Slipped or herniated disc happen in the spine from a tear in the outer ring causing the soft, center section of the disc to bulge. As a result of the tear, inflammation and pain may occur that can be treated with anti inflammatory drugs. Bulging, protruding and torn discs may receive the same treatment.
Normally, a protruding disc can lead to herniated discs.
Phrases such as prolapsed, ruptured or slipped disc may be used to describe this condition. Other phrases include protrusion, bulging disc, sciatica, pinched nerve, disc degeneration or disease, degenerative disc disease and black disc.
In general, the neck and lower back region are more likely to have herniations. Of the two, the lower back is more susceptible. Signs of the condition are pain in the toes, foot, buttocks, thighs, back and legs. Tingling, numbness or burning feelings may be felt in the legs, feet and hip region as well.
Individuals in their thirties and forties are more likely to develop herniated discs. At this age, the nucleus is still a gelatin like element. With age, the gel dries out and the chance of the injury decreases.
Cervical herniations occur in the neck and can cause pain in the neck, scapula, skull, shoulder girdle, hand, shoulder and arm.
Herniations in the thoracic discs rarely occur because of stability. However, the symptoms are like those from neck and back herniations.
Having a job that requires prolonged sitting or lifting can cause this condition. Traumatic injury to the discs in the back is mostly caused by not lifting items correctly. Back fatigue or chronic pain is a sign of the normal wear and tear on the back that increases the likelihood of injuring a disc. Rounding of the spine causes an uneven distribution of pressure whereas a straight spine equalizes internal pressure.
Ruling out conditions such as lesions that occupy space, metastases, tumors, degeneration and spondylolisthesis through certain testing may be necessary. Normally a diagnosis may be given based on a physical exam, signs and history.
Procedures that may be used to rule out or confirm injury include x-ray, CAT scan, MRI, myelogram, and EMG/NCS.
The average healing time for this condition, without surgery, is six weeks.
If pain persists, anti-inflammatory treatment may be prescribed. They should not be used for long term treatment. Steroid injections into the back can also be an option because of the short term pain relief. Physical therapy may also be recommended in combination with other treatments.
Doctors may also place you on bed rest; recommend massage or physical therapy, chiropractic treatment and weight management.
Surgery should be a last resort treatment.
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