Your spinal column is made up of a series of bones (vertebrae) stacked onto each other. From top to bottom, the column includes seven bones in the cervical spine, 12 in the thoracic spine, and five in the lumbar spine, followed by the sacrum and the coccyx at the base. These bones are cushioned by discs. The discs protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting.
A slipped disc is also known as a prolapsed or herniated disc. It is a condition when the inner soft part of the disc (known as nucleus pulposus) bulges out through the weakened or ruptured part of the disc pressing on the structures close to it (nerves coming out off the spinal cord) resulting in numbness, tingling sensation or even pain in the area.
Disk herniation is most often the result of a gradual, aging-related wear and tear called disk degeneration. As you age, your spinal disks lose some of their water content. That makes them less flexible and more prone to tearing or rupturing with even a minor strain or twist.
Most people can’t pinpoint the exact cause of their herniated disk. Sometimes, using your back muscles instead of your leg and thigh muscles to lift large, heavy objects can lead to a herniated disk, as can twisting and turning while lifting. Rarely, a traumatic event such as a fall or a blow to the back can cause a herniated disk.
Treatment options for a slipped disk include rest with pain medication, physical therapy or sometimes further treatments like injections and surgery.
1. Medications and lifestyle changes
Nonsteroidal anti-inflammatory medications are given for pain control andnarcotics are prescribed in cases of severe pain non-responsive to NSAIDs. Muscle relaxants are given for back spasms. Overweight individuals are recommended diet and exercise. Physical therapy helps in strengthening the spine muscles and give flexibility to the spine and legs.
Steroid injections control pain and swelling in the herniated disk for several months with several other symptoms.
Surgery is the treatment option for cases where the above treatments have not worked. Various surgical techniques of herniated disc surgery include:
Discectomy or open discectomy involves removing herniated disc material which is pressing the nerve root or spinal cord resulting in pain and other symptoms.
Percutaneous discectomy is done for for bulging discs and discs that have not ruptured into the spinal canal.
Laminotomy and laminectomy – Laminotomy involves removing a part of the lamina to relieve the pressure over the nerves, while laminectomy involves removing the entire lamina. Lamina is the thin part of the vertebrae which forms an arch over the spinal cord to protect it.
You would remain at the emergency clinic for about seven days after the medical procedure to ensure you are on the correct recuperating way. One more week to ten days are required for recuperation and introductory restoration before you can return after slip plate medical procedure in India.
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