Treatment FAQ

what r treatment of herniaded disck

by Celine Kautzer DVM Published 2 years ago Updated 2 years ago
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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

  • 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
  • Narcotic pain medications for pain relief

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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, it can and most of them do, with proper treatment. The fact is that with treatment, most herniated discs will heal within a few weeks. In extreme cases, it may take a few months. Even surgery cannot put the jelly-like compound of the disc back inside of it.

Self-care

Typically a disc will not heal itself. If a disc herniates and the patient does not take action to correct the herniation, the symptoms will likely become worse as time goes on. That being said, disc herniations come in various forms. Some cause little to no pain at all. Ultimately, treating a herniated disc boils down to controlling pain in the patient and preventing spinal nerve damage.

Nutrition

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What are the best treatment options for a herniated disc?

How long for herniated disc to heal without surgery?

Do disc herniations ever heal eventually?

Does a disc herniation heal on its own?

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What is the best treatment for a herniated disc?

Herniated Disc Treatment OptionsOral 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.Manual manipulation, such as massage or chiropractic care.

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.

How do doctors treat herniated disc?

In nearly all cases, surgeons can remove just the protruding portion of the disk. Rarely, the entire disk must be removed. In these cases, the vertebrae might need to be fused with a bone graft. To allow the process of bone fusion, which takes months, metal hardware is placed in the spine to provide spinal stability.

Can a herniated disc heal itself?

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.

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.

Is a herniated disc permanent?

Once a healthy disc herniates, it will never return to its normal anatomical state—the disease or injury is permanent in nature.

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.

Can you fix herniated disc without surgery?

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. It is only a small percentage of cases which go on to have surgery.

How long does a herniated disc take 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 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.

How do you sleep with a herniated disc?

If you have a herniated disc, you may want to try sleeping on your side curled in a fetal position:Lay on your back and then roll over gently onto your side.Tuck your knees toward your chest and gently curl your torso toward your knees.Remember to switch sides from time to time to prevent any imbalances.

How painful is a herniated disk?

You might have pain in part of the foot as well. For a herniated disk in your neck, you'll typically feel the most pain in your shoulder and arm. This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. Pain is often described as sharp or burning.

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.

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.

How to prevent herniation in the back?

Keep your back straight and aligned, particularly when sitting for long periods. Lift heavy objects properly, making your legs — not your back — do most of the work. Maintain a healthy weight. Excess weight puts more pressure on the spine and disks, making them more susceptible to herniation.

What causes a herniated disc?

Factors that can increase your risk of a herniated disk include: 1 Weight. Excess body weight causes extra stress on the disks in your lower back. 2 Occupation. People with physically demanding jobs have a greater risk of back problems. Repetitive lifting, pulling, pushing, bending sideways and twisting also can increase your risk of a herniated disk. 3 Genetics. Some people inherit a predisposition to developing a herniated disk. 4 Smoking. It's thought that smoking lessens the oxygen supply to the disk, causing it to break down more quickly.

What is the name of the soft disk that lies between the vertebrae?

Herniated disk. Herniated disk. The rubbery disks that lie between the vertebrae in your spine consist of a soft center (nucleus) surrounded by a tougher exterior (annulus). A herniated disk occurs when a portion of the nucleus pushes through a crack in the annulus. Symptoms may occur if the herniation compresses a nerve.

What does it feel like to have a herniated disk in your neck?

If your herniated disk is in your neck, you'll typically feel the most pain in your shoulder and arm. This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. Pain is often described as sharp or burning. Numbness or tingling.

What causes a herniated disk to break down?

Genetics. Some people inherit a predisposition to developing a herniated disk. Smoking. It's thought that smoking lessens the oxygen supply to the disk, causing it to break down more quickly.

How do you know if you have a herniated disk?

Arm or leg pain. If your herniated disk is in your lower back, you'll typically feel the most pain in your buttocks, thigh and calf.

Can a disk herniation cause paralysis?

Rarely, emergency surgery might be required to avoid permanent weakness or paralysis. Seek emergency medical attention if you have: Worsening symptoms.

How to treat sciatica and herniated disc?

Lumbar laminotomy is a procedure often utilized to relieve leg pain and sciatica caused by a herniated disc. It is performed through a small incision down the center of the back over the area of the herniated disc. During this procedure, a portion of the lamina may be removed. Once the incision is made through the skin, the muscles are moved to the side so that the surgeon can see the back of the vertebrae. A small opening is made between the two vertebrae to gain access to the herniated disc. After the disc is removed through a discectomy, the spine may need to be stabilized. Spinal fusion often is performed in conjunction with a laminotomy. In more involved cases, a laminectomy may be performed.

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

With time, the symptoms of sciatica/radiculopathy improve in approximately 9 out of 10 people. The time to improve varies, ranging from a few days to a few weeks.

How long should I be on bedrest for a herniated disc?

This helps the spinal nerve inflammation to decrease. Bedrest is not recommended.

What happens if you have a herniated disc?

If it is pressing on a nerve, there may be pain, numbness or weakness in the area of the body to which the nerve travels. Typically, a herniated disc is preceded by an episode of low back pain or a long history of intermittent episodes of low back pain.

What is the name of the disc that is pushed out of the spinal column?

These discs are round, like small pillows, with a tough, outer layer (annulus) that surrounds the nucleus. Located between each of the vertebra in the spinal column, discs act as shock absorbers for the spinal bones. A herniated disc (also called bulged, slipped or ruptured) is a fragment of the disc nucleus that is pushed out of the annulus, ...

What is cervical radiculopathy?

Cervical spine (neck): Cervical radiculopathy is the symptoms of nerve compression in the neck , which may include dull or sharp pain in the neck or between the shoulder blades, pain that radiates down the arm to the hand or fingers or numbness or tingling in the shoulder or arm. The pain may increase with certain positions or movements of the neck.

How do you know if you have a herniated disc?

If the herniated disc is not pressing on a nerve, the patient may experience a low backache or no pain at all. If it is pressing on a nerve, there may be pain, numbness or weakness in the area of the body to which the nerve travels. Typically, a herniated disc is preceded by an episode of low back pain or a long history of intermittent episodes of low back pain.

How to treat a herniated disc?

Most cases of cervical herniated disc pain can be successfully managed with nonsurgical treatments, such as over-the-counter pain medications, physical therapy to strengthen and stretch the neck, ice or heat packs, and/or activity modifications to avoid painful movements until the pain has subsided. Occasionally, oral steroids or an epidural ...

How long does a herniated disc last?

Neck and/or arm pain from a cervical herniated disc may be short-lived and only last for a few days, or it could become chronic and last for months or longer. It is common for the pain to come and go, or have particularly bad flare-ups during certain activities. When neck and/or arm pain stems from a herniated disc, the symptoms typically resolve completely within 4 to 6 months, even though the disc itself may not heal. 1

What does it feel like to have a herniated disc in your neck?

The pain can range from an aching in the neck, arm, and/or hand to electric-like pain that radiates into these same areas. Sometimes arm or hand numbness or weakness may also be present. While a cervical herniated disc may originate from some sort of trauma or neck injury, the symptoms commonly start spontaneously.

What is the rate of cervical herniated discs?

The rate of cervical herniated discs occurring in the adult population has been estimated to be between 0.5% and 2%. 1 Although, many cases of cervical herniated disc may go undiagnosed and estimates could vary by population.

What is the function of cervical discs?

Each cervical disc is situated between adjacent vertebrae (one above and one below) to cushion the vertebral bodies and help distribute loads from the neck and head above. A disc has 2 basic components. Annulus fibrosus.

When is a cervical herniated disc most likely to develop?

Some estimates suggest that a cervical herniated disc is most likely to develop between ages 30 and 50. 2 Most studies have found men to be at higher risk for a cervical herniated disc, 1 but a recent study suggests women may be at higher risk. 3.

Which layer of the disc is responsible for absorbing shocks?

Annulus fibrosus. This sturdy outer layer is constructed of concentric collagen fibers, which make the disc strong enough to shield its soft inner layer. The annulus fibrosus helps to handle the spine’s heavy loads and absorb shocks. Nucleus pulposus.

What is the best medicine for a thoracic herniated disc?

For mild or moderate thoracic back pain, an over-the-counter pain reliever such as acetaminophen (e.g. Tylenol) is commonly recommended for thoracic herniated discs. See Medications for Back Pain and Neck Pain. advertisement.

How to get back to normal after thoracic surgery?

Gentle exercise, such as walking, is a good way to return to activity. Narcotic and non-narcotic analgesic medications to help reduce the thoracic back pain. Narcotic pain medication is usually only prescribed to treat severe upper back pain for a short period of time.

Can a herniated disc be treated without surgery?

The vast majority of thoracic herniated disc symptoms can be treated without thoracic surgery. There are a variety of non-surgical treatment options that can be tried, and often patients will need to try several, or a combination of different treatments, to find what works best for them.

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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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