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.
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.
Surgery is a last resort to treat a herniated disc when manual therapy and IDD Therapy have not brought about change. When the pain is so severe and unresolved, or if the nerve pain is causing weakness in the leg, then surgery can be carried out to remove the part of the disc pushing on the nerve.
The average amount of time it takes for a herniated disk to heal is four to six weeks, but it can get better within a few days depending on how severe the herniation was and where it occurred. The biggest factor in healing a herniated disk is time, because most often it will resolve on its own.
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.
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.
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.
Applying heat and/or cold therapy to the lower back can alleviate muscle tension that is commonly present with a lumbar herniated disc. Heat helps loosen the muscle tightness that causes spasms, increases blood flow, and improves elasticity of connective tissue.
Herniated disks get better on their own over time or with nonsurgical treatment for 9 out of 10 people. If other treatments don't relieve your symptoms, your healthcare provider may recommend surgery.
Slipped discs usually resolve on their own, but physical therapy or other medications can help with pain. The majority of disc herniations improve on their own within six weeks to three months, as the body releases enzymes to clear away the herniated piece and the pressure on the nerves goes away.
After a slipped disk in one area of your spine, with or without having a surgery called diskectomy, most people recover in 1 to 6 months. You must do exercises to strengthen the muscles that surround your spine and hip for a safe return to sports. Many people are able to return to a competitive level of sports.
The treatment involves placing a needle into the herniated disc using X-ray guidance. Depending on the type of decompression therapy, excess disc tissue is either dissolved through radio waves or removed by a revolving needle. The result is decreased pressure on the disc and adjacent nerves.
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.
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.
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.
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.
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.
Non-surgical Treatments for Herniated Discs
Other non-surgical treatments for a herniated disc include: Cortisone injections are injected into the area around the spinal nerves. Muscle relaxers to relieve spasms. Physical therapy in the form of stretches and exercises designed to minimize pain.
“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.
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.
Of the three types of herniated discs, sequestered herniation is often the most severe. It occurs when the nucleus erupts out of the outer layer of the disc. The ruptured disc material can migrate to different locations along the spinal canal and become trapped.
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.
Herniated discs can cause symptoms like numbness, weakness, stiffness, or limited muscle mobility. Massage therapy can help release the tightness within muscle tissue from nerve compression that is triggering pain in other parts of your body.
The best way to foster healing in these cases is to rest, avoid activities that cause pain, and take over-the-counter pain killers like acetaminophen or ibuprofen to relieve symptoms. During your home treatment, you can also: Alternate applying heat and cold. Stay as active as you can.