Often times, clients come in reporting a disc bulge or herniation in the lower back or
Julie Cai
November 15, 2022
Often times, clients come in reporting a disc bulge or herniation in the lower back or neck, which may have been confirmed on a scan. Disc herniations do not necessarily manifest in back pain, however this is commonly the case which drives an individual to be referred for an MRI. Receiving the diagnosis of a disc bulge is not the end of the world, nor does it mean you can’t return to sport or physical activity. This article aims to clear up misunderstandings about disc bulges, and how Physio and Chiro can help disc herniations heal.
Discs are a type of soft tissue that sit in between the vertebrae of your spine. Their primary function is mechanical, since the continually transfer stresses generated by body weight and muscle activity across the spinal column. They make approximately one-third of the spinal column's height, and are major joints of the spine. They also allow bending, flexion, and torsion of the spine. (1)
A disc bulge however, occurs when the supportive structure of an intervertebral disc has been compromised, which can potentially cause the disc itself to press against and compress the nerve root. This nerve compression cau cause back pain, spasms, cramping, shooting pain, sciatica, numbness, pins and needles, or pain down your legs or arms.
The four stages of a disc herniation are: 1) disc protrusion 2) prolapsed disc 3) disc extrusion 4) sequestered disc. Although these stages can sound scary, most people are able to heal from the pain with conservative treatment such as Physiotherapy and Chiropractic, including the final sequestration stage. (2) It is also worth noting that it is common to have a disc bulge yet remain asymptomatic. In a study conducted by Nakashima et. al (2015) on 1211 healthy individuals (between the ages of 20-70 years), they found that 87u.6% of the subjects presented with disc bulge despite being asymptomatic. (3)
With the appropriate treatment and rehabilitation, most people can return to their pre-injury activity. Depending on an individual’s presentation, certain exercises may need to be reduced to allow the pain to improve, such as sit-ups, deadlifts and squats. However, McKenzie method exercises can actually help drive the pressure of the disc forward to pull the disc material back into the disc. It is not uncommon for disc bulges to resolve after appropriate rest and rehab.
The majority of individuals with a disc herniation do not require surgery. The symptoms of radiculopathy improve in approximately 9 out of 10 people with time, conservative treatment such as physiotherapy or chiropractic, and NSAIDS (non-steroidal anti-inflammatory drugs). Physiotherapy and Chiropractic will involve a thorough assessment to determine the affected vertebral level or levels, biomechanical dysfunctions, core strength and lifestyle factors that may have contributed to this condition. Our treatment then involves taking pressure off the affected disc by releasing compressive muscle spasms, gentle traction of the spine, and joint mobilisation/manipulation as required. Appropriate strength and stretching exercise are also added, depending on the biomechanical presentation of the individual.
If you have any further questions about how we can help with your disc herniation, head over to our Contact Us page, or book in now to make an appointment.
Dry needling is a type of therapy that involves inserting thin needles into the skin and muscles. The needles are usually made of stainless steel and are very thin, so they cause minimal pain when inserted. However, some people report feeling a brief, sharp pain when the needle enters the skin. There are several theories as to why dry needling causes this pain. One theory is that the needles stimulate nerve endings in the skin and muscles, which triggers a pain response. Another theory is that dry needling causes a release of chemicals called cytokines, which can increase pain sensitivity. It’s important to note that while dry needling may cause some discomfort, it is generally not considered painful. Many people find relief from their chronic pain after undergoing dry needling therapy.
A syndesmosis injury is a serious condition that can occur when the bones in the ankle joint are not properly aligned. This can happen when the foot is planted awkwardly, or the ankle is twisted. If not treated properly, a syndesmosis injury can lead to long-term problems. There are two main types of syndesmosis injuries: anterolateral and posterior. Anterolateral injuries are more common when the foot is planted awkwardly on an uneven surface. Posterior injuries are less common and occur when the ankle is twisted. If you think you have a syndesmosis injury, it is important to see a doctor right away. Treatment will vary depending on the severity of the injury but may include rest, ice, elevation, and immobilization. Surgery may also be necessary in some cases.
Lower back pain is a common problem that can be caused by various things, such as poor posture, sitting for long periods of time, or lifting heavy objects. Physiotherapy and chiropractic care are two possible treatments for lower back pain. Physiotherapy involves exercises and stretching, while chiropractic care involves manipulating the spine. Physiotherapy and chiropractic care can help relieve lower back pain and improve mobility.
Email Us
info@hyperhealth.com.auOpening Hours
© 2023 Hyperhealth. ALL RIGHTS RESERVED.
