Disc herniation / Herniated disc

Disc related problems

Causes, symptoms and treatment

Disc herniations are common in the low back. They occur with less frequency in in the neck and thoracic spine. When a disc herniation is present in the lumbar spine, symptoms include back pain, leg pain below the knee.

98% of all disc lesions are L4-L5 or L5-S1. Disc herniation severity vary according to the degree of herniation. The best way to diagnose a disc herniation is by MRI scan. If we suspect a disc herniation during our new patient consultation, orthopaedic and neurological tests will help to narrow the diagnosis. If it is necessary, we will refer you either to the GP or to a private clinic. Getting an MRI is sometimes necessary in order to understand the degree of herniation. Only then, we can decide together what are the best options going forward.

While surgical interventions are sometimes necessary, many individuals seek alternative treatments, such as chiropractic care, to alleviate their pain and regain normal function. This article aims to provide a comprehensive overview of disc herniations, including their causes, symptoms, diagnostic methods, and treatment options, with a specific focus on how chiropractic care can play a beneficial role in managing this condition.

Anatomy of the spine and discs

The spine is a complex structure composed of individual vertebrae stacked on top of each other, forming the vertebral column. Intervertebral discs, located between each pair of vertebrae, serve as shock absorbers and allow for flexibility and movement. These discs consist of a tough outer layer called the annulus fibrosus and a gel-like inner core known as the nucleus pulposus. Together, these components provide stability, cushioning, and support to the spine.

Causes of disc herniations

Disc herniations can result from various factors, including:

Age-related degeneration and wear and tear. As we age, the intervertebral discs lose their water content and become less flexible, making them more prone to damage. Degenerative changes in the discs can weaken their structure, leading to herniations.

Traumatic injury or accident. Sudden trauma, such as a fall, car accident, or sports-related impact, can cause the discs to herniate. The forceful compression or twisting of the spine can rupture or displace the disc material.

Poor posture and repetitive stress: Prolonged sitting, incorrect lifting techniques, or repetitive activities that strain the spine can contribute to disc herniations. Poor posture, especially when combined with excessive bending or twisting motions, places additional stress on the discs, potentially leading to herniations over time.

Types of disc herniations

Disc herniations can manifest in different ways, depending on the severity and location of the disc protrusion. Common types of disc herniations include:

Bulging disc. A bulging disc occurs when the disc's outer layer weakens or protrudes beyond its normal boundary. It may press against nearby nerves, causing pain and discomfort. While the disc remains intact, it can still cause symptoms and require treatment.

Herniated disc: A herniated disc, also known as a slipped or ruptured disc, occurs when the disc's inner core, the nucleus pulposus, ruptures through the weakened outer layer. This can result in the protrusion of disc material into the spinal canal or the neural foramen, causing compression or irritation of nerves. Herniated discs often cause sharp, shooting pain and other symptoms.

Sequestered disc fragment: In some cases, a fragment of the herniated disc material can break free and become lodged in the spinal canal or adjacent structures. This sequestered fragment can lead to more severe symptoms and may require immediate medical attention.

Understanding the different types of disc herniations is essential for accurate diagnosis and appropriate treatment planning. A thorough evaluation by a healthcare professional, such as a chiropractor or spine specialist, is necessary to determine the specific type and severity of the disc herniation in order to recommend the most effective treatment approach.

Symptoms and diagnosis of disc herniations. Common symptoms:

  1. Radiating pain, numbness, or tingling.
  2. Muscle weakness and loss of sensation.
  3. Difficulty with movement and daily activities

Chiropractic care for disc herniations

Chiropractic care is based on the principle that proper spinal alignment is essential for overall health and well-being. Chiropractors believe that spinal misalignments, known as subluxations, can disrupt the nervous system's functioning, leading to various health issues, including disc herniations. By performing spinal adjustments or manipulations, chiropractors aim to correct these misalignments, improve nerve function, and promote the body's natural ability to heal.

Chiropractors utilize a range of techniques tailored to each patient's specific needs and condition. Some common techniques employed in chiropractic care for disc herniations include:

Spinal Adjustments or Manipulations: Spinal adjustments involve the skilled application of controlled, sudden force to specific areas of the spine. These adjustments aim to restore normal spinal alignment, relieve pressure on the affected discs, and alleviate nerve impingement. By carefully manipulating the spine, chiropractors can reduce pain, improve joint mobility, and promote the healing of damaged discs.

Flexion-Distraction Technique: The flexion-distraction technique is a gentle, non-thrusting approach used specifically for disc herniations. It involves a specialized treatment table that gently stretches and decompresses the spine. This technique helps to increase the disc space, reduce pressure on the nerves, and promote the retraction of the herniated disc material. Flexion-distraction is considered a safe and effective treatment option for many patients with disc herniations.

Manual Therapies: Chiropractors may also incorporate manual therapies into the treatment plan for disc herniations. Techniques such as massage, myofascial release, and trigger point therapy can help reduce muscle tension, improve circulation, and promote the healing process. These therapies aim to alleviate pain, improve soft tissue function, and enhance overall mobility. In addition, chiropractors can advise on therapeutic strength exercises and useful stretches.

Scientific Evidence and Research: Clinical Studies

Numerous clinical studies have been conducted to evaluate the effectiveness of chiropractic care for disc herniations. While individual study results may vary, the overall body of evidence suggests positive outcomes and benefits for patients with disc herniations who receive chiropractic treatment. Here are some key findings from relevant research studies:

A study published in the Journal of Manipulative and Physiological Therapeutics examined the outcomes of chiropractic care for patients with lumbar disc herniations. The study found that patients who received chiropractic treatment experienced significant improvements in pain levels, functional disability, and range of motion compared to those who received sham treatments or no treatment.

Another study published in the European Spine Journal investigated the effectiveness of chiropractic manipulation combined with other conservative treatments for patients with cervical and lumbar disc herniations. The study reported that patients who received chiropractic care showed significant improvements in pain reduction and functional outcomes compared to those who received only conservative medical management.

In a randomized controlled trial published in the Journal of Manipulative and Physiological Therapeutics, researchers compared the outcomes of chiropractic care versus microdiscectomy surgery for patients with lumbar disc herniations. The study found that both groups experienced similar improvements in pain and disability scores, indicating that chiropractic care could be a viable alternative to surgery for certain patients.

It is important to note that while these studies provide valuable insights into the effectiveness of chiropractic care for disc herniations, each individual case is unique. The choice of treatment should be based on a comprehensive evaluation by a healthcare professional and a discussion of the potential risks and benefits.

Patient testimonials 

In addition to clinical studies, there are numerous anecdotal reports and patient testimonials that highlight the positive experiences of individuals who have undergone chiropractic care for disc herniations. These stories often describe significant pain relief, improved mobility, and enhanced quality of life after receiving chiropractic treatment.

Experience relief from herniated disc pain with expert chiropractic care at Alive Chiropractic in Dorchester, Dorset. Our team is committed to providing personalized treatments for your unique needs. Schedule a consultation today to take the first step toward a pain-free and healthier lifestyle.

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Alive Chiropractic Poundbury

1C Crown gate square DT1 3EJ

Poundbury, Dorchester
Tel. 01305602314
Mob. 07845096314

Alive Chiropractic Wimborne

17 Station Road BH211RG

Wimborne
Mob. 07845096314

olly morency
olly morency
09:16 21 Nov 23
An excellent service; Edo helped me with corrections for my back, and advice on how to improve my health span with breath work and improved movement. Strong recommend!
Moira Priestley
Moira Priestley
20:18 15 Oct 23
I found the treatment I received very beneficial. My sciatica has eased a lot and I am sleeping much better. I would highly recommend Alive Chiropractic.
Ben Boughton-White
Ben Boughton-White
06:04 15 Oct 23
A fantastic chiropractic experience!Dr Edo provides a whole body approach to resolving chiropractic issues. His care plan to help solve your unique issues is fantastic, short and simple adjustments rather than long sessions of big adjustments has worked brilliantly for me. Communications are easy and booking ahead is brilliant for me and my schedule.I can’t recommend Alive highly enough!
Benny Clifford
Benny Clifford
15:53 25 Sep 23
Dr Edo has been a great help in getting me moving again, and he is a trustworthy pair of hands in his field of work. Top man!The reception is also very welcoming. I very much recommend this place!
Jane Bygraves
Jane Bygraves
12:30 14 Sep 23
I have a better range of movement and am moving more freely after a course of gentle, thorough treatment with Alive Chiropractic. My energy levels have improved.
Sarah Spadon
Sarah Spadon
18:48 10 Sep 23
I’ve been adjusted by Dr Edoardo for a number of years now, since I’ve been under care I’ve never had any problems but most importantly he helps me keep my nervous system healthy through maintenance care which allows me to be more in control in all of my day to day activities and keeps my mind healthy. His adjustments are gentle and precise and he is really kind and makes you feel at ease in any moment. Highly recommend!
Morgex
Morgex
11:05 10 Sep 23
This is my first experience with chiropractic ever, and it has been life changing! I have a slipped lumbar disc and I was in lots of pain and had very limited mobility. I saw Edo for a few appointments and not only did my back get better, it has stayed that way since! I am doing the exercises he prescribed and now I am only seeing him for maintenance and I feel better than ever, more relaxed and aware of my posture overall . He is a good listener, very informative, professional and communicative.
Isabella White
Isabella White
07:15 08 Sep 23
A wonderful experience so far with Dr Edo at his clinic in Poundbury. I have come away from my first six sessions feeling so much more aware and in tune with my body, and I have experienced noticeable changes in my body and mindset also.Dr Edo is professional, knowledge, and believes firmly in his work which he is clearly passionate about. I feel he has an empowering vision, cares deeply, and has a refreshing balance of western and eastern understanding. Because of this, Dr Edo has a deeper, holistic approach by taking into account all aspects of one's lifestyle (diet, exercise, mental/emotional state) in sessions. For someone like myself who values a holistic perspective on health, Dr Edo's approach is invaluable and helped me relax and feel at great ease. Sam in reception is lovely and you instantly feel welcomed when coming in for a session also. Thank you to you both. Highly recommend!
Chris Copeland
Chris Copeland
20:59 16 Aug 23
Dr. Edo has a very calm temperament and his knowledge aids in your own relaxation, which is a help when your own flexibility, mobility or posture are far from relaxed. Sam, the Chiropractic assistant, is the first person to greet you when you arrive and will explain the fundamentals of the practice. The practice is clean, modern and has ample road side parking. The whole experience has been a success and I am now able to move without pain, the new mobility gained will enable me to get on with life and have new experiences and adventures, for this I thank you.
Sonya Hendry
Sonya Hendry
18:21 16 Aug 23
I have been coming to see Ed at Alive Chiropractic since opening. Visiting regularly is enabling me to have a more comfortable and mobile life. The ambiance and warm welcome, along with total professionalism means so much.
Alison Michele Williams
Alison Michele Williams
20:49 30 Jul 23
A great, professional, friendly service. A whole rounded approach to better well being and healthy body.Thank you!
Tessa Aindow
Tessa Aindow
16:58 13 Jul 23
Brilliant experience. My back has improved so much and I don’t have the same aches and pains. Dr Edo is very professional and gives great advice and exercises to help alongside the adjustments at the clinic.
Malwina T
Malwina T
15:56 19 Jun 23
Great and unique treatment. Eased the lower back pain significantly! Changed my outlook on chiropractic treatments and self care. Highly recommend!!!
jill cheng
jill cheng
09:17 16 Jun 23
I visited the clinic after suffering with low back pain for nearly ten years. The chiropractor helped me regain functionality and quality of life. More importantly, he helped me understand and connect some aspects of my life to my body and how it works, strongly recommended 👍🏻
Chirosofia
Chirosofia
20:41 14 Jun 23
I have known Edoardo since day one at Chiropractic College, and I have witnessed his growing passion for this profession. His long time experience as a Yoga Instructor, combined to his deep knowledge into the Chiropractic art, science and philosophy, will make your journey towards healthy-living a very pleasant experience. Book that appointment and enjoy feeling better!
Paul Ansell
Paul Ansell
12:33 08 Feb 23
All my life I’ve had bad posture and bad back I’ve been to doctors specialists and always same outcome I’ve got to live with it. At the age of 58 I went to this practice and he has done wonders this is the best I have ever been since I can remember. Highly recommend
Zoe Ratcliffe
Zoe Ratcliffe
17:05 30 Jan 23
I attended Alive chiropractor after seeing a special offer they were offering and suffering from a bad back for a long time it felt like a good idea to go see what they said. Since this I have been attending twice a week and the improvements are happening. Edo is very knowledgeable and really wants the best for you he doesn't just care about the back or other pains you may be having but also acknowledges the impact these things can have on you emotionally and personally. I can't recommend this service enough.
Michelle Lambell
Michelle Lambell
21:55 24 Jan 23
Regular sessions with Dr Edo at Alive Chiropractic have made such a big difference to my posture, my way of working at my desk and taught me how to manage my breathing, all of which have led to a big shift in my mindset towards looking after myself and my body.I will happily recommend Alive Chiropractic to my friends.
Paul Nicol
Paul Nicol
08:22 30 Sep 22
I have just finished initial treatment for my back problem. Appointments with the NHS in the past have never resulted in a diagnosis let alone treatment. However at Alive I received a diagnosis and treatment plan on the initial consultation. This set out exactly how I was going to be treated and cost. Following the treatment I could not be healthier or happier. An exceptionally professional service in which Dr Edoardo Elisei seems passionate about what he does. It is more than just a hands on treatment on his 'couch', but a full lifestyle treatment ensuring exercises and diet are in balance to assist recovery and as a preventative for the future. I would be happy to recommend to anyone.
claudia marcela lopez gallardo
claudia marcela lopez gallardo
08:05 30 Jul 22
Edo is a great professional, very friendly and knowledgeable. He corrected my posture in only few months, he said this was going to happen and I couldn't believe it, it was so fast and happened, the changes not only I could feel them but also you can see them. He did the adjustments with a lot of care, with a lot of patience he took the time to give the advices and exercises that I could benefit my posture in the future. I totally recommend him.
TheLizwalker
TheLizwalker
10:18 18 Jul 22
When I first met Dr Ed I had problems bending, and worst of all I could hardly move my neck. I was a total painful wreck.Ed takes a very holistic approach, encouraging me to lose weight and work on different rehab exercises to reinforce the manipulations and adjustments he made.Here I am some three months on, I weigh a lot less, I have incredible flexibility in my lower back and can now touch my toes and, best of all. I have full flexibility of my neck.Eds holistic approach really works, he is very approachable and easy to chat about things with.One caveat, Ed knows when you haven't done your exercises so don't cheat. :)I cannot thank him enough for the massive improvements in my health and his encouraging me to make little changes for a healthier long term lifestyle.
Elaine Daniel
Elaine Daniel
13:05 07 Jul 22
I saw Edo in March and he was so informative regarding my spinal issues. I have had many treatments from him over the past few months and feel so much better and have more movement and less pain. He provides exercises for clients to help with strengthening muscles which is all part and parcel of chiropractic healing. I would recommend going to see him anytime.
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