Herniated Disc (Slipped Disc)

Description

Also called a slipped disc or ruptured disc. The spine consists of bones (the vertebra) separated by gelatinous cushions (the discs). The discs are held in place with ligaments. When these ligaments tear, the discs protrude out between the vertebra. These protruded discs can push on spinal nerves, causing severe pain and pain in the arm or leg served by these nerves. At times the protrusion can cause permanent damage to the nerves and requires emergent surgical repair.

Symptoms

Symptoms depend on the location of the herniated disc and may include: neck pain, back pain, pain radiating into the arms or legs, numbness, weakness, loss of bowel or bladder control.

Tests

A history and physical exam will be performed. A MRI or CT myelogram is needed to establish the diagnosis.

Treatment

Therapy depends on the extent of the herniation and the symptoms experienced. Treatment may include: pain medications, nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), steroids, muscle relaxants, epidural steroid injections, and/or surgery.

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