Herniated Disc

The spine is made up of many bones called vertebra, between each vertebra is a disc. Each disc has a softer center encased within a tougher exterior. The disk may move out of place (herniate) or break open (rupture) from injury or strain.

Sometimes called a slipped disk or a ruptured disk, a herniated disk occurs when all or part of the softer inner disk is forced through a weakened part of the disks tougher exterior. When this happens, there may be pressure on the spinal nerves. This can lead to pain, numbness, or weakness.

A herniated disk can irritate nearby nerves and result in pain, numbness or weakness in an arm or leg. On the other hand, many people experience no symptoms from a herniated disk. It is thought that symptoms mainly occur if the damaged disc puts pressure on or irritates a spinal nerve.

Most people who have a herniated disk won’t need surgery to correct the problem. At our center, depending on your diagnoses, we have various traditional, holistic, and minimally invasive treatments available.

What Are The Symptoms

Herniated disc pain most often occurs only on one side of the body. Pain may shoot into your arm or leg when you cough, sneeze or move your spine into certain positions.

The most frequent symptom of a herniated disc in the lower back is pain radiating from this region into one or both of the legs.

Similarly, a herniated disc can also be found in the neck or cervical of the spine, where pain radiates into the arms.

The most common signs and symptoms of a herniated disk are:

  • Leg pain. If your herniated disk is in your lower back, you’ll typically feel sharp pain in your buttocks, leg, hip, or calf and numbness in other parts. The pain may involve part of the foot as well.
  • Arm Pain. This can be a symptom of a herniated disc in your neck. You typically will feel pain when moving your neck. You may have a deep pain near or over your shoulder. You may also have numbness anywhere along your shoulder, arm, forearm or fingers.
  • Numbness or Tingling. Most people will experience numbness or tingling in, or radiating to, the affected body parts.
  • Weakness. You may also experience weakness in part of a buttock, leg, foot, arm, or affected body parts.

Treatment Options

Microdiscectomy

Microdiscectomy, also known as microdecompression, is one of the most common minimally invasive spinal surgeries. The process is to remove the part of the disc that’s putting pressure on your nerve that is causing you pain.

A microdiscectomy is typically performed for a herniated lumbar disc and it is more effective for treating leg pain, rather than back pain.

Patients normally feel relief from leg pain almost immediately after a microdiscectomy spine surgery. It may take weeks or months for the nerve root to fully heal and any numbness or weakness to get better.

Endoscopic Discectomy

This minimally-invasive procedure is performed through a small tubular device. It is designed to relieve pain caused by herniated discs pressing on nerve roots.

After the disc protrusion is confirmed, an endoscope (small camera) is inserted allowing the surgeon to view the herniated disc. Instruments are used to remove degenerative and extruded portions of the disc nucleus. The disc wall defect is treated with a laser and radio frequency probe. The forearm and nerves are inspected to confirm successful decompression.

It is performed under local anesthesia or mild sedation, allowing the patient to leave the hospital the same day. Since general anesthesia is not needed, those risks can be avoided.

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Percutaneous Disectomy

This minimally invasive procedure uses a small needle and a canula device to reduce a herniated disc, quickly relieving pain in most patients.

This process removes small portions of the disc nucleus.The empty space created allows the disc to reabsorb the herniation, the herniated part of the disc.

This procedure is a great alternative to open back surgery for herniated discs and allows to reduce the prolonged recovery and complications related to open surgery.

The procedure may be performed on an outpatient basis. X-ray images are used to guide the placement of the cannula.

Epidural Steroid Injection (ESI)

The epidural space is between the dural sac (a membrane encasing the spinal cord, spinal fluid and nerve roots) and the vertebral wall. An epidural steroid injection (ESI) is an injection that delivers long-acting steroids directly into the epidural space. The steroids help to reduce pain by reducing inflammation around the nerves.

Sometimes an anesthetic or saline is also used to help “flush out” inflammatory agents that may be irritating a nerve.

Epidural steroid injections are typically used to treat pain radiating from the lower back into the legs or from the neck into the arms. The diagnoses most often considered for ESI are herniated disc, stenosis, nerve root compression and, in some cases, spondylolisthesis.

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Chiropractic

Chiropractic approach to healing involves the whole body. Pain relief can be obtained quickly and effectively, and drug-free.

We help our patients avoid surgery and risks associated with surgery including infections, bleeding, prolonged recovery, and risks of anesthesia.

We offer a safe and affordable alternative. We believe that by working to keep the spinal cord correctly aligned, we can maintain the health of the nerves and immune systems and your overall well-being.

A herniated disk refers to a problem with one of the disks between the individual vertebrae that stack up to make your spine.

Your spine is made up of vertebrae (bones) cushioned by small oval pads of cartilage called discs. A herniated disc occurs when the contents of the nucleus pulposus push through the outer ring into the spinal canal.

The disc has a tough outer layer (annulus) surrounding a jelly-like substance in the center (nucleus). A herniated disc occurs when the nucleus breaks through the outer tissue layer. The discs are in front of the spinal cord and exiting nerves, and the herniated material may compress the nerves.

A herniated disc is the common cause of sudden back pain with nerve root symptoms.

A physical exam and medical history are the main ways a herniated disk is diagnosed, but to get a more detailed analysis imaging tests like an MRI may be recommended.

Your doctor will check your back for tenderness. You might be asked to lie flat and move your legs into various positions to help determine the cause of your pain.

In most cases of herniated disk, a physical exam and a medical history are all that’s needed to make a diagnosis.

Treatment for a herniated disc begins with non-steroidal anti-inflammatory medications and patient education. Physical therapy and/or chiropractic care may be initiated, and epidural steroid injections may be considered. If these fail to provide acceptable relief, surgery may be considered.

Instruments are used to remove degenerative and extruded portions of the disc nucleus. The disc wall defect is treated with a laser and radio frequency probe. The forearm and nerves are inspected to confirm successful decompression.
Because no muscles or bone are cut during the procedure the recovery is faster. Complications of open surgery are reduced and general anesthesia is avoided.

 

Treatment options may include:

  • Epidural Steroid Injection
  • Percutaneous Disectomy
  • Endoscopic Discectomy
  • Mircrodiscectomy
  • Physical Therapy
  • Chiropractic Care
  • Medication Management
  • Acupuncture

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.

You may notice other weakness in certain muscles until your doctor examines you.

See a doctor immediately if you develop these symptoms.

If you experience problems with bowel and bladder function, numbness in the saddle area (around the anus), and weakness in one or both legs. This syndrome needs urgent treatment to preserve the nerves.

If you experience any of the following, see a doctor today:

  • Back pain from a fall or injury
  • Weakness or numbness in one or both legs
  • Back pain accompanied by fever without flu-like aches
  • Pain that continues to interrupt sleep after three nights
  • Back pain that remains after six weeks of home treatment

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At our clinic, we properly determine the root cause of your pain.

Our specialists exclusively make use of new techniques for evaluating pain.

Immediate Appointments Available.

Call us at (212) 390-8081.

We are a Pain Management Center in Manhattan, NY. We provided a one-on-one experience, using state of the art equipment, and proven techniques that reduce pain quickly and enable a return to normal function. With our services, we aim to ensure complete well-being of patients with a holistic approach.

At our clinic, we properly determine the cause of discomfort, plan strategies and suggest therapies, accordingly. Our main aim is to ensure the complete well-being and health of patients; therefore we use several holistic treatments that stimulate the ability of the body to repair the damaged area.

Our holistic treatments are extensively utilized in the form of an alternate to pain medications and surgeries in various musculoskeletal conditions, as it focuses on permanently treating the root cause of the pain. Our holistic treatments include: Prolotherapy, PRP (Platelet Rich Plasma), Sarapin Therapy, Zeel Therapy, and Stem Cell Therapy.

Immediate Appointments Available. Call us at (212) 390-8081.