A disc bulge or herniation is one of the most common causes of low back and neck pain among people ages 20-65 that we see in Rochester.
What is a disc herniation?
Our spinal column consists of multiple bones called vertebrae. Between each vertebra are intervertebral discs, which allow for force absorption and movement of our spines.
Intervertebral discs in our spine have strong outer fibers called the annulus fibrosis with an inner “jelly” like material called the nucleus pulposus.
When the outer fibers wear down, the inner “jelly” can migrate toward the outer fibers resulting in nerve irritation and pain.
Bulging Disc vs Herniated Disc:
While often used interchangeably, a bulging disc is when the inner “jelly” part of your disc has migrated out and is putting pressure on your spinal nerves but has not broken through. A disc bulge can also be called a protrusion.
A disc herniation is when an actual tear or perforation of the annular fibers causes the “jelly” to squeeze out. Essentially, a herniation is a more severe disc bulge and is more likely to cause pain. Herniations come in two forms: extrusion and sequestration.
Research shows that about half of the people with a disc bulge or herniation won’t experience any pain; however, it is often severe for those who do.
Why does a disc herniation occur?
Causes and risk factors include:
- Trauma
- Repetitive motions for long periods
- Improper heavy lifting
- Lifting and twisting
- Manual labor
- Arthritis
- Auto accidents
Improper core stabilization causes excess strain on discs which can create a bulge or herniation over time.
How do I know if I have a disc injury?
While the only way to know definitively is through an MRI; however, our examination and McKenzie (MDT) assessment can predict if a disc herniation has occurred. Most disc injuries and low back pain respond well with conservative care, and imaging isn’t necessary.
Cervical:
In your neck, pain can stay local or travel to your shoulder blade or down your arm.
Low back:
People will often find sitting for long periods painful and experience stiffness in the mornings. Symptoms can include pain directly in your lower back or radiating symptoms down your hip, leg, and even down to your toes. The pain can come on over time or from a sudden movement, usually a lifting or twisting movement.
Skare Spine and Performance’s method of treatment:
We have many tools to diagnose and treat disc pain:
- McKenzie (MDT) method
- Chiropractic adjustments to help restore normal spinal motion
- Dry needling to bring blood flow and relax the musculature
After you are out of the severe pain phase, we will transition to rehabilitation to help strengthen your abdominal wall and prevent this from occurring again.
Our first goal in the office will be finding ways to reduce the pain from your extremities and get it to “centralize” to your spine. We often do that by finding a pain-free repetitive motion of your spine.
After that, we will work on restoring proper joint motion and muscle activation to prevent this from occurring again and progressing. In most cases, patients with a disc herniation can avoid surgery or injections.
What our patients say
“Dr. Share has been incredible to work with. I admit, I was skeptical after I was encouraged to see him by a good friend. I didn’t think he could possibly offer anything different than I was already getting from other providers in various fields. I was wrong! From the consultation to follow up visits, I feel like he has listened to my concerns and addressed them. His approach is so different than a traditional chiropractor. He approaches patients with an incredible mix of multiple disciplines and has really worked wonders to get me through the last bit of pain others couldn’t when dealing with a herniated disc. He has even helped to address other areas that have been nagging me but seemed somewhat unrelated (though maybe weren’t totally unrelated). I also really appreciated that he worked within what other providers I had been seeing were still doing and did not discount their work while working with me. He has kept the number of visits limited to what is needed, and decreased the frequency as soon as it seemed appropriate (which also correlated with how I felt). His office hours have been so helpful with my work schedule he always has a smile on his face and it is so clear he loves doing what he does- helping people feel better and return to the life that matters to them!”
-Christy Gossett, Rochester, MN
“A fall last August provoked the sites of prior surgery’s for disc herniations in my lower back. After several weeks of extreme discomfort, missing work, and a lowered quality of life I knew I needed more help than my then current “Chiropractor” had to offer. My search’s lead me to Skare Spine & Performance. I nearly crawled into my first appointment. Nate did a thorough evaluation and assured me recovery. His positive attitude, attention to detail, and individualized treatments has made what seemed unbearable at times possible. After a nearly full recovery he continues to guide me with his knowledge to further strengthen my body. I am extremely grateful.”
-William Maxwell, Austin, MN