Treatment FAQ

what is the best treatment for bulging discs in a lower back?

by Ms. Norene Turner Published 2 years ago Updated 2 years ago
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Treatment with rest, pain medication, spinal injections, and physical therapy is the first step to recovery. Most people improve in 6 weeks and return to normal activity. If symptoms continue, surgery may be recommended.

Full Answer

What to do if you have a bulging disc in your lower back?

How To Manage Pain From A Bulging Disc In Your Lower Back

  • Rest. As long as you can tolerate this, try it. ...
  • Take medication. When a disc herniates there’s a chemical reaction that creates an inflammatory response as the body tries to calm it down. ...
  • Try therapy. ...
  • Get an epidural steroid injection. ...

How long to heal a bulging disc?

  • Inflammation that continues for a long time can interfere with healing. ...
  • Become aware of positions your body is in that are increasing pain from a disc herniation. ...
  • If you’re using pain medications from your medical doctor, become as conservative as you can with them. ...
  • Cut down drastically on your sugar intake. ...
  • Are you drinking enough water? ...

What are the most common treatments for bulging discs?

What are herniated disc treatments?

  • Rest. Rest is important when you have suffered an injury. ...
  • Exercise. Some exercises can help you feel better, while others can actually make a herniated disc worse. ...
  • Lifestyle changes. Losing weight may also relieve herniated disc symptoms and protect your back from similar injuries in the future.
  • Medications. ...
  • Physical therapy. ...
  • Interventional treatments. ...

Can bulging disc get better on its own?

The good news is that in most cases — 90% of the time — pain caused by a herniated disc will go away on its own within six months. Initially, your doctor will likely recommend that you take an over-the-counter pain reliever and limit activities that cause pain or discomfort.

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What is the best treatment for a bulging disc in the back?

Treatments for a bulging disk will depend on its severity and location. Doctors may recommend anti-inflammatory medications to help with pain and reduce inflammation. For people with severe pain, steroid injections may be a suitable short-term solution. If the disk ruptures, bed rest may be necessary.

Can you fix a bulging disc in lower back?

Herniated/bulging/slipped disk: The procedure is called microdiscectomy. The surgeon removes the part of the disk that's pushing on a nerve. There are two ways to do this. In the traditional method, the doctor makes an inch-long cut and detaches the muscles on one side of your back.

Can anything be done for bulging discs?

Long-term treatment usually involves a self-directed exercise program that you start with a physical therapist and then transition to doing at home. If your bulging discs have caused lumbar stenosis and the symptoms are affecting your quality of life, surgery (called lumbar decompression) is an option.

What makes bulging discs worse?

If the repeated forward bending stress continues, or the improper body mechanics continue, very often the inner disc material will continue to push backwards, causing the disc bulge to worsen, to herniate, progressing into the spinal canal and towards the spinal cord.

Does a bulging disc ever go away?

If the disc is lower in your back, it may irritate your sciatic nerve, which can cause pain that radiates through your buttock and down your leg. The good news is that in most cases — 90% of the time — pain caused by a herniated disc will go away on its own within six months.

Can you fix a bulging disc without surgery?

When the centre or nucleus of a disc pushes out and even passes through the wall of the disc, this is what we refer to as a herniated disc. The good news is that the vast majority of herniated discs can be treated without surgery using manual therapy and exercise or with IDD Therapy disc treatment.

What should I avoid with a bulging disc?

Everyday Activities to Avoid with Herniated DiscSitting too much. Sitting puts more stress on your spinal discs, especially when slouching forward in a seat. ... Doing laundry. ... Vacuuming. ... Feeding a pet. ... Strenuous exercise. ... Shoveling snow or gardening. ... Learn more:

What happens if a bulging disc goes untreated?

A severe case of a bulging disc can cut off nerve impulses, even causing permanent nerve damage. Additionally, you may experience sharp paints, incontinence, bowel movement irregularity, or even partial paralysis as the issue worsens.

What is the best exercise for bulging disc?

Sit in a chair with one foot on the floor and the other extended out straight, with the heel on the floor. Straighten the back and lean forward over the extended leg until there is a stretch along the back of the upper thigh. Hold this position for 15–30 seconds. Switch legs and repeat several times.

How do doctors fix a bulging disc?

Discectomy is the most common surgery used for herniated disc in the lumbar region. In this procedure, the portion of the disc that is causing the pressure on your nerve root is removed. In some cases, the entire disc is removed. The surgeon will access the disc through an incision in your back (or neck).

What do neurosurgeons do for bulging discs?

An incision is placed in the lower back over the area where the disc is herniated. Some bone from the back of the spine may be removed to gain access to the area where the disc is located. Typically, the herniated part of the disc and any extra loose pieces of disc are removed from the disc space.

When should I be worried about a bulging disc?

Protruding discs that have worsened to the point of herniation or rupture may cause severe symptoms that require immediate medical care. Contact a medical provider if you experience pain or numbness that affects your ability to function or walk, or changes in your bowel and bladder function.

How do you know if you have a bulging disk?

The symptoms of a bulging disk depend on its severity and location in the spine. Some people may experience no initial symptoms. However, with further disk degeneration and herniation, a person may have the following symptoms: back pain that worsens with movement, such as sneezes. spasms in the back muscles.

What is the term for the spongy disks that make up the spine?

A bulging disk occurs when the spongy disks between the bones in the spine become compressed and bulge out. A series of interlocking bones, called vertebrae, make up the spine. These vertebrae provide support for the spine and enable the back to bend and move. Between each vertebra is soft tissue, known as a spinal disk, ...

Why do my vertebrae bulge?

Bulging disks occur when the spongy disks between the vertebrae become compressed and bulge out. A common cause of bulging disks is aging. If this degradation continues, it can lead to a herniated disk. Herniated disks can cause pain, numbness, and mobility issues.

Why does my spine bulge?

Bulging disks result from a reduction of gel in the disk center. Less gel causes the disk to become compressed and start to bulge. The gel in a spinal disk naturally wears away over time. A bulging disk is usually the result of aging, but it can also be due to spinal injury, such as the result of a car accident.

What is a herniated disk?

Sometimes, the outer layer of the disk breaks down and causes a herniated disk. A herniated disk, also known as a ruptured or slipped disk, is when the gel-like center leaks out through a tear in the disk’s exterior wall.

What is the soft tissue between vertebrae?

Between each vertebra is soft tissue, known as a spinal disk, which prevents bones from rubbing against each other. The disks also act as shock absorbers to prevent damage during movement. Each disk contains a tough outer later with gel in the middle. This gel may decrease with age, become compressed, and push out.

What is the pain in the back?

back pain that worsens with movement, such as sneezes . spasms in the back muscles. weakness and numbness in the legs and feet. reduced mobility in the legs, knees, and ankles . decreased bladder and bowel control. difficulty walking.

What to do for a bulging disc?

Bulging disc treatment options depend largely on your symptoms. Doctors often recommend acupuncture, electrotherapy, ice packs, or soft tissue massage for minor and moderately bulging disc injuries. You might also want to consider chiropractic treatment.

What is the best treatment for a damaged disc?

You might also want to consider chiropractic treatment. Another option is stem cell disc regeneration. This procedure stimulates the formation of new disc cells, which helps restore and rebuild damaged discs. Patients experience a reduction in pain and discomfort – and improved quality of life.

Why do my discs bulge out?

As we age, our discs dehydrate and their cartilage becomes stiff, which may cause them to bulge out. While aging is the most common cause of bulging discs, there are other factors that may contribute to this condition. These include: A family history of spinal problems.

How many discs are there in the spine?

Their role is to absorb shock and allow movement at each spinal level. The spine has a total of 23 discs. These anatomical structures are subject to wear and tear. At birth, about 80 percent of their content is water.

How to treat a compressed spinal nerve?

Ice packs reduce inflammation and swelling around the compressed spinal nerve. All you need to do is to apply ice on the affected areas for about 10 minutes; repeat several times a day.

Why does my lower back hurt?

In some cases, the pain can worsen and become chronic. This condition can have a variety of cases, from poor posture to arthritis and injuries. Sometimes, it results from a bulging disc.

Where does disc protrusion occur?

Sometimes, it results from a bulging disc. Also known as a disc protrusion, bulging discs typically occur in the lower back between vertebrae L5 and S1 or L4 and L5. Their symptoms vary from one individual to another. Some people may experience no symptoms at all, while others report excruciating pain.

Numbness Or Pins And Needles

A patient can feel numbness or sensations in the foot. This happens because the bulging disc will prevent the nerves from operating properly. As such, some of the signals will pass completely while others wont. In a nutshell, the sensation you are going to feel wont be normal. Patients describe this symptom as funny, but it is far from that.

Preventing Pain And Injury

Posture. Using correct posture and keeping your spine in alignment are the most important things you can do for your neck and back . The lower back bears most of your weight, so proper alignment of this section can prevent injury to your vertebrae, discs, and other portions of the spine.

Can Further Bouts Of Back Pain Be Prevented

Evidence suggests that the best way to prevent bouts of back pain and ‘slipped’ disc is simply to keep active and to exercise regularly. This means general fitness exercise such as walking, running, swimming, etc. There is no firm evidence to say that any particular back strengthening exercises are more useful than simply keeping fit and active.

What Causes A Slipped Disc

It is not clear why some people develop a ‘slipped’ disc and not others, even when they do the same job or lift the same sort of objects. It seems that some people may have a weakness in the outer part of the affected disc. Various things may trigger the inner softer part of the disc to squeeze out through the weakened outer part of the disc.

The Universal Guide To Herniated Discs: Everything You Ever Wanted To Know Straight From The Experts

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.

What Is A Herniated Disk

A herniated disk is an injury of the spine . You have a series of bones in your spine, stretching from the base of your skull to your tailbone. Between your vertebrae are round cushions called disks. The disks act as buffers between your bones, allowing you to bend and move with ease.

How Is A Herniated Disk Diagnosed

Your healthcare provider will do a thorough exam. During the physical, your provider will assess your pain, muscle reflexes, sensation and muscle strength. Your provider may also order tests such as:

What is a bulging disc?

To understand what a bulging disc is, we must first understand the anatomy of the spine. Put simply, the spine is made up of individual vertebrae stacked on top of each other. Between each vertebrae is an intervertebral disc that provides a cushion so the vertebrae don’t rub together. The discs between the vertebrae, ...

How to tell if a disc is bulging?

What are the Symptoms of a Bulging Disc in the Lumbar Spine? 1 At times NO symptoms at all. [2] [7] 2 General Low back pain. [4] 3 Pain can travel down the leg if it pinches on a nerve. [4] 4 Decreased lumbar lordosis (lower back curvature becomes flattened). [6] 5 Muscle spasm [4]

How to relieve back pain from piriformis?

Exercise #1: Lying Figure-4 Stretch ( For Piriformis) In the early stages of a disc bulge, your body’s natural response is to tighten up and protect the spine and buttocks area. Because of this, one of the the simplest things you can do yourself to relieve radiating back pain caused my a disc bulge is stretching piriformis muscle.

What is the best exercise to strengthen your core?

Exercise #5: Plank – To Strengthen Core/Abs. A strong core will protect the spine and improve one’s posture. Therefore this exercise is great at targeting those deep core muscles. ● Begin lying on your stomach with your forearms against the mat.

Does a bulging disc hurt?

[1] [3] * It is important to note that a bulging disc doesn’t always touch the nerves , and for many a bulged disc doesn’t even produce any pain at all. [2] [7] However, it could progress ...

Can you reverse a bulging disc?

Leon’s Notes: There’s some research showing that a bulging disc can in fact be reversed with exercise and posture modifications. Meaning you could actually push back the disc material, so it doesn’t bulge. With most bulging discs in the lower back, you want to try an extension based exercise program (Mckenzie method is a popular one). [5] .

Can you do a plank with a low back?

Notes: The most important thing is NOT to arch your low back when doing the Plank exercise. Only hold the plank for as long as you can engage your core muscles without straining the low back muscles. Other forms of exercise that may help, that were not mentioned above include core strength, walking, pilates, and yoga.

How to heal a bulging disc?

The most important thing is to give the bulging disc the opportunity to heal by: Changing the movements and habits that put unhealthy loads through the disc. Building strength in the appropriate muscles to give the disc the support it needs. Written by Dr. Jeremy James.

How to tell if a disc is bulging?

A bulging disc can be diagnosed by a thorough evaluation by a health care professional and also by imaging such as an MRI. Symptom patterns common to bulging discs include pain with forward bending, pain with coughing, sneezing or bowel movements, and pain with prolonged sitting. The pain can occur in the back, ...

How long does it take for a bulging disc to heal?

With proper exercise and healthy spine habits, a bulging disc rarely requires surgery. In fact, it can typically be treated at home and can usually heal on its own within 6 to 12 months. The most important thing is to give the bulging disc the opportunity to heal by: 1 Changing the movements and habits that put unhealthy loads through the disc. 2 Building strength in the appropriate muscles to give the disc the support it needs.

What is the difference between a disc and a donut?

Each disc is like a jelly-filled donut, with a gelatinous inner layer and firm outer layer. Typically, pressure created by everyday activities like walking, bending, sitting, and lifting is distributed evenly across discs. But bad posture, repetitive movements, and a lack of strength in the muscles that support the spine can cause unhealthy ...

What causes a disc to be uneven?

The weight that is usually distributed evenly through the disc by daily activities (walking, sitting, and bending over) is now distributed in an uneven pattern, putting unhealthy pressure on the affected disc and the surrounding discs, joints, and ligaments. Eventually this pressure causes problems which can result in pain.

What happens when the pressure gets too great in one part of the disc?

When the pressure gets too great in one part of the disc, the inner liquid can push into the outer layer causing a “bulge” to form— this is referred to as a bulging disc. When pressure and the bulge become extreme, the outer layer tears and the inner liquid spills out, resulting in a disc herniation —a herniated disc is a potentially much more ...

Why does my disc hurt?

Pain and/or dysfunction can be caused in four general ways: If the other structures around the disc become overloaded because the damaged disc in unable to absorb shocks, they wear down and become inflamed, resulting in arthritis .

What is the best treatment for a herniated disc?

Options for therapy include yoga, acupuncture, chiropractic care, physical therapy, decompression, and massage therapy. Get an epidural steroid injection . Injecting a steroid right on the disc herniation sometimes reduces inflammation around the spinal nerves.

How long does it take to heal a bulging disc?

That’s a good idea, considering most patients gradually recover from disc abnormalities on their own, without surgery, over the course of several weeks to a couple of months. All the options listed below can help to manage pain.

What to do if you can't handle a disc herniation?

If you can’t handle it, try the next option. Take medication. When a disc herniates there’s a chemical reaction that creates an inflammatory response as the body tries to calm it down. That inflammation presses against the nerve even more.

How many people with no back pain had MRIs?

A study published in the July 1994 New England Journal Of Medicine took MRI scans of 98 people with no low back pain (recruited randomly with flyers and newspaper ads); the scans were examined for signs of disc bulges, protrusions, and extrusions. Fifty-two percent of participants without back pain had one or more bulging discs.

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

Studies show that about 80% of herniated disc cases resolve themselves within approximately six weeks, though it’s not an exact science. Taking the time to try some or all of these options may help you to avoid surgery.

Why does my lower back hurt?

Bulging discs in the lower back are a common cause of back pain. By definition, this condition is a weakening of the outer lining of the disc that allows the inner layers to push out and bulge the outer rim of the disc.

How to reduce swelling in back?

Try anti-inflammatory drugs like ibuprofen to reduce the inflammation, or try muscle relaxants. Try therapy. Once you get the swelling down, you could try therapy to create stability and strengthen the muscles around your core and back, and help improve the function of the spine.

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