Understanding Herniated Discs
Understanding Herniated Discs

Understanding Herniated Discs

Understanding Herniated Discs

November 2024

Are you struggling with severe lower back pain? Did you injure your back when bending or twisting? You could be suffering from a herniated disc. 

A herniated disc is one of the most painful back injuries that you can experience, and it is far more common than you may be initially aware of. A herniated disc is commonly associated with severe or sharp pain starting in the lower back (or neck) radiating down the leg (or arm). It can be so intense that people struggle to do everyday activities.

Call Peak To Shore Physiotherapy today to make an appointment. With guidance from our team, you can find solutions to your pain and get back to living the life you enjoy!

What is a Herniated Disc?

Your spine comprises a series of interlocking bones, called vertebrae, with a specialized tissue in between each vertebra called the intervertebral disc (aka disc). The structure of your spine is what allows you to move freely forward and back, rotationally and from side to side. 

The discs provide cushioning and allow motion throughout the levels of the spine. The disc consists of fluid the consistency of toothpaste and moves depending on the positions and movements we perform. As we get older, the disc will start to break down and dehydrate, making it more susceptible to herniation. 

A herniated disc is a condition in which the nucleus pulposus (located within the center of the disc) herniates. This herniation causes pain and maybe even more pain if the herniated disc begins to press on the adjacent spinal nerves, causing pain and inflammation.

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Causes of Disc Herniation

The most common cause of disc herniation is the degenerative process. As we age, the disc is less hydrated, and it weakens. This process makes the disc more susceptible to herniation. 

The second most common cause of disc herniation is trauma. The most common injuries are bending, twisting, and lifting events. It is also possible to herniate from traumas related to sports injuries or car accidents. In these cases, the herniation occurs as a result of overloading of pressure on the disc. 

A recent study found that static overloading, like prolonged sitting and sedentary lifestyles, may be the mechanism in younger people without significant degeneration in their discs. The prolonged postures, especially slouched postures, lead to a shearing type of pressure that weakens the disc, making it more susceptible to herniation. 

Risk factors that can increase your risk of a herniated disc include:

  • Smoking. It’s thought that smoking lessens the oxygen supply to the disc, causing it to break down more quickly.
  • Weight. Excess body weight causes extra stress on the discs in your lower back.
  • Occupation. People with physically demanding jobs that require repetitive lifting, bending, and twisting also can increase your risk of a herniated disc.
  • Sedentary lifestyles. Prolonged sitting postures, whether in an office or vehicle, have a greater risk of back problems. 
  • Genetics. Some people inherit a predisposition to developing a herniated disc.

Treatment for Herniated Discs

If you suspect that you may have a herniated disc, contact a physical therapist right away. Attempting to engage in therapy at home could lead to further injury. It is best to have an experienced therapist assess your injury before attempting any treatment options.

Your physical therapist will perform a thorough physical examination and provide you with solutions that work based on the findings. A combination of passive and active techniques is typically employed, including:

Education

Understanding the source of your pain and managing it can help you be proactive and find a solution. 

Advice to stay active

It is crucial to stay active. Your team can help you identify modifications to painful tasks and help you be safe and active.

Therapeutic interventions

A physical therapist will tailor your exercises, monitor you, and progress you based on your individual needs. Supervised exercise therapy includes:

  • Range of motion exercises
  • Proper stretches exercises
  • Strength exercises
  • Manual therapy techniques for pain relief and improved mobility
  • Electrical stimulation for pain relief

What To Expect During Your Sessions

Your initial appointment will consist of an in-depth physical evaluation that includes the following:

  • A complete health history
  • Examination of your particular fall risk factors
  • Movement screens to evaluate gait, mobility, strength, and balance
  • Discussion of your specific goals

This information helps us create the best fall prevention plan for your needs, which we’ll guide you through during subsequent appointments. We provide a space where you can exercise without fear of injury. We also always meet you at your current ability level–although we will help you improve by gradually increasing the difficulty of your exercises!

Contact Our Clinic Today

Our team aims to restore range of motion and improve strength while reducing the general experience of pain. It provides targeted exercises that support the spinal joints with precise movements that help reinforce strength and range of motion. Call Peak To Shore Physiotherapy today for a comprehensive assessment and learn what steps you can take to alleviate your pain and prevent further episodes.

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Pumpkin Pie Overnight Oats with Chia

Ingredients:

  • 1/4 cup plain nonfat greek yogurt (or use vanilla!)
  • 1/2 cup unsweetened vanilla almond milk (or any milk)
  • 1/4 cup pumpkin puree
  • 1-2 tablespoons pure maple syrup
  • 1/2 teaspoon vanilla extract
  • 1/2 cup rolled oats (gluten free if desired)
  • 2 teaspoons chia seeds
  • 1/2 teaspoon pumpkin pie spice

Directions:

  1. In a medium bowl, mix together greek yogurt, almond milk, pumpkin puree, vanilla and 1 tablespoon maple syrup until well combined.
  2. Stir in oats, chia seeds and pumpkin pie spice. Taste and add more maple syrup if you want it sweeter.
  3. Pour into a glass jar or container and place in fridge for 4 hours or overnight. Makes 1 serving of pumpkin overnight oats.
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