Understanding Your Spine and Herniated Discs

Your spine consists of bones known as vertebrae, and between each vertebra are flexible, shock-absorbing discs that allow for movement and flexibility. These spinal discs are cushion-like structures, with a tough outer layer called the annulus and a softer, gel-like center known as the nucleus. Together, they help you bend, twist, and absorb impact.

What is a Herniated Disc?

You’ve likely heard the term “slipped disc,” but this is somewhat misleading as spinal discs don’t slip out of place. Instead, they can wear down over time from repetitive activities like twisting, lifting, bending, and prolonged sitting. As we age, the disc’s outer layer (annulus) may wear down, allowing the gel-like nucleus to leak out, leading to what is commonly referred to as a herniated disc.

When this happens, the leaked nucleus can cause inflammation and pressure near the spinal nerves. For example, a herniated disc in the neck may result in arm pain, while a disc herniation in the lower back can compress the sciatic nerve, leading to leg pain.

Are Herniated Discs a Common Problem?

Although “slipped disc” is often used to describe back pain, accurate herniated discs are relatively uncommon. Most back pain is caused by issues in the muscles, ligaments, and joints rather than a herniated disc. In fact, only about 3-5% of people seeking medical help for lower back pain are diagnosed with a herniated disc. Herniated discs are most commonly seen in individuals between 30 and 50 years old, and their incidence in the general population is only about 0.1 to 0.5%.

Risks of Developing a Herniated Disc

Several factors can increase your risk of developing a herniated disc. These include a history of back pain, jobs that involve frequent bending and heavy lifting, smoking, and occupations requiring prolonged driving. Poor core stability and physical conditioning also increase the likelihood of disc herniation.

Herniated Disc Prevention

You can take steps to help prevent herniated discs. Avoid prolonged sitting, repeated twisting, bending, and lifting. Wear a protective belt when doing manual labor, and try to limit long driving sessions. Strengthening your core muscles and maintaining good posture while sitting, driving, and lifting can also help protect your spine from disc herniation.

Chiropractic Care for Herniated Discs

While some severe cases of herniated discs may require surgery, significantly if bladder or bowel function is affected, most cases can be managed without surgical intervention. However, seek immediate medical attention if you experience numbness in the “saddle” area or changes in bladder or bowel function. This could indicate a severe cauda equina syndrome, requiring prompt treatment.

Many patients find effective relief from herniated disc symptoms through chiropractic care. Studies show that chiropractic treatments are more effective than postural education, heat therapy, conventional physiotherapy, and exercise in managing herniated disc pain.

At Livingston Chiropractic and Rehab, Dr. Ralph Santonastaso will begin by taking a detailed medical history and conducting a physical examination to fully understand your condition. He will then create a personalized treatment plan that may include spinal manipulation (adjustments), therapeutic exercises, and manual therapy.

If you’re experiencing back pain, don’t hesitate to contact Livingston Chiropractic and Rehab to schedule an initial consultation with Dr. Santonastaso. During this consultation, you can discuss your concerns and receive expert care to alleviate your pain.