Herniated Disc / Slipped Disc

Patient Education Spine Conditions Lower Back Pain

Stop your Back Pain today. Effective Treatment, Non Surgery. Discuss with our Spine Specialist for the Diagnosis, Treatment and Prognosis of your Slipped Disc. Call us +65 97731458 to schedule for an appointment.

What is Herniated Disc / Slipped Disc?

Your spinal column is made of up 26 bones (vertebrae) that are cushioned by disks. The discs protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting.

Each disc has two parts a soft, gelatinous inner portion and a tough outer ring. Injury or weakness can cause the inner portion of the disc to protrude through the outer ring. This is known as a slipped or herniated disc. This causes pain and discomfort. If the slipped disc compresses one of your spinal nerves, you may also experience numbness and pain along the affected nerve. In severe instances, you may require surgery to remove or repair the slipped disc.

Slip Disc

What are the symptoms of Herniated Disc / Slipped Disc?

You can have a slipped disc in any part of your spine, from your neck to your lower back. The lower back is the most common area for slipped discs. Your spinal column is an intricate network of nerves and blood vessels. A slipped disc can place extra pressure on the nerves and muscles around it.

Symptoms of a slipped disc include:

  • pain and numbness, most commonly on one side of the body
  • pain that extends to your arms or legs
  • pain that worsens at night
  • pain that worsens after standing or sitting
  • pain when walking short distances
  • unexplained muscle weakness
  • tingling, aching, or burning sensations in the affected area

The types of pain can vary from person to person. Please consult a Spine Specialist if your pain results in numbness or tingling that affects your ability to control your muscles.

What causes Herniated Disc / Slipped Disc?
A slipped disc occurs when the outer ring becomes weak or torn and allows the inner portion to slip out. This can happen with age. Certain motions may also cause a slipped disk. A disc can slip out of place while you are twisting or turning to lift an object. Lifting a very large, heavy object can place great strain on the lower back, resulting in a slipped disc. If you have a very physically demanding job that requires a lot of lifting, you may be at increased risk for slipped discs.
Overweight individuals are also at increased risk for a slipped disc because their discs must support the additional weight. Weak muscles and a sedentary lifestyle may also contribute to development of a slipped disc.
People who are 35 to 45 years old are more likely to have a slipped disc. This is because your discs begin to lose some of their protective water content as you age. As a result, they can slip more easily out of place. They are more common in men than women.

What are the effect of the Herniated Disc / Slipped Disc?

An untreated, severe slipped disc can lead to permanent nerve damage. In very rare cases, a slipped disc can cut off nerve impulses to the cauda equina nerves in your lower back and legs. If this occurs, you may lose bowel or bladder control.

Another long-term complication is known as saddle anesthesia. In these cases, the slipped disc compresses nerves and that causes you to lose sensation in your inner thighs, the back of your legs, and around your rectum.

While a slipped disc’s symptoms may improve, they also can worsen. If you cannot perform the activities you once could, it is time to see a spine specialist.

How are Herniated Disc / Slipped Disc diagnosed?

Our spine specialist will first perform a physical exam. He will be looking for the source of your pain and discomfort. This will involve checking your nerve function and muscle strength, and whether you feel pain when moving or touching the affected area. Our spine specialist also will ask you about your medical history and your symptoms. He will be interested in when you first felt symptoms and what activities cause your pain to worsen.

Imaging tests can help the Doctor view the bones and muscles of your spine and identify any damaged areas. Examples of imaging scans include:

  • X-rays
  • CT scans
  • MRI scans

Our spine specialist can combine all these pieces of information to determine what is causing your pain, weakness, or discomfort.

How are Herniated Disc / Slipped Disc treated?

Treatments for a slipped disc range from conservative to surgical. The treatment typically depends on the level of discomfort you are experiencing and how far the disc has slipped out of place.

Most patients can relieve slipped disc pain using an exercise program that stretches and strengthens the back and surrounding muscles. A physical therapist may recommend exercises that can strengthen your back while reducing your pain.

Taking some anti-inflammatory medicines and avoiding heavy lifting and painful positions can also help.

While it may be tempting to refrain from all physical activity while you are experiencing the pain/discomfort of a slipped disc, this can lead to muscle and joint stiffness. Instead, try to remain as active as possible through stretching or low-impact activities such as walking.

If your slipped disc pain does not respond to over-the-counter treatments, our spine specialist may prescribe stronger medications. These include:

  • muscle relaxers to relieve muscle spasms
  • narcotics to relieve pain
  • nerve pain medications like gabapentin or duloxetine

Our spine specialist may recommend surgery if your symptoms do not subside in six weeks or if your slipped disc is affecting your muscle function. Our surgeon may simply remove the damaged or protruding portion of the disc without removing the entire disc. This is called a microdiscectomy.

In more severe cases, our surgeon may replace the disc with an artificial one or remove the disc and fuse your vertebrae together. This procedure, called a laminectomy, adds stability to your spinal column.

Is it possible to prevent a Herniated Disc / Slipped Disc?

It may not be possible to prevent a slipped disc, but you can take steps to reduce your risk of developing a slipped disc. Those steps include:

  • Use safe lifting techniques: Bend and lift from your knees, not your waist.
  • Maintain a healthy weight.
  • Do not remain seated for long periods; get up and stretch periodically.
  • Do exercises to strengthen the muscles in your back, legs, and abdomen.

What is the prognosis for someone with a Herniated Disc / Slipped Disc?

Most people with a slipped disc will respond well to conservative treatment. Within six weeks their pain and discomfort will gradually lessen.

Stop your Back Pain today. Effective Treatment, Non Surgery. Discuss with our Spine Specialist for the Diagnosis, Treatment and Prognosis of your Slipped Disc. Call us +65 97731458 to schedule for an appointment.

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