Herniated Disc

The spine is made up of a series of connected bones called "vertebrae". In between all of these vertebrae, there is something that is called a disc. The disc is a combination of strong connective tissues which hold one vertebra to the next, and acts as a cushion between the vertebrae. The disc is made of a tough outer layer called the "annulus fibrosus" and a gel-like center called the "nucleus pulposus." As you get older, the center of the disc may start to lose water content, making the disc less effective as a cushion. This may cause a displacement of the disc's center (called a herniated or ruptuied disc) through a crack in the outer layer. Most injuries occur at the L4,5 or L5/S1 areas. A herniated lumbar disc can cause irritation to the nerves in the spine and may cause pain, numbness, tingling or weakness of the leg .11. "sciatica". Sciatica affects about 1-2% of all people, usually between the ages of 30 and 50.

Most (80-90%) patients with a new or recent acute disc hemiation will improve without surgery. T. goals of non-surgical treatment are to reduce the irritation of the nerve and disc and to improve the physical condition of the patient to protect the spine and increase overall function. This can be accomplished in the majority of hemMted disc patients with an organized care program that combines a number of treatment methods. Some of the first treatments your doctor may prescribe include therapies such as ultrasound, electric stimulation, hot packs. cold p.ks, and marnual ("hands on") therapy to reduce your pain and muscle spasm, which will make it easier to start an exercise program. Traction may also provide limited pain relief for some patients. Occasionally, your doctor may ask you to wear a lumbar corset (soft, flexible back bra.) at the start of treatment to relieve your back pain, although it doesn't help heal the herniated disc. At first, the exercises you learn may be gentle stretches or posture changes to.