Treatment FAQ

what the treatment for a herniated disc

by Prof. Ellie Ondricka DVM Published 2 years ago Updated 2 years ago
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How to heal a herniated disc naturally?

While there are surgical treatment options for herniated discs, most cases respond to less-invasive forms of treatment such as medication, chiropractic care, and physical therapy. There are a variety of surgeries that can remove the portion of the nucleus that is protruding into the spinal canal, or in severe cases, the entire disc, but this costs the spine in terms of functional …

How long for herniated disc to heal without surgery?

Peer Reviewed. The primary goal of treatment for each patient is to help relieve pain and other symptoms resulting from the herniated disc. To achieve this goal, each patient’s treatment plan should be individualized based on the source of the pain, the severity of pain and the specific symptoms that the patient exhibits. Save. In general, patients usually are advised to start with a …

Can herniated discs heal by themselves without surgery?

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.

How does physical therapy help herniated disc?

Jan 18, 2022 · Tips for How To Heal a Herniated Disc. 1. See a Pain Management Specialist. One of the best things you can do for your pain is to see a pain management specialist. Here at Metro Healthcare ... 2. Move Carefully. 3. Exercise as Advised. 4. Reduce Inflammation. 5. Take Over-the-Counter Medications as ...

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What is the most common treatment for herniated discs?

Herniated Disc Treatment Options

Most herniated discs don't require surgery. 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.

Can a herniated disc heal 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.Sep 1, 2020

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 quickly
  1. Alternate applying heat and cold.
  2. Stay as active as you can. ...
  3. Try alternative treatments like acupuncture, massage, or chiropractic.
Jan 27, 2022

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.Feb 8, 2022

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.Jan 14, 2019

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.Feb 8, 2022

What to avoid when you have a herniated disc?

Everyday Activities to Avoid with Herniated Disc
  • Sitting 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:

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.Sep 10, 2021

How do I sleep with a herniated disc?

The optimal sleeping position for a herniated disc is on your back. Lying on your back keeps your spine in a neutral position so you have less chance of pinching the nerve. For added comfort, nestle a small pillow or rolled-up towel under your knees and lower back.Jan 21, 2021

What happens if a herniated disc goes untreated?

Untreated herniated discs with symptoms can become more painful and debilitating as time goes on. You may also experience bladder and bowel dysfunction and saddle anesthesia, so-called because it affects the areas on your body that would touch a saddle if you were sitting on a horse.

How do you know if you need surgery for a herniated disc?

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.

What is the best medication for herniated disc pain?

What is the best medication for a herniated disc?
Best medications for a herniated disc
Motrin, Advil (ibuprofen)Nonsteroidal anti-inflammatory drugsOral
OxyContin (oxycodone)OpioidOral
Percocet (oxycodone and acetaminophen)OpioidOral
Vicodin (hydrocodone and acetaminophen)OpioidOral
4 more rows
Oct 5, 2020

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 procedure to remove a damaged disk?

Diskectomy. During this procedure, your surgeon removes your damaged disk to relieve pressure on your nerves. They can perform the surgery in a couple of ways:

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 to help a back that hurts?

Rest can relieve swelling and give your back time to heal. While your back hurts, avoid exercise and other activities where you have to bend or lift.

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.

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 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.

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 long does it take for a herniated disk to heal?

For up to 90% of people, herniated disk pain gets better on its own or with simple medical care. You’ll probably feel better within a month. If you don’t, you should see your healthcare provider. Some people need more aggressive medical measures, such as spinal injections or surgery.

What is it called when a vertebrae tear?

The disks act as buffers between your bones, allowing you to bend and move with ease. When one of these disks tears or leaks, it’s called a herniated disk .

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 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 is a herniated disc removed?

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.

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 to treat sciatica and leg pain?

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.

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, ...

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.

What are the criteria for spinal surgery?

A patient may be considered a candidate for spinal surgery if: 1 Radicular pain limits normal activity or impairs quality of life 2 Progressive neurological deficits develop, such as leg weakness and/or numbness 3 Loss of normal bowel and bladder functions 4 Difficulty standing or walking 5 Medication and physical therapy are ineffective 6 The patient is in reasonably good health

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.

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.

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 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 mean when your disk is numb?

Numbness or tingling . People who have a herniated disk often have radiating numbness or tingling in the body part served by the affected nerves.

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.

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.

What is the spinal cord that ends above the waist?

Complications. Just above your waist, your spinal cord ends. What continues through the spinal canal is a group of long nerve roots that resemble a horse's tail (cauda equina). Rarely, disk herniation can compress the entire spinal canal, including all the nerves of the cauda equina.

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