Herniated and Bulging Disc

 
 
 

What is a Herniated and Bulging Disc?

Many people suffer from herniated and bulging discs every year. Therefore, knowing the differences between these conditions is vital to receiving appropriate treatment.

A herniated disc is when one or several cracks occur in the outer portion of the disc's cartilage. This crack may allow some of the soft cartilage to protrude through. Some people may also call a herniated disc a "slipped" or a "cracked" disc.

A bulging disc occurs when it seems to be "bulging" out of alignment. As discs age, they dehydrate and show signs of wear and tear. Because of these changes, the outer layers can bulge entirely around its circumference.

Usually, a herniated disc is associated with more pain because it can irritate sensitive nerve roots, causing inflammation.

What Are the Symptoms of a Herniated and Bulging Disc?

There are some differences in symptoms of a herniated versus a bulging disc. Symptoms can also vary greatly depending on the area of the spine affected.

Herniated discs are associated with the following symptoms:

  • Difficulty walking

  • Numbness

  • Tinglin

  • Loss of range of motion

  • Lower back pain

In addition, pain may only occur on one side of the body, in the back of the calf or the sole of the foot.

Bulging discs are associated with the following symptoms:

  • Gradual onset of pain

  • Pain in the back, legs, or buttocks

  • Tingling or numbness

  • Feeling impaired when holding or lifting items

While the symptoms of bulging and herniated discs are similar, the appropriate course of treatment will require imaging tests to determine the type and severity of your condition.

What Causes Herniated and Bulging Discs?

Several factors cause herniated and bulging discs:

  • Advanced age

  • Acute injury

  • Genetic predisposition

  • Lifestyle factors (obesity, smoking, poor posture)

In addition, athletes who perform repetitive movements that strain their back may be at an increased risk of developing disc problems.

How is a Herniated and Bulging Disc Diagnosed and Treated?

To determine a course of treatment, the proper diagnosis of herniated or bulging discs must first occur. This process begins with a consultation and usually includes the following:

  • Physical examination - During the examination, the physician will examine the patient's symptoms and areas of pain.

  • Medical history - The patient will be asked a series of questions about lifestyle, medical history, family history, and additional relevant information.

  • Imaging tests - The physician may request X-rays and CT scans to rule out other common causes of pain and to assess the spinal column.

  • Nerve tests - A nerve conduction study and electromyography may be necessary to assess potential areas of nerve damage.

Once the physician makes a diagnosis, they will make recommendations for a course of treatment. Treatment may include:

  • Nonprescription pain medications

  • Cortisone injections

  • Physical therapy

  • Surgery

If you are experiencing moderate to significant pain from a herniated or bulging disc, schedule an appointment with Premier NeuroSpine Institute. We can help assess your pain and explore your options so you can improve your quality of life.