Diagnosed With a
By: Dr. Robert Duvall, DPT, ATC, MGFI
You've probably heard people refer to the fact that they have a 'slipped disc', or ruptured disc in the back. Sometimes they complain that their back 'went out'. What they are most likely describing is a herniated disc. This condition is a common cause of both back and leg pain.
Discs are soft cushions found between the vertebrae that make up the spinal column -- the spine (your backbone). In the middle of the spinal column is the spinal canal, a hollow space that contains the spinal cord. The nerves that supply the arms, leg, and torso come from the spinal cord. The nerves from the neck supply the arms and hands, and the nerves from the low back supply the butt and legs. The discs between the vertebrae allow the back to move freely and act like shock absorbers.
The disc is made up of two main sections. The outer part(the annulus) is made up of tough cartilage that is comprised of series of rings. The center of the disc is a jelly-like substance called the nucleus pulposus. A disc herniates or ruptures when part of the jelly center pushes through the outer wall of the disc into the spinal canal, and puts pressure on the nerves. A disc bulge is when the jelly substance pushes the outer wall but doesn't completely go through the wall.
Low back pain will affect four out of five people during their lifetime. The most common symptom of a herniated disc is "sciatica". Sciatica is best described as a sharp, often shooting pain that begins in the buttocks and goes down the back of one leg. This is most often caused by pressure on the sciatic nerve that exits the spinal cord. Other symptoms include:
- Weakness in one leg or both legs
- Numbness and tingling in one leg (pins & needles)
- A burning pain centered in the low back
- Loss of bladder or bowel control (seek medical attention immediately)
- Back pain with gradually increasing leg pain. (If you have weakness in both legs. Seek immediate attention.)
Your medical history is key to a proper diagnosis. A physical examination can usually determine which nerve roots are affected (and how seriously). A simple x-ray may show evidence of disc or degenerative spine changes. An MRI (magnetic resonance imaging) is usually the best option (most expensive) to determine which disc has herniated.
Discs are primarily composed of water. As we become older (after the age of 30), the water content decreases, so the discs begin to shrink and lose their shape. When the disc becomes smaller the space between the vertebrae decreases and become narrower. Also, as the disc loses water content the disc itself becomes less flexible.
While aging, excess weight, improper lifting and the decrease in water in the discs all contribute to the breaking down of discs, the primary cause of a herniation, or bulge, is uneven compression and torsion that's placed on the discs.
This uneven pressure is caused by imbalances in muscles that pull the spine out of its normal position and then your body is forced to function in what I call a physical dysfunction. Every human being develops these dysfunctions over time and eventually they cause enough damage to create pain.
When it comes to treating a herniated disc, there are traditional treatments such as ice/heat, ultrasound, electrical stimulation, cortisone injections, anti-inflammatory medications and even surgery. While these may deliver some relief, it will usually be temporary if at all.
But the major problem with these traditional treatments is that they can't fix or heal a herniated disc as they do not address the actual cause of the problem. For example, even if you were to have a surgery and get some pain relief, the fact is the dysfunctions that caused the disc to herniated in the first place are still there and if not addressed, they will continue to place uneven pressure and strain on the discs and sooner or later you will likely have another problem with that disc, or others.
Without identifying and addressing the underlying cause of the problem, which is the physical dysfunctions caused by imbalances in muscles, you will likely continue to suffer with this condition and the continuous flare ups for years. Unfortunately, most doctors, chiropractors and physical therapists don't spend time or focus on identifying the physical dysfunctions that are responsible for the condition so most people end up jumping from one useless traditional treatment to the next and suffer for months or years unnecessarily.
If you have been diagnosed with a herniated disc, or are wondering if your back pain may be caused by a herniated disc, either way you must identify and address the physical dysfunctions that are causing your pain as part of your recovery.
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To see other great articles by Dr. Duvall, please visit Back Pain Cure Resources. There, you will find many more articles and resources to help educate, provide solutions and back pain treatment strategies, and may help you get rid of your back pain forever.
About Dr Duvall: Dr. Robert Duvall is a Doctor of Physical Therapy and Certified Athletic Trainer. He has helped Thousands of people identify and cure their back pain by educating them with articles such as the one above.
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