Treatment FAQ

when to seek emergency treatment for herniated disc

by Ewald Fadel Published 3 years ago Updated 2 years ago
image

When to go to the ER for a slipped disk The severity of your back or neck pain may cause you to come to the emergency room for herniated disk treatment. Also, some situations imply complications and require emergency care, including: Bladder or bowel dysfunction, even when you have a full bladder

The severe case of a herniated disk is a medical emergency because of intolerable pain and discomfort. Some of its symptoms include lower back pain, sharp leg or arm pain, loss of bladder or bowel control and numbness, weakness or tingling sensation in the foot and/or leg.

Full Answer

When to seek emergency care for a herniated disk?

  • Walking hunched over
  • Limping (lameness)
  • Sudden refusal to walk
  • Partial or complete paralysis
  • Lowered head
  • Dragging a foot or “knuckling under” on one or more legs when walking

How long for herniated disc to heal without surgery?

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.

When do you need surgery for a herniated disc?

  • 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

Can herniated discs heal by themselves without surgery?

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.

image

When should I go to the ER for a herniated disc?

If signs of nerve damage -- numbness, tingling, and weakness -- grow steadily worse, you may need an operation right away. Likewise, a herniated disk that interferes with the bowel and bladder is a medical emergency and requires immediate treatment. For other patients, doctors take a wait-and-see approach.

Can the ER help with herniated disc?

When to go to the ER for a slipped disk. The severity of your back or neck pain may cause you to come to the emergency room for herniated disk treatment. Also, some situations imply complications and require emergency care, including: Bladder or bowel dysfunction, even when you have a full bladder.

How do you know if a herniated disc is serious?

A slipped disc is when a soft cushion of tissue between the bones in your spine pushes out....See a GP if you have back pain and:painkillers are not helping.the pain is no better after a month.a very high temperature or you feel hot and shivery.unexplained weight loss.a swelling in your back.the pain is worse at night.

At what point should you go to ER for back pain?

If your back pain is unrelenting and not relieved by rest, you should immediately visit the closest emergency department. If the pain is accompanied by any of the following symptoms, you should also seek emergency care: Fever. Numbness.

Will the ER do anything for back pain?

Takeaway. If you are experiencing severe back pain, you may need to visit an emergency room for treatment. ER doctors can diagnose your back pain and recommend the appropriate remedies. The doctors are knowledgeable, experienced and available at any time to meet your medical needs.

Should I go to the ER for a pinched nerve?

Call your healthcare provider right away or go to the emergency room if you have: Sudden onset of severe pain, numbness, weakness, or paralysis of an arm or leg that does not go away. Loss of bladder or bowel control. Loss of sensation in your genital or anal regions.

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 make a herniated disc worse?

An untreated herniated disk can get worse. That's especially true if you continue the activities that caused it — for instance, if it developed because of your work. A worsening ruptured disk may cause chronic (ongoing) pain and loss of control or sensation in the affected area.

Is L4 L5 disc bulge serious?

Most importantly, an L4-L5 disc bulge can lead to prolonged pain and other, more serious conditions like spondylolisthesis if you delay treatment. Spondylolisthesis is a condition in which a vertebra shifts or slips, and can cause significant pain that may require surgery to fix.

When sciatica is an emergency?

Any type of nerve compression warrants prompt medical attention. If progressive leg weakness or numbness is present, the nerve may be damaged, potentially leading to loss of leg function. If the nerve is compressed and the pain and symptoms are severe, surgery may be required.

Should I go to the ER for sciatica nerve pain?

If you are having neurological symptoms like leg weakness or loss of bowel or bladder control because of your pain or sciatica, go to your healthcare provider or emergency room immediately. These symptoms may be a sign of a serious problem that requires medical care right away.

Can a pinched nerve cause excruciating pain?

You feel the pain in your lower back or neck, where the damaged nerve is located. And the pain may go down your arms and legs. Patients describe the pain as sharp, excruciating, and feeling like an electric shock.

Can you use an MRI in an emergency?

Emergency use of MRI is almost unheard of, but a few patients were lucky enough to receive this technologically advanced diagnostic evaluation when the extent of their injury supported its application. Regardless of whether diagnostic imaging is performed or not, the result of the evaluation is almost universal.

Should I seek emergency care for a bulging disc?

In a few cases, it is wise to seek emergency care for suspected disc injury. Some patients, such as those who are victimized by massive trauma, might have spinal or other injuries that truly require emergency care. However, the average person who injures their back falling, participating in sports or working, will almost invariably be let down by their experiences seeking emergency room care for a potentially bulging disc.

Can a CT scan show a herniated disc?

In patients who receive diagnostic CT scan evaluation that visualizes the presence of a herniated disc, nothing special will be done to treat the patient, unless the disc is shown to be causing some truly catastrophic condition, such as acute cauda equina or spinal cord compression, in which case the patient will likely be admitted to the hospital. Most herniations will simply be mentioned to the patient and they will once again be told to follow-up with their doctor.

Do herniated discs cause pain?

Therefore, many herniated discs exist without causing any pain whatsoever.

Does dorsalgia hurt in the neck?

Virtually every patient who seeks dorsalgia care from a hospital emergency room is in terrible pain and has usually either suffered an a cute injury or has perceived that they have suffered an a cute injury to their back or neck. Many people experience instant radiating pain, tingling, numbness or weakness in a limb, ...

Is a herniated disc considered an emergency?

Factually, there is really nothing that the hospital can do for them, since herniations are not considered emergency situations in 99.9% of affected patients, regardless of the amount of pain demonstrated. Statistically, patients with back or neck pain that is theorized to be caused by a herniated disc report some of the worst satisfaction ratings ...

What tests are needed for a herniated disk?

In most cases of herniated disk, a physical exam and a medical history are all that's needed for a diagnosis. If your doctor suspects another condition or needs to see which nerves are affected, he or she may order one or more of the following tests.

What is the procedure to remove a herniated disk?

Surgery. Diskectomy is the surgical removal of the damaged portion of a herniated disk in your spine. A herniated disk occurs when some of the softer material inside the disk pushes out through a crack in the tougher exterior. This can irritate or compress nearby nerves and cause pain, numbness or weakness.

What test can be used to confirm the location of the herniated disk and to see which nerves are affected

This test can be used to confirm the location of the herniated disk and to see which nerves are affected. Myelogram . A dye is injected into the spinal fluid before X-rays are taken. This test can show pressure on your spinal cord or nerves due to multiple herniated disks or other conditions.

How to treat low back pain?

Spinal manipulation has been found to be moderately effective for low back pain that has lasted for at least a month. Rarely, chiropractic treatment of the neck can cause certain types of strokes. Acupuncture. Although results are usually modest, acupuncture appears to ease chronic back and neck pain. Massage.

Can a surgeon remove a disk?

Loss of bladder or bowel control. 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 may need to be fused with a bone graft.

Can you take codeine for disk herniation?

Because of the side effects of opioids and the potential for addiction, many doctors hesitate to prescribe them for disk herniation. If other medication doesn't relieve your pain, your doctor might consider short-term use of opioids, such as codeine or an oxycodone-acetaminophen combination (Percocet, Roxicet).

Why is it important to see a doctor for a herniated disc?

Why It’s Important to See Your Doctor if You Experience Herniated Disc Symptoms. A disc that herniates can compress or pinch a nerve in your spine. When a herniated disc presses on your spinal nerves or spinal cord, it can cause numbness, weakness, tingling, shooting pain, bowel and/or bladder problems—symptoms that can take a huge toll on your ...

What are the symptoms of a herniated disc?

If you experience any of the severe herniated disc symptoms below, contact your doctor immediately: Loss of bowel and/or bladder control, loss of feeling in your lower extremities (legs and feet): These symptoms, ...

What is the cause of a herniated disc in the lower back?

Loss of bowel and/or bladder control, loss of feeling in your lower extremities (legs and feet): These symptoms, which may be caused by a lumbar (low back) herniated disc, may be related to cauda equina syndrome. Cauda equina syndrome is a rare but serious spinal disorder requiring immediate medical attention.

Can a herniated disc be ignored?

Herniated disc symptoms you shouldn't ignore. A herniated disc is a common spinal disorder, and it typically responds well to conservative treatment like gentle exercise or over-the-counter pain medication. But some ruptured disc symptoms warrant a trip to your doctor to prevent serious—and potentially permanent—nerve complications.

Can a herniated disc cause myelopathy?

In the most severe cases, the herniated disc can compress the spinal cord itself—this is known as myelopathy. This is most often caused by herniated discs in your cervical spine (neck), but thoracic (mid-back) and lumbar herniated discs may lead to myelopathy as well. In addition to these symptoms, you should see your doctor if:

Should You Go To Urgent Care For A Herniated Disk?

In many cases, Urgent Care is a good place to start when diagnosing and treating a herniated disk. Over 3 million cases of herniated disks are reported in the US every single year. Pain caused by a herniated disk can be extreme and require medical attention. Majority of the pain is usually not in the back, but instead in the legs or arms.

What is a Herniated Disk?

A herniated disk develops when the soft fluid stored at the center of each spinal disk spews out through a crack in the spin’s hard outer exterior casing. In some cases, it causes no pain and you don’t even know anything is wrong.

Symptoms of a Herniated Disk

The symptoms of a herniated disk vary depending on the affected portion of your spine. This injury can impact the top of your spine, right near or in your neck, or all the way down to lower portions of the spine. A herniated disk in the upper spine generally impacts the arms and shoulders, while a herniated disk in the lower spine impacts the legs.

Should you go to the hospital for a herniated disk?

There’s almost no reason to visit the hospital for a herniated disk. At times, the pain is severe enough to make you think otherwise but it’s not worth the hefty cost that comes with a hospital visit.

Common cervical herniated disk symptoms

The cervical region of your spine is the second most common area of the spine to develop a herniated disk. The symptoms associated with a cervical herniated disc develop from compression of either an individual nerve root or the spinal cord and include:

Thoracic herniated disk symptoms

Thoracic herniated disks are the least common type of disk herniations but do still occur. The symptoms of a thoracic hernia can include:

Common lumbar herniated disk symptoms

Lower back pain is an incredibly common complaint. In some cases, it may be due to a herniated lumbar disk. As with the other two areas of your spine, the symptoms can vary a bit from those that accompany hernias in other spinal regions. These symptoms can include:

image

Diagnosis

Image
During the physical exam, your doctor will check your back for tenderness. You might be asked to lie flat and move your legs into various positions to help determine the cause of your pain. Your doctor may also perform a neurological exam to check your: 1. Reflexes 2. Muscle strength 3. Walking ability 4. Ability to f…
See more on mayoclinic.org

Treatment

  • Conservative treatment — mainly modifying activities to avoid movement that causes pain and taking pain medication — relieves symptoms in most people within a few days or weeks.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Besides taking the pain medications your doctor recommends, try: 1. Applying heat or cold.Initially, cold packs can be used to relieve pain and inflammation. After a few days, you might switch to gentle heat to give relief and comfort. 2. Avoiding too much bed rest.Staying in bed can lead to stiff joints and weak muscles — which can complicate your...
See more on mayoclinic.org

Alternative Medicine

  • Some alternative and complementary medicine treatments might help ease chronic back pain. Examples include: 1. Chiropractic.Spinal manipulation has been found to be moderately effective for low back pain that has lasted for at least a month. Rarely, chiropractic treatment of the neck can cause certain types of strokes. 2. Acupuncture.Although results are usually modest, acupun…
See more on mayoclinic.org

Preparing For Your Appointment

  • You're likely to start by seeing your family doctor. You might be referred to a doctor specializing in physical medicine and rehabilitation, orthopedic surgery, neurology, or neurosurgery.
See more on mayoclinic.org

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9