A herniated disc is a painful condition affecting the spinal disc in the vertebrae. The spinal or vertebral disc is the rubber-like cushions between the individual bones that stack up to make our vertebral column, also called backbone or spine. A spinal disc is much like a jelly donut. The soft inner core is protected by the tough circular exterior called annulus fibrosus.
The inner core is composed of a jelly-like material consisting mostly of water and collagen fibers. The elasticity of the inner core allows the spinal disc to withstand compression. The exterior part of the discs encases the inner core and securely connect the spinal vertebrae above and below the vertebral disc.
Age-related changes can make spinal discs less flexible and more vulnerable to herniation. An injury can also contribute. Natural aging cannot be completely prevented.
Discuss safe lifting, regular activity and any work-related strain with your clinician. Advice should fit your symptoms and physical abilities.
A lower-back herniated disc may cause pain traveling into a leg, tingling, numbness or weakness.
Seek emergency care for new loss of bladder or bowel control. New or worsening weakness or difficulty walking also needs prompt medical assessment. Do not wait for a routine chiropractic appointment.
Care depends on your symptoms and examination. Initial treatment often includes changes to activity, prescribed exercises or physical therapy, and medication when appropriate. Many people improve without surgery, although persistent symptoms or weakness may need specialist assessment.
These treatments aim to relieve symptoms; they do not guarantee that a herniated disc will heal. Read the AAOS guide to herniated discs.
If you are considering spinal decompression therapy, ask about the evidence, risks, alternatives and whether it is appropriate for your diagnosis. Motorized traction should not be presented as a guaranteed disc repair.
Call 704-461-1836 to discuss an evaluation. Urgent symptoms require medical care rather than a routine appointment.
