We also have a surgery team in place so that patients who come to us initially who end up needing surgery can receive that continuity of care. In terms of technology, we're at the forefront of adopting and implementing new technologies and minimally invasive surgical techniques.
But the good news is that oftentimes, if this is the first time you've had either a bulging or herniated disc, it can be managed without surgery. From bulging discs to herniated discs and everything else spine-related, find out how Penn Medicine's Spine specialists can help your pain. Get pain management and fitness tips from our orthopaedic doctors, stay up-to-date on the latest advancements in the orthopaedics field, and hear from patients like you, who achieved what once seemed impossible.
Bulging Disc Vs. November 06, Topics: Spine. Bulging and Herniated Discs Explained "A bulging disc is like letting air out of a car tire. About this Blog Get pain management and fitness tips from our orthopaedic doctors, stay up-to-date on the latest advancements in the orthopaedics field, and hear from patients like you, who achieved what once seemed impossible.
Date Archives Year Share This Page: Post Tweet. The time to improve varies, ranging from a few days to a few weeks. Testing modalities are listed below. The most common imaging for this condition is MRI. Plain x-rays of the affected region are often added to complete the evaluation of the vertebra.
Please note, a disc herniation cannot be seen on plain x-rays. CT scan and myelogram were more commonly used before MRI, but now are infrequently ordered as the initial diagnostic imaging, unless special circumstances exist that warrant their use.
An electromyogram is infrequently used. The initial treatment for a herniated disc is usually conservative and nonsurgical.
A doctor may advise the patient to maintain a low, painless activity level for a few days to several weeks. This helps the spinal nerve inflammation to decrease. Bedrest is not recommended. 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. The doctor may recommend physical therapy. The therapist will perform an in-depth evaluation, which, combined with the doctor's diagnosis, dictates a treatment specifically designed for patients with herniated discs.
Therapy may include pelvic traction, gentle massage, ice and heat therapy, ultrasound, electrical muscle stimulation and stretching exercises. Pain medication and muscle relaxants may also be beneficial in conjunction with physical therapy. A doctor may recommend surgery if conservative treatment options, such as physical therapy and medications, do not reduce or end the pain altogether.
Doctors discuss surgical options with patients to determine the proper procedure. As with any surgery, a patient's age, overall health and other issues are taken into consideration. Your surgeon will make an incision in your lower back over the area where the disc is herniated. Some bone from the back of the spine may be removed to gain access to the disc. Your surgeon will remove the herniated part of the disc and any extra loose pieces from the disc space. After surgery, you may be restricted from activity for several weeks while you heal to prevent another disc herniation.
Your surgeon will discuss any restrictions with you. Lumbar disk disease can cause back and leg pain that interferes with daily activities. It can lead to leg weakness or numbness and trouble with bowel and bladder control. Maintaining a healthy weight, participating in regular exercise, and using good posture can lessen your risk for lumbar disk disease. Conservative therapy requires patience; but sticking with your treatment plan can reduce back pain and minimize the chance of worsening pain or damage to the disk.
Conservative measures and surgery can both take time to be effective. Call your healthcare provider if your pain increases or if you start having trouble with bowel or bladder control. Lumbar disk disease may occur when a disc in the low back area of the spine bulges or herniates from between the bony area of the spine.
Lumbar disk disease causes lower back pain and leg pain and weakness that is made worse by movement and activity. The first step in treatment is to reduce pain and reduce the risk of further injury to the spine.
Health Home Conditions and Diseases. The spine is divided into 4 areas: Cervical spine: The first 7 vertebrae, located in the neck Thoracic spine: The next 12 vertebrae, located in the chest area Lumbar spine: The next 5 vertebrae, located in the lower back Sacral spine: The lowest 5 vertebrae, located below the waist, also includes the 4 vertebrae that make up the tailbone coccyx The lumbar spine consists of 5 bony segments in the lower back area, which is where lumbar disk disease occurs.
What causes lumbar disk disease? What are the risks for lumbar disk disease? Your GP might ask you to raise your arms or do simple leg exercises to find out where the slipped disc is. A GP might prescribe a stronger painkiller, a steroid injection or a muscle relaxant to use in the short term. They might also refer you to a physiotherapist. Physiotherapy from the NHS might not be available everywhere and waiting times can be long.
You can also get it privately. Surgery is not usually needed, but a GP might refer to you a specialist to discuss surgery if your symptoms:. There's some evidence that manual therapies, like osteopathy, can help ease lower back pain.
Page last reviewed: 22 March Next review due: 22 March Slipped disc.
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