Our guide to understanding and treating herniated discs

A herniated disc, also known as a slipped or ruptured disc, can be a source of considerable pain and discomfort. As physiotherapists we are dedicated to promoting health and wellbeing, so it is important to share our knowledge in diagnosing and treating this common spinal condition. Today we will explore the causes, symptoms, and most importantly, the diagnosis and treatment of herniated discs. If you need more guidance, get in touch with our expert physiotherapists at clinics across Central London who will be more than happy to advise.

Diagnosing a Herniated Disc
Diagnosing a herniated disc begins with a thorough examination of the patient's medical history and a comprehensive physical assessment. Our physiotherapists will enquire about the onset of symptoms, the nature of pain, and any previous injuries or relevant medical conditions.

Clinical evaluation involves various neurological and orthopaedic tests to assess reflexes, muscle strength, and sensory function. Imaging studies, such as magnetic resonance imaging (MRI) or computed tomography (CT) scans, may be employed to visualise the spinal structures and identify the exact location and extent of the herniation.

Key Symptoms of a Herniated Disc

1. Back Pain: Pain is a primary symptom, typically concentrated in the affected disc level, such as the lower back for lumbar herniated discs.

2. Radiating Pain: Pain may radiate into the limbs, depending on the location of the herniation. Sciatic pain is a common occurrence with lumbar disc herniations.

3. Numbness and Tingling: Compression of nerve roots can result in sensations of numbness and tingling in the affected area.

4. Muscle Weakness: Weakness in specific muscles served by the affected nerve roots may occur.

Treatment Approaches

1. Conservative Management:

   • Physical Therapy: Tailored exercise programs by a member of our team to focus on strengthening core muscles and improving flexibility, helping to alleviate pressure on the affected disc.

   • Pain Management: Non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics may be recommended by a clinician to manage pain and inflammation.

2. Advanced Interventions:

   • Epidural Steroid Injections: In some cases, corticosteroids are injected by clinicians into the epidural space to reduce inflammation and provide pain relief.

   • Minimally Invasive Procedures: Procedures such as percutaneous discectomy or microdiscectomy may be considered to remove or shrink the herniated disc material (on advice from a doctor).

3. Surgical Intervention:

   • Surgical options are explored if conservative and minimally invasive treatments do not yield significant improvement. Discectomy or spinal fusion may be recommended depending on the severity and location of the herniation.

4. Rehabilitation and Post-Surgical Care:

   • Post-surgical rehabilitation is essential to restore strength, flexibility, and function.

   • Physiotherapy plays a crucial role in preventing future recurrences and optimising overall spinal health.

Effectively diagnosing and treating a herniated disc requires a multi-dimensional approach that encompasses thorough assessment, patient education, and personalised care plans. As we are committed to enhancing the quality of life for our patients, staying informed about the latest advancements in herniated disc management ensures that we can provide the best possible care for those dealing with this common spinal condition.

Get in touch with our team at info@techniquehealth.org or call 0333 358 3534 to find out more and discuss how we can help you.

If you would like to book an physiotherapy appointment directly, you can book in with one of our experts now.