Pain from a herniated or protruded disk may be local, spread to the buttocks or radiating down through the leg. Depending on the anatomical location of the protrusion, its proximity to the nerve, inflammatory response and the stability of a spinal segment causing pain of different quality. Pain is usually worse while sitting or bending down and improves with walking. There may be numbness, tingling and loss of strength. The body may react with antalgia. Antalgia is a protective scoliosis – bending of the spine away from compressed nerve in order to relieve the tension on the spinal nerve pinched by protruded disc material.
Here are some of the common causes for a herniated or protruded disc. Anatomical predisposition, motor developmental aberrations, poor spinal stability, abnormal hip alignment, improper lifting activity, poor posture, repetitive trauma as well as variety of other biomechanical factors.
Disk pain may mimic many other syndromes in the low back such as: sacroiliac joint pathology, facet irritation and muscular pain. Unless steroid injection or surgery is considered MRI (Magnetic resonance imagining) is not necessary in most cases.
Discal pain without radiation may be difficult to diagnose clinically, as its presentation is similar to other back pain syndromes. This type of pain must be differentiated from pain arising from sacroiliac joint or facet joints. Some of the treatment methods such as stretching or manipulation can have grave consequences if not diagnosed correctly. Pain from the pinched nerve by the disk is much more clinically evident.
Different disk syndromes may respond to different type of therapy or treatment. Therapy choice should be based on thorough clinical evaluation, history factors rather than MRI images. There are no miracles in treating disk pathologies. The success is based on experience and comprehensive approach rather then specific technique.
At NYDNR for treatment of herniated or protruded disc we use a combination of the most modern evidence based clinical approaches such as DNS (Dynamic Neuromuscular Stabilization), ISM (integrated system model), McKenzie method and clinical Pilates. We may combine these with acupuncture or a epidural injection if necessary.
Another novel approach, which is unique with us, is called reflex stimulation (vojta therapy), which in the past has only been used for treatment of neurological diseases. Reflex stimulation has clinically been proven to be most effective in the acute and sub acute stages of disc herniation.
if you have a HNP
Some individuals are anatomically predisposed to disc herniation, but in most cases the problem arises from behavioral lifestyle conditions.
If you suspect you have a herniated disc, avoid prolonged sitting and lifting heavy weights. Do not seek treatment involving high velocity spinal manipulation.
Disc pain sometimes mimics other syndromes like sacroiliac joint dysfunction, pain originating from the vertebral facet joints and muscular pain. Real-time diagnostic ultrasound can help your therapist confirm disc herniation and pinpoint the exact location at which the nerve is compressed. Misdiagnosis can lead to further damage if the wrong treatment strategy is employed.
The treatment plan should be based on health history, clinical assessment and ultrasound imaging. Disc problems need to be treated on a case-by-case basis, under the supervision of an experienced clinician.
At NYDNR, we use innovative approaches based on clinical evidence of their effectiveness for treated herniated disc pain.
Some of our treatment methods include:
Our back pain specialists provide individualized treatment based on accurate diagnosis.