Common Back Pain - Disc Prolapse (Slipped/Ruptured/Herniated Disc)
Prolapsed Disc - Condition Overview
A slipped disc (also known as a herniated, ruptured or prolapsed disc) results when the shock-absorbing pads or intervertebral discs split or rupture
Discs are segments of connective tissue that separate the vertebrae of the spine, providing absorption from shock and allowing for the smooth flexing of the neck and back without the vertebral bones rubbing against each other.
The discs contain a jelly-like substance which seeps out into the surrounding tissue, causing local inflammation and pressure on the spinal nerves (and occasionally the spinal cord) where they exit the spinal canal.
Slipped discs most frequently occur in the lower back although any disc of the spine is vulnerable to rupture.
Cause of Injury
Improper weightlifting technique. Excessive strain. Forceful trauma to the vertebral disc.
Signs and symptoms
Pain in the back or neck. Numbness, tingling or pain in the buttocks, back, upper or lower limb. Changes in bowel or bladder function (this is rare but should be treated as a medical emergency).
Complications if Left Unattended
Slipped or herniated discs require medical attention and evaluation. Symptoms of slipped disc may indicate other underlying ailments including fracture, tumors, infection or nerve damage, with serious – in certain cases, life-threatening – implications.
Immediate Treatment
Bed rest, application of alternating ice and heat. Use of anti-inflammatory and analgesic medication.
Rehabilitation and Prevention
Rest and limited activity for several days is usually indicated, though normal, non- athletic daily activity should be resumed soon thereafter to prevent atrophy and restore mobility in the spine.
Physical therapy may be combined with massage and gradually increasing exercise of the back after the pain has subsided.
Strengthening and flexibility exercises, proper warm-up, avoidance of excessive or sudden weight lifting and attention to good sports technique may help avoid the injury.
Trigger Points
Trigger points are often associated with back pain and active trigger points (glutes, piriformis, and abdominal muscles) should be addressed to prevent reoccurrence of the condition.
Long-Term Prognosis
Most disc injuries are resolved without surgery, given proper recovery time.
Though full restoration of strength and mobility may generally be expected, discs are vulnerable to re-injury, particularly for weightlifters and athletes placing significant demands on the back muscles, tendons and ligaments and on the spine itself.
Links
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We are honored to have received the 2017 "Excellence in Education" Award from the National Association of Myofascial Trigger Point Therapists.
Since 1999 Niel Asher Education has won numerous awards for education and in particular for education and services provided in the field of trigger point therapy.
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This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.
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