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Herniated Discs

Herniated Discs: Causes, Symptoms, and Treatment Options

A herniated disc—also known as a slipped or ruptured disc—occurs when the soft, gel-like center of a spinal disc (nucleus pulposus) pushes through a tear in its outer layer (annulus fibrosus). This can put pressure on nearby spinal nerves, leading to pain, numbness, tingling, or weakness—most commonly in the neck, lower back, arms, or legs.


Herniated discs are a common cause of radiculopathy (nerve root irritation), especially in the cervical and lumbar spine.


Common Causes of Herniated Discs


  • Age-related disc degeneration (disc loses hydration and flexibility)

  • Repetitive stress or poor lifting mechanics

  • Sudden injury or trauma (e.g., car accident or fall)

  • Excessive sitting or poor posture

  • Obesity and sedentary lifestyle

  • Genetic predisposition to disc degeneration


Symptoms of a Herniated Disc


Symptoms depend on the disc’s location and the nerve affected:

Cervical Spine (Neck)

  • Neck pain that may radiate to the shoulder, arm, or hand

  • Tingling or numbness in the fingers

  • Weakness in the upper limbs

Lumbar Spine (Lower Back)

  • Low back pain with radiation down the leg (sciatica)

  • Sharp, shooting pain in the buttock, thigh, calf, or foot

  • Numbness, tingling, or muscle weakness in the leg or foot

  • Pain that worsens with sitting, bending, or coughing


Conservative Treatment Options


Medications

  • NSAIDs for pain and inflammation

  • Oral corticosteroids for short-term inflammation control

  • Muscle relaxants to reduce spasms

  • Neuropathic agents like gabapentin for nerve pain

Physical Therapy

  • Core stabilization, stretching, and posture correction

  • McKenzie exercises and nerve glides for disc-related nerve symptoms

Activity Modification

  • Avoiding activities that aggravate pain

  • Ergonomic improvements for work and home

Home Remedies

  • Heat and ice therapy

  • Brief rest followed by gradual movement


Interventional Pain Management Options


When conservative treatments aren’t enough, image-guided interventional procedures can reduce inflammation, relieve nerve compression, and delay or eliminate the need for surgery:

Epidural Steroid Injections (ESI)

  • Delivers corticosteroids to the epidural space to reduce nerve root inflammation

  • Can be done interlaminar, transforaminal, or caudal, depending on disc location

Selective Nerve Root Block

  • Pinpoints and treats inflammation in a specific compressed nerve root

  • Both diagnostic and therapeutic

Facet Joint or Medial Branch Blocks

  • If facet joint pain coexists with disc issues, these injections may provide additional relief

Endoscopic Discectomy

  • Minimally invasive surgical procedure to remove herniated disc material with minimal tissue damage

Percutaneous Disc Decompression or Nucleoplasty

  • Needle-based treatment to remove a portion of the disc nucleus and reduce pressure on nerves

Spinal Cord Stimulation (SCS)

  • Considered for chronic pain that persists after other treatments or surgery


When to Seek Help


Consult a spine or pain specialist if you have:

  • Radiating arm or leg pain lasting more than a few weeks

  • Numbness or weakness

  • Loss of bladder or bowel control (seek emergency care)

  • Symptoms that worsen despite rest and medication


Personalized Treatment for Herniated Discs


At Parkview Spine & Pain, we specialize in the non-surgical and minimally invasive treatment of herniated discs. Whether you're dealing with neck pain, sciatica, or back stiffness, we offer customized, image-guided therapies to reduce pain, restore mobility, and help you return to an active lifestyle.


👉 Schedule your consultation today to take the first step toward long-lasting relief from disc-related pain.

Have a question about Herniated Discs?

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