Can A Herniated Disc Heal? WITHOUT surgery?!? 2023
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- Опубліковано 31 тра 2024
- Can a herniated disc heal itself?
Herniated discs normally heal by themselves, but the process is slow and sometimes it is either too painful or dangerous to wait. In my experience around 94% of people with back and leg pain get better on their own without any additional treatment. However, they get better not over hours or days but weeks. Eighty four percent get better after six weeks, and the full 94% improve over 12 weeks (about 3 months).
In order to make good decisions about your own body, you need to understand what it means to have a disc herniation, and how your body deals with it.
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One of the peculiar things about the discs in your lower back is that they do not have their own blood supply. It is through the blood supply that your body recognizes what is part of ‘you’ and what is not. When a disc “herniates” the soft, inner part goes through a rip in the tough outer part. Pat’s body did not “know” that the soft inner part is part of him. So, his body generated an inflammatory response.
The weird part is that it is the healing that hurts. On the show Pat talked about feeling a “sharp pain” that “went right down my leg.” As his body tried to heal the disc herniation the inflammation spilled over and irritated the neighboring nerve root. That irritation of the nerve root causes the sense of pain going down the leg that people often call sciatica. It also caused a sense of numbness in his leg.
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When a herniated disc is the problem the most common solution is to let the body heal itself. But there is a catch. Two of them, actually.
First, the inflammation that reabsorbs the herniated disc is damaging the nerve root. If the healing takes too long, that damage can cause permanent nerve damage. To avoid permanent nerve root damage microdiscectomy surgery to remove the herniated disc fragment is necessary when the disc is causing:
Weakness that is functionally disabling.
Numbness that is functionally disabling
Uncontrollable pain
Second, sometimes pain fibers grow into the scar that heals the annulus, and causes permanent low back pain to form the torn disc. This is called discogenic pain. - Наука та технологія
![[柴犬ASMR]曼玉Manyu&小白Bai 毛发护理Spa asmr](http://i.ytimg.com/vi/0TsXQ7z2Dh4/mqdefault.jpg)
I had herniated l4 l5 disc resulting to moderate to severe stenosis and my doctor advise me for surgery. The pain is unbearable i cant even stand, i had been dealing with the pain for 4 months already. Even moving a little was very hard.But by Gods grace, im recovering now. I can walk now and pain is slowly getting better. I had my chiropractic adjustment after 3.5 months of rest. I also tried deep tissue massage just to ease the pain. To all who had been suffering this pain just have faith in the Lord and he will heal you. Thank you to all of those who continue to pray for my fast recovery.
Thank you. I really appreciate your kindness! Especially after all you have been through.
Hi there, happy you’re getting better! 🙌✊Did you had the surgery or not? Did you had sciatic pain?
Im 90% getting better now! No surgery, im having my chiropractic session. We just need to deepen our faith in Him. Praise God for his mercy and goodness!
I have c5c6 extrusion and severe cord compression and bruishing .doctor told me if I didn't operate I can be quadruple. But i didnot operate..I am much better now..I was healed in the name of jesus❤❤❤❤
That story sounds like me. Stage 3 extrusion at the location of a previous injury 15 years ago. I can walk praise God; but I cant lift more than 20 lbs this same interval; I cant run. Its been 3.5 months of rest and PT and Chairo and steroids and a shot and a new mattress and inversion tables and electrostim and heat and ice and muscle relaxers. It's completely disrupted my prayer and devotion life and my sanctification and bible school. I have to stand in the back during service instead of sitting up front.
Best explanation I came across on the internet so far. Thank you!!!
I appreciate the empathy, and the hope.
This was so well put and reassuring to hear and informative to the very end. You need offices on the east doctor. Thank You!
Love how caring and informative you are.I suffer from knee and back pain would love to one day enjoy life without pain. Thank you for making these videos ❤
I am hoping for that day as well. Hang in there. You've got this.
Maintain or get to ideal weight, eat healthy balanced diet, do whatever sport you can that doesn't make the sciatica pain worse, walking 3/4 hours per week can be very good, isometric exercizes too, etc.
Can a tear be repaired by the body or will it remain a tear?
Very informative and well explained
Thank you all for giving a comprehensive answer ♥ ️ ♥ ️ ♥ ️ ♥ ♥
Very informative. After all these years of back pain and one major surgery, no one ever explained the nucleus pulposas not having its own blood supply an getting reabsorbed by the body. Thank you.
Did u do mri again
@@omarsamy122 No, not after laminectomy/discectomy surgery on L5. I am doing extremely well. I have some slight paralysis in my toes. The damage was done before surgery. I have adapted well. I hope you are also well.
@@stevepd1 thx
But i have protrusion can the bodt reabsorb the nucleus
@Omär Sämÿ mine was ruptured. I had protrusion (bulging) for years. Sometimes the protrusion went away with time and physical therapy. In the end, my disk just wore out. There was no way the debris was going to be reabsorbed. It was pushing against the nerve causing damage. We are all quite different. The treatment is the same. Step 1, physical therapy. Step 2, cortisone shots, Step 3, surgery. Always do your best to stay in shape, strong and not too heavy. God bless you.
Brady explanation I've come across on the Internet. Thanks Doc Great Channel.
Thanks for watching!
Great explanation 👍🏻👍🏻👍🏻
Amazing information, and nice personality. Thanks
Glad you liked it!
You make total sense. Thank you!!
You are so welcome
Me at 3 years of dealing with pain from a herniation thinking 12 weeks doesn’t sound bad at all💀💀
Yikes! 3 months is too long to deal with a herniated disc, let alone 3 years. It's unusual---unless the disc was huge--- for the pain to hang on this long. Sometimes I see the pain go from the leg to be focused on the low back. Usually in this case the source of pain has shifted from the herniated disc to the facet joint. It matters because the treatment is different. The treatment for a sore facet joint is RFA (radiofrequency ablation). Does this sound familiar or not? One thing to check is if the facet joints at the level of the herniated disc look different on MRI today than they did at the beginning.
For more on facet pain and RFA check this playlist out: ua-cam.com/play/PLsYo8ENYsvpxyo-QrlRIROPJ3TNWP882b.html
@@BestPracticeHealth i have it for 5 years
Bro u go to ur nearest ceragem center ur herniated disc will heal in few days bcoz the disc which herniated is gel liquid which body will heal in 10 years but ceragem will in 10 days it will make herniated disc into dry leave n it will not bother u any more hope u understand👍👍👍
@@akshaysuprohit7588 brother is this true????
Same here. 3 damaged Discs with stenosis . No healing for the Rest of my Life i think.
Thank you Doctor!
You are right. Mine went away after 5 months. Thanks for the video.
Hi Madeleine I’m suffering from this now and I’m about 3 months in. My neurosurgeon said mine isn’t laying on the nerve and there’s nothing to operate on but I’m still having symptoms. Did you have a “mild” herniation by chance?
Thank you so much
You're most welcome
Hi Doctor! Back in 2010 I had a herniated disk, L5/S1, got an epidural that worked well, but several months later relapsed with terrible sciatica on the right side. It was horrendous. I was pregnant at the time and therefore had to wait it out. I got better in about 4 months and believe the pregnancy helped my condition, ironically. No issues since except every few years my back "goes out" and I rely on super hot heating pads 24/7 for a week until my back unlocks. Then I am fine. Fast forward to late Nov 2023, I had two instances of terrible back spasms a week apart. Heat worked. By mid-December 2023 I had continued pain, stiffness, muscle tightness and limited range of motion. Heat works best, better than advil. No radiating pain this time! Just lower back pain, slightly off to the right side, with tightness in the mid buttock, but pain is centralized in the mid back. I can sit in a decent chair, no problem, but cannot stand for a long time, but the biggest issue is sudden movements or any twisting or bending. Based on your videos, I thought I could have annular tear, but my pain isn't worse sitting down. I didn't think the disc was herniated, because I don't have radiating pain. But my MRI showed this below. I have no weakness/numbness. Pain is bearable but it's been a month+ and I am not much better. Would an epidural work if I don't have leg pain, just back pain? I am 47 years old.
Bone marrow: Degenerative endplate marrow edema at L5-S1. No suspicious osseous lesions.
L4-L5: Central zone annular fissure and disc protrusion measuring 2 x 17 x 8 mm. Mild effacement of the bilateral lateral recesses. Mild bilateral facet arthropathy.
L5-S1: Broad-based disc bulge. Effacement of bilateral lateral recesses. Mild bilateral facet arthropathy. Moderate bilateral neural foraminal narrowing.
Visualized sacrum and bony pelvis: Minimal degenerative spurring along superior aspects of the bilateral sacroiliac joints.
Oh, goodness. You’ve been healing with this for so long. I admire your patience. And your persistence! The painter describing is very typical of a facet joint. The introvert discs are the shock absorbers of the facet joint. What happens often is you have a disc injury, like you experienced, when you were pregnant, which heals up. Unfortunately, without it, shock, absorber, that facet joints go onto become arthritic. The MRI report you shared doesn’t comment on the shape or swelling of your facet joints. Given your symptoms, the most likely cause is facet arthropathy. The Doctor Who usually treat this upfront or Pain Management physicians. Make sure you find a Pain Management physician who meets best practice criteria. That means they are double board-certified, specialize in pain, and don’t use narcotics for chronic pain management. Let me know how it goes! Hang in there. Please realize there’s nothing wrong with you that can’t be effectively treated based on what we now know.
Thank you for this video. Wheres the second part?
You are welcome! Thanks very much for the comment. This video is an FAQ for our UA-cam series The Clinic. Have you seen any of the episodes? It's kind of cool... like sitting in on someone else doctor visit. The Clinic episode this video references is here: ua-cam.com/video/gbGSWGOL1_8/v-deo.html. There are 2 other FAQ videos from that episode, here ua-cam.com/video/2iXy6KWpP50/v-deo.html and here ua-cam.com/video/X6qCrROoKYo/v-deo.html. I hope these videos help!
Thanks Doc.☺️
Most welcome!
Great words
Thanks!
Yes it can. I've been there.
Been dealing with it for years. Now the pain has started shooting down my right leg. It's hard to walk for even 10 minutes. Life's become tough.
I had a inflammation back in 2021 and couldn’t bare to get up for the first 4-5 days and close to a month I got better. I stopped going 6 to 5 days to the gym now.
Now In 2022. I decided to go onto 4 days a week but heavy setting on a Dailey. I was deadlifting and next thing I knew I felt like I got struck by thunder dropped the weight mid-set. I fell but got back up right away and confused in what just occurred (in shock) I tried to get on my feet but couldn’t! I sat on knees it’s like I couldn’t feel my legs for the first few 3 minutes. I drove back home got tingles and numbness on my lower body (nerves).
2 weeks in now my lower back feel better and the inflammation on my lower body hasn’t occurred today! Thank goodness it was a hell week! I just have trouble sleeping. I tend to wake 3 to 4 times a night. I’m having more left leg pain but some of the pain went away and feeling better but still in pain if you get the memo😅
I’ve been icing and taking meds as well to help with my pain.
I did sleep well for 4 days this week which felt great but now waking up 3x a night which is odd cause I had 4 good days ..
Right now it’s my lower body just hurts to walk and sometimes I tend to crash down if I’m in a odd position like squatting really low and I can’t do nothing about but fall the pain is unbearable and can’t really do nothing about it. It happens not just squatting but like just walking the pain will hit me but today I feel like the pain slightly reduced but not really much it kinda feels the same.
My worst pain I’ve yet had was last Saturday night that it occurred for like 45 min and I even cried when it finally went away and it was behind my thigh on my left. The worst pain I ever felt! I made the mistake of taking hot showers as well so now I will reduce my hot water to more of a cool water temp. I’m 25 right now and fit and active and hope for this pain to go away soon. I pray week 3 I get some good reduction of pain and walk slight better.
I appreciate the info thank you! 🫱🏼🫲🏽
Yikes! I'm so sorry this is happening to you. Sadly, you give a perfect description of what it feels like to have a herniated disc. I'd be happy to answer your questions on youtube, like we do. Your experience is so important to share with others... are you willing to do an interview?
This is exactly what happened to me, I’m in my 5 weeks now my lower back left side is still swollen but i don’t have any much pain anymore more like a discomfort.
Hope you’re doing well at this time and able to get back to doing things you have been doing
How are you doing now?
@@dingdong6005 I'm doing so much better at 6 months. there's still tightness on my lower back and some impaired sensation on my lower left leg (feels inflamed to be exact). I'm not sure if my lower left extremity is inflamed to some extent because that's how exactly I feel about it due to the nerves irritated. but strengthening hips and back and more hip mobility is the key factors to getting back to normal again
Awesome explanation of a herniated disc. I herniated my L4/L5 and L5/S1. I have been doing decompression at a chiropractor and pool exercises 5 days a week. Seen a lot of improvement in 4 weeks. What are your thought on PRP(platelet rich plasma ) injections? Do you think that can be beneficial into the back?
Sorry to hear about your discs! PRP and other stem cell-derived growth factors (SCDGF) are increasingly being used for the treatment of back pain due to facet joints. In those patients, the injection is done into the joint, as the problem is not the herniated disc. Very few pain management doctors are doing PRP or SCDGF injections in the epidural space. Back when I was in practice I tried several SCDGF injections into painful discs for chronic discogenic pain with surprisingly great results; however, those people had pain for years and MRI showed inflammation around the disc space (modic changes). Overall, given the lack of solid data and a great prognosis (94% of people with non-specific back pain resolve in 12 weeks), I'd hold off any alternative injections for now.
@@BestPracticeHealth to
How are you going now?
How are you now?? I hope you are doing well now 😊
Stop eating animals
Dairy
Eggs
Oils
3-6 months at 100%
Will be healing 100 percent and all damage discs will rebuild as before or stronger even you can return to hard work or gym
What does it mean if I've definitely aggravated a disc in my lower back (Incredible pain, reduced range of motion, cant bend down well, etc) but I never had the shooting pain down the leg?
I have slight neck disc bulge which I got from exercise, after that I had lot of rest for 1 month, then I walked a lot, I don't know, nowadays, I don't have to medicines for pain and that, sometime the pain comes back with headaches and slight dizziness but a lot less, it's 3 months from the point I got the injury, is it healing? And by what time I can get back to my normal routine, like I'm athletic , can I able to do the exercises again?
So lets say you are part of the 94% where the nucleus is re-absorbed in the body. Does the annulus repair so the nucleus doesn't keep leaking out? What would be the range of time for the annulus to repair? And If so, I would assume the annulus would be weaker (much like when you badly sprain an ankle - it is truly never back to 100 percent and is slightly more likely to be re-sprained, but can get close to 100 percent).
Yes. The outer part of the annulus does have a blood supply and is capable of limited healing. While there is no strong data, many neurosurgeons believe the annulus heals for around six weeks after it is torn whether that is by injury or surgery. It's likely that you are correct the healed annulus will never be 100%, but hopefully it will be enough to protect the nucleus from your body's immune system, and prevent further nuclear disc herniation and more inflammation around the adjacent nerve root causing sciatica.
Thank you so much for the info. I was wondering i herniated a disk in my lower back when i was 26 years old i am 47 now. It hurts if i sit too long latley i have to sleep on the floor might get a new matress. i was wondering what might be my chances of needing surgery done the road? Thank you so kindly.
Thank you for the clarity. I have been suffering with back pain for more than 2 years now. It's at it's worse now, but I grit my teeth and carry on with my chores. In this 2 years I have had injections and some relief . I am getting ready to have the epidural injection and looking forward to some relief . I have a couple questions that I should have asked my pain management doctor. How painful is this epidural injection without having the pain med? Should I be taking it easy at this time? I live on a farm and do some chores that are quite painful to do, but I carry on. Housework, vacuuming the worse. never realized how many times you bend over in a day, I have this painful catch when I try to straighten up. Should I be do this work at this time or carry on? Now the last injections I had I gained 25 lbs. I've managed to lose 15 lbs since the injections worn off. Now the nurse told me I didn't gain the weight from the steroids. Is this true? I'm a 69 year old active female, that still thinks she 25 years old. Any answers you can give me will be quite appreciative .
Epidural injection is not super painful without pain meds; I have done a thousand of them without any pain meds myself in the past. Rest is important but not too much; think water aerobics instead of running on cement. Work or activity, farm or otherwise, that causes paint that continues after you stop should be avoided. Steroids can cause weight gain, but you have to eat the extra calories; watch the diet carefully after steroid injection.
Hang in there. Watch facebook for our new show where we go over your MRI with you. Sounds like that may be helpful for you.
Thanks for the video!
According to my mri i have bone spurs and a bulging disc on c6-c7.
It’s been 14 weeks now and the pain has slightly reduced and moved multiple times to different places.
The doctor prescribed an oral steroids course.
Do you think the risk/reward is worth it? Will it fix the problem? Or just hide it for some time.
I have also refused steroid injection in the neck for now
I have no weakness but quite some pain(tingling went away).
Is steroid injection also worth?
Sorry for all the questions
Yikes! 14 weeks of cervical radiculopathy is a long time to be in that much pain. Cervical epidural injection is higher risk and lower reward than the low back. If you are concerned about it I'd skip. I guess it comes down to severity in your case... if your nerve root is pinched and 14 weeks of SEVERE pain, then it's time to see a surgeon. Make sure you follow best practice guidelines for selecting one.
Thanks for the info
Any time!
reduced physiological lumbar lordosis almost eliminated.. absence of focal bone lesions. height of vertebral bodies preserved: absence of intra-cancellous edema. signs of l4, l5 and l5 -s1 disc disease. annulus fibrosus in the posterior median area with hint of minimal subligament herniation. At the l5-s1 level, median-paramedian and right posterolateral disc herniation is present with foraminal involvement. The other disc spaces were normal. Vertebral canal and conus medullaris normal.
Hmm. No sign of what is causing the pain. Is it back pain? In my experience radiologists often don't comment on swollen facet joints.
I got herniated disc L4-5 and just got epidural steroids injection and I'm more pain than b4.
I got injured in June 2023 and as of now November still hurts
So, I've been dealing with this for almost 3 years after 2 very close together MVAs. I keep getting turned down by neurosurgeons due to "long COVID waitlists".
The pain keeps progressing down my legs. It started in my hips, then would go down to my knees, and now is persistently in my feet. I am regularly seeing a kinesio and doing active rehab.
But, like, where do I go from here? Are you taking on new patients 😂😂😂
HI! Sorry to hear you've been in pain so long! I"m not in practice due to essential tremor. But there are many great spine surgeon and pain management out there.
Great video!! But I have a question to the following steps the body take: after absorbing the substance how does the outer layer of the disc prevent more run out? can it close up again? or does the nucleus keep running out? By "healing itself" I consider some kind of "closing the wound" like a cut
Thanks! The white cells of the body eat up the herniated nucleus, allowing the edges of the annulus to be approximate to one another. Once two like layers are touching they can heal. Think of your skin. If the edges of a cut are clean and touching they can scar back together. If they are far apart then healing take a different form. Same with the annulus.
@@BestPracticeHealth Thank you so mich for your helpful answer! I couldn‘t imagine how it works because I read that the disc has no own blood flow. But I‘m glad I learned something new ❤️
I have spondolysthesis. My l5 has moved a bit. My pain in my leg and hip area has increased and my feet at night feel like they are hot. I am 26. What do you suggest I do? I was trying acupuncture. Do you think it can help? I have been having loxoprofen 60mg and mecobalamin 500 for the past 6 days and my pain has reduced. Please suggest what can be done!
Burning or strange sensations in your feet at night are often due to neuropathy, and not related to your back. Some neuropathy runs in families, so as your parents if anyone else has it. Leg and hip pain is usually facet mediated pain. Watch this video to figure this out: ua-cam.com/video/rBmHQ7VCDIk/v-deo.html.
If your pain is more than 12 weeks old and due to a facet injury then medial branch block done by a pain management doctor is the key to finding out what is wrong. If the medial branch block is positive then radiofrequency ablation is the next step.
Learn more about spine problems here: ua-cam.com/play/PLsYo8ENYsvpxyo-QrlRIROPJ3TNWP882b.html
My injury is 9 months old. Now I have a mild pain around calf and at the lower back portion. But whenever I consume alcohol, my pain goes as away and I feel normal for that very moment. I dunno what's happening
Thanks dr
Welcome 😊
Thank you again for your insight. I had surgery one year ago, discectomy/laminectomy on my l5 s1. Never gave relief. I have a disc extrusion, so a tear in the outer disc. I get flare ups that swell my lower back( mostly left side). Is there any way to differentiate between scar tissue and the actual herniation that is causing the sharp pain? Is scar tissue inflammatory? Can’t bend or something catches. I took prednisone and that helped my ability to bend. Any insight on how to differentiate between scarring from surgery, or the herniation? I understand every case is different. Any input from your expertise would help. Thank you again for your work.
@Jason Shamoon I have the same surgery and the same issue. I suspect it's a scar tissue issue. I'll try to share my prognosis with you.
Unfortunately, pain after spine surgery is common. The question is whether that pain is coming from the torn annulus, inflammation of a nerve root, or the adjacent facet joints. The only way to know for sure is to have diagnostic injections of those structures. A medial branch block is an injection that temporarily numbers the pain fibers to the facet joint. If you were pain-free for a few hours after a medial branch block then the problem is the facet joint and not the annular tear or nerve root. Similarly, a transforaminal epidural steroid injection numbness the nerve root and not the facet joint. These blocks are done by pain management physicians. The trick is to find one who will help you work out exactly what hurts. Until you know the problem, the solution is impossible to figure out precisely.
@@BestPracticeHealth thank you for the response. I got a caudal injection 2 weeks ago. Didn’t do anything. Like you said, difficult to decipher what exactly is the cause.
@@jasonshamoon7427 You're welcome. Thank you for the comment!
A caudal injection is when a doctor places a needle under the sacrum and injects something, typically steroid. The rationale is that the epidural space connects with the space under the sacrum. The advantage of a caudal injection is that it’s easy to do and does not require x-ray guidance.
In my opinion, caudal injections really have no role in modern pain management. What you want is a doctor who can look at the MRI, identify a potential problem related to a compressed or inflamed nerve root, confirm with a physical examination targeted to the nerve root involved, then if appropriate do a transforaminal injection of steroid to reduce inflammation on the affected nerve root. A transforaminal block requires fluoroscopy and training, but it’s better because it focuses the treatment on the problem.
The second advantage of a transforaminal block is that it confirms your doctor’s theory about what’s wrong.
A doctor may have their own reason for doing a caudal, but the reason I see most is that the doctor is not qualified to figure out what’s wrong and offer specific treatment.
We are putting out a new video on how to pick a pain management doctor next week. Please subscribe and look out for that when it's released.
@@BestPracticeHealth will do. Thank you for your time
Hi Dr, I’m 28 and been dealing with back pain for three years now. I go to the gym and Im in very good shape, the pain was minimum until two months ago i was in so much pain and had to do the mri and report was
L4-5: There is asymmetric loss of disc height and circumferential bulging with endplate spurs, with more prominent protrusion on the left side. This results in moderate left foraminal and left lateral recess stenosis, but only mild right foraminal and lateral recess stenosis. There is minimal endplate edema at this level. Facets normal.
L5-S1: There is slight disc desiccation and loss of height with mild bulging on the right side causing minimal right foraminal narrowing. Canal and left foramen patent. Facets normal
I refuse to take the steroids injection because I was worried to make me gain weight.
I start doing decompression treatment and it’s not bad the pain comes and goes, knowing I stopped going to the gym for now.
My question is will I deal with this for the rest of my life?? Will the pain go away???
There is only one treatment for discs if damaged that mentioned by the last messenger of god Mohammed peace upon of him beyond that no treatment and will be healing 100 percent you can return to gym or hard work
I would likw to ask, can the nucleus polposis refill naturally?
I have disc bulge in C5-6 in MRI. I dont know if disc bulge or herniation is same but I have extreme pain in neck, head and occassional numbness in whole right arm or both legs sometimes. I have wekaness in both arms. Doctors i have visited dont take it seriously. I have been on NSAIDs and pain medicines but they are not working
Yeah, pushing it back in through physical therapy exercises never made sense to me. When a physical therapist said that to me, my brain could not fathom how, even if you could push it back in, it would stay in if there was a tear in the wall? Wouldn't it just move back out? lol! After watching this video, I'm glad I didn't go back there.
Me too.
Hi, I am 25 yr old female , and have a L5-s1 disc protusion and diffuse disc bulge, as per report by radiologist. Some doc say its extrusion and some protusion. Having sciatica pain while walking more than 20-30min. Doc has advised bed rest for 2 weeks with limited exercise.On medications also. In my case is resorption possible?
Because disc material has no blood supply and is "foreign" even to your own body, all disc protrusions are reabsorbed into the body by inflammation over time. If either the compression by the fragment or the inflammation is causing damage to the neighboring nerve root, then microdiscectomy surgery should be considered. The way to know there is damage to the nerve root is from the presence of 1) functional weakness, 2) numbness, or 3) unbearable pain. If 1,2,3 are absent, then the traditional advice is to wait it out. During the waiting period, you can get temporary relief with a transforaminal injection.
ua-cam.com/video/2iXy6KWpP50/v-deo.html
Iska koi treatment nehi hey niece jokes its own heal
Hi Doc, question. If inflammation process is helping to eat away the disc. Would not anti inflammatories delay healing or eating up process
Great question! In theory anti-inflammatories would slow down the healing process. In practice I have never seen that.
Thanks. Teşekkürler
You are welcome.
Thank you for your sharing. Can I send you the MRI link and can you talk about my condition?
I'd love to have you on the show so we can go over the MRI together. Submit a question to bestpracticeheatlh.tv and we can connect!
Being at a healthy weight helps. Ya see, I was about 175 pounds in may of 2021. A physiatrist suggested I be out on a mood stabilizer, called abilify. I didn’t think anything of it, but before about 2 years before this I was on Paxil, and much like abilify I gained a significant amount of weight. The first time 50 pounds, and this most recent time 75+ pounds putting me well into the 240s. I may have had this herniated disc for a couple years but starting in early 2021 I had a lot of back pain. And for the last 8 months we’ve done scans and therapy and I’ve gotten myself down to 233 as of today. 2 weeks ago I got a steroid injection and within a couple days up to the present I’ve had extreme loss of mobility and function of my lower spine and left hip. The same day I got the injection I was moving a lot of heavy items at work, after I did this I went and got the shot and they numbed me up. I’m wonder if the numbing medication blanketed the aggravation of my already injured back more from moving the heavy items. Not sure what to do now. Might lose job.
Moral of the story is so not ever let someone put you on a controlled substance without knowing all the side effects because they have a high probability of affecting your weight. Which can lead to more health problems such as liver, pancreas, cholesterol and LFTs along with type 2 diabetes.
Please please please don’t let anyone out you on medication just because “somebody feels safer with you on it” your overall health is more important than appeasing people.
What an important story. Thank you for sharing it.
Why are you moving heavy things at work if you know you're injured?
@@johnborris3222 because if i dont ill get fired?
im curious about the pulp. You said that the body digests the part that has "escaped" the annulus. Does the body make more pulp to replace the dissolved amount? If not, how does that affect the stability, strength, or cushion of the discs?
Oh, man...that would be great. Sadly, no. Our bodies do not replace the nucleus pulposis after it herniates and is digested by our immune systems. That's why we get "degenerative disc disease."
@@BestPracticeHealth ok what about protrusion ?? So the body gonna reabsorb the nucleus and there is not any part dissolved ?? Right
So the disc is keeping all contents right ??
Is and my neck I had an MRI and there it was bulging. I'm not having numbness and weakness or anything just queasy. And my blood pressure been up kind of lately they put me on blood pressure pills. I'm assuming my pressure coming up from chronic pain
Sorry for the late response, I somehow missed this last week. The best treatment for mechanical neck pain is therapy/chiro followed by NSAIDs. If that does not work then x-ray should be done with flexion and extension views. If those are negative then MRI is next. Surgery is very rarely needed and works poorly for neck pain. Radiofrequency ablation is a great treatment for mechanical neck pain due to facet joint arthritis. A diagnostic medial branch block is done first to see if the procedure is right for you. This procedure is done by pain management doctors. Make sure you find one who is a perfect *** (board certified in anesthesia or rehab, certified in pain management, does not prescribe dangerous drugs for chronic pain).
I told you there is treatment 100 percent
Week 1 down...on crutches..can't put weight on right leg ibuprofen 1000 mg a day ( 200 x5 ) take 1 pill 💊 every 5 hrs as needed..warm bath ..I had massive sciatic pain ..had to get .5 mg corticosteroids in glute..some relief .. will update week 2 .
Oh, goodness! So sorry you are going through this. Keep you chin up if you can... most pain of this type resolves by itself. See a doctor right away if you have intractable pain, functional weakness or numbness, or any bowel or bladder dysfunction. Hang in there and let us know how you are doing.
Hi doc,
My question for you is, will the lost pulp due to the hernia refill itself? If not will this have impact on the disc and quality of life? I would assume with the loss of the pulp the 2 vertebrae between the discs will grind because the volume has decreased. I my self hear grinding noises coming from my back after the herniation. Also will the tear that happend re-close and be strong again like before?
Thank you.
Hello. Thanks so much for your question. No is the short answer. Once a disc has torn and the soft inner part herniated, the pulp cannot replenish itself or replace itself. That does lead to grinding, particularly more of the facet joints than the bones of the intervertebral disc space itself. I hope this helps.
Informative video. I have been dealing with chronic pain caused from multiple disks in my lower back. I have had 2 MRIs. I had a lot of nerve pain down my leg, numbness in my foot, i walked with an obvious limp.
I was a candidate for surgery, but opted to try other options first. I took gabapentin for the nerve pain and pain meds for the pain in my back.
Today, years later my back feels pretty good. Nerve pain is gone, I am not in as much pain as i was. I have a different problem, my body is addicted/dependant to the pain meds.
I am weening myself off the pain meds (which is no easy thing) and my back to my amazement doesn't cause the extreme pain it once did.
I find it exasperating how Drs treat pain patients.
Drs wanted me to take long acting time release pills (oxycontin or morphine extended release) or have a pain pump installed. I knew when i started taking the long acting pain meds that my body would become dependant on them and that i would have withdraw when i decided to stop taking them.
Last month i cut out 80 mil of pain meds. (i now take half the meds i was taking) It wasn't fun, withdraw is horrible. My eye twitched for a month.
Now Drs don't want to give anything for pain. I don't understand letting people suffer. I am greatful for the Drs i saw, they didn't leave me to suffer and i didn't have to have surgery to get pain relief.
I agree with weaning off the pain meds. I'm glad you are doing that. Once you are off I think you will find you feel better, your relationships are easier and more productive, and you can live a much better life.
I was lifting far too heavy weights and with poor form when I heard and felt a terrible crack in my lower back which left me in severe pain(sciatica) for around 2-3 weeks. 2 years later I have no sensation in my upper right thigh and constant pain between my shoulder blades. My lower back cracks and pops the whole time when I move and lift things etc and I’m constantly living in fear that my back will go again and suffer from sciatica. Will my situation eventually correct itself because it’s gradually having an effect on my mental health?
Sciatica is such a severe pain is can cause a fear of it recurring that is like post-traumatic stress disorder. The way to overcome that fear is to know the risk. You can only know the risk through imaging.
The crack you heard in your back was most likely an annular tear. Depending on the weight and your bones it could also have been a compression fracture or traumatic injury. Given the thigh numbness the most likely problem is a L3/4 annular tear with herniated disc. The next step is an MRI of your lower back. That typically requires a prescription. Do you have a doctor?
@@BestPracticeHealth thanks for replying. Yes I have a doctor, I am in fact in the UK and on the NHS waiting list for a MRI scan which has already taken 3 months due to a backlog. If it is what you say most likely a annular tear with herniated disc does this eventually heal itself over time or will it require some sort of surgery as it has been over 2 years since my injury?
You are welcome! Yes. There is a great chance it will heal over time. The key is to figure out what kind of pain you have, and then you have the imaging you will see if you get confirmation. Check out this blog: phoenixspineandjoint.com/is-ozone-a-good-treatment-for-the-low-back/. Try to figure out if you are A, B, or C.
What exercises should I be doing. Dx with L4, L4, S1 Disc herniation ,, Sciatica left leg .. Tried RF Ablation (RFA) That did not help at all. Tried PT with pool therepy when finished I was in much more pain than before PT sessions.. Had to stop.. Problems sleeping as Pain management says not to sleep on left side as the discs shift and pain wakes me. Sleep approx 3-4 hrs nighly , toss and turn to find a spot that I can deal with. Right side have Rotator cuff tear.. What excercises will give me relief? also I have lost 30lbs over the past yr due to not being able to regain muscle.. Thx so much..I was allso looking at stem cell therapy/& peptides for shoulder Rotator.. What direction w/ excercise...
Wait, what? RFA is not a treated for herniated disc with sciatica. If that's the problem, then no wonder you are still in pain.
I put half of my body weight on the bed and used my upper body strength to "pull" my spine muscles (to identify damage) but it suddly felt like when you're trying to put the same faces of a magnet together and i stopped. I couldn't move for about 15min because it was sore. It definitely felt like something was being pinched.
It sounds like you put your low back in traction. That’s not a test! Watch my video on “when back pain is serious” to be sure you have no red flags that require immediate attention.
I have a moderate disc bulge in my c6 c7.I felt much better going into fourth week in terms of pain. It's my six week now but the tingling and numbness in my first two fingers haven't completely gone yet. Also, my triceps on my right arm have gotten really weak. I used to press 110lb dumbbells and now I can barely press 15lb. It's really overwhelming and can make you really upset and emotional.
It appears you're experiencing a four-week history of right C7 radiculopathy due to a herniated C6/7 disc. While you mentioned a disc bulge, it typically requires a true herniation to cause this much trouble. This condition is causing significant motor and sensory issues, including weakness in your tricep and numbness in the right middle finger. Thus, you have motor and sensory weakness in the distribution of the C7 nerve root, which is the one that is pinched and/or inflamed by a C6/7 disc herniation. Given the severity of your triceps weakness, surgical decompression should be seriously considered.
I highly recommend consulting a qualified spine surgeon promptly. An evaluation for procedures like anterior cervical discectomy and fusion or anterior cervical disk replacement (C6-7) might be necessary to alleviate your symptoms effectively. Early intervention is key to ensuring a successful recovery. Reach out to a specialist soon to discuss your treatment options and regain your quality of life."
@@BestPracticeHealth Thanks for responding, Doc. According to my MRI and my doctor there's a moderate protrusion of disc. He told me if it was literally choking my nerve then they would have to refer me to a surgeon. I'll have a second opinion on my MRI results. So can my strength not come back without surgery? I had the same issue about four years ago with my c5c6 disc which really weakened my right biceps it took quite some time to almost come back to normal from that but it came back.
@@FullChamber How are you??? Did you had second opinion??
@@Preeti-lw9jc well, i have been waiting for my appointment with a specialist. Might take a little while. Weakness hasn’t improved at all and tingling comes back strong and goes away after a while. I guess surgery is the way to go. Hopefully get it done in the next two months. Fingers crossd
Hello mate, I’ve got exactly the same symptoms as you! Horrendous pain down arm, mri showed my nerve being choked like you say! Loss of strength in the my can normally do 100 press ups straight off and at the moment can’t even do one! I’m waiting to see a consultant now, how are you? Are you any better
Hi doctor , I am waiting for results of MRI, I believe I injure my back while doing very heavy hip thrusts . I have been taking it easy at the gym however I have been doing machine leg extensions but my pain comes back . Is this exercise not recommended ? What type of exercises should I do? Thank you
Exercise and therapy have been studied a lot and have not been shown to be effective in the treatment of herniated discs. What works are natural healing over time, epidural steroid injection for temporary nerve root pain relief, and microdiscectomy surgery when all else fails. The gym is awesome and critically important for your long term health; but it won't help with your herniated disc.
Let me know when your MRI is back and we can review it together if you like!
94%? I like those odds.
4 months now and still numbness in right index finger due to herniated c6 area. No longer need pain meds so it seems to be healing bit very slow and I have to be careful what I do to avoid flaring up more pain. Unable to work so thank God for insurance but hoping it heals within 6 months...
Herniated discs in the neck with arm and hand pain and numbness are often called cervcial radiculopathy. I have 2 playlists that touch on these topics: neck pain ua-cam.com/play/PLsYo8ENYsvpzpdZWWYCRkK901O_OtP3yQ.html and ACDF ua-cam.com/play/PLsYo8ENYsvpw4Stuy_0iYeOhW4gV3fk-T.html
Hi, the depictions of herniations in this video explicitly show the nucleus bursting through the annulus of the disc. I have seen other depictions that show the annulus being deformed outward but still containing the portion of the nucleus that is protruding. If I have a Protrusion but not a Sequestration, is my nucleus hanging out totally exposed or is there a layer of stretched out annulus still surrounding it?
Yes, you are exactly right. The annulus can tear, but the nuclear stays confined. The good news is that the nucleus is not compressing and irritating the nerve root. The bad news is that pain fibers grow into the disc and can cause a painful annular tear.
@@BestPracticeHealth if the nucleus is still confined for a given herniation, is that herniated nucleus material still eaten away by the body or can it migrate back to where it should be? Thanks for the info!
@@GeneralJoey747 The annulus is an outer layer or wrapper of the nucleus pulposis. If a tear in the annulus heals over then the nucleus pulposis is again shielded from the body's immune system and the cycle is over. Since the nucleus has no blood supply there is no route for the body's immune system to attack it. Doctors see this battle play out on MRI all the time. Inflammation at the junction of a torn annulus and the vertebral body bone is called "Modic changes" on MRI reads. If you have an MRI of your back check the report for that language. "Modic change" is the evidence of a long-term tear in a disc causing inflammation in the adjacent vertebral body.
@@BestPracticeHealth my MRI report did not mention any modic changes, just a foraminal hernation pressing on the nerve. At first I was worried I would always have this herniation unless i get surgery but after reading more and watching videos like these I'm more optimistic about this resolving without surgical intervention. With that being said it is confusing for a layman like me to understand what's happening with my body and what the possible outcomes could be. It also seems like there is still a lot left for scientists and medical professionals to learn in this space.
@@GeneralJoey747 how ur protrusion now ???
I’ve had bad sciatica for 11 months; meaning I can only walk for 30-45 min until I have pain in my leg, buttocks and lower back to the point my hips become shifted, I’m walking crooked and in pain and have to lay down. Just recently (few days ago) I went for a walk in a park that was vey hilly, after that my pain became substantially worse and I can’t walk not even for a min or sit on the toilet without being in extreme pain like someone is stabbing me in the lower back. I cannot sit much if at all. I don’t know what’s happening. When this all started Initially a year ago, my MRI showed ruptured disc at l4-l5. That’s what was Initially seen at least. I’m loss for words…
It sounds like you had a progression (recurrent) disc herniation. If you have any red flags then you need medical attention now. Otherwise, consult the matrix and decide what to do. It's been 11 months...sounds like you need help. Feel free to submit a video question and a pic of your mri here: bestpracticehealth.tv/
@@BestPracticeHealth Thank you for your response. I will go ahead and do that. I just came out of hospital today for this issue. Doctor wants to do surgery. I have improved a little and pain calmed down a bit but still worse over all than before. I am seriously considering my current options.
Hey Joey, Dr Lieberman answered your question today on our live show. Here is a timestamped link: ua-cam.com/users/liveLryTnQ3aC6I?feature=share&t=3001
@@BestPracticeHealth Yes, I just saw the video. Very insightful. Thank you for passing my situation on to the Doc. I think surgery is good option for anyone under the circumstances,I’ve just read some info that surgery could be not so good of an option. Everyone is different I guess. I’ve got some thinking to do!
Doctor, I have a herniating at C6-7 with numbness/tingling in my right index and middle fingers. Happened back in April. Confirmed via MRI in May. I’ve held off on surgery while trying several conservative methods, but no luck yet. I decided to lose 25lbs because, well, that’s never unhealthy and figured might help my mobility and pain level. And it has.
My question: when is it time to throw in the towel and go get the scalpel? I have been researching photobiomodulation therapy and wondered if a Diowave 60w high power therapeutic laser would be worth it.
Your time and response is appreciated in advance. 🙏🏻
Hi, Brent. Sorry for the slow response. I'm sorry to learn of your neck troubles. I'm going to answer your question on my live show tomorrow at 10 AM (12 PM Central). If you would like a review of your MRI included call my staff at (602) 256 - 2525 to upload the images to our confidential online drive. I will send you a link to the discussion afterward.
Hey, Brent. Here's a link to BP Live. I answered your question today. The discussion of your case begins around 40 min in.
ua-cam.com/video/zb9UGqWtjf4/v-deo.html.
If you have not already please subscribe! Thanks for the great question. I think many of our viewers have the same issue.
I have been suffering from a sore back for five months and got a MRI scan two months ago. I am suffering from a sore back painful calf and occasional numbness in the foot. Sometimes it’s better and sometimes the pain gets worse. It’s very up-and-down. My desk bulge is 8 mm which is pressing on the nerve causing all the pain. I have read about it and it says the bigger the bulge sometimes the better it can heal. Is this true? Interesting video and learnt a lot thank you
It's hard for a bulging disc to heal because healing requires inflammation and the annulus shields the disc from your the rest of your body. But bulging discs usually do not cause sciatica. Are you sure that is the issue?
Very informative video.
I had an injury 14 months ago, had a nerve root block at l5 s1 level 3 months ago got some pain relief but eventually around 30-40% pain came back. I am not taking any painkillers because pain is nothing like it was before nerve root block but my SLR is still positive at around 30-35° and I can not touch my toes, my back feels really stiff.
I wanted to know if I'm a candidate for surgery or not.
My Dr is suggesting me to get an endoscopic microdiscectomy.
Would love to hear your advice as I'm just 23 and want to go back to my normal life again as soon as possible.
Your priority now is stopping the sciatica. The longer it goes on the more permanent nerve damage you can expect. If a good surgeon recommended microdiscectomy then I would definitely consider it.
Worker's comp doctor cleared me back to work with restrictions so i got worse. Then they put me on pt and aquatherapy. Worse months of my life. Aquatherapy was so painful.They should have let me heal first. Now i have ddd, annular tear, protrusions, nerve pain, and stenosis. 7 months since work injury.
I’m really sorry to hear that. It can be so challenging to get better in the context of a work related injury. The doctors are usually not the best, and you have everything going through Workmen’s Comp. which limits the timeliness and effectiveness of treatment. Hang in there. I hope you get relief.
Hi this is my MRI results I just saw my doctor he said to get the The Surgical Procedure is : THORACO-LUMBAR
laminectomy discectomy for L5-S1.
Question is if I have two herniated disks why he only doing one? He said my herniated got bigger compared to my first mri from
Last year.
L4-5. there is a small left foraminal disc protrusion superimposed upon a diffuse disc annular bulge with mild facet arthropathy and endplate spurring. Mild left foraminal narrowing results. The central canal nda right neural foramen appear patent.
AtL5-SI, hetr isa small left paracentral/left foraminal disc protrusion and annular tear superimposed upon adiffuse disc annular bulge with mild facet arthropathy and endplate spurring. dMli inferior left foraminal narrowing results. The central canal and right neural foramen appear
wdieyl patent.
Thank you.
Hi! I'm 17 years old and I suffer from hernaited disc L4/L5 since september 2021. It happened because of lifting heavy, training soccer a lot, and maybe genetics from one of my parent. I have pain mainly in my left leg especially the calf! I don't use any pain relievers. I do core workout 3times a week. What are your suggestions for healing it? How to speed up the process? Is it good to take Collagen, Glucozamine, Chondroitin and etc.?
Great question. We have a live show every morning where we answer questions like this and tomorrow I answer your question and afterward I will send you the link! I can give you an even more thorough answer If you are able to / willing to upload your MRI or call into the show live so I can talk to you directly. If that is something you are interested in please call +1 602-256-2525 with a parent or guardian and our staff will give you directions!
Can I have the answer to that question please ?
So I can buy those stuff too
Thank you!
Not heal Permanently Iska koi treatment nehi hey
Ive had a bugle disk accompanied with left leg sciatica for 4 years now. I am only 28 yo.
During this period of time ive had 4 epidural back shots.
Got my first one back in 2021 and had relief for 7 months. Then it came back again and got another shot and got relief again for 8 months and then go another shot which was my 3rd one and felt relief for 9 months and now I am here typing this comment not being able to walk again. I got a shot on Monday and I am getting worse. Ive done PT and done more than 12 weeks of myself doing exercises to “fix” this but i see now progress. I dont know what to do anymore. 😢
unfortunately, epidural injection helps relieve inflammation, but it doesn’t change the underlying condition. It sounds like you have multiple recurrent episodes of radiculopathy, that’s inflammation, or compression of a nerve root, usually caused by herniated disc. This is especially likely given your relatively young age. You must’ve had an MRI by now. Look at the report and see if it mentions a herniated disc, and whether it is large, medium, or small. That may help decide whether a visit to a surgeon is the next best step.
I have a moderate herniation at my L5-S1 with a measurement. It's been a long 4 months but I am slowly getting better. Is this herniation too large to heal on its own? (See MRI details below) Thanks! (Been doing PT weekly & 2 epidural shots so far that were not very effective unfortunately)
At the level of L5-S1, there is a moderate size left posterior
paracentral disc protrusion that measures approximately 7 x 5 x 13 mm.
This causes mild ventral effacement of thecal sac and moderate left
lateral recess effacement. There is displacement of the transiting left
S1 nerve root. Minimal hypertrophic facet arthrosis at this level.
The key to taking the right step in the treatment of a disc protrusion is not usually the size of the disc; it's whether or not the patient has a functional weakness, numbness, or uncontrollable pain. The s1 nerve root provides sensation on the outside of the foot and works the calf muscles. A good way to test for functional weakness caused by damage to the S1 nerve root is to walk on your tip toes. One can test for S1 numbness by gently touching the outside of the foot, by the pinky toe, and comparing it to the other side.
Disc protrusions do heal, as they are exposed to the epidural space, as opposed to bulges.
I'm sorry you're in pain. I hope you feel better soon.
Could it take longer to heal if you are taking and immune suppressant called methotrexate? Since the body can’t chew it up as fast, I’ve been having pain for 2 months now
Yes. MTX will dramatically slow or potentially stop the healing.
@@BestPracticeHealth thank you for replying, I stopped MTX 2 weeks ago and started a biological called dupixent, I don’t have arthritis but I have atopic dermatitis (eczema) so my doctor said it’s less of an immune suppressant, targeting the eczema and not much more so does that mean I would heal or do you have any pointers for me?
Is there any possibility for a patient with dessicatd disc bulge in l5s1 to get the nucleus content back if they are young below 35 years of age
Over the decades since the development of MRI technology, there has been an increasing number of people diagnosed with "desiccated" discs. The term "desiccated" technically refers to drying out. MRIs are highly sensitive to the presence and density of water molecules. As discs age, their outer part weakens, leading to bulging, and the nucleus becomes drier. This is what is identified as a desiccated disc on an MRI. Extensive research has been conducted to try to restore these discs. However, to date, no one has convincingly demonstrated the ability to reverse disc degeneration or restore the shock-absorbing function of a disc in a human. Maybe someday that will change, but unfortunately, today is not that day.
@@BestPracticeHealth hmm yes scientifically i agree and not even denying the facts... I have read and watched videos and listened to physiotherapy saying that by doing exercises practicing good posture drinking water , core strengthening exercises you can restore that little by little but not 100% and that too will take long...for youngsters....
Even many people are lifting weights doing gym after recovering from slip disc..
Just wanted to know your opinion regarding this and what if we people who suffer from disc dessication annular tear disc bulge , herniation put a positive mentality on recovery , can we live a normal pain free life where we can play sports again ....???
I had this issue started almost a year ago and in the beginning the spinal canal diameter between my L4/5 was 6mm and now it’s 9.5mm also the pain i feel is lesser these days as compared to months ago. Doctors are recommending me surgery but i want to recover it without any surgery, could it be healed in some more time as one year had already passed or surgery is the last option I have?
Oh, no! Sorry to hear you are suffering. Unfortunately, spinal stenosis only gets worse, and the only treatment that actually restores the spine and protects the nerves is laminectomy surgery. What you have to consider is the timing. I've seen so many patients wait too long, until they were not healthy enough to have it, and then suffer for the remainder of their life with something that could have been addressed.
Hello! Your questions is being answered on Best Practice LIVE! Check it out HERE: ua-cam.com/video/9Yi6NIJ86zo/v-deo.html
You can see Dr. Lieberman's full explanation HERE: ua-cam.com/video/9Yi6NIJ86zo/v-deo.html
Iska koi treatment nehi hey nice joke's heal own
I have a 3mm x 6mm paracentral protrusion in my t6-t7 thoracic spine from injury no stenosis or extrusion or sequestration, it's been over 2 months I've been in so much pain, had heaps of pain in my shoulder and neck region because of it especially my left side and nerve pain, can this still heal?
Definitely. However, the healing time for a thoracic disc herniation varies tremendously. The dominant variables in how fast you get better are the size of the hernaiton, and the intensity of your body’s response. You didn’t mention the timing of your injury, so here's a general overview:
Acute Phase (1-6 weeks): This phase often involves managing pain and inflammation. Rest, physical therapy, pain medications, and sometimes corticosteroid injections from a Best Practice Certified Pain Management doctor are advised. For most people, symptoms start to improve during this time.
Subacute Phase (6-12 weeks): As pain reduces, more active rehabilitation begins. This includes exercises to improve flexibility, strength, and posture. Many patients see significant improvement during this phase.
Chronic (> 3 months): The vast majority of people experience considerable relief within 3 months, but full healing can take longer. A small number may continue to have some symptoms beyond this period. In rare cases where conservative treatments fail, surgery should be considered. Look for a spine surgeon who meets Best Practice Criteria and specializes in minimally invasive thoracic microdiscectomy.
How much does anxieties and stress play a part in back pain ? Can a lot of this be mental?
Yes to both. Stress is a common cause of low back pain. Maybe the most common cause. It's important to deal with stress and all it's forms.
Would the disc not completely collapse later (after the healing phase)?
I have a (missed) spondylosis after trauma, then only after about a year the pain increased dramatically... Now we discovered that I have a disc that is disintegrating (small herniation)...but my specialist made it sound very soon & gloom...that I will eventually need surgery.
Sorry to hear about your accident. It's common for an annulus to be torn in an accident, and then heal back up. During the healing phase the body often reacts to the foreign nucleus material and digests some of the disc. Depending on the size and extent of the tear, the disc injury may heal fast and easily, or it may take longer and require more healing. Disc spaces do often collapse as a result of the injury and healing process. It's a hard thing to predict. I would not assume surgery would be required at all! The vast majority of these type of cases heal without it.
Disc koi blood ki part nehi hey joe healing hoe jayeaga Iska koi treatment nehi hey nice joke's heal own
Is it possible for a protuded disc (L5-S1), to produce swelling and pain when touching that particular point at my back?
If not, what injure or desease could produce that effect?
Thanks!!
No. You can't touch your discs from the surface. But you can reach your muscles. Usually, radiating back pain caused by palpation is due to severe muscle spasm.
@@BestPracticeHealth Thanks so much for your answer. It gives me an important clue. It was a little confusing at first because at the same level (L5-S1) the MRI show a disc protution, (not herniation), that has never gave me any symptoms.before.
After your answer, I am pretty sure that the swelling and palpation pain when touching, must be produce from some muscle spam or ligament sprain.
Big thanks from Argentina!!
☺️
@@joazar3580 does the protrusion get back to normal ???
I am 35 years old and have feeling sciatica pain for more than 5 years but I didn’t know anything about herniated disk.I just had severe pain in low back and went to see doctor and after MRI ,the test result showed that I had herniated disk between L2L3,L3L4 and L4L5.the L4L5herniated disk is the one that seems to be touching the sciatic nerve and causing the pain.the doctor I went to only suggested me to take pain killers.what should I do
Yikes! Five years is a heck of a long time to be in pain. Clearly this is not getting better on it's own. That means you need someone to help. I'm sorry you are going through this thing. I strongly recommend you get informed and then find a new doctor. The choices are going to be pain management or spine surgeon. The right doctor depends on the imaging. So, long story short, I recommend recent x-ray, bending x-rays, and MRI for people who have been in pain for a long time without a real diagnosis. Once the imaging is done they can pick the right doctor, and get on with getting better!
Hi doctor I have 3 hernation in my thoracic and 1 hernation in my low back whit schmoll noods I have a severe pain almost in 7 months .just disc small ptroution can heal I started some exercise and walking every day my pain 10/8 change .but still pain .I can sit more than 3 minutes .I don’t know what can I do .
The right solution depends on understanding the problem. Schmorl’s nodes are a beak down of the vertebral body endplate that allows a disc to herniate into the bone. They are n to typically painful unless there is a lot of inflammation at the site. If there’s is inflammation at the site a radiologist will describe it as “Modic changes.” If an MRI report specifies modic changes then the treatment staircase is core strengthening, followed by consideration of disc injection with growth factors, followed by enervation of the endplate with the DENERVX procedure, and if all else fails spinal Interbody fusion with disc removal. I hope this helps. Let me know if the MRI report mentions modic changes, and please describe your pain. Watch our video “types of low back pain.”
Hi , I am Maged , and I suffered from sciatica due to lifting a heavy object , is there a wat yo consult the doctor ONLINE as I live in Oman , it will greatly appreciated ,
Yes! Come on our show. Fill out the contact form here phoenixspineandjoint.com/resources/best-practice/ and upload your MRI. WE can go over your options together.
Hi doc, not sure if you still reply to comments here but I have a 7mm disc extrusion on my l4/l5 since January 2022 until now (December 2022) the pain from the sciatica has been present since March 2022 and there is still no progress of recovery. I’m 21 years old this year and my herniation came from deadlifting
I have disc herniation since 2013 ,L4L5 ,,suffering but now I am okay ,from Africa Algeria,,last week ,I did auriculotherapy ,it's good for pain ,,Chinese traditional,,technical .
Hi Brandon, Dr Lieberman responded to your question today on our live show. Here is a timecoded link: ua-cam.com/video/R4VqsA0RmNM/v-deo.html
accident sey disc bulge 12 mm dangerous conditions Iska koi treatment nehi hey
Great video! Im 24 and got a herniated disc i had back spasm or back problems since i was younger doctor says it does not look very good ive lifted heavy stuff in a bad form not so much this past year but i started playing soccer and looks like i have back pain every time i play so i decided to get an mri to see what was going on hope its not to late . And hopefully it can heal on its own with physical therapy after this last injury almost a week ago the painful part was the first two days o could hardly walk and stand up but only pain was on my back
But very sharp now im doing much better still feel little pain not much just feels sensitive 6 days after i can walk great but i would some advice or opinions i love soccer sports running and training with my daughter and i wonder if im ever going to be able to do it again . Im in texas but i would love to go to Phoenix for a consultation i would like to know the cost for an opinion
I can make it to phoenix in next week or so hope to hear a response soon. Im a bit worried i just want to go in the right path.:(
Call us at +1(608) 602-4022 asap!
Hi Bryan! We were able to answer your question on last week's Q&A episode of Best Practice LIVE. You can view it HERE: ua-cam.com/video/7WHPRbIoVCM/v-deo.html
How are you doing now?
What about cervical herniated discs does this apply to that too also what are your thoughts on endoscopic microdiscectomy and Discseel procedure? 😢😢😢
in the right hand, endoscopic discectomy, even in the cervical spine can really be an effective treatment for small disc, herniation, to the side of the canal, with minimal damage to the spine by the surgery and a lot of relief. The disk seal procedure is a great idea, but the results so far have not been compelling. Hopefully, as the technology progresses, this will improve.
I had disc herniated past 12year, now I got operated, I just want to know that tared annulus is that also fixed and nucleus shouldn't come out with the tared annulus for ahead right?.
If not , how to fix the tared annulus?
A torn annulus is not typically repaired during a microdiscectomy surgery.
In a microdiscectomy procedure, the surgeon removes a small portion of the herniated disc that is pressing on a nerve root, which can relieve the associated pain and other symptoms. However, repairing the torn annulus is not always necessary, as the annulus is expected to heal on its own over time.
Some surgeons make an effort surgeon may choose to repair it during the microdiscectomy surgery. This is typically done by removing the damaged portion of the annulus and suturing the remaining edges together to promote healing.
The decision to repair a torn annulus during a microdiscectomy surgery depends on several factors, including the size and location of the tear, the extent of the herniation, and the individual patient's symptoms and medical history. Your surgeon can provide more specific information about your treatment options and whether repairing the torn annulus is recommended in your case.
@@BestPracticeHealth thank you for the details information
Thank you for this very informative video. Just a quick question. After the body eats the herniated part up, does the broken annulus heal itself aswell?
Yes it does! The fibers of the annulus knit and heal together. No one knows the exact time, but I think it is mostly healed after 6 weeks if the nuclear disc material is not in the way.
@@BestPracticeHealth That's really interesting! I guess the macrophages eat up only the herniated part of the nucleus pulposus, thus leaving space for the annulus to heal! But now I 'm wondering how do the microphages know when to stop destroying the nucleus pulposus? Why don't they go as far as eating up the innermost part aswell?
So I have an 8 mm herniated disk causing secondar stenosis.
Do I need to get surgery or should I wait?
It's been 3 months I get mild leg radiating pain but nothing apart from that.
There are choices for treatment of a herniated disc. Wait for natural healing, epidural, or microdiscectomy surgery (MDS). MDS is for those with functional deficits or uncontrolled pain. You don't sound like you need MDS. Epidural is for temporary pain relief as your body heals. Your pain is mild now. So, the last choice is wait it out.
Hi Steve, Dr Lieberman answered your question today on our live show. Here is a timestamped link: ua-cam.com/users/liveLryTnQ3aC6I?feature=share&t=2624
Sir I have L5S1 disc herniation due to that my left leg is numb from January MRI shows central canal stenosis diameter of canal at L5S1 is just 3.6mm in February but now ok by phisiotherapy
But a little bit pain in glute area
Both .
Will I be cured with this way
3.6 mm? That would be really severe stenosis and require laminectomy surgery to get better. Check this out: ua-cam.com/play/PLsYo8ENYsvpxJc9oGYtLP3jEQ3zpLSx2I.html
Doctor. I did my MRI and it looks like I have herniated disc at L4-L5 and L5-S1. I dont have any numbness but the pain radiates through my right leg all the way down. This pain is only felt if I sit down for long. When I stand up and do some walking, it slowly reduces. Do you think it will heal by itself? I’m willing to wait.
Hi, SadiQium. Nice to meet you. If I have this right your pain is more in the back, worse when sitting. That kind of pain is more typical of an annular tear or a facet. The first step is to figure out what's causing your pain because the treatment---if any is needed at all---depends entirely on the cause and severity. Check out this blog to help understand what is causing your pain. Pick A,B,C, or D based on how it feels.
phoenixspineandjoint.com/the-3-things-neurosurgeons-recommend-for-new-low-back-pain-spoiler-alert-panic-isnt-one-of-them/
@@BestPracticeHealth thank you for your quick reply. Actually my pain is more towards right leg (from hips to calf) with very minimal pain at the back. If I sit for long, the pain will start to come. Once I stand up and start walking, the pain reduces significantly so I wonder, it is this a good sign.
Hi there! We were able to answer your question on last week's Q&A episode of Best Practice LIVE. You can view it HERE: ua-cam.com/video/7WHPRbIoVCM/v-deo.html
Nice joke's its heal
Doctor I have been following your instructions of disc Spain sugary, l did Disc Spain sugary 6 month but still up to now pain and numbenss to my left leg please help me
Oh no! It sounds like you have persistent sciatica (nerve root pain) after microdiscectomy. If that is right the next step is a repeat MRI with contrast. Has that been done?
Hi doc! My MRI report says L5-S1 level -- Disc desiccation, diffuse disc bulge causing indentation of anterior thecal sac and narrowing of left neural foramina resulting in compression of left exiting nerve roots... Please help me on this... what's causing sharp pain in my low back and left leg I'm 23 year old and having this pain from almost more than a year first it was in low back and then it entered my in my left leg.. I'm taking medicine written by neurologist and doing PT daily but it's not getting well only temporary relief form exercises 🥺
Let's look at your MRI together and find out! Stay tuned to Phoenix Spine and Joint on Facebook. We are starting an interactive show to review MRI together.
@@BestPracticeHealth can't you tell anything here?
Hello. Very informative video. Thank you. I have severely herniated discs c6 and c7. It's been 5 weeks of crazy serious pain. Started in neck and throbs all around right arm, front armpit, tricep and at times forearm. Fingers all have been numb, with middle finger the most numb and hasn't had any relief. Epidural shot did nothing. Neurosurgeon wants to do an artificial disc replacement. While I'm waiting for insurance approval, I'm researching other options. Seeing that there is a high percentage of my body healing itself is good news, but I already have nerve damage and extreme weakness in right arm -I'm scared I shouldn't wait it out. If you're still reading these comments -what do you suggest? I go to another dr for second opinion in a couple days -spine dr, not neurosurgeon. Thank You!!
Thanks! I'm glad the video helped.
Cervical radiculopathy with functionally limiting numbness and weakness is a strong indication for surgery. The longer you wait the more likely you are to have permanent nerve root damage. What is the point of waiting? Insurance approval in this situation should take 15 minutes and is not a legitimate excuse to wait.
If both surgeons are well qualified and you feel comfortable with their recommendations I would go with the one who can do the surgery this week.
@@BestPracticeHealth thank you! Sadly insurance approval takes more than 15min! It’s taken mine two weeks so far! And they put me on the schedule for surgery in 4 weeks! Ugh!! :( but yes, I’m to the point of 100% agreeing I need surgery ASAP. thanks again. Your videos have helped me a lot.
@@dr.johnnadid you have your surgery? How are you?
@@AliBabaZumba hi. Yes, after 10 weeks of horrible arm pain, I had surgery May 31. I woke up from surgery with ALL arm pain and numbness and tingling GONE! Surgery went great. I started physical therapy this week and every day the neck gets better. Technology has advanced and seems disc replacements are the way to go for herniated discs that have caused pain and nerve damage. I’m so glad I got it done. After 10 weeks of opioids, gabapentin, steroids, etc… I was off all meds just a couple days after surgery! So grateful.
@@dr.johnna thanks for your response. That’s great to hear. Did you get 2 discs replaced?
Plzzzzzzz reply sir 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻
L5/S1, there is diffuse disc bulge with 6-7mm posterior central disc protrusion causing thecal sac compression and bilateral traversing roots of S1 with disc components reaching inferiorly up to S1.
This is my problem please tell me how can i recover this problem
Based on the MRI report you shared, it sounds like you have an L5/S1 disc protrusion. This typically causes pain that radiates down the hamstring and into the outside of your foot. If you can walk on your toes and the pain is bearable, you might consider waiting it out. Fortunately, over 90% of cases improve on their own within 6-12 weeks.
Many people opt for epidural injections during this time. While an epidural injection won't eliminate the need for surgery, it can help control the pain and make it more manageable as you heal. If you experience functionally significant weakness or numbness, I would recommend considering microdiscectomy surgery.
@@BestPracticeHealth I have not that much problem just feel pain on my lower back I can walk easily but some time when I try to feel my back or bend it then it feels pain sir what should I do and I'm just 20 year and because of thess problem I'm unable to do exercise and my belly fat is increasing please recommend me good guidance should I go for physiotherapy or something else plzzzzz suggest me. Sir I will highly obliged to you 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻
I have been dealing with a herniated disc and nerve pain since early 2019 it is now almost 2024. I have tried many things. So far the home traction unit helps the most. Hasn't fixed it and I doubt that it will. Surgery sure isn't an option due to no insurance during the recovery time. I sadly believe I am gonna have to deal with it for life. Mine was a small herniation at L4/L5
Don't be sad there is treatment for herniated disc or bulging or any damage that happened to u or anyone
It's only one treatment for all discs damage that mentioned by the last messenger of god Mohammed peace upon of him will be healing 100 percent and u can return to your work or gym
Mine took 6 months .. most pain I’ve ever been in lol thank god that was 2 years ago
Great point. The numbers are averages. They don't mean much when you are outside the average. I'm glad you are feeling better!
Can a tear be repaired by the body or will it remain a tear?
2 years ago i had it for nearly 4 months. Severed 3 month plus no surgery. Bed rest, painkillers, and some mellow strech. Now its came back. Had it for almost 2 months now still no improvement. This injury is really traumatic i cried when it came back
I'm so sorry you are in pain. It really is terrible. Population data suggests at 94% resolve in 12 weeks. Eight weeks (where you are now) is typically 84%. So, there is a real chance it gets better over the next 4 weeks; however, only 10%. Have you seen a doctor?
@@BestPracticeHealth yes i seen a doctor today. did an xray image shown L5 S1 compressed. same as 2 years ago. he arranged a PT session next week. hope will do my best to heal it. thanks
How are you now?
@@seeratahmad775 my pain got worse since a month ago. i will have a laser spine surgery on this sunday
Recently i diagnosed with Disc Herniation on L5 🙁 The doctor said i need surgery, but i don't want to pass by this procedure. I feel my left leg and foot more weak, and i cannot do my sport activities like skateboarding or gym workout, i'm very sad with that, i'm taking the medicaments, and what's the most wrong thing i have do in my case is stop workout 100% and rest, my pain is get even worse. When i started to do some exercises to my lowerback without weight it get better again, the pain not good now, but a little bit better that i can hold on.
It sounds like you're facing a tough decision regarding your herniated disc at L4/5. Opting for a conservative approach initially is a reasonable choice, especially if your symptoms are manageable. The SPORT trial provides valuable insights into the management of spinal conditions like yours. The findings suggest that for many patients, the long-term outcomes (around 2 years) of conservative management versus surgery like microdiscectomy are similar. This supports the idea that waiting it out could be a viable option, provided your symptoms do not worsen significantly.
If you haven't already, discussing the option of an epidural steroid injection with your doctor could be beneficial. These injections can help reduce inflammation and pain, potentially giving you relief for several months. This could make it easier to cope while you see if your condition improves without surgery.
And keep a close watch on your symptoms. If you experience an increase in pain, or if neurological symptoms like weakness or numbness worsen, it's important to reassess your options. Progressive neurological deficits can be a sign that surgery might be needed sooner rather than later. Consider how the pain and weakness are affecting your daily life. If these symptoms start to interfere significantly with your ability to function (e.g., walking, standing, or performing daily tasks), discussing surgery more promptly with your surgeon could be crucial.
Be mindful of your activities to avoid aggravating your condition. Avoid heavy lifting, twisting motions, or any activity that puts excessive strain on your back. Gentle exercises, as recommended by a physical therapist, can help maintain back health without exacerbating your condition.
It sounds like you are not out of the woods yet. Stay in regular contact with your doctor. They can help monitor your condition, adjust your treatment plan as needed, and provide guidance on when or if surgery should be reconsidered based on your symptoms and quality of life.
I've heard of this theory before that your body e eats up the herniated part, but its been 8 years since i herniated my disc and I'm still in the same pain that i was and the scan shows exactly the same 3mm. I consider myself a disabled person because of this.
I"m so sorry. I'm disabled, too. I have essential tremor. I hope you feel better soon.
Did you rest it? If yes, for how long? And have you done proper body mechanics and good posture while sitting? And how’s your weight relatively to your height?
@@andreparagas5443 why is it important? if the body is so clever to eat up the unnecessary part, then it should have done it regardless
@@BestPracticeHealthi also hope you get better doctor. I really like you personally