When do herniated discs need surgery?

Your doctor might recommend surgery as an option for your herniated disc if: Your symptoms have lasted at least 6 weeks and make it hard to do your normal activities, and other treatments haven't helped. You need to get better quickly because of your job or to get back to your other activities as soon as possible.
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What happens if you let a herniated disc go untreated?

Nerve Damage

When a herniated disc puts significant pressure on a nerve, it can lead to significant damage by cutting off nerve impulses. Compressed nerves can lead to significant conditions, including loss of sensation in lower extremities or even loss of bowel control.
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Can you live with a herniated disc without surgery?

The good news is that the vast majority of herniated discs can be treated without surgery using manual therapy and exercise or with IDD Therapy disc treatment. It is only a small percentage of cases which go on to have surgery.
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When does a herniated disc become an emergency?

The severe case of a herniated disk is a medical emergency because of intolerable pain and discomfort. Some of its symptoms include lower back pain, sharp leg or arm pain, loss of bladder or bowel control and numbness, weakness or tingling sensation in the foot and/or leg.
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Can a herniated disc paralyze you?

With a herniated disc, the capsule cracks or breaks, and the nucleus squeezes out. This can irritate the spinal cord or nearby nerves, causing weakness and numbness in the arms or legs. A severely herniated disc can cause paralysis.
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Does a Herniated Disc Require Surgery?



At what point should you go to ER for back pain?

Come immediately to the emergency room if your back pain is accompanied by pain in the shoulder or jaw or numbness in the arm or legs. If you have trouble standing, have lost sensation in the groin or have muscle weakness in your legs, seek immediate medical attention.
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Is walking good for herniated disc?

Absolutely. Walking is an excellent choice for patients with herniated discs, as it stimulates blood flow and oxygen to the cells. It also helps keep your discs hydrated, which is important for healing. Other low-impact aerobic activities to try are swimming and cycling.
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Can you make a herniated disc worse?

An untreated herniated disk can get worse. That's especially true if you continue the activities that caused it — for instance, if it developed because of your work. A worsening ruptured disk may cause chronic (ongoing) pain and loss of control or sensation in the affected area.
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Is L4 L5 disc bulge serious?

Most importantly, an L4-L5 disc bulge can lead to prolonged pain and other, more serious conditions like spondylolisthesis if you delay treatment. Spondylolisthesis is a condition in which a vertebra shifts or slips, and can cause significant pain that may require surgery to fix.
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What is worse bulging or herniated disc?

Herniated discs are considered more severe than bulging discs because they put significant pressure on nearby nerves, which can cause intense pain, inflammation and difficulties with movement.
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What is considered a large disc herniation?

From our study results, the patients with disc herniation length of L4–5 larger than 6.31 mm could be considered as candidates for surgical treatment, whereas those with disc herniation length less than 6.23 mm could be treated with nerve blocks.
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Can a chiropractor fix herniated disc?

Nine out of ten individuals with a herniated disc can heal their condition through non-invasive procedures. If you want to explore conservative options for recovery, chiropractic care is an excellent place to start. A chiropractor can help you heal naturally and relieve your pain.
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What are the symptoms of L4-L5 nerve damage?

Common symptoms and signs include: Sharp pain, typically felt as a shooting and/or burning feeling that originates in the lower back and travels down the leg in the distribution of a specific nerve, sometimes affecting the foot. Numbness in different parts of the thigh, leg, foot, and/or toes.
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What signs are specific to an L4-L5 herniation?

The most common levels for a herniated disc are L4-5 and L5-S1. The onset of symptoms is characterized by a sharp, burning, stabbing pain radiating down the posterior or lateral aspect of the leg, to below the knee. Pain is generally superficial and localized, and is often associated with numbness or tingling.
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What are the symptoms of L5-S1 nerve damage?

Common Symptoms and Signs Stemming from L5-S1
  • Pain, generally felt as a sharp, shooting, and/or searing feeling in the buttock, thigh, leg, foot, and/or toes.
  • Numbness in the foot and/or toes.
  • Weakness in the leg and/or foot muscles and an inability to lift the foot off the floor (foot drop)
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What causes herniated disc flare ups?

What causes a bulging disc to flare up? Generally, the same mechanism of injury that causes the disc bulge or herniated disc is the same mechanism or activity that causes the bulging disc to flare up. In the vast majority of cases, these are forward bending or flexion type activities.
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How serious is a herniated disc?

A herniated disc is a common spinal disorder, and it typically responds well to conservative treatment like gentle exercise or over-the-counter pain medication. But some ruptured disc symptoms warrant a trip to your doctor to prevent serious—and potentially permanent—nerve complications.
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How long is bed rest for herniated disc?

Rest. Most often 1-2 days of strict bed rest will calm severe back pain. Bed rest should not exceed 48 hours. Once you are back into your daily routine, you should take frequent rest breaks throughout the day- but avoid sitting for long periods of time.
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What activities should you avoid with a herniated disc?

Everyday Activities to Avoid with Herniated Disc
  • Sitting too much. Sitting puts more stress on your spinal discs, especially when slouching forward in a seat. ...
  • Doing laundry. ...
  • Vacuuming. ...
  • Feeding a pet. ...
  • Strenuous exercise. ...
  • Shoveling snow or gardening. ...
  • Learn more:
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What is the fastest way to heal a herniated disc?

There is no "quick fix" for a herniated disc. Some herniated discs, also called slipped discs, heal on their own in a few weeks to a few months.
...
How to heal a herniated disc quickly
  1. Alternate applying heat and cold.
  2. Stay as active as you can. ...
  3. Try alternative treatments like acupuncture, massage, or chiropractic.
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How long does it take for 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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What are the red flags of back pain?

These “red flags” include a history of trauma, fever, incontinence, unexplained weight loss, a cancer history, long-term steroid use, parenteral drug abuse, and intense localized pain and an inability to get into a comfortable position.
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When sciatica is an emergency?

Any type of nerve compression warrants prompt medical attention. If progressive leg weakness or numbness is present, the nerve may be damaged, potentially leading to loss of leg function. If the nerve is compressed and the pain and symptoms are severe, surgery may be required.
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What will Hospital do for sciatica pain?

If your pain is severe and treatments from a GP have not helped, they may refer you to a hospital specialist for: painkilling injections. a procedure to seal off some of the nerves in your back so they stop sending pain signals. surgery – an operation called decompression surgery can sometimes help relieve sciatica.
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What are 3 signs and symptoms of a herniated disk?

Symptoms
  • Arm or leg pain. If your herniated disk is in your lower back, besides pain in your lower back, you'll typically feel pain in your buttocks, thigh and calf. ...
  • Numbness or tingling. People who have a herniated disk often have radiating numbness or tingling in the body part served by the affected nerves.
  • Weakness.
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