Sometimes in cases of spinal instability, a bone graft is needed where the vertebrae are fused together with metal hardware. The protruding portion of the disk is removed. This may be done in an open manner or in a minimally invasive manner. Few people with a slipped disk ever need surgery, but when it's necessary, surgeons may perform what's known as a diskectomy. Physical therapy can also help manage pain with positions, stretches, and exercises designed to minimize the discomfort caused by a herniated disk. In rare cases, opioids may be prescribed for a short period of time when other treatments have not worked. If your pain is severe, your doctor might recommend a cortisone injection or muscle relaxers. Over-the-counter pain relievers like acetaminophen, ibuprofen, naproxen are great options for mild-to-moderate pain. More often than not, watching your movement, and taking pain medication relieves symptoms for most people. Your medical team may perform a nerve test like a nerve conduction study or an EMG to help pinpoint the location of the nerve damage. If your doctor thinks another condition is causing the pain or needs to see which nerves are being affected by the slipped disk, they may order one or more of the following an X-ray, a CT scan, an MRI, rarely a myelogram. They may also check your reflexes, muscle strength, walking ability, see if you can feel light touch, pinprick vibration. They may ask you to lie flat, move your legs into various positions. Your doctor will usually be able to tell if you have a herniated disk by conducting a physical exam, asking about your medical history. Talking to a doctor about the pain that you're experiencing is always a smart move. Your exact symptoms depend on where the herniated disk is located, whether it's pressing on a nerve. Pain in your buttocks, thighs, calf, even your foot, numbness or tingling. Arm or leg pain often described as a sharp or shooting pain. Slip disks can trigger a few classic symptoms. They may first learn about a herniated disk while undergoing tests for a different issue. It's possible to have a herniated disk without having any symptoms. Working a physically demanding job, and smoking can decrease the oxygen supply to your disk, causing it to degenerate more rapidly. Some people may be genetically predisposed to rupturing a disk. Being overweight increases the strain on the disks in your lower back. That said, there are other factors outside of your age that can increase your risk of slipping a disk. It can happen from using your back muscles instead of your leg and thigh muscles to lift heavy a object. Most people cannot identify the cause of their herniated disk. Your disks become less flexible and are more prone to tears and ruptures. In most cases, a slipped disk happens because of wear and tear, something known as disk degeneration as you age. Nonetheless, there are a range of treatments available to help those who suffer pain or discomfort from a herniated disk. Many people with a slipped disk never experience symptoms and surgery is rarely required to fix the problem. This disk injury can irritate nearby nerves causing pain, numbness, or weakness in an arm or a leg. This results in a herniated disk, also known as a slipped disk or ruptured disk. Sometimes the exterior of these rubbery disks can tear, and the soft inside slips out. They have a soft jelly-like center or nucleus that is encased by a tougher rubbery exterior. Your spine is a stack of bones known as vertebrae, and between these bones are small rubbery disks that act as cushions. Whether you're looking for answers for yourself or someone you love, we're here to give you the best information available. What is it? Who gets it? The symptoms, diagnosis, and treatment. In this video, we'll cover the basics of disk herniation. Mohamad Bydon, a neurosurgeon at Mayo Clinic.
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