Skip movements that involve significant axial loading on the lower back, such as squats and leg presses. Avoid toe-touches, sit-ups, and yoga poses that worsen the pain and lead to significant bending of the back.
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.
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.
Daily walks are an excellent way to exercise with a herniated disc, without putting additional strain on your spine and causing painful symptoms to flare up.
A herniated disc may require 1 or 2 days rest to alleviate pain. However, you should resist the temptation to lie in bed for days at a time because your muscles need conditioning to aid the recovery process. If you forgo exercise and physical activity, your body may not respond to treatment as well as it could.
One of the best treatments for the symptoms of a herniated disc is stretching exercises. By gently stretching the muscles in the back, their flexibility is improved, helping them stabilize the disc herniation area. Overall endurance and circulation are also improved with herniated disc exercises, and symptoms improve.
Sit with the Right Posture
It is proper to sit up straight without slouching. When you slump, you put extra pressure on the discs in the spine and can aggravate your herniated disc. Additionally, you want to ensure your knees are level with your hips. Your hips should be slightly above your knees if you sit at a desk.
Sokunbi notes, “and sometimes don't have the ability to heal completely.” Most often, herniated discs in healthy patients heal quickly. However, nerve compression bad enough to cause radiculopathy—pain radiating down the nerve to an arm or leg—may take longer to get better, says Dr. Butler.
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.
According to Spine Universe, chiropractic care is a non-surgical option for herniated disc treatment. This makes choosing a chiropractor to address problems with a herniated disc a viable option if you want to avoid undergoing any surgical procedures.
A severely herniated disc may also be more on the permanent side as far as how it affects nearby nerves. Even if your symptoms do go away after a few weeks or a month or so, the disc itself may still be a potential source of discomfort that returns later.
For most people who develop back pain — whether it is because of a herniated disk or due to another problem — symptoms often go away within six to eight weeks. During that time, you can take steps to ease discomfort.
Stretching is actually one of the best ways to minimize and prevent ongoing leg pain from a herniated disc. Hamstring stretching can help decrease the tension across your lower back, and this provides the herniated disc with a better environment to heal.
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.
Although rare, the long-term effects of untreated herniated discs can be severe. They can cause permanent nerve damage, causing a loss of sensation in the legs, loss of bowel control, or partial paralysis. This is why it's important to seek treatment for herniated discs.
An MRI scan can also show evidence of previous injuries that may have healed and other details in the spine that can't normally be seen on an x-ray. Myelogram: This special x-ray uses dye, which is injected into the spinal fluid. This can identify a ruptured disc.
These discs can become weakened over time as you age. This can increase the risk of a herniated disc, also called a ruptured disc. When this happens, the jelly-like nucleus substance leaks out into the spinal canal, putting pressure on the nerves.
4) Applying Heat, via a heating pad or heat wrap, even a hot bath may help muscle spasms in the first 2 days of initial pain. Heat helps soft issues to stretch, dilates blood vessels and decreases pain signals giving some relief to the discomfort.
Rest. Most often 1-2 days of strict bed rest will calm severe back pain. Bed rest should not exceed 48 hours. Once you are back into your daily routine, you should take frequent rest breaks throughout the day- but avoid sitting for long periods of time.
In about a week, most patients are able to return to work; those with very physical jobs will need to wait until they have fully recovered, however. Full recovery usually occurs in about 8 weeks, and at that time patients can go about all their normal physical activities with no restrictions.
“There are some types of back pain that can get worse when you get a massage,” says Walsh. Specifically, he says, sciatica (sudden-onset pain that extends down the back and into the butt or legs) stemming from a herniated disc can be aggravated by deep tissue stimulation.