Bulging and Herniated Discs Explained "A bulging disc is like letting air out of a car tire. The disc sags and looks like it is bulging outward. With a herniated disc, the outer covering of the disc has a hole or tear. This causes the nucleus pulposus (jelly-like center of the disc) to leak into the spinal canal."
Compared with a bulging disk, a herniated disk is more likely to cause pain because it generally protrudes farther and is more likely to irritate nerve roots. The irritation can be from compression of the nerve or, much more commonly, the herniation causes a painful inflammation of the nerve root.
Bulging discs are less likely to cause pain than herniated discs because they generally do not protrude far enough to press on a nerve. However, a bulging disc is often progresses into full-blown herniated disc over time.
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.
Herniated Disk (Slipped, Ruptured or Bulging Disk) A herniated disk is also known as a slipped, ruptured or bulging disk. It's one of the most common causes of neck, back and leg pain. Most of the time, herniated disks heal on their own or with simple home-care measures.
MRI scan is the best non-invasive test available to find herniated and bulging discs and annular tears. Because the spatial resolution of spinal anatomy can be defined to 0.5mm with an MRI scan, doctors can identify with over 95% accuracy the herniated discs in the spine.
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.
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.
If the repeated forward bending stress continues, or the improper body mechanics continue, very often the inner disc material will continue to push backwards, causing the disc bulge to worsen, to herniate, progressing into the spinal canal and towards the spinal cord.
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.
A bulging disk can push against the spinal cord and nerve roots, leading to severe pain and problems with mobility. Treatment may include a combination of medication, physical therapy, and self-care. In severe cases, a person may need surgery.
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.
Herniated discs are a common cause of disability, and many patients are recommended for surgery as their first course of action to rid them of their pain. However, nearly 90% of patients with disc herniations don't require surgery.
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 long do these disc herniations take to heal? Most disc bulges resolve in 6-8 weeks, but it can take longer depending on the size of the bulge (i.e. if the bulge is hitting the nerve behind it like described above).
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.
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.
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.
Corticosteroid injections can reduce inflammation and can be effective when delivered directly into the painful area. Unfortunately, the injection does not make a herniated disc smaller; it only works on the spinal nerves by flushing away the proteins that cause swelling.
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.
What aggravates herndiated disc? A person with a disc herniation should avoid heavy lifting, sudden pressure on the back, or repetitive strenuous activities during recovery. People should avoid all exercises that cause pain or feel as though they are making the pain worse.
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.
He explains that it's best to be up about as much as possible; complete bed rest for a herniated disc is not recommended. Many patients with a slipped disc find that sleeping in a recliner chair is most comfortable.