Disc herniations cause back pain and
leg pain for some. Yorkville Chiropractic and Wellness Centre welcomes those back pain sufferers due to
a disc herniation. Gentle, relieving treatment
without surgery is what we provide. Toronto back
pain patients are relieved when they find us!
DISC HERNIATION: Size, Weight, Sleep
What matters when a disc triggers back
pain? Its size? Its weight? Its effect on quality of life? Spinal researchers have
generated data and described that what the pain-producing disc looks like on imaging does
not really matter. The size and shape of an intervertebral
spinal disc’s protruded nucleus pulposus has no tie to
a patient’s clinical presentation or symptomatology
or how a patient feels. (1) The weight of a disc fragment did not correlate
with the amount of time the symptoms lasted or severity
of pre- or post-operative leg pain nor post-operative leg pain or back pain improvement,
the percentage of space the disc occupied in the spinal canal, herniation classification, or vertebral level. The size
of the lumbar disc herniation did not have much effect on patient
outcomes. (2) Chronic lower back pain and sciatica due to lumbar disc
herniation negatively affected sufferer’s
quality of sleep. Treatment benefitted
patient perception of pain in visual analog scale (VAS) scores and the PSQI Pittsburg Sleep Quality Index scores. (3) Pain lessening
chiropractic treatment of a pain-producing disc involves
reducing the risk of recurrent back pain episodes as well as reducing
the pain of the current episode.
MANAGING BACK PAIN AND RISK OF ITS RECURRENCE
Once you have felt back pain related to a
disc herniation,
you do not want it again! Yorkville Chiropractic and Wellness Centre gets
that and shares that managing - as conservatively as
possible - the disc herniation is more accurate than curing it.
6.05% of lumbar discectomy surgery patients experienced a re-current disc
herniation. What prompted this? On their own, factors
like age, BMI, current smoking status, heavy lifting, degenerative facet joint
disease, operation time, and the ambulation time
after surgery affected the risk of recurrent disc herniation.
Combined, older age, male sex, high body mass index (BMI), and early ambulation
were significant factors in the experience of a recurrent
lumbar disc herniation. Managing weight, not lifting heavy
items, and exercising were suggested risk reducers. (4) One new
study reported that the amount of sedentary time probably did not raise
the chance of a new episode of low back pain
as much as the amount and type of physical activity. (5) Pain relief comes
more as a roller coaster than a straight hill to pain relief. A
disc herniation is like a bruise on an apple rendering the apple (and
by comparison, the spine) never quite the same again. That’s
where Yorkville Chiropractic and Wellness Centre comes in with a treatment plan that ensures
you understand the disc herniation, how
to feed it nutritionally, how to exercise to return
it to strength and keep it strong, and how to do activities
of daily living to avert (re)injury. A recent
systematic review of ways to approach the management
of back pain listed 10 approaches:
manipulation/mobilization, psychological/behavioral, advice to stay active/bed
rest, reassurance, antidepressants, NSAIDS, opioids, muscle relaxants, and
paracetamol. (6) Yorkville Chiropractic and Wellness Centre supports walking, moving,
careful lifting, and especially being treated with gentle, safe, effective Cox®
Technic spinal manipulation!
CONTACT Yorkville Chiropractic and Wellness Centre
Listen to this PODCAST
with Dr. Robert Patterson on The Back Doctors Podcast with
Dr. Michael Johnson as he illustrates the realistic expectations
back pain patients can have with The Cox® Technic System of Spinal
Pain Management.
Schedule your Toronto chiropractic
appointment soon. Disc herniation sufferers are invited
to our practice for relief and a plan for controlling its future effect
on life.