Tell me about...
Herniated
Discs
What are herniated discs?
The
24 vertebrae of your spine are separated from one another by pads of cartilage
called discs. These discs have a fairly tough outer layer with a soft interior
to cushion against the shocks and strains experienced as you move and put
various stresses on your spine.
The discs are subject to injury, disease, and degeneration
with use over time. Certain activities and types of work increase the risk of
discs being damaged or deteriorating. When the soft interior material of a disc
pushes out through a tear or weakening in the outer covering, the disc is said
to be herniated.
Herniated
discs are also called protruding, bulging, ruptured, prolapsed, slipped, or
degenerated discs. There are fine distinctions between these terms, but all
really refer to a disc that is no longer in its normal condition and/or
position. Herniated discs cause pain by impinging on (intruding upon,
irritating, and pinching) and even injuring nerves in the spinal column.
What are some of the typical symptoms of herniated
discs?
Most
disc herniation takes place in the lower back (lumbar spine). The second
most common site of herniation is the neck (cervical spine). A
herniated lumbar disc may send pain shooting down through your
buttock and thigh into the back of your leg (sciatica). Cervical disc
herniation may cause pain in the shoulder, arm, and
hand.
Herniated discs can cause muscle weakness, make it hard to get up when you've
been sitting or lying down, cause pain when you strain to do something, even
when you cough or sneeze. They sometimes produce pain in the lower right side
of the abdomen. Herniated discs may also affect nerves to the bladder and
bowel, causing incontinence. This symptom signals the
need for immediate, emergency attention.
What can chiropractic do?
There
is broad acceptance among health care
professionals
and the public of the recommendation that the pain from herniated discs be
initially treated conservatively. That is, as long as there are no signs (such
as severe pain, numbness, or functional impairment from nerve involvement) of
the need for more invasive treatment, two or three months of chiropractic care may be the best choice
before considering to spinal surgery or shots of analgesics (painkillers) in
your back. And only a minority of disc herniations turn out to require
treatment as traumatic and costly as
hospitalization and surgery or with as many side effects (especially for older
people) as opioid analgesics and muscle relaxants.
A chiropractor will examine and question
you carefully, take a complete history, and conduct appropriate diagnostic
tests. He or she will focus on exactly what symptoms you've been suffering and
determine which parts of your spine are the likely cause of your pain and loss
of function. Chiropractic provides the special training, techniques, and
experience needed to safely and effectively adjust your spine so that the stress on the discs is minimized,
the pain relieved, the damaged or displaced structures given a chance to heal,
and your ability to return to normal functioning restored.