The discs are the shock absorbers of the spine.
They are pieces of cartilage which separate the vertebrae and help to cushion them.
The discs have a soft, jelly-like pulpy centre, which may bulge or burst out through the tough outer portion & irritate adjacent ligaments or a nerve root.
A herniated disk also known as slipped, prolapsed or a ruptured disk, refers to a problem with one of the rubbery cushions, called disks, that sit between vertebrae – the bones that stack to make the spine.
A herniated disk occurs when some of the nucleus (spinal cord’s jelly-like centre) pushes out through a tear or the weakened part of the disc’s outer layer.
It is a sort of injury to the intervertebral discs and cause its displacement from its normal position.
A herniated disk can occur in any part of the spine, but most often occurs in the lower back and often affect one side of the body.
Depending on site of the herniated disk and the disk is pressing on which corresponding nerve, it can result in radiating or shooting pain, numbness or weakness etc., in arms or legs.
Typically, If the herniated disk is in your lower back, you will feel the pain in your lower back, buttocks, thigh, calf or foot as well.
For a herniated disk in your neck, one typically feels the pain in your shoulder, arm or hands etc.
COMMON SIGNS & SYMPTOMS
Many people have no symptoms from a herniated disk in mild cases.
For those who have symptoms, they may include:
- Severe Back pain
- Burning or stinging pain
- Agonizing, sudden back pain.
- Movements restriction.
- The electric-like pains may radiate to the shoulder, neck, arm, hand, fingers or down to the legs.
- Numbness and tingling sensation of affected parts.
- The pains get worse when you cough, sneeze or move into certain positions.
- Muscles served by the affected nerves tend to weaken – having difficulty to lift or hold items.
Possible Causes & Risk Factors
- Genetics – inherited predisposition to developing a herniated disk.
- Ageing – gradual wear and tear or degeneration.
- Excessive straining or trauma to the spine
- Strenuous sudden activity.
- Lifting up something heavy, using the back muscles instead of the leg and thigh muscles.
- Twisting and turning while lifting.
- An injury or trauma such as a fall or a blow to the back.
- Obesity or being overweight can cause extra stress on the disks in the lower back.
- Occupations – involving repeated lifting, pulling, pushing, bending sideways, twisting or prolonged periods of driving.
- Smoking can cause lessens the oxygen supply to disks, causing them to break down more quickly.
- Being lazy or sedentary.
DO’S & DON’TS – to help prevent further deterioration, do the following:
- Do not lift very heavy weights by bending at the waist. Always kneel down or flex the knees and keep your back straight while bending to lift something.
- Avoid sudden, jerky, twisting back movements.
- Reduce weight as it puts strain on back muscles / ligaments.
- Regular exercise for back help regains muscle tone.
- Do not exercise when pain is severe, wait for the pain to abate.
- Do not sleep on a mattress that sags. Make sure that your bed is firm and flat.
- Use a hot water bottle or heat lamp when in pain.
- Do not overstrain if pain is severe.
- Take rest and never take more than the manufacturers recommended dose of painkillers.
- Maintain good posture. Keep your back straight and aligned, particularly when sitting for long periods.
- Quit smoking. Avoid the use of any tobacco products.
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