What is a Slipped (herniated) Disk?

A herniated disk in the spine. Your spine contains a chain of bones (vertebrae) running from your skull to your tailbone.

Disks: The disks that are between your vertebrae. The disks are cushions for your spine and can help you bend and move more freely. A herniated disk is when one of these disks tears or leaks.

Who gets herniated disks?

While a herniated disk can occur in anyone, it is most common in people aged 30 to 50. The main issue is that it occurs in men twice as often as women. Other risk factors include:

  • Remaining in one position for an extended period
  • Being overweight.
  • I was lifting heavy objects.
  • Repetitive bending or twisting motions for work, sports, or hobbies.
  • Smoking.

What are the symptoms of slipped disk?

Slipped discs can occur in any part of the spine, from the neck to the lower back, but most often occur in the lower back. The spinal cord is a complex relay of nerves and blood vessels, and a slipped disc can exert more pressure on the nerves and muscles surrounding it.

A herniated disc can cause:

  • These can include pain and numbness (particularly on one side of the body)
  • Burning pain that radiates into the arms or legs
  • Night pain or movement-related pain
  • Pain that can be better after sitting or again standing
  • Pain on walking a short distance
  • Unexplained muscle weakness
  • Localized tingling, aching, or burning in that area.
  • The kinds of pain may vary individually. Visit a doctor promptly if your pain causing numbness or tingling, which affects your ability to control muscles.

What causes slipped discs?

A slipped disc is when the outer ring weakens and tears, allowing its entire inner portion to slip out of place. This can happen with age. Slipped discs may also result from specific movements. A disc slips out of place during a bend and activity (lifting, lifting). Lifting a vast, heavy object places enormous stress on the lower back and can lead to a slipped disc. If you work in a job that requires lifting heavy objects all day, the likelihood of slipped discs increases.

Overweight people are also at greater risk for a herniated disc, as the intervertebral discs have to support more weight. A Slipped Disc is also related to weakened muscles and inactive life.

A slipped disc is more common in men than in women. As you age, your discs lose some of the water content that cushions them. Consequently, they can move out of position quickly.

How do you know if you have a herniated disk?

The doctor will examine the infected area thoroughly. In the physical, your provider will evaluate your pain, muscle reflexes, sensation, and muscle strength. Your provider might also order tests, including:

  • Magnetic resonance imaging (MRI): The most primary and precise imaging check for a suspected herniated disk is an MRI.
  • X-rays: X-rays help to rule out other causes of back or neck pain and are particularly useful for identifying vertebral fractures, spondylolisthesis (one vertebra slipping forward over another), transitional vertebrae with an associated abnormal bifurcation (division) of the Iliac crest, and scoliosis.
  • Computed tomography (CT): A CT scan of the spine can provide definitions and specifications for the bones mentioned above. Additionally, a herniated disc can pressure the spinal cord and nearby nerves, which can be seen with dye.
  • Electromyogram (EMG): This test measures how well your nerves work by inserting small needles into various muscles. An EMG can determine which nerves are affected by a herniated disc.

What is the most effective treatment for a slipped disc?

You could want more advanced therapies if your symptoms don't get better. Your physician could advise:

  • Drugs: An anti-inflammatory pain reliever or a muscle relaxant may be suggested by your physician.
  • Physical therapy: A physical therapist will give you an exercise regimen to help lower your stress levels. Exercise increases circulation and relaxes tense muscles.
  • Spinal Injection: Nerve blocks or epidural injections are terms used to describe the administration of steroids directly into the spine. The drug lessens swelling and inflammation in the nerve due to the disk herniation. Your body will be able to mend and return to normal more quickly if you do this.
  • Surgery: Rarely, a big herniated disk may cause damage to the bladder or intestinal nerves. That could necessitate urgent surgery. When non-emergency therapies fail, surgery is a viable alternative. Spinal decompression surgery aims to release pressure on the nerve, and this can be accomplished in several ways.

Will a spinal surgery be necessary for me?

Usually, disc herniations will self-manage and resolve over time, and nonsurgical treatment is helpful for 9 out of 10. But if other treatments are not effective and symptoms continue, surgery will be advised. Many operations are for relieving pressure on the spinal cord and nerves:

  • Diskectomy to remove your herniated disk.
  • Laminectomy: Removing part of the bone around a herniated disk to widen the spinal canal.
  • In artificial disk surgery, one herniated damaged disk is replaced by an artificial one.
  • Spinal fusion joins two or more vertebrae to make your spine more stable.

How do I prevent it from herniating?

One cannot always take care against herniated disk. However, one can lessen its chance by:

  • Proper lifting technique: Do not bend at the waist. Bend at the knees and keep the back straight. Use leg muscles to assist in supporting the load.
  • Maintain good weight: The extra weight is undesirable for the lower back.
  • Good posture: learn correct posture as you walk, sit, stand and sleep. Good posture does not strain your spine.
  • Stretching: That's good if you'll be sitting for any amount of time.
  • Don't wear such shoes with high heels: Wearing high heels might cause slouching and an angled backbone.
  • To strengthen your spine: It's essential to engage in regular exercise and back and abdominal muscle-strengthening activities.
  • Quit smoking.

What is the outlook for those suffering from herniated disks?

Ninety percent of people find that their herniated disk discomfort disappears or requires no medical attention. You'll probably feel better in a month. You should consult your healthcare practitioner if you don't. More extensive medical procedures, such spinal injections or surgery, are necessary for certain individuals.

The herniated disk could get worse with time.

An untreated bulging disk may deteriorate. This is particularly so if you continue to do the things that it developed from-for instance, if it occurred as a direct result of your work. A deteriorating burst disk may cause persistent, chronic discomfort and a loss of feeling or control in the afflicted region. If your symptoms persist after four to six weeks of conservative treatment, schedule an appointment with your doctor.

Living With

When to go to see the doctor?

Pain in the herniated disk may be tolerated at home initially, but see a doctor if:

  • This means that pain interrupts life, just like going to work.
  • No improvement of symptoms at four to six weeks.
  • Symptoms get worse.
  • You become incontinent, losing control over bladder or bowel.
  • You may feel a pins-and-needles sensation in arms, hands, legs, or feet.
  • You need support for standing or walking.

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Dr. Siddharth Tiwari
Dr. Siddharth Tiwari
Consultant - Orthopaedics

Dr. Sandeep Gupta
Dr. Sandeep Gupta
Director - Orthopaedics

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