Though less common, a disc can herniate in the thoracic spine upper back. Physical therapy that includes back exercises may also be recommended. Good posture reduces the pressure on your spine and disks. American Academy of Orthopaedic Surgeons. However, it is crucial to overcome the fear and effect of the diagnosis and allow yourself to take part in the normal events of life.
If your job involves activities that could potentially strain your spine, such as repetitive lifting or carrying heavy objects, your physician may advise against performing those tasks until after your herniated disc pain subsides. Your surgeon will remove the herniated part of the disc and any extra loose pieces from the disc space. Surgery is done under general anesthesia. If this occurs in the lower back the lumbar spine , the disc protrusion may push against the nearby spinal nerve root. However, if it happens toward the rear or toward the openings for the exiting nerves to the side-rear , the spinal cord or the nerves can be compressed. What are the risks for lumbar disk disease? Some aerobic activities might be better suited to your specific condition. Herniated Lumbar Disc Herniated Lumbar Disc Lumbar disc herniation is an extremely common problem.
Yoga is overall an excellent remedy for a Herniated Disc because it encourages correct posture, stretching and breathing while decreasing stress and muscle tension. After one to two weeks, you usually can begin a more strenuous program of daily aerobic exercises walking, biking, swimming and physical therapy. You may be given pain medicine along with the steroids. It is fine to try out some new positions or activities, since certain methods of sexual interaction might work better than others for you. It can lead to leg weakness or numbness and trouble with bowel and bladder control. Maintaining a healthy weight, participating in regular exercise, and using good posture can lessen your risk for lumbar disk disease.
This condition occurs when a cushioning spinal disc becomes damaged and is pushed out of its normal position between two vertebrae. This is called a bulging disk. Your doctor also may recommend an electromyography, a test that analyzes muscle and nerve function to identify sites of nerve compression or irritation. Your surgeon will discuss any restrictions with you. Some bone from the back of the spine may be removed to gain access to the disc. The goal of removing pressure from the symptomatic nerve has been designed into numerous surgical strategies ranging from insertion of needle-like instruments or endoscopes for limited removal of disc material to aggressive decompression with extensive direct visualization of the nerves followed by a spinal fusion. This general physical exam will be followed by a more detailed examination of your back, during which your doctor will look for differences between your right and left sides, muscle spasms, abnormal curvature, limitation of movement, lack of flexibility, areas of numbness, and areas of tenderness.
Topics: , , , , ,. While most people start with simple treatments first, there are some situations where spine surgery may be needed. The symptoms of lumbar disk disease vary depending on where the disk has herniated, and what nerve root it is pushing on. Sometimes, your doctor will just do a physical exam to see which body parts hurt and how moving in certain ways affects the pain, according to the. Your healthcare provider will ask you to lie flat on your back, with your legs straight.
Since the precipitating movement can be so slight, you might not know what caused your herniated disc, Ferhan Asghar, M. After reviewing your medical history and symptoms, your doctor will do a thorough physical examination to rule out other illnesses that can cause back pain, such as cancer or a bone infection of the vertebrae. Your physician might have some valuable advice which might help facilitate a more enjoyable experience for you and your partner. Actually, most of these these treatments are not likely to affect the nerves directly but, rather, they can alleviate the secondary muscular symptoms and reduce the irritability of the spinal structure. According to Louise Hay in her book, You Can Heal Your Life, a Herniated Disc is connected to our support system. The cards are meant to be seen as a digital flashcard as they appear double sided, or rather hide the answer giving you the opportunity to think about the question at hand and answer it in your head or on a sheet before revealing the correct answer to yourself or studying partner. Unless a lumbar disc herniation is very large and threatens to crush the collection of nerves in the spinal canal, treatment depends entirely on the symptoms.
With the lamina gone, the surgeon can remove any portions of a herniated disc that are causing your pain. Having said that, if you to chose to practice by yourself, just be very connected with your body and do not tolerate pain. Mild lumbar disc herniation may not cause any signs or symptoms. The misconception that herniated discs automatically require surgery keeps some people from seeking help when they need it, Dr. For most people, conservative treatment is enough. When to see a doctor Seek medical attention if your neck or back pain travels down your arm or leg, or if it's accompanied by numbness, tingling or weakness.
These vertebrae have facets on the sides to interact with the ribs. Did it begin when you tried to lift something heavy, or was it triggered by a sudden twist or bend of your back? What increases my risk for lumbar disc herniation? However, as you feel more comfortable you can walk you hands slowly down the wall always bending from the hips and making sure that you are not stressing your spine. Keep the legs straight and draw the trunk up. This progressive loss of sensation affects the areas that would touch a saddle — the inner thighs, back of legs and the area around the rectum. © 1999-2019 This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient.