CHECK UP:Is there a difference between a slipped disc and a herniated disc? asks MARION KERR
IS A herniated disc the same as a slipped disc?
Inter-vertebral discs are the soft “cushions” between the bones of the spine, which allow the backbone to move freely. When a disc between two vertebrae slips or bulges, it can press on the nerves around the backbone. This is known as a herniated, ruptured or slipped disc. Herniated discs are most common in the lumbar spine, the section of the backbone between the end of the ribs and the hips. As we age the discs become flatter and less cushiony. If a disc becomes weak, the outer part may tear. The inside part of the disc pushes through the tear and presses on the nerves beside it.
What are the signs of a herniated disc?
When part of a disc presses on a nerve, it can cause pain in both the back and the legs. The pain’s location depends on which disc is affected. The pain’s severity will depend on how much of the disc is pressing on the nerve. The pain can spread over the buttocks, down the back of one thigh and into the calf. Some people have pain in both legs, while others may feel numb and tingly in the feet and legs. The pain from a herniated disc usually increases with activity and is relieved with rest. Coughing, sneezing, sitting, driving and bending forward may make the pain worse, as a result of increased pressure on the nerve.
What can be done for the pain of a herniated disc?
Pain killers, taken for a couple of days, may be needed. As the pain reduces, increased activity is usually possible. Getting back to normal levels of activity can help recovery. If pain is severe, your doctor may suggest a short period of rest. Exercises can be helpful, but check with your GP or chartered physiotherapist before starting a programme. The goal of exercise is to make your back and stomach muscles stronger. This will ease the pressure on your disc, reducing pain. Good posture will also reduce the pressure on your discs. Most people with a herniated disc are better in about four weeks but recovery can take longer. If you still have pain or numbness after four to six weeks or if you develop a complication, surgery may be required to relieve pain.
