You can have a slipped disc in any part of your spine, from your neck to your lower back. The lower back is one of the more common areas for slipped discs.
Your spinal column is an intricate network of nerves and blood vessels. A slipped disc can place extra pressure on the nerves and muscles around it.
Symptoms of a slipped disc include:
- pain and numbness, most commonly on one side of the body
- pain that extends to your arms or legs
- pain that worsens at night or with certain movements
- pain that worsens after standing or sitting
- pain when walking short distances
- unexplained muscle weakness
- tingling, aching, or burning sensations in the affected area
The types of pain can vary from person to person. See your doctor if your pain results in numbness or tingling that affects your ability to control your muscles.
What causes slipped discs?
A slipped disc occurs when the outer ring becomes weak or torn and allows the inner portion to slip out. This can happen with age. Certain motions may also cause a slipped disc. A disc can slip out of place while you are twisting or turning to lift an object. Lifting a very large, heavy object can place great strain on the lower back, resulting in a slipped disc. If you have a very physically demanding job that requires a lot of lifting, you may be at increased risk for slipped discs.
Overweight individuals are also at increased risk for a slipped disc because their discs must support the additional weight. Weak muscles and a sedentary lifestyle may also contribute to the development of a slipped disc.
As you get older, you are more likely to experience a slipped disc. This is because your discs begin to lose some of their protective water content as you age. As a result, they can slip more easily out of place. They are more common in men than women.
How are slipped discs diagnosed?
Your doctor will first perform a physical exam. They will be looking for the source of your pain and discomfort. This will involve checking your nerve function and muscle strength, and whether you feel pain when moving or touching the affected area. Your doctor also will ask you about your medical history and your symptoms. They will be interested in when you first felt symptoms and what activities cause your pain to worsen.
Imaging tests can help your doctor view the bones and muscles of your spine and identify any damaged areas. Examples of imaging scans include:
- CT scans
- MRI scans
Your doctor can combine all these pieces of information to determine what is causing your pain, weakness, or discomfort.
What are the complications of a slipped disc?
An untreated, severe slipped disc can lead to permanent nerve damage. In very rare cases, a slipped disc can cut off nerve impulses to the cauda equina nerves in your lower back and legs. If this occurs, you may lose bowel or bladder control.
Another long-term complication is known as saddle anesthesia. In this case, the slipped disc compresses nerves and causes you to lose sensation in your inner thighs, the back of your legs, and around your rectum.
While the symptoms of a slipped disc may improve, they also can worsen. If you cannot perform the activities you once could, it’s time to see your doctor.
How are slipped discs treated?
Treatments for a slipped disc range from conservative to surgical. The treatment typically depends on the level of discomfort you’re experiencing and how far the disc has slipped out of place.
Most people can relieve slipped disc pain using an exercise program that stretches and strengthens the back and surrounding muscles. A physical therapist may recommend exercises that can strengthen your back while reducing your pain.
Taking over-the-counter pain relievers and avoiding heavy lifting and painful positions can also help.
While it may be tempting to refrain from all physical activity while you’re experiencing the pain or discomfort of a slipped disc, this can lead to muscle weakness and joint stiffness. Instead, try to remain as active as possible through stretching or low-impact activities such as walking.
If your slipped disc pain does not respond to over-the-counter treatments, your doctor may prescribe stronger medications. These include:
- muscle relaxers to relieve muscle spasms
- narcotics to relieve pain
- nerve pain medications like gabapentin or duloxetine
Our doctor may recommend surgery if your symptoms do not subside in six weeks or if your slipped disc is affecting your muscle function. Our surgeon may remove the damaged or protruding portion of the disc without removing the entire disc. This is called a microdiskectomy.
In more severe cases, your doctor may replace the disc with an artificial one or remove the disc and fuse your vertebrae together. This procedure, along with a laminectomy and spinal fusion, adds stability to your spinal column.