On average, most cases of disc herniation resolve between two to twelve weeks following injury. Since many cases improve within two to three weeks following injury, physical therapy is not recommended until three weeks after the onset of symptoms. Similarly, given that most cases resolve within six weeks of symptoms.
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).
In the majority of cases, both a bulging and herniated disc will heal with only conservative (nonsurgical) treatment, especially if you take things a little easier. That doesn't mean that patients should become couch potatoes – that can actually make things worse and prolong recovery time.
The good news is that most cases of lumbar disc herniation do not require surgery! Long-standing evidence suggests that pain associated with a herniated disc often diminishes without surgical treatment within 4-6 months.
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.
There are several signs of a healed herniated disk. However, the first symptom that will reveal that you are on the way to healing is that the sharp, shooting pain in your legs or arms will go away, followed by some muscle weakness in that nerve path. However, if you have numbness, it might take longer to heal.
Regardless of the cause, an L4-L5 spinal segment is treatable without surgery or injection. The key to recovery is accurate diagnosis followed by corrective treatments that focus on the problem's root cause.
A L4–L5 disc bulge (or slip-disc) in the L4-L5 region can cause severe health issues such as impotence and reproduction issues. It can also lead to infertility, loss or control of the bowel or bladder, paralysis in one or both of your legs, and even death.
After 2 years: 76 people out of 100 who had surgery had no symptoms or almost no symptoms. This means that 24 still had some symptoms. 69 people out of 100 who had non-surgical treatment had no symptoms or almost no symptoms.
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.
Living with a herniated disc
Most people who have a herniated disc are better in about 4 weeks. Sometimes it takes longer. If you still have pain or numbness after 4 to 6 weeks, or if you feel worse, talk with your doctor. Sometimes it takes surgery to relieve pain.
Sometimes, the nerves are actually damaged by the pressure from the disc herniation and may not recover completely. You may also develop scar tissue around the nerves weeks after the operation that causes pain similar to what you had before the operation.
Generally speaking—as long as they're performed correctly—core and back exercises are beneficial for bulging discs, as are activities like walking, elliptical exercise, swimming, and riding a stationary or regular bike.
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.
A moderate disc bulge will take around 6 weeks to get better but only IF you do the right thing, but may never heal if you keep aggravating it. See your doctor if symptoms don't improve.
On average, most cases of disc herniation resolve between two to twelve weeks following injury. Since many cases improve within two to three weeks following injury, physical therapy is not recommended until three weeks after the onset of symptoms.
For most patients, a herniated lumbar disk will slowly improve over a period of several days to weeks. Typically, most patients are free of symptoms by 3 to 4 months. However, some patients do experience episodes of pain during their recovery.
Massaging these muscles can restore proper balance and symmetry to the posture, which can allow the bulging disc to migrate back to its normal position in the spinal column. The pressure against the spinal nerves often subsides, and very likely, the pain associated with it to goes away.
Generally speaking, as the L4 and L5 discs are located right at the bottom of the lumbar spine you'll want to avoid exercises that involve any kind of forward bending that can cause further compression from the waist down.
Medication. Both prescription and over-the-counter (OTC) medications are used to help relieve pain from L4-L5. Typically, non-steroidal anti-inflammatory drugs (NSAIDs) are usually tried first. For more severe pain, opioids, tramadol, and/or corticosteroids may be used.
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.
What happens to my herniated disc if I don't have surgery? A study of patients with different sized herniations showed that by six months to one year, herniated disc material had resorbed in many of the cases.
Herniated/bulging/slipped disk: The procedure is called microdiscectomy. The surgeon removes the part of the disk that's pushing on a nerve. There are two ways to do this. In the traditional method, the doctor makes an inch-long cut and detaches the muscles on one side of your back.