Tag Archives: Disc herniation

Chiropractic care for herniated discs

Herniated disc treatment Beaverton Oregon

Chiropractic Care for Herniated Discs

A guest post by Dr. David Bennett, DC

A herniated disc can cause pain and can progress into other issues, such as sciatica. Seeking treatment for a herniated disc as soon as possible can help to minimize the pain experienced and prevent the condition from worsening. Many patients that suffer from herniated discs wish to find treatment options besides surgery. In some cases, chiropractic care may be an effective alternative.

What Is a Herniated disc?

To understand how treatment for herniated discs works, it is important to first understand what a herniated disc is. The discs between the vertebrae are composed of a harder outer layer called the annulus fibrosus and a gelatinous center called the nucleus pulposus. A herniation occurs when the annulus fibrosus is cracked and the nucleus pulposus begins to spill out. The disc is no longer able to properly cushion the vertebrae, which causes pain and can cause misalignments to develop.

Diagnosing a Herniated Disc

Not all back pain is caused by a herniated disc, so a chiropractor will start by evaluating the entire spine. A chiropractor will test the reflexes, look for signs of muscle weakening or deterioration, and test sensory functions along the spine. Depending upon the symptoms, a chiropractor may also order scan tests such as MRIs or X-rays. If a herniated disc is identified, the placement and severity of the herniation will be assessed to determine the best treatment options.

Determining the Proper Care

Chiropractic care is not always the most practical or effective way to treat a herniated disc. If a disc injury is causing issues with reflexes, mobility, or sensory functions, it may be necessary to undergo surgery. If a disc injury is associated with incontinence, a different treatment approach may also be necessary. Aside from these issues, however, herniated discs can generally be treated using chiropractic techniques.

Chiropractic Treatment Options

Spinal manipulation is the type of treatment that is most commonly associated with chiropractic care. Spinal manipulation can sometimes be helpful for treating herniated discs, as it can help to ease pain symptoms and can temporarily alleviate some of the pressure on the vertebrae. If pain sensations associated with the herniated disc are extreme, a chiropractor may recommend that spinal manipulation be performed while you are under anesthesia.

Flexion-Distraction Treatment

A flexion-distraction table can be used to stretch and cushion the spine so that the herniated disc or discs can be addressed directly. A gentle motion is used to push on the affected disc. This motion can help to reposition the leaked nucleus pulposus within the vertebrae. This may temporarily correct misalignments and alleviate pain.

If you suspect that you have a herniated disc, contact your local chiropractor to schedule an evaluation and begin treatment as soon as possible.

Author, Dr. David Bennett, DC, is a practicing chiropractor in Altamonte Springs, FL, and the owner of Physical Health and Rehabilitation clinic.

Research update: Surgery vs chiropractic care for sciatica

Surgery vs chiropractic care for sciatica

In this month’s research update we review a study that compares the success of spinal manipulation (chiropractic adjustments) vs that of surgery for sciatic pain. Sciatic pain is nerve pain that courses down the back of your leg due to a pinched nerve in your low back. The nerve is often pinched by a bulging or herniated disc and can cause severe pain, numbness, tingling, and weakness in your leg. If you have any of these symptoms and show up at your doctor’s office, you could end up undergoing a whole spectrum of treatments and tests. A common protocol is to treat a problem like this with conservative care first, unless immediate surgery is warranted. Then consider surgery as a last option if all else fails. As this study demonstrates, “conservative care” can mean any number of things. From the medical perspective, a course of conservative care can go as follows: Oral pain medications, muscle relaxants, and a physical therapy referral. If this fails, steroid injections may be ordered as a final “conservative” approach prior to surgery.

The beauty of this study is that the group that underwent chiropractic treatment had already received at least three months of other conservative treatments that had failed to resolve their pain. After all was said and done, chiropractic care out performed the other non-operative treatments and showed very similar results as surgery, as shown in the graph above. This demonstrates that, while not the only option, chiropractic care should be considered as a valid first option  in the treatment of sciatica. Surgery can be quite effective, but one should note the potential risks and failure rate associated with surgery. If there is another option, it should be taken, especially if it is natural and has fewer potential risks and side effects. Be an educated consumer and patient. Advocate for yourself and ask your doctor what other options there are besides drugs and surgery. If those are necessary options, then ask what the risks and side effects are so you are clear about what you can expect.

The Infamous “Slipped Disc”

Slipped Discs
The infamous “Slipped Disc.” We have all heard of it and some of us have had the displeasure of experiencing it first hand.
Discs are soft and squishy. When healthy, they protect our spine by absorbing shock and evenly distributing weight. When unhealthy, they can cause pain and even bulge, herniate, or “slip” and pinch the nerves that feed into our arms and legs. In the MRI image on the left, the middle disc is bulging out and pressing up against the spinal cord. Over time this disc has become weakened and degenerated. Once this has occurred, that disc will never be the same. That is why it is very important for us to keep our discs healthy. To do so, use these tips:
  1. Discs need good nutrition just like the rest of your body. Follow an anti-inflammatory diet to give your discs a fighting chance to stay well.
  2. Sitting is bad for discs. Minimize the stress of sitting by taking frequent micro breaks, use proper egonomics, and don’t slouch!
  3. Bending forward and twisting are sure-fire ways to end up with a disc herniation. Use a proper hip hinge when bending forward and keep your feet pointing in the same direction as your torso to avoid twisting the spine when bending. Click here for a video demonstration of hip hinging.
  4. Don’t neglect your spine! Regular chiropractic care optimizes the function of your spine, helping to prevent disc injuries. In the chance that a disc is already bulging, we can often get you feeling better and put you on a corrective exercise plan to protect that disc and prevent it from getting worse.
Yours in health,
Dr. Thompson