Anyone who has experienced pain from a herniated disc bulge will tell you that it is very uncomfortable and painful. However, this problem can be improved with physical therapy for the vast majority of patients. Today, we are going to learn more about herniated discs and how we treat them at physiotherapy clinic in Dwarka.
The bones (vertebrae) that make up the spine in the back are cushioned by discs. These discs are round, like little pillows, with a tough outer layer (annulus) surrounding the nucleus. Located between each of the vertebrae in the spinal column, the discs act as shock absorbers for the spinal bones.
A herniated disc (also called a bulge, slip, or rupture) is a fragment of the disc nucleus that is pushed out of the annulus, into the spinal canal through a tear or rupture in the annulus. Discs that herniate are usually in an early stage of degeneration. The spinal canal has limited space, which is inadequate for the spinal nerve and the displaced disc herniation fragment. Due to this displacement, the disc presses on the spinal nerves, often producing pain, which can be severe.
Herniated discs can occur anywhere in the spine. The most common occur in the lower back (lumbar spine), but they also occur in the neck (cervical spine). The area in which the pain is experienced depends on which part of the spine is affected.
A single excessive strain or injury can cause a herniated disc. However, the disc material naturally degenerates as we age, and the ligaments that hold it in place begin to weaken. At this stage, a relatively minor strain or twisting motion can cause a disc to break.
Certain people may be more vulnerable to disc problems and, as a result, may suffer from herniated discs in various places along the spine.
Symptoms vary greatly, depending on the position of the herniated disc and the size of the hernia. If the herniated disc does not press on a nerve, the patient may experience low back pain or no pain at all. If you are pressing on a nerve, there may be pain, numbness, or weakness in the area of the body that the nerve travels to. A herniated disc is usually preceded by an episode of low back pain or a long history of intermittent episodes of low back pain.
The initial treatment for a herniated disc is usually conservative and non-surgical. The orthopaedic in Dwarka may advise the patient to maintain a low and painless level of activity for a few days to several weeks. This helps decrease swelling of the spinal nerve. Bed rest is not recommended.
A herniated disc is often treated with nonsteroidal anti -inflammatory drugs if the pain is mild to moderate. In cases where the pain is more severe, an epidural steroid injection can be performed using a spinal needle under X-ray guidance to direct the medication to the exact level of the herniated disc.
One of the most common recommendations made by doctors is to go to physiotherapy in Dwarka. The physiotherapist in Dwarka will perform an in-depth evaluation that, combined with the doctor’s diagnosis, will design a treatment designed specifically for patients with herniated discs. Pain medications and muscle relaxants may be beneficial along with physical therapy.
At Dr Sarwar Physiotherapy Center in Dwarka, we will design a physiotherapy program for each patient based on their clinical presentation, including the history of their problem, the factors that contributed to the development of the problem, the behavior of their symptoms and the functional deficits that have occurred. Therefore, it is impossible to describe a typical physical therapy treatment for herniated discs, although most programs will include a combination of some of the following techniques:
There are many options for physical therapy treatment of herniated discs. The most important thing is that you make sure you have a comprehensive evaluation by a physical therapist. At our clinic, we have a professional team of the best physiotherapist in Dwarka trained in the most advanced techniques to achieve your goals.