Herniated Disk Treatment in New York

Herniation refers to a condition in which a disc in the spinal column is damaged and the soft inner tissue bulges outwards into vertebral canal. The vertebral disc (not to be confused with the actual vertebrae) functions as a kind of shock absorber between the individual vertebrae. They’re the ligaments that hold the spine together, the joints that allow the spine what mobility it has.

When a disc is herniated, or “slipped,” or “ruptured,” the jelly-like center of the disc has begun pushing outwards from within. This can occur because of a sudden rupture or through the natural wear and tear of aging. Because the spinal structure grows increasingly rigid as we grow older, the disc gradually becomes less elastic and more vulnerable to injury and may require herniated disc treatment. However it is not uncommon for people to experience disc wear as early as their twenties.

This can happen for a variety of reasons: inherent or acquired spinal instability (abnormal sliding movements between one vertebra and another as a disc degenerates); misalignment (a misaligned spine can cause pain in the neck, back, and the rest of the body); overuse; improper exercise or lifting techniques; poor shock absorption through the lower kinetic chain (feet, knees, hip, and pelvis); various forms of overload such as excessive seating; asymmetrical weight bearing; trauma or injury to the cervical spine, which requires herniated neck disc treatment; or protruding disc, which may require bulged disc treatment.

The majority of patients suffer from some combination of these and other factors. And because there are so many factors involved, herniated disc treatment can be difficult. While we tend to think of herniated discs as being incredibly painful, the truth is that some are and some are not. Pain is only felt when the nerve is exposed to the foreign tissue of the bulging disc, or when the disc tissue places direct pressure on the nerve root, requiring herniated disc treatment. In cases where the patient suffers pinching in the cervix (neck area), he or she may need herniated neck disc treatment. Patients suffering from pain in the lower body may require herniated disc l5 s1 treatment.


Patients suffering from a hernia in the lumber region (around the pelvis) will initially feel some pain in their lower back. In the event that there is pressure on the sciatic nerve, the largest nerve in the body, the pain may extend into the leg, below the knee, towards the feet and ankles. They may also begin to experience numbness and a tingling sensation extending from the buttocks all the way down towards the leg and foot necessitating herniated lumbar disc treatment.

In very rare cases patients may suffer from loss of bladder or bowel control owing to a compression of the spinal nerve roots, when the nerves are squeezed against the bone. Known as cauda equina syndrome, this is a very serious condition requiring immediate medical attention.


Herniated neck disc treatment is complicated by a variety of factors, including symptoms, age, and activity level of the patient. In the majority of cases the primary goal of treatment is to relieve pain and other systems resulting from the herniated disc. How this happens, though, varies from patient to patient and case to case.

For most patients suffering with a herniated neck disc, treatment via sugergy is not the best option. One exception is the aforementioned cauda equina syndrome. Another is progressive weakness in the arms and legs because of a pinched nerve root. If surgery is not undertaken, the patient may experience permanent nerve loss. About one in ten people suffering from herniation eventually undergo surgery.

For more “ordinary” symptoms, however, there are less drastic treatments for a herniated disc. Because a herniated disc usually heals on its own given enough time and rest, your doctor may recommend prolonged rest at home accompanied by specific exercise routine. Resting reduces compression on the spine, which lessens the inflammation surrounding the pinched nerve.

Remain at rest in a seated or reclining position for up to half an hour at a time, but avoid remaining in the same position for long periods. Take a short walk on a flat ground every two to three hours. You may apply an ice pack for ten to fifteen minutes every two to three hours.

Though medicine can never be a “sufficient” herniated disc treatment, it may reduce pain and inflammation by relieving some of the pressure on the compressed nerves. Consult with your doctor before taking over the counter medication.

The important thing to remember when undergoing neck or lumbar herniated disc treatment is that there is no miraculous cure, no “one size fits all” approach. How your body responds to treatment will depend on the degree, shape, and position of the herniation, which is different for every human being. Some trial and error may be necessary. You may not get it right immediately, but keep working at it. The majority of discs will eventually be healed through simple rest and a combination of specific physiotherapy, gentle mobilization and balance exercises .

How We Treat Herniation

But there is some good news: those needing herniated disc treatment, herniated disc l5 s1 treatment, or bulged disc treatment may not have to suffer for much longer. Whenever a nerve is damaged it’s critical to assess and restore dysfunction of the locomotor system and associated syndromes. Our state-of-the-art method of dynamic neuromuscular stabilization (DNS), pioneered by the Prague School of Rehabilitation, relieves pressure of the disc on the hurting nerve root by increasing spinal stability, improving motor control and balance. By assisting patients in regaining control of spinal stability, we offer a safe treatment for herniated discs in the lower back and neck that allows healing of protruded disc material, reducing the inflammation around a nerve root. Normalizing spinal mechanics and motor control allows redistribution of forces away from the segment where herniation has occurred.

One component of our multifaceted, comprehensive approach is Computer Assisted Rehabilitation (C.A.R.E.N), an advanced herniated disk treatment technology only now being made available to civilians, to treat and re-stabilize the patient’s locomotion, posture, balance, and spinal stability. An advanced virtual reality system for treatment and rehabilitation of walking, back pain, spinal stability, and motor control integration, C.A.R.E.N is a great resource for herniated neck disc treatment and herniated disc lower back treatment. And, if the integrity of the tendons or muscles is compromised, we combine our rehabilitation protocols with state-of-the-art ex-corporeal shockwave therapy (ESWT) to regenerate tendons and muscles. Whatever your symptoms, whether you need lumbar or herniated neck disc treatment or bulged disc treatment, the DNR has the most comprehensive program in New York City.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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