Herniated disc (slipped disc, ruptured disc)

About Herniated disc (slipped disc, ruptured disc)

The spine consists of bones (the vertebra) separated by gelatinous cushions (the discs). The discs are held in place with ligaments. When these ligaments tear, the discs protrude between the vertebra. These protruded discs can push on spinal nerves, causing severe pain in the back, arm or leg served by these nerves. At times the protrusion can cause permanent damage to the nerves and requires emergent surgical repair.

Symptoms

Symptoms depend on the location of the herniated disc and may include: neck pain, back pain, pain radiating into the arms or legs, numbness, tingling, extremity weakness, loss of bowel or bladder control.

Tests & Diagnostics

A history and physical exam will be performed. MRI or CT scanning may be recommended to confirm the diagnosis.

Common tests: MRI.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

Therapy depends on the extent of the herniation and the symptoms experienced. Some people with herniated discs improve with the passage of time. Treatment may include: physical therapy, rest balanced with exercise and stretching, pain medications, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), steroids, muscle relaxants, epidural steroid injections, and/or surgery. Acupuncture, massage or other alternative therapies also seem helpful in some cases.

Medical specialties

Internal Medicine · Neurosurgery · Family Practice · Pain Medicine · Vascular and Interventional Radiology · Spine Surgery

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Herniated disc (slipped disc, ruptured disc).