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.
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.
You may have relief from your symptoms right away, or you may get better over days or weeks. In the weeks after your surgery, it may be hard to sit or stand in one position for very long. You may need pain medicine. It may take up to 8 weeks to get back to doing your usual activities.
As mentioned, we cannot fix a herniated disk. We cannot go back in time and we don't have a process to actually inject a new cartilage in a cell to grow your disk back to normal. Very much like a tire on your car, it's going to continue to wear out.
Treatment Options
Non-surgical treatments can include physical therapy or bracing to try and gradually ease the bulging disc back into its rightful place. When these conservative options fail, and there is still a lot of pain, a minimally invasive surgical procedure can be used to correct the bulging disc.
Yes! Chiropractic care is the preferred treatment method for many patients suffering from a bulging disc. It is non-invasive and does not require drugs or injections of any kind. Chiropractic can help provide you with improved mobility, decreased pain, and overall better quality of life.
Treatment with rest, pain medication, spinal injections, and physical therapy is the first step to recovery. Most people improve in 6 weeks and return to normal activity. If symptoms continue, surgery may be recommended.
Herniated disk surgery is often very effective, and it works faster than other treatments. You should start to see an improvement in symptoms like pain, weakness, and numbness within a few weeks after surgery. Physical therapy or rehab can help you recover quicker. You can go to a rehab center, or do exercises at home.
If a bulging disc is untreated, the symptoms will become worse as the constant pressure on the nerve intensifies the sensations. This can also cause issues with walking, and even while holding objects, as the pressure impedes the ability of the nerves to transmit information properly.
Disc bulges are not permanent. The disc is a fluid filled structure and therefore has the capacity to heal, resolve and be re-absorbed.
Evidence of a bulging disc may range from mild tingling and numbness to moderate or severe pain, depending on the severity. In most cases, when a bulging disc has reached this stage it is near or at herniation. Tingling or pain in the fingers, hands, arms, neck or shoulders.
“Most people can expect to leave the hospital that same day, or within 24 hours.” During the recovery period from surgery for a herniated disc, you'll likely be getting physical therapy, where specific exercises will help you to build strength and improve your flexibility.
You'll be encouraged to walk and move around the day after surgery and it's likely you'll be discharged 1 to 4 days afterwards. It will take about 4 to 6 weeks for you to reach your expected level of mobility and function (this will depend on the severity of your condition and symptoms before the operation).
Do disc bulges get worse over time? Unfortunately if disc bulges are left untreated, and if the abnormal spinal stresses that caused them continue, they will often worsen over time. For the disc bulge or herniated disc to have any possibility of recovery, the instigating stress must be minimized.
Flexion Based Movements
This typically causes the disc herniation to put extra pressure on surrounding tissues, causing increased muscle spasms and potential nerve symptoms. Flexion based activities include bending down to pick something up, traditional biking, sit ups, toe touches, and deep squats.
Causes Of Bulging Disc
Body mechanics and poor posture that put stress on the spinal disc. Torsion of disc from repetitive work with a lot of bending, twisting or lifting. Sitting, standing driving or working for long periods of time. Sustaining back injury from a severe fall.
The pain from a herniated disc usually is worse when you are active and gets better when you are resting. Coughing, sneezing, sitting, driving, and bending forward may make the pain worse. The pain gets worse when you make these movements because there is more pressure on the nerve.
According to research cited by Harvard Health, about 10 percent of patients with herniated disc issues require surgery after six weeks. Similar research suggests that 90 percent of the time, surgery is not necessary for 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.
Deep Tissue Massage: There are more than 100 types of massage, but deep tissue massage is an ideal option if you have a herniated disc because it uses a great deal of pressure to relieve deep muscle tension and spasms, which develop to prevent muscle motion at the affected area.
Microdiscectomy Procedures for a Lumbar Herniated Disc
Two minimally invasive procedures, microdiscectomy and endoscopic microdiscectomy, are most commonly recommended for lumbar herniated discs. These procedures take the pressure off the nerve root and provide a better healing environment for the disc.
No bending, lifting, or twisting whatsoever should be attempted for two weeks after your discectomy surgery, because this can hinder your recovery and increase your risk of reherniation.
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.