the bones of the spine vertebrae.
If a disk tears, the center may bulge out. The disk may then press on nearby nerves.
When You Have a Herniated Disc
The vertebral column, or backbone, is made up of 33 vertebrae that are separated by spongy disks. The spine is divided into 4 areas:. The lumbar spine consists of 5 bony segments in the lower back area, which is where lumbar disk disease occurs. Most disk herniations happen in the lower lumbar spine, especially between the fourth and fifth lumbar vertebrae and between the fifth lumbar vertebra and the first sacral vertebra the L and L5-S1 levels.
Lumbar disk disease is caused by a change in the structure of the normal disk. Most of the time, disk disease happens as a result of aging and the normal break down that occurs within the disk.
A herniated disc can produce lower back pain and/or leg pain (sciatica) or less often neck pain and/or arm pain as a result of the disc’s soft, inner core extruding.
The decision to undergo surgery for your disc herniation has been made, and a date for the procedure has been set. The team at IGEA Brain and Spine understands this sentiment, which is why our spine specialists are happy to walk you through what to expect as you recover from disc surgery. The recovery time you experience after surgery will be dependent on the type of surgery you have for your herniated disc and the type of job you perform.
For example, a person who has a desk job will likely be able to return to work sooner than a person who has a more physically demanding job. Additionally, a patient who undergoes a minimally invasive spine surgery has a shorter recovery time than a patient who undergoes traditional open back surgery. For many minimally invasive spine procedures, you can be back to your normal activities as quickly as weeks after your procedure. If you engage in high-intensity work or athletic activities, your doctor may ask you to avoid these activities a few weeks longer, just to be sure that your herniated disc has healed properly.
HERNIATED DISC SURGERY RECOVERY: GET BACK TO NORMAL
Disks act as cushions between the vertebrae in your spine. They’re composed of an outer layer of tough cartilage that surrounds softer cartilage in the center. It may help to think of them as miniature jelly doughnuts, exactly the right size to fit between your vertebrae. Disks show signs of wear and tear with age. Over time, disks dehydrate and their cartilage stiffens.
These changes can cause the outer layer of the disk to bulge out fairly evenly all the way around its circumference — so it looks a little like a hamburger that’s too big for its bun.
Lower back pain can result from a number of possible causes. Learning about the specific symptoms of a slipped disc can help you understand.
Herniated lumbar disc is a displacement of disc material nucleus pulposus or annulus fibrosis beyond the intervertebral disc space. The highest prevalence is among people aged 30 to 50 years, with a male to female ratio of There is little evidence to suggest that drug treatments are effective in treating herniated disc. We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of drug treatments, non-drug treatments, and surgery for herniated lumbar disc?
We searched: Medline, Embase, The Cochrane Library, and other important databases up to June Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review. We found 37 systematic reviews, RCTs, or observational studies that met our inclusion criteria. There is little high-quality evidence to suggest that drug treatments are effective in treating herniated disc.
NSAIDs and cytokine inhibitors do not seem to improve symptoms of sciatica caused by disc herniation. We found no RCT evidence examining the effects of analgesics , antidepressants , or muscle relaxants in people with herniated disc. We found several RCTs that assessed a range of different measures of symptom improvement and found inconsistent results, so we are unable to draw conclusions on effects of epidural injections of corticosteroids.
With regard to non-drug treatments, spinal manipulation seems more effective at relieving local or radiating pain in people with acute back pain and sciatica with disc protrusion compared with sham manipulation, although concerns exist regarding possible further herniation from spinal manipulation in people who are surgical candidates. Neither bed rest nor traction seem effective in treating people with sciatica caused by disc herniation. We found insufficient RCT evidence about advice to stay active , acupuncture , massage , exercise , heat , or ice to judge their efficacy in treating people with herniated disc.
Standard discectomy and microdiscectomy seem to increase self-reported improvement to a similar extent.