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:
- Radiating pain, numbness, or tingling.
- Muscle weakness and loss of sensation.
- 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 testimonialsย
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. We proudly and successfully serve the areas of Dorchester, Weymouth, Bridport and Poundbury. 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
Email Address
reception@alivechiropractic.co.uk









I have 38 years of patchy recovery from a nursing back injury.
This intensive approach has markedly reduced my painful episodes and spinal posture problems.
My family has noticed a big difference in me with many obvious and subtle improvements.
I look forward to continuing this progress with both Edo and Phil to achieve further improvements.






Saved me from different injuries and helped me a lot of chronic issues I was dealing with.
He is a saviour.
Highly recommended









You are always polite, very knowledgeable with great approach to patients.
To all interested - do not hesitate, I highly recommend! See you soon!

Will definitely be visiting again!

I would fully recommend Alive Chiropractic,
Edo is a very warm, welcoming caring and does not judge.





He explained what and how he was going to help me , had an extensive treatment period to begin with and then became a monthly visitor .
He has been so much help to me over this time and I would recommend his gifts to everyone.
A truly lovely man and gifted communicator and practitioner.
If in pain go and give him a try , living in a body that feels like a prison is no fun but this guy has the keys to set you free!

Offers practical advice for individuals of any age
Explains proposed programs well
Very confident that treatment will be successful
Highly recommend
I am sleeping more comfortably again, my walking has improved too, my confidence has improved, I was treated with great respect. I have learnt new exercises which also has helped thanks to Ed owner of Alive chiropractor and Phil too for his excellent deep tissue massage therapy. I cannot thank them both enough, I feel like a new person!
Iโve now signed up for a regular maintenance programme. Thank you both very much, itโs very much appreciated.

He certainly has 'healing hands'.
Clearly passionate about his profession, not only does his treatment keep you supple. He also gives plenty of advise & exercises to keep yourself active.
The waiting room area is that of peace & tranquility with soothing background music.
There is ample free parking.
You've nothing to lose but everything to gain if you want to stay fit, healthy and active.
I highly recommend his expertise & personalised approach.
I highly recommend Edo and Alive Chiropractic. Great service from initial assessment, to treatment, and ongoing progress checks. As well as a range of exercises to continue at home.
As well as the work he done with me in the clinic, he has taught me many different exercises to help me with the problems in which i suffer with, as well as explaining to me how my diet can also help me going forward.
He has been a great help, and i shall continue to see him in the future so that he can help me maintain ( and improve) my well being.
Regards
Peter



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 canโt recommend Alive highly enough!

The reception is also very welcoming. I very much recommend this place!




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!



Thank you!






I will happily recommend Alive Chiropractic to my friends.


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. ๐
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.
