A herniated disk is a condition that can occur anywhere along the spine, but most often occurs in the lower back. It is sometimes called a bulging, protruding, or ruptured disk. It is one of the most common causes of lower back pain, as well as leg pain, or sciatica.
This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. Pain is often described as sharp or burning. Numbness or tingling. People who have a herniated disk often have radiating numbness or tingling in the body part served by the affected nerves.
The lower back is most commonly affected by herniated discs. 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.
A bulging disc may have no pain at all because it has not reached a certain severity level, and this can make it difficult to identify the bulging disc symptoms before the condition becomes more severe. Most commonly, bulging discs create pressure points on nearby nerves which create a variety of sensations.
Herniated discs can occur in any part of the spine. Herniated discs are more common in the lower back (lumbar spine), but also occur in the neck (cervical spine). The area in which pain is experienced depends on what part of the spine is affected.
A misdiagnosed herniated disc is one of the most common reasons patients endure chronic neck or back pain. Herniated discs are often misdiagnosed as piriformis syndrome, a muscular disorder in the buttocks, mild sciatica, degenerative disc disease, and osteoarthritis.
The best way to tell if you have a herniated disk is to see your doctor. They'll likely do a physical exam to find the source of your pain. This usually is the only test you'll need to confirm a diagnosis. Your doctor will check your back for sore or painful spots.
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 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.
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. For instance, that doesn't mean a patient should turn into a couch potato – that can actually make things worse and prolong recovery time.
If your pain is mild to moderate, your doctor might recommend pain medication available without a prescription, such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve).
The bulging or herniated part of the disc presses on nerves as they exit the spine, resulting in pain and other symptoms. Since herniated discs involve nerve compression, the symptoms they cause can feel a lot different from the symptoms associated with muscle strain.
The Difference Between Muscle and Disc Pain
Muscle pain will feel like post-workout soreness, while disc pain will feel debilitating and tingly.
You are not likely to be able to feel the disc itself, since it is located between the bones of your spine. However, you may be able to determine the affected area by touching various points along your back that you can reach.
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.
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).
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.
Stage 4: Sequestered Disc – Once the nucleus pulposus layer breaks through the outer layer, the inner layer will lie outside the disc and affect the spinal canal, causing a herniated nucleus pulposus. At this stage, it is considered to be a complete herniation and a neurological deficit.
Avoid Sitting Too Much
Sitting for long periods is not advised if you suffer from a herniated disc. It places more stress on your spinal discs, worsening the pain. You can maintain comfort by regularly moving around or standing up from your seat.
1) Side-lying position: This sleeping position is achieved by lying on your side with a pillow between your legs. It will help keep your spine aligned and take pressure off your herniated disc. 2) Back-lying position: When you sleep on your back, using a pillow under your knees is vital to keep your spine in alignment.
“Red flags” include pain that lasts more than 6 weeks; pain in persons younger than 18 years or older than 50 years; pain that radiates below the knee; a history of major trauma; constitutional symptoms; atypical pain (eg, that which occurs at night or that is unrelenting); the presence of a severe or rapidly ...
Chiropractic is a preferred treatment option for many people with bulging and herniated discs because it is a non-invasive process and does not require drugs or injections. Once you have reached your diagnosis, you and your chiropractor can work hand in hand to look for the best way to treat your condition.
Bulging discs occur when pressure from the spine causes the disc to bulge outward. A bulging disc may cause little or no discomfort, whereas a herniated disc is more likely to be painful because it usually protrudes farther and typically irritates nerve roots.