Treatment FAQ

what treatment is good for herniated disc

by Everette Gutmann Published 2 years ago Updated 2 years ago
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Herniated Disc Treatment Options
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. Manual manipulation, such as massage or chiropractic care.

Medication

  • Back pain (with or without leg pain)
  • Neck pain (with or without arm pain)
  • Pain, weakness or numbness in affected regions of arms or legs, depending on the location of the herniated disc in the spine.
  • Difficulty in completing motor functions like walking and standing
  • Waiting for loss of bladder and bowel control is waiting too long

Procedures

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)

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

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.

Nutrition

See more

What is the best herniated disc treatment option out there?

How to heal a herniated disc naturally?

How long for herniated disc to heal without surgery?

Can herniated discs heal by themselves without surgery?

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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.

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.

How do I get rid of herniated disc pain?

For mild herniated disc pain, relieve the inflammation to decrease pain. For instance, applying a heating pad or ice pack to the affected area may be a good way to temporarily relieve your pain and reduce inflammation. Take 10-15 minutes twice a day to lie on your stomach with one to two pillows under your hips.

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.

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 activities should you avoid with a herniated 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:

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.

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.

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 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 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 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 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.

How to heal a herniated disc?

One is to begin practicing Egoscue. Egoscue is a form of physical therapy, but it’s not just any physical therapy. Egoscue can help you in restoring your posture. This is crucial for herniated disc treatment, so look up Egoscue in your area.

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 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.

What is the best diet for herniated discs?

The ideal herniated disc treatment diet looks something like this: Breakfast: A smoothie with a collagen protein powder or protein powder made from bone broth, blueberries, coconut milk and maybe some anti-inflammatory herbs like ginger root. Lunch/Dinner: Soup or stew with the bone broth. 2.

How to heal a disc?

1. Eat a Collagen/Bone Broth Diet. 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.

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)

Can chiropractic care help a herniated disc?

Get Corrective Chiropractic Care. Last but not least, corrective chiropractic care can do wonders for a herniated disc, but beware of improper chiropractic adjustments. Many chiropractors do a form of adjustment that’s going to cause your ligaments to possibly become more loose, believe it or not.

What is the best treatment for a herniated disc?

A hot bath may be an effective treatment for a herniated disc.

How to heal a herniated disc?

Reducing the inflammation and relaxing the muscles around the injury can also help promote healing, and this may be achieved in several ways, including application of heat or cold, massage, or medication. Once the acute recovery phase is over, physical therapy can be used to strengthen the back to support the disc and prevent further injury. In severe cases, surgery may be necessary to make a full recovery.

What to do if a herniated disc is not healed?

When less conservative treatments fail to heal a herniated disc, surgery may be required. This is often the course of action taken when patients have ongoing, severe pain or neurological symptoms. Procedures may include removing some or all of the disc, and possibly fusion of the vertebrae.

Does heat pack work for herniated disc?

Application of a heat pack may work for some people dealing with a herniated disc.

What muscles are used to help a herniated disc?

Strengthening the core—the muscles in the back, abdomen, upper thighs, and buttocks —is an important part of therapy to treat symptoms of a herniated disc. If these muscles are weak, the spine bears more weight. This added pressure could cause instability or worsen an existing spine problem.

How long should I take pain relievers for a herniated disc?

These medications are to be used for a week, at most; they are intended to help you feel better until a muscle relaxant or anti-inflammatory medication starts to work.

What kind of doctor can help a herniated disc?

Your orthopedic doctor may work closely with a physiatrist, or physical medicine doctor, to recommend physical therapy. Often, physical therapy relieves pain and prevents further damage to a herniated disc. Our physical therapists at Rusk Rehabilitation and the Spine Center at the NYU Langone Orthopedic Center can recommend a treatment plan based on your daily routine, the location of your pain, and your overall health.

How long does pain relief last with steroids?

Pain relief from injected steroids may last from a week to a year or even longer. Yet some people find that injections don’t help them. There is no way to gauge the effectiveness of an injection before it is given, though for many people steroids do provide long-lasting relief.

Why does my disc hurt when I slipped it?

Some of the pain associated with a herniated disc may be due to inflammation in the nerves and soft tissue surrounding the affected disc. When an inflamed nerve swells, it may push up against the slipped disc. By treating the inflammation with nonsteroidal anti-inflammatory medications, swelling and the resulting pain may go away.

Can corticosteroid injections be used for herniated discs?

Corticosteroid injections are an alternative to oral corticosteroids for herniated disc pain. Most of the time, an injection is recommended only after other nonsurgical treatments have failed to bring relief. Steroids have powerful anti-inflammatory properties and can be injected directly into the epidural space—the fluid-filled area surrounding the spinal cord.

When to use steroids in physical therapy?

Steroid injections are most effective when used just before the start of physical therapy, allowing strength-building exercises to take place without pain.

What is a herniated disc?

A herniated disc, also called a slipped or ruptured disc, is a common problem that can happen at any age, but becomes more common in middle age and beyond.

How long does it take for a herniated disc to go away?

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.

Where in your body do you feel pain when you have a herniated disc?

For example, if the disc is in your neck, you may feel pain down your shoulder and into your arm.

Can you have surgery if your spinal cord is compressed?

Surgery is typically not recommended unless the problem does not respond to therapy, if you are having an increasingly hard time moving, or if your doctor believes the spinal cord is being compressed. To continue reading this article, you must log in.

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Diagnosis

Treatment

Lifestyle and Home Remedies

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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