Slipped Disc Treatment
Slipped disc treatment — conservative, alternative and surgical treatments
Slipped disc treatment is intended to reduce or eliminate the symptoms that arise when an intervertebral disc ruptures and the gel-like inner material seeps out and irritates the disc wall or compresses surrounding nerve roots or the spinal cord. This nerve irritation or compression can cause neck pain, back pain, traveling pain, tingling, numbness, muscle weakness and other discomfort and treatment may be necessary to minimize these complications.
Contrary to the name of the condition, a slipped disc never actually “slips.” More accurate terms for a slipped disc are torn disc, ruptured disc and herniated disc. If the ruptured material shrinks back into its normal place within the spine, the condition can actually resolve itself. For this reason, most physicians recommend that patients attempt conservative slipped disc treatment options for several weeks or months, giving the slipped disc the opportunity to heal itself before the patient turns to more advanced treatment.
How treatment plans differ
Each patient and each herniated disc is unique, so a patient’s physician will consider a number of factors when developing a slipped disc treatment plan. These factors include the patient’s age and overall physical condition, along with the severity and duration of the symptoms.
In most cases, slipped disc symptoms can be treated successfully with non-surgical therapy and lifestyle modifications. When physicians recommend a milder, non-surgical treatment plan, it may incorporate conservative options such as medications, exercise, lifestyle changes and behavior modification.
Quite often, a physician will first prescribe a short period of rest to allow swelling to go down around compressed nerves and help ease recurrent muscle spasms. Altering daily activities can also help improve the symptoms of a slipped disc. For instance, scaling back on strenuous activity, bending motions and twisting motions can minimize pain and discomfort and reduce the chance that a patient will accidentally exacerbate the symptoms.
Medications can also play a beneficial role in a patient’s slipped disc treatment plan. Non-steroidal anti-inflammatory drugs (NSAIDs), analgesic pain medications and muscle relaxants can be used to help relieve slipped disc pain. Prescription opioid medication and oral steroids also can be useful in relieving symptoms, but both options carry potential side effects. Topical medications such as analgesic creams, heating pads and ice packs can help relax tense muscles and control swelling.
In addition to taking medications, many patients attend physical therapy sessions, where a trained professional guides them through a series of specially designed stretches and strengthening exercises. Regular exercise (specifically, low-impact options such as walking or swimming) may also be beneficial slipped disc treatment options — especially for patients who are carrying excess body weight. Since obesity can place extra pressure on the back, overweight patients can benefit from diet modification and low-impact exercises performed to reduce body weight and strengthen the muscles used to support the spine. However, before starting a new diet and/or exercise plan, a patient should talk to a physician, receive medical clearance and agree to regular checkups.
Alternative therapies can also play a role in a patient’s slipped disc treatment plan. For instance, yoga can help patients improve flexibility and minimize pain, while chiropractic care can help realign the spine and minimize slipped disc-induced discomfort. Massage therapy, acupuncture and even aromatherapy are other alternative options that have provided many patients with temporary relief from their slipped disc symptoms.
Injections might help
If symptoms persist after a few weeks or months of conservative slipped disc treatment, corticosteroid injections might be recommended to reduce inflammation and relieve some of the pressure on the impinged or pinched nerve. These injections contain a long-lasting steroid medication, as well as a short-term numbing agent. The medications are injected directly into the epidural space of the spine, where they can alleviate some of the symptoms of a slipped disc.
Some patients experience benefits after just one injection, while other patients opt for several injections in a series. However, there is a limit to the number of injections that can be provided in a particular period of time because side effects can develop after repeated use.
Surgery as a slipped disc treatment
Elective surgery usually is the last resort in slipped disc treatment and is only recommended for patients who are experiencing chronic pain that interferes significantly with everyday activity, or who are experiencing neurological symptoms as the result of a slipped disc. Most surgeons perform conventional open neck or back surgeries to decompress the nerves surrounding the disc herniation. However, these highly invasive procedures involve lengthy recovery times and a high risk of complications, making them a less appealing option for patients seeking slipped disc treatment.
Minimally invasive slipped disc treatment
Laser Spine Institute offers a more effective alternative to open back surgery. Our minimally invasive decompression procedures — many of which can be a beneficial form of slipped disc treatment — are associated with shorter recuperation periods, as well as lower risks of infection and other complications. For instance, our surgeons may perform:
• A laminotomy, a procedure that can be used to remove a portion of the bony vertebral arch known as the lamina, helping relieve pressure on the spinal cord or a nerve root that has been compressed by a herniated disc
• A discectomy, a procedure that can be used to remove herniated or bulging disc material that is pressing directly on a nerve root or the spinal cord
• A foraminotomy, a procedure that can be used to create more space in a foramen (one of the openings through which nerve roots branch out to the rest of the body) if a slipped disc is reducing the amount of available space
• A facet thermal ablation, a procedure that can be used to deaden a nerve ending within a spinal facet joint (and effectively prevent it from registering the sensation of pain) if a patient is experiencing joint pain caused by osteoarthritis
If you have been diagnosed with a slipped disc and have not obtained the relief you need from conservative therapies, contact Laser Spine Institute to learn more about the outpatient, minimally invasive procedures that we can perform for slipped disc treatment. We can review your MRI to determine if you are a candidate for any of our minimally invasive slipped disc surgeries.