by Martha Briges
A herniated disc, or slipped disc, is a situation in which the spine suffers a tear in the outer ring lets the soft, middle part of the disc bulge out. The tear can cause inflammation of the area resulting in pain. This is the reason for using anti-inflammatory remedies for herniation, bulge, protrusion or tear.
Normally, a protruding disc can lead to herniated discs.
Prolapsed, slipped disc, ruptured disc, protruding or bulging disc, black disc, degenerative disc disease, disc degeneration, disc disease, pinched nerve, sciatica, bulging disc and disc protrusion are all terms used to describe a herniated 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.
When this condition occurs in the neck, it is known as a cervical herniation. The signs are pain the arm, hand, shoulder, shoulder girdle, scapula, skull or back area of the neck.
Because of the stability of discs in the thoracic area, herniations are rare. The signs are very similar to that of back and neck herniations.
Everyday wear and tear from lifting or sitting can result in herniated discs. Traumatic injury to lumbar discs most often happens from improper lifting. Minor and chronic back pain or fatigue is a sign of normal wear and tear that makes it more likely that herniation will occur. A straight spine equalizes internal pressure. Lifting and sitting shifts that 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.
Testing procedures that can confirm the diagnosis include: EMG/NCS, Myelogram, MRI, CAT scan and x-rays.
Most of these conditions will heal by themselves within six weeks without surgery.
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.
Other treatment forms include: bed rest, physical and massage therapy, weight control and chiropractic care.
Surgery should be a last resort treatment.
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