Treatment FAQ

what is the best treatment for a herniated disc

by Presley Hansen Published 2 years ago Updated 2 years ago
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Herniated Disc Treatment Options
They typically can be managed with a combination of the following treatments: Oral medications and/or steroid injections to reduce pain and inflammation. Physical therapy to reduce stiffness and pressure on the nerves in the spine. Hot or cold packs for pain relief.

Medication

The following supplements are also beneficial for herniated disc treatment:

  • Omega-3 fish oil supplement — 1,000–2,000 milligrams a day — or a fish roe supplement ( 4)
  • MSM supplement, a sulfur-containing supplement that helps with joint repair ( 5, 6)
  • Glucosamine and chondroitin ( 7)
  • Anti-inflammatory herbs, such as turmeric (curcumin), help heal and repair damaged tissues ( 8)

Procedures

How long such an injury can take to heal without surgery can be different from person to person. However, it’s common for herniated discs to heal in four to six weeks on average, and most of them heal without surgery. Unfortunately, there are factors that can increase how long your herniated disc takes to heal.

Therapy

YES, herniated discs CAN heal by themselves without surgery! Watch the video below to learn how to help your herniated discs heal and get rid of back & leg pain. How Long Do Herniated Discs Take To Heal? It takes herniated discs 300-500 days to heal.

Self-care

Types of surgery for herniated disc

  • Laminotomy/laminectomy. In a laminotomy, a surgeon makes an opening in the vertebral arch (lamina) to relieve pressure on your nerve roots.
  • Discectomy/microdiscectomy. Discectomy is the most common surgery used for herniated disc in the lumbar region. ...
  • Artificial disc surgery. ...
  • Spinal fusion. ...

Nutrition

See more

How to heal a herniated disc naturally?

How long for herniated disc to heal without surgery?

Can herniated discs heal by themselves without surgery?

How do you fix a herniated disc?

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What is the fastest way to heal a herniated disc?

There is no "quick fix" for a herniated disc. Some herniated discs, also called slipped discs, heal on their own in a few weeks to a few months....How to heal a herniated disc quicklyAlternate applying heat and cold.Stay as active as you can. ... Try alternative treatments like acupuncture, massage, or chiropractic.

What is the most common treatment for herniated discs?

A herniated disc is frequently treated with nonsteroidal anti-inflammatory medication, if the pain is only mild to moderate. An epidural steroid injection may be performed utilizing a spinal needle under X-ray guidance to direct the medication to the exact level of the disc herniation.

How long does it take a herniated disc to heal without surgery?

How long does a herniated disc take to heal without surgery? How long a herniated disc takes to heal often ranges between six and eight weeks. Additionally, patients with this condition often heal just fine without surgery.

Can a herniated disc heal on its own?

Herniated disks get better on their own over time or with nonsurgical treatment for 9 out of 10 people. If other treatments don't relieve your symptoms, your healthcare provider may recommend surgery.

Is walking good for herniated disc?

Absolutely. Walking is an excellent choice for patients with herniated discs, as it stimulates blood flow and oxygen to the cells. It also helps keep your discs hydrated, which is important for healing. Other low-impact aerobic activities to try are swimming and cycling.

Can a chiropractor fix a herniated disc?

Nine out of ten individuals with a herniated disc can heal their condition through non-invasive procedures. If you want to explore conservative options for recovery, chiropractic care is an excellent place to start. A chiropractor can help you heal naturally and relieve your pain.

What happens if a herniated disc goes untreated?

Nerve Damage When a herniated disc puts significant pressure on a nerve, it can lead to significant damage by cutting off nerve impulses. Compressed nerves can lead to significant conditions, including loss of sensation in lower extremities or even loss of bowel control.

What percentage of herniated discs require surgery?

In many cases, patients with back pain, leg pain, or weakness of the lower extremity muscles are often diagnosed with a herniated disc (also called a slipped disc).

Can you push a herniated disc back into place?

The discs will bulge or herniated, causing spinal damage and likely a life with chronic pain. Even the slightest increase in spacing can be enough to allow a herniated disc to pop back into place or relieve pressure from a compressed nerve.

Can a herniated disc paralyze you?

With a herniated disc, the capsule cracks or breaks, and the nucleus squeezes out. This can irritate the spinal cord or nearby nerves, causing weakness and numbness in the arms or legs. A severely herniated disc can cause paralysis.

What are 3 signs and symptoms of a herniated disk?

Here are 3 unique signs of a herniated or protruding disc to help you identify the underlying cause of your lower back problem:Pain while sitting. An activity that exerts tremendous pressure on your lower spinal discs is sitting. ... Radiating pain into your leg (sciatica) ... Pain aggravated by specific activities.

Is a herniated disc serious?

A herniated disc is a common spinal disorder, and it typically responds well to conservative treatment like gentle exercise or over-the-counter pain medication. But some ruptured disc symptoms warrant a trip to your doctor to prevent serious—and potentially permanent—nerve complications.

How to treat a herniated disc?

Some exercises can help improve the symptoms of a herniated disc. A physical therapist can teach you which ones strengthen the muscles that support your back. Physical therapy programs also include: 1 Stretching exercises to keep your muscles flexible 2 Aerobic exercises -- such as walking or riding a stationary bicycle 3 Massage 4 Ice and heat 5 Ultrasound therapy 6 Electrical muscle stimulation

How to protect your spine from a herniated disk?

To protect your spine and prevent another herniated disk, you should always sit and stand up straight. If you have to stand for a long period of time , rest one foot on a stool or box to take pressure off your back. Be careful when you lift anything heavy. Squat from your knees to pick it up.

How long does it take for a herniated disk to heal?

Most people with a herniated disk don't need surgery. Rest and other treatments should start to improve your symptoms within 4 to 6 weeks. But if your pain doesn’t improve, surgery might be an option. Talk to your doctor about surgery if: You’re not getting relief from pain relievers, injections, and physical therapy.

What is the bone that is removed from a herniated disc?

Sometimes your surgeon will also need to remove a small piece of bone called the lamina from the vertebra. The lamina forms a protective cover over your spinal cord. Removing part or all of it helps the surgeon access your herniated disk. It also can relieve pressure on your nerves and eliminate leg pain and sciatica.

What is the best medicine for back spasms?

And nerve pain medicines, such as amitriptyline ( Elavil, Vanatrip ), duloxetine ( Cymbalta ), ...

What is the procedure called when you have two disks in your back?

This is called spinal fusion . Fusing the two disks will stop the bones from moving and prevent you from having any more pain. Artificial disk surgery. Only a few people are good candidates for artificial disk surgery because it only works on certain disks in your lower back.

How to stop back pain from a sprain?

You need to keep moving so your joints and muscles don't stiffen up. You can also use ice and heat to help relieve your pain. Just place an ice pack or warm wet towel on the area of your back that is sore. You can alternate hot and cold, or use whichever feels best.

How long does it take to heal a herniated disc?

For lumbar and cervical herniated discs, conservative (non-surgical) treatments can usually be applied for around four to six weeks to help reduce pain and discomfort. A process of trial and error is often necessary to find the right combination of treatments.

What is the best treatment for nerve pain?

Physical therapy, exercise and gentle stretching to help relieve pressure on the nerve root. Ice and heat therapy for pain relief. Manipulation (such as chiropractic manipulation) Non-steroidal anti-inflammatory drugs ( NSAIDs) such as ibuprofen, naproxen or COX-2 inhibitors for pain relief.

How to treat a swollen nerve root?

A combination of the following conservative treatment options can be used through at least the first six weeks of discomfort and pain: 1 Physical therapy, exercise and gentle stretching to help relieve pressure on the nerve root 2 Ice and heat therapy for pain relief 3 Manipulation (such as chiropractic manipulation) 4 Non-steroidal anti-inflammatory drugs ( NSAIDs) such as ibuprofen, naproxen or COX-2 inhibitors for pain relief 5 Narcotic pain medications for pain relief 6 Oral steroids to decrease inflammation for pain relief 7 Epidural injections to decrease inflammation for pain relief

Can conservative surgery be used for pain?

For those patients who experience severe pain and a high loss of function and don’t find relief from conservative treatments, surgery may be considered as an option.

Can you have spine surgery for a herniated disc?

In general, patients usually are advised to start with a course of conservative care (non-surgical) prior to considering spine surgery for a herniated disc. Whereas this is true in general, for some patients early surgical intervention is beneficial.

Conservative herniated disc treatment

Conservative herniated disc treatment should almost always be fully attempted before considering surgery. Over time, these treatments can ease your herniated disc symptoms enough to enjoy a good quality of life. However, it can take some time for you to find the perfect combination of nonsurgical treatments to relieve your symptoms.

Conservative (nonsurgical) treatments include

The use of pain medication. Pain medication can be an effective short-term solution to managing the symptoms that frequently accompany a herniated disc. In many cases, over-the-counter acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) may be helpful under the guidance of a physician.

Examples of alternative treatments include

Yoga or Pilates. Many patients turn to regular yoga or Pilates classes to complement their herniated disc treatment plan. These classes can be helpful because they can increase flexibility, help a patient shed excess body weight and tend to be relaxing.

Common lifestyle improvements include

Modifying your posture. Making an effort to improve your posture is a relatively easy step that can make a significant improvement in your overall spine health. Maintaining good posture extends beyond standing up straight, and also includes the way you sit, sleep and go about your day.

What is the procedure to remove a herniated disk?

Diskectomy to remove your herniated disk. Laminectomy to remove part of the bone around a herniated disk and expand your spinal canal. Artificial disk surgery to replace a damaged herniated disk with an artificial one. Spinal fusion to directly join two or more vertebrae together to make your spine more stable.

What is the best test for herniated disc?

Magnetic resonance imaging (MRI): The most common and accurate imaging test for a suspected herniated disk is an MRI. X-rays: Getting X-rays helps rule out other causes of back or neck pain. Computed tomography (CT): A CT scan show the bones of your spine.

How to tell if you have a herniated disk in your neck?

Symptoms of a herniated disk in your neck include: Pain near or between your shoulder blades. Pain that travels to your shoulder, arm and sometimes your hand and fingers. Neck pain, especially in the back and on the sides of your neck. Pain that increases when bending or turning your neck. Numbness or tingling in your arms.

How many people get herniated disks every year?

Every year, up to 2% of people get a herniated disk. Herniated disks are a leading cause of neck and/or arm, and back and/or leg pain ( sciatica ). They can happen anywhere along the spine, but herniated disks most often occur in the lower back or the neck. It’s rare for a herniated disk to be in the mid-back.

What is a herniated disk?

A herniated disk is also known as a slipped disk or ruptured disk; it is one of the most common causes of back and leg pain. Herniated disks usually happen in the lower part of the spine.

What causes a herniated disk to rupture?

The leaked material may press on nearby spinal nerves. Several factors can contribute to a disk rupture, including: Aging. Excessive weight.

What age group is most likely to get a herniated disk?

People ages 30 to 50 are most likely to get a herniated disk. The problem affects men twice as often as women. Other risk factors include: Sitting for long periods in the same position. Being overweight. Lifting heavy objects. Repetitive bending or twisting motions for work, sports or hobbies. Smoking.

How many treatments for herniated disc?

Typically, you need to do about three to eight treatments, and you will see phenomenal results by doing prolotherapy if you stick to it. ( 9)

What is the best supplement for herniated discs?

The best supplements for healing a herniated disc include a collagen protein or a protein powder made from bone broth. Those contain the amino acids glutamine, glycine, proline, as well as arginine. These are the amino acids that your body needs for collagen production and help heal damaged tissues.

What is the difference between a bulging disc and a herniated disc?

The main difference between the two is that a bulging disc is thought to be caused by pressure that forces the disc to stretch, while on the other hand a herniated disc is primarily caused from a crack developing in the tough outer layer of the disc’s cartilage.

Why do I have a herniated disc?

Part of what can cause herniated discs is if you get what’s called a military neck and losing the curve in your neck. It also can result from having too much or too little curve in your lumbar spine or having a condition like a spondylolisthesis that can cause instability of your lumbar spine or your cervical spine.

What is the best way to heal a damaged disc?

First off, you need to give your body the specific nutrients it needs in order to heal the area, and that means you need to follow what I call the collagen diet. Your body needs collagen to help heal and repair a damaged disc and tissues. In order to do that, collagen is found in protein powder made from bone broth or bone broth liquid. ( 3)

What to eat to help a herniated disc?

For instance, combine chicken, celery, onions, carrots, some organic chicken and some chicken bone broth. That’s going to give you some of the nutrients you need to help heal and repair your low back, stiff neck or wherever you might have a herniated disc.

Is a herniated disc more painful than a bulging disc?

Compared to herniated discs, bulging discs are more common, and they might also go unnoticed more often since they can cause less pain. Then again, each person’s symptoms are different.

What is the best treatment for a herniated disc?

Nonsteroidal anti-inflammatory medications (NSAIDs) are commonly prescribed, and often help relieve the pain associated with a disc herniation. 3  By reducing inflammation, these medications can relieve some pressure on the compressed nerves. NSAIDs should be used under your doctor's supervision.

How to relieve a herniated disc?

Ice and heat application can be extremely helpful in relieving the painful symptoms of a disc herniation. 1  By helping to relax the muscles of the back, ice and heat applications can relieve muscle spasm and provide significant pain relief.

How soon after a herniated disc can you get surgery?

However, surgical treatment of a herniated disc may be recommended soon after the injury if several weeks of non-operative treatment doesn't provide adequate relief. It's important to realize that the size of the disc herniation and the amount of nerve compression doesn't dictate whether you will need surgery.

What is the purpose of a disc herniation injection?

Like oral anti-inflammatory medications, the goal is to relieve the irritation of the nerves. When the injection is used, the medication is delivered to the area of the disc herniation, rather than being taken orally and traveling throughout your body. 3 .

When will a herniated disc be treated?

on August 23, 2020. Treatment of a herniated disc depends on a number of factors including: when the disc herniation occurred, symptoms experienced by the patient, the age of the patient, activity level, and the presence of worsening symptoms. microgen / Getty Images.

Does lumbar stabilization help with herniated disc?

Physical therapy and lumbar stabilization exercises do not directly alter the herniated disc, but they can stabilize the lumbar spine muscles. This has an effect of decreasing the load experienced by the disc and vertebrae.

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Diagnosis

Treatment

Alternative Medicine

Preparing For Your Appointment

Medically reviewed by
Dr. Shreenidhi Kulkarni
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Not all herniated discs require intervention. Treatment may include medication, physiotherapy and surgery.
Medication

Analgesics: To relieve pain.

Ibuprofen


Narcotics: To relieve severe pain.

Codeine


Anticonvulsants: Treats radiating nerve pain.

Gabapentin


Muscle relaxants: To manage muscle spasms.

Metaxalone

Procedures

Spinal surgery: To correct abnormalities.

Therapeutic ultrasound: Uses heat and vibrations from sound waves to treat injuries.

Epidural steroid injection: Injection of cortisone reduces back, neck, arm and leg pain.

Therapy

Physical therapy:Minimizes pain through exercises. Stretching improves flexibility and physical function

Self-care

Always talk to your provider before starting anything.

  • Physical exercise - improves cardiovascular health
  • Heating pad - soothes painful muscles
  • Avoid bed rest and continue low impact activities

Nutrition

Foods to eat:

  • Calcium rich foods such as milk, vegetables, nuts
  • Antioxidants such as oranges
  • Omega 3 fatty acids rich foods such as salmon, fish
  • Sulphur rich foods such as onions, garlic, cabbage
  • Fiber rich foods such as whole grains, nuts, vegetables

Foods to avoid:

  • Processed foods high in nitrites such as Processed meat
  • High sugar, saturated fats, trans fat foods
  • Foods containing corn syrup

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Neurosurgeon
Specializes in surgery on the nervous system, especially the brain and spinal cord.
Emergency medicine specialist
Specializes in identifying and managing illnesses or injuries requiring immediate medical attention.
Orthopedic surgeon
Specializes in the surgery of bone and joint disorders.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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