Treatment FAQ

what is the treatment fora bulging disc and a herniated disc

by Quinn Collins Jr. Published 2 years ago Updated 2 years ago

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.

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

In short, the answer is absolutely YES. We think that the actual statistic for how many disc bulges recovery naturally, if the body is optimised for a short bulging disc recovery time, is 90% of people recovering within 12 weeks. Unfortunately, this is not always the case, and some people remain in pain past the 12 week mark.

Therapy

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.

Self-care

Your treatment plan may include one or more of the following:

  • Spinal manipulation or adjustments
  • Non-surgical spinal decompression
  • Pelvic Blocking techniques
  • Ultrasound
  • Infrared
  • Chiropractic massage therapy
  • Heat or ice therapy
  • Stretching program

Nutrition

See more

How to heal a herniated disc naturally?

How long does a bulging disc take to heal?

How long for herniated disc to heal without surgery?

What happens if a herniated disc goes untreated?

Can you have a bulging and herniated disc at the same time?

Bulging disc pain might start gradually and become worse over time or when you perform certain activities. Typically, though, bulging disc symptoms do get better over time. However, a bulging disc may also progress over time into a herniated disc, leading to worsened symptoms.

How do you fix a bulging or herniated disc?

Nonsurgical TreatmentRest. One to 2 days of bed rest will usually help relieve back and leg pain. ... Nonsteroidal anti-inflammatory drugs (NSAIDs). Anti-inflammatory drugs such as ibuprofen or naproxen can help relieve pain.Physical therapy. ... Epidural steroid injection.

How do doctors treat bulging discs?

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.

Which is more serious bulging or herniated disc?

Herniated discs are considered more severe than bulging discs because they put significant pressure on nearby nerves, which can cause intense pain, inflammation and difficulties with movement.

Is walking good for herniated disc?

Moderate aerobic activities, including walking, biking, and swimming, also help relieve pain. Some aerobic activities might be better suited to your specific condition. Talk to your doctor about what exercises will best help you.

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.

Will a cortisone shot help a bulging disc?

Corticosteroid injections can reduce inflammation and can be effective when delivered directly into the painful area. Unfortunately, the injection does not make a herniated disc smaller; it only works on the spinal nerves by flushing away the proteins that cause swelling.

When should you have disc surgery?

Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.

How painful is a bulging disc?

A bulging disc may have no pain at all because it has not reached a certain severity level, and this can make it difficult to identify the bulging disc symptoms before the condition becomes more severe. Most commonly, bulging discs create pressure points on nearby nerves which create a variety of sensations.

How effective are steroid injections for herniated discs?

Epidural steroid injections have a reasonable success rate for the alleviation of radicular symptoms from lumbar herniated discs for up to twelve to twenty-seven months. Patients treated with injections may be able to avoid surgical treatment up to this period and perhaps even longer.

What happens if you let a herniated disc go 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 causes a bulging disc to flare up?

In addition to natural wear and tear, other factors that can contribute to a bulging disc include repetitive movements, strenuous lifting, twisting of the body, bone spurs pushing against the disc, and many other degenerative conditions.

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

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.

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 best medicine for back spasms?

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

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.

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.

What is the most common diagnosis of herniated discs?

When it comes to spinal health, herniated discs are the most common diagnosis among spine-related abnormalities. Bulging discs can impact both the lumbar region in the lower back or the neck’s cervical spine. The soft, rubbery cushion between your vertebrae is called an intervertebral disc. Wear and tear, injury or poor posture can weaken ...

What is a PPD for herniated disc?

Following an accurate diagnosis, the herniated disc doctors at DISC in Arizona can provide you with a personalized treatment plan that meets your exact needs. Through listening and communication, we strive to understand your pain journey. We also utilize a proprietary diagnostic technique called Personalized Pain Diagnostics (PPD), which allows us to pinpoint the specific pain generator causing your symptoms.

What are the three most common types of disc herniations?

The three most common types of disc herniations are: Protruding herniated discs. When the disc’s gel-like interior bulges outward but has not pushed through the disc’s exterior. Extruded herniated disc. A disc that has ruptured through the disc wall and entered the spinal canal. Sequestered herniation.

What is the soft cushion between the vertebrae called?

The soft, rubbery cushion between your vertebrae is called an intervertebral disc . Wear and tear, injury or poor posture can weaken a disc’s integrity. As it loses its shape, it can bulge and put pressure on the nerves in the spinal canal. The soft inner gel within can also leak into the spinal canal.

What is a ruptured disc?

A disc that has ruptured through the disc wall and entered the spinal canal. Sequestered herniation. A ruptured disc that has broken away from the spinal disc and migrated into the spinal canal.

Can a bulging disc cause a herniated disc?

Herniated or bulging discs in the lower back will cause symptoms in your buttocks, thigh, calves, feet or toes, depending on the level of the bulging disc. Lumbar herniations can also affect the sciatic nerve, which runs from your hip down both sides of your legs.

Can a herniated disc be painful?

A herniated disc can be a painful, even debilitating injury. It can impact your daily routine and lead to poor quality of life. At Desert Institute for Spine Care, we are a team of expert doctors who can treat your herniated disc.

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 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.

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, ...

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 .

Why do you need spine surgery?

The goal is to reduce the symptoms of your condition so your spine can heal. It’s also intended to help prevent future problems. While surgery may eventually be recommended for patients who have severe or debilitating pain that doesn’t improve, it’s not typically the first recommendation for most patients. Often times, conservative methods are ...

Can chiropractic help a herniated disc?

In addition to chiropractic care, your clinician may recommend other treatments for your bulging or herniated disc. The amount of pain you’re experiencing and severity of the bulge or rupture will determine what steps to take next.

What is a herniated disk?

A herniated disk, on the other hand, results when a crack in the tough outer layer of cartilage allows some of the softer inner cartilage to protrude out of the disk. Herniated disks are also called ruptured disks or slipped disks, although the whole disk does not rupture or slip. Only the small area of the crack is affected.

Why does a herniated disc hurt?

Compared with a bulging disk, a herniated disk is more likely to cause pain because it generally protrudes farther and is more likely to irritate nerve roots. The irritation can be from compression of the nerve or, much more commonly, the herniation causes a painful inflammation of the nerve root. If an imaging test indicates ...

Why do disks look like hamburgers?

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.

What are disks made of?

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.

Does bulging disk affect the perimeter of a disk?

A bulging disk doesn't always affect the entire perimeter of a disk, but at least a quarter if not half of the disk's circumference is usually affected. Only the outer layer of tough cartilage is involved.

What is the best treatment for a bulging disc?

Minimally Invasive treatments are becoming more common and endoscopic spine surgery might be an option in relieving the pain. Surgeons can utilize minor surgical techniques in order to correct bulging disc problems.

How to help a herniated disc?

A healthy weight reduction plan and exercise can be used to help obese patients. In some cases, a doctor may recommend physical therapy to strengthen muscles in the back and to regain any lost mobility. Before herniation, many of the non-surgical treatments are successful in managing bulging discs.

What causes a bulging disc?

Potential Causes for a Bulging Disc 1 People who have led a sedentary lifestyle or those who smoke increase the chances for bulging disc. 2 Continuous strain on the disc from injury or heavy lifting and strain can wear them down throughout the years. 3 Weakened back muscles can accelerate the process and may lead to a sudden herniation of the weakened disc. 4 Although bulging discs occur over time, herniated discs may occur quickly by trauma. 5 Bad posture including improper body positioning during sleep, sitting, standing or exercise are all risk factors which may contribute to the development of a bulging disc. 6 Obesity 7 High contact sports or activities are also risk factors. 8 Runners who fail to use shoes that provide orthopedic support may also develop bulging discs. 9 Activities that place stress and strain on the spine can lead to the weakening of the discs.

What does it mean when your disc is bulging?

In most cases, when a bulging disc has reached this stage it is near or at herniation. Tingling or pain in the fingers, hands, arms, neck or shoulders. This could indicate a bulging disc in the cervical area. Pain in the feet, thighs, lower spine and buttocks. This is the most common symptom and could indicate an issue in the lumbar region.

How to stop bulging discs?

A patient should change body positioning and behaviors (sleeping, sitting and posture positions) first to help reduce any bulging disc symptoms or pain caused by the affected disc. Addressing causal factors may help to slow the worsening of the condition.

Why do my discs bulge?

Although bulging discs occur over time, herniated discs may occur quickly by trauma. Bad posture including improper body positioning during sleep, sitting, standing or exercise are all risk factors which may contribute to the development of a bulging disc. Obesity. High contact sports or activities are also risk factors.

What is the function of the spine?

Your spine consists of vertebrae which have spinal discs in between to act as a shock absorber, preventing damage to the spinal tissue and bone. They also help to make movement easier. Discs have a hard casing and liquid-like center.

What does it mean when a disc is bulging?

"A bulging disc is like letting air out of a car tire. The disc sags and looks like it is bulging outward. With a herniated disc, the outer covering of the disc has a hole or tear. This causes the nucleus pulposus (jelly-like center of the disc) to leak into the spinal canal."

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

If you've experienced symptoms for less than 6 weeks and have no nerve damage, anti-inflammatory medications, physical therapy, and steroid injections (if needed) can help resolve the issue in 6 to 12 weeks.

What is spinal stenosis procedure?

The procedure is very patient-specific based on the type and level of stenosis, but, in general, it involves decompressing the spinal canal so that the nerves are no longer compressed. This, in turn, relieves the pain.

How to treat lumbar stenosis?

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 are the two parts of the spine?

The discs in your spine function like shock absorbers between the vertebrae. These discs are made of two components: a softer center (called nucleus pulposus) surrounded by a tough elastic-like band (called annulus fibrosus).

Can bulging discs cause back pain?

It can cause pain in the buttocks, legs, or back. It can also affect your ability to walk. Bulging discs usually affect multiple discs. This condition develops over time and can cause other disc degeneration-related issues, like lumbar stenosis (narrowing of spinal canal).

Is a bulging disc the same as a herniated disc?

In a word: Nope. While they both affect the discs in your spine, bulging discs and herniated discs are not two terms for the same condition, explains Harvey E. Smith, MD, Penn Medicine physician and orthopaedic surgeon. What’s the difference?

Is there a non surgical treatment for a bulging disc?

Non-Surgical Treatment Options. Alternative Treatments for a Bulging Disc. Although no single treatment plan is right for every patient, there are some bulging disc treatment guidelines that are often effective in relieving symptoms. While a bulging disc is not necessarily painful, nerve compression can result if displaced disc material causes ...

Can a bulging disc cause neck pain?

Upon diagnosing a bulging disc as the source of neck pain, back pain or radiating pain in the extremities, doctors will usually begin with a course of conservative treatments. Since a bulging disc can improve with time, initial treatment is generally aimed at pain management while the progress of the condition is monitored.

Can a bulging disc be treated?

For many patients, these options are enough to help control bulging disc symptoms. Most doctors view surgery to treat a bulging disc as a last resort because it is such an invasive process, requiring a large muscle-tearing incision, overnight hospitalization and a long recovery period.

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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