According to research cited by Harvard Health, about 10 percent of patients with herniated disc issues require surgery after six weeks. Similar research suggests that 90 percent of the time, surgery is not necessary for a herniated disc.
Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.
You may be a candidate for discectomy if you have: diagnostic tests (MRI, CT, myelogram) that show a herniated disc. significant pain, weakness, or numbness in your leg or foot. leg pain (sciatica) worse than back pain.
As long as there are no signs of serious deterioration or other conditions in which early surgery is recommended, you can very safely use non-invasive methods of treatment. Often a herniated disc will resolve itself, and painful symptoms disappear. The estimated time for alleviation of pain is approximately six weeks.
The good news is that the vast majority of herniated discs can be treated without surgery using manual therapy and exercise or with IDD Therapy disc treatment. It is only a small percentage of cases which go on to have surgery.
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 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.
After six months, patients still do better with surgery than without surgery—but they don't do as well as patients who undergo surgery before the six-month point. For an optimal outcome, herniated disc surgery must be done within that six-week to six-month window.”
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.
Most herniated discs do not require surgery and typically improve with time. Surgery is therefore a last resort treatment after other options like oral steroids, anti-inflammatories, physical therapy, and even corticosteroid injections may have proven ineffective.
A large herniated disc is considered to be over 3mm. Its size can make the disc slip out of place and start pressing on nearby nerves. Over time, this can cause muscle weakness and nerve damage.
You may continue to experience pain for many reasons. 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.
Fortunately, the majority of herniated discs do not require surgery. With time, the symptoms of sciatica/radiculopathy improve in approximately 9 out of 10 people. The time to improve varies, ranging from a few days to a few weeks. Limit activities for 2 to 3 days.
A Laminotomy and discectomy is the standard surgical procedure for treatment of a lumbar herniated disc. The surgeon removes a small portion of the bone to gain access to the spinal canal (laminotomy) and then removes the portion of herniated disc (discectomy). In certain cases, spinal fusion may be required.
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.
An untreated herniated disk can get worse. That's especially true if you continue the activities that caused it — for instance, if it developed because of your work. A worsening ruptured disk may cause chronic (ongoing) pain and loss of control or sensation in the affected area.
With a herniated disc, the capsule cracks or breaks, and the nucleus squeezes out. This can irritate the spinal cord or nearby nerves, causing weakness and numbness in the arms or legs. A severely herniated disc can cause paralysis.
Is herniated disc a permanent disability in Australia? A herniated disc is a medical condition that causes widespread pain, and limited range of motion or motor function. The injury can be considered as a permanent disability depending on the level of it.
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.
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.
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.
Physiotherapy is recommended for the treatment of herniated or bulging discs to assist patients to manage their pain and get them moving again. Often in physical therapy, patients will be introduced to an exercise program designed for each injured region.
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.