Most people with a slipped disc in the lumbar region of their spine (lower back) are offered “conservative” treatment, meaning that the treatment does not involve surgery. This mainly involves exercise, relaxation and positioning, painkillers or local anesthetics, and manual and physical therapy. Show
Some slipped discs don't cause any symptoms, whereas others lead to severe back pain. A slipped disc in the lumbar region of the spine (the lower back) can press on the sciatic nerve and cause pain that often radiates down one leg and into the foot. Most people recover from a slipped disc within six weeks without treatment. Until then there are a number of treatment options that aim to help relieve the pain and improve mobility. Exercise, relaxation and positioningIn the past, people who had a slipped disc were typically advised to stay in bed for one to two weeks. Nowadays the opposite approach is taken: people are advised to stay active instead. This is because remaining in a lying position for a long time can make muscles and bones weaker, which can end up causing other problems. Studies have shown that physical activity can improve mobility. However, whether people keep up with exercise or rest instead wasn't found to influence the back pain itself. So it is a good idea to try to carry out your normal daily activities as much as the pain allows. Exercise has also been proven to effectively prevent back pain from returning. Relaxation exercises may also be worth a try to help relieve back pain. How you perceive pain and how well you cope with it can be influenced by your mind. If the pain is very severe, though, there is sometimes simply no other way to deal with it than to lie down and find a position that puts as little strain on your back as possible. Many people find the "psoas" position comfortable: While lying on your back, you put your lower legs on a raised platform high enough so that your knees are bent at a 90-degree angle. But it is important not to stay inactive for too long. Psoas position Medication for the painThere are a number of different medications for the relief of sciatic nerve pain (sciatica) caused by a slipped disc. Most of these are painkillers, but you can also use muscle relaxants and anti-inflammatory drugs. The following medications are the most commonly used. They are all available without a prescription when taken at a low dose:
Some of the medication options have to be prescribed by a doctor. These include:
Anticonvulsants and antidepressants are typically not used unless the symptoms last for a longer period of time or the painkillers don't provide enough relief. Manual therapy and treatments based on physical stimuliThe treatment options for sciatica following a slipped disc also include manual therapy and treatments based on physical stimuli. Manual treatment may include massages and special techniques for relaxing tense muscles or locked joints. Treatments based on physical stimuli use warming and cooling methods to relieve pain. These treatments are also called passive therapies because patients don't have to actively participate. Common treatments include:
There is no overall proof that passive treatments speed up recovery from a slipped disc or relieve the pain especially well. But many people find that heat or massages are pleasant and relaxing. Traditional Asian medicineTreatment approaches based on traditional Asian medicine include:
There are very few good-quality studies on these treatments, and there is no proof that they help to relieve pain. Acupuncture is the only approach for which there is weak evidence that it might relieve pain – although this relief has been shown to be unrelated to where the needles are placed on the body. Injections near the spineInjection therapy mainly uses local anesthetics and/or inflammation-reducing medications like steroids. These drugs are injected into the area immediately surrounding the affected nerve root. There are different ways of doing this:
Injections close to the spine can have side effects such as bleeding, infection and nerve damage. A treatment involving injections over a longer period of time may also lead to muscle weakness and is associated with radiation exposure due to the use of x-rays. For this reason, only a limited number of injections may be given. It is important to carefully weigh the pros and cons of having multiple injections. Studies on treatments with injections have shown that they are able to relieve sciatica for several weeks. People were able to move more easily while going about their day-to-day activities as a result. Steroid injections seem to be somewhat more effective than other types of injections. Treating pain and staying activeAcute low back pain usually has no clear cause and goes away on its own after a few days. And even if a slipped disc is causing it, your body will probably be able to make the problem go away on its own within six weeks. Most treatments hardly affect the speed of recovery. Hot packs or massages might help you feel better. If you have severe pain, short-term relief can be provided by getting into a position that reduces the strain on your back and by using anti-inflammatory drugs or local anesthetics. But most of the work is usually done by the body itself. If slipped disc symptoms persist for a longer time, surgery may be an option to try to relieve the pressure on the affected nerve. However, most experts believe that slipped disc surgery is done more often in Germany than is actually necessary. So it might make sense to get a second opinion if your doctor advises you to have surgery and you aren't sure whether this is the right treatment. It is particularly important to stay as physically active as possible despite the pain. Exercise will not only keep your body in shape, it generally also has a positive effect on your mood. Getting enough exercise and keeping up the strength of your torso (core muscles) is key in order to stop back pain from becoming chronic. Physical activity has been scientifically proven to have a preventive effect – and it is probably the most important thing you can do to help yourself. Sources
Will my herniated disc ever heal?Herniated Disk (Slipped, Ruptured or Bulging Disk) A herniated disk is also known as a slipped, ruptured or bulging disk. It's one of the most common causes of neck, back and leg pain. Most of the time, herniated disks heal on their own or with simple home-care measures.
How long does it take a herniated disc to heal without surgery?How long does a herniated disc take to heal without surgery? How long a herniated disc takes to heal often ranges between six and eight weeks. Additionally, patients with this condition often heal just fine without surgery.
Why is it taking so long for my herniated disc to heal?There are a few different factors that can affect how long it takes for a herniated disc to heal. The first is the severity of your injury. A more severe herniation will take longer to heal than a less severe one. The second factor is your age.
How long does it take a herniated disc to reabsorb?The average amount of time it takes for a herniated disk to heal is four to six weeks, but it can get better within a few days depending on how severe the herniation was and where it occurred. The biggest factor in healing a herniated disk is time, because most often it will resolve on its own.
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