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Herniated discs occur when the rubbery cushion i.e. disc, which sits between the bones herniates through its tougher outer shell. This is also known as ruptured or slipped discs. This can occur in any part of the spine, though it most likely occurs in the lower back. This can cause localised nerve irritation, resulting in symptoms such as pain, weakness, tingling, or numbness that frequently radiate down the leg (sciatica) or arm (cervical radiculopathy). Typical herniated disc treatment in Mukundapur include reduced activity, physical therapy to increase flexibility and strengthen the surrounding muscles, pain management with medications, and, in severe cases, surgical interventions to replace the injured disc and relieve nerve compression.
Manipal Hospitals, Mukundapur, Kolkata, is renowned for its comprehensive approach to treating herniated discs, combining advanced medical technology with personalised patient care. The hospital's multidisciplinary team includes orthopaedic surgeons, neurologists, physiotherapists, and pain management specialists who work together to develop customised treatment plans.
Men are twice as likely as women to have herniated discs, which are most frequently found in people between the ages of 30 and 50. Long periods spent sitting still, being overweight, doing heavy lifting, and doing repetitive bending or twisting motions for work, sports, or hobbies are other risk factors. Since smoking harms circulation and spinal health, it is also known to be a risk factor for herniated discs.
Spinal disc structure is similar to that of a jelly doughnut, with a harder outer layer around a soft, gel-like interior. This outer layer may deteriorate and crack with time, allowing the inner gel substance to protrude through the crack and cause a herniated disc. The adjacent spinal nerves may then experience pressure from the spilt substance, resulting in pain and other symptoms. Age, being overweight, doing repetitive tasks, and experiencing an abrupt strain from lifting or twisting incorrectly are some of the factors that might cause a spinal disc to burst.
The location of a herniated disc in the spine can affect its symptoms. Pain, numbness, tingling, or weakness in the afflicted area are typical symptoms that may get better with rest and get worse with movement. In addition, discomfort in other body areas may result from symptoms that spread along the path of the afflicted nerve. In extreme situations, nerve compression may cause problems walking or carrying out daily tasks.
Your healthcare professional will perform a physical examination to check for a herniated disc. They will measure pain, muscle reflexes, sensation, and muscle strength. Some of the diagnostic tests they might order are:
A CT scan to see bone structures and nerve compression
MRI, the most accurate imaging test for herniated discs
X-rays to rule out other causes
Myelograms to determine disc location and spinal canal narrowing
Electromyograms (EMG) to evaluate nerve function and identify affected nerves
The location and severity of the herniated disc can be diagnosed with the help of these tests combined.
The pain associated with a herniated disc can often go away with time. During the healing process, you can reduce discomfort. If the pain is severe, relax for a short time (one to three days), but do not stay in bed for an extended period, as this can cause stiffness. To treat pain and inflammation, take over-the-counter medications such as acetaminophen or ibuprofen. Depending on what works best for you and your level of discomfort, apply heat or ice packs to the affected area to help with pain relief and inflammation reduction.
By bending your knees and maintaining a straight back during lifting exercises, you can lower your chance of developing a herniated disc.
Keep your weight healthy to relieve pressure on your lower back.
Aim for proper posture when performing regular tasks to lessen the strain on the spine.
Include stretching breaks regularly, especially when sitting for long periods.
Steer clear of high-heeled shoes, focus on abdominal and back strengthening exercises, and think about giving up smoking, which weakens spinal discs.
Conservative therapy for herniated discs uses techniques including physical therapy, rest, and medication to gradually reduce symptoms. Since the goal of these therapies is to strengthen muscles and reduce inflammation, the risk of disc damage or worsening pain is minimised. Therefore, patience is essential.
If conservative therapies are ineffective, surgical intervention may be explored; however, both strategies necessitate time for both to take effect and recovery. Consulting medical experts ensures appropriate care and reasonable expectations for the treatment of herniated discs.
If aggravating activities, like those associated with work, continue, an untreated herniated disc may worsen over time. Chronic discomfort and a progressive loss of feeling or muscular control in the affected area are possible consequences of a worsening ailment. You should see your doctor if symptoms don't go away after four to six weeks with conservative treatment. Additional testing and treatment may be required to avoid long-term problems.
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