Diagnostic Tests for a Bulging Disc
An MRI can provide detailed views of a bulging disc and nerves that may be compressed or impinged. Once diagnosis is confirmed, treatment may begin.
Dr. Seth Neubardt, cervical spine surgical expert tells how the x-ray is used to check the bones in the neck but it cannot reveal a herniated disc. To see the disc you must obtain a CT scan or MRI.
Some common symptoms of a herniated or slipped disc include: Pain that occurs on one side of the body. Sharp pain in one part of the leg, hip, or buttocks and numbness in other parts. You may also feel pain or numbness on the back of the calf or sole of the foot.
Most (80-90%) cases involving bulging or herniated discs will heal within 2-4 months. This of course depends on the severity of the injury, as well as your age and overall health. An important difference is that a herniated disc is a permanent injury that usually results in chronic, recurring pain.
This herniation of the disc can result in a large bulge that can press on nearby nerve roots, causing pain. However, herniated discs don't always hurt. In fact, it's entirely possible to have a herniated disc and not know it. Herniated discs only cause pain when the herniated area pushes on a nerve root in the spine.
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.
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.
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 you cannot have an MRI because of metal implants in your body or another reason, a CT scan at AHI can also be used to diagnose your herniated disc.
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.
A severe case of a bulging disc can cut off nerve impulses, even causing permanent nerve damage. Additionally, you may experience sharp paints, incontinence, bowel movement irregularity, or even partial paralysis as the issue worsens.
L5 symptoms include pain in lower back and/or pain in the outside of lower leg, down to toes, which may include numbness, weakness and tingling.
While lumbar radiculopathy typically affects one leg at a time, sometimes, both legs may be affected together. An injury to the cauda equina may cause severe pain, weakness, numbness, tingling, or paralysis in both legs.
In the case of an L4-L5 lumbar disc herniation, the lower back pain can radiate to the hip and leg. When you have a herniated disc in the lumbar spine, the pain is not always located in the affected area. In many cases, the patient begins to notice discomfort in areas that are related to each other.
What causes a bulging disc to flare up? Generally, the same mechanism of injury that causes the disc bulge or herniated disc is the same mechanism or activity that causes the bulging disc to flare up. In the vast majority of cases, these are forward bending or flexion type activities.
It is not possible to feel a herniated disc with your hand. The intervertebral disc is much too far forward in your body for it to push that far out to feel it. If this were the case, this would mean that you could poke your spinal cord with your finger, which also isn't possible… and would be very bad if you could.
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.
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.