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All Posts Tagged: Spinal disc herniation



Spinal disc herniation is an damage to the cushioning and connective tissue among vertebrae, normally brought about by excessive strain or trauma to the spine. It may result in back pain, pain or sensation in various parts of the body, and physical disability.

The primary intention of spinal disc herniation treatment for every affected person is to assist relieve pain and other signs and symptoms attributable to the herniated disc. To acquire this purpose, each affected person’s treatment plan thought to be individualized on the source of the pain, the severity of pain and the specific signs that the patient exhibits.

How is a spinal disc herniation treated?


Nonsteroidal anti inflammatory drugs (NSAIDs) assist to alleviate pain, inflammation, and stiffness, taking into consideration improved mobility and exercise.

Common over-the-counter NSAIDs for spinal disc herniation treatment encompass aspirin, ibuprofen, and naproxen .You may take drug treatments with meals to keep away from stomach irritation.

Muscle relaxants and various analgesics is probably prescribed to alleviate the discomfort associated with excessive pain or muscle spasms inside the initial treatment periods.

Physical therapy

The goal of physical therapy is to improve middle strength, flexibility and endurance to allow you to have interaction in your everyday activities.

The exercises prescribed via your physical therapist also can assist relieve stress for your nerves, lowering the signs of pain and weakness. The exercising program frequently consists of stretching exercises to improve flexibility of tight muscular tissues and aerobic workout such as on foot or the use of a stationary bike to build persistence and improve circulation.

Other exercises might assist to reinforce the muscle tissues of your back, abdomen, and legs.

Spinal injections

An injection of a cortisone-like medicine into the lower back is also used as spinal disc herniation treatment  and it would possibly help to reduce swelling and infection of the nerve roots, allowing for increased mobility. These injections are known as epidurals or nerve blocks.


Surgery is probably needed as spinal disc herniation treatment for peoples who do not respond to conservative treatment, whose symptoms get regularly worse, or who experience innovative neurologic decline. Rarely, a large disc herniation would possibly injure nerves to the bladder or bowel, which calls for emergency surgery. The most commonplace surgical options include microdiscectomy, laminectomy, or foraminotomy.

Microdiscectomy is a method used to put off fragments of a herniated disc, often the use of an operating microscope.

Laminectomy The part of the bone that curves round and covers the spinal cord (lamina) and the tissue that is causing strain at the nerve or spinal twine are removed. This manner is performed under local anesthesia. The hospital stay is for one to two days. Complete recuperation takes approximately six weeks.

For further information call us on 815.412.6166


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Spinal disc herniation is an injury in which t connective and cushioning tissue between vertebrae become injured. Spinal disc herniation occurs when the fibrous outer portion of the disc ruptures or tears, and the jelly-like core squeezes out. If disc material herniates, or squeezes out, this can put pressure on the spinal cord or spinal nerves.

Causes of spinal disc herniation:

  • Excessive strain or trauma to the spine
  • Age related degeneration of the outer ring which is known as the anulus fibrosus
  • Falling from a significant height
  • Overweight individuals are also at increased risk for a slipped disc
  • Lifting a very large, heavy object
  • Weak muscles and a sedentary lifestyle
  • Heavy forces on the neck or low back
  • Bending with wrong or bad posture

Symptoms of disc herniation:

Symptoms of spinal disc herniation include the following;

  • 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

Types of spinal disc herniation:

Spinal disc herniation can occur in 3 regions;

  • Cervical spine
  • Thoracic spine
  • Lumbar spine

When spinal disc herniation occur in cervical spine region, it put pressure on a cervical spinal nerve and can cause symptoms like pain, pins and needles, numbness or weakness in the neck, shoulders, or arms. In worst cases, spinal disc herniation may compress the spinal cord within the spinal canal.

In case of thoracic spine, spinal disc herniation cause pain in the mid back around the level of the disc herniation which may travel around the rib cage from the back to the front of the chest or upper abdomen. It may also compress the spinal cord within the spinal canal.

When spinal disc herniation is ion the lumber spine it causes spasm of the back muscles, sciatica, muscle weakness in the legs, incoordination and difficulty walking.

Diagnosis of spinal disc herniation:

If someone has symptoms associated with spinal disc herniation, then doctor would do following diagnostic procedures to confirm;

  • MRI; method of imaging the spinal cord, nerve roots, intervertebral discs, and ligaments.
  • CT scan; allows doctors to see inside your body. It uses a combination of X-rays and a computer to create pictures of your organs, bones, and other tissue.
  • Myelography; involves injecting a liquid dye into the spinal column followed by a series of X-rays and a CT scan, provide useful images that reveal indentations of the spinal fluid sac.
  • Electromyography; tests the electrical activity of a nerve root to help determine the cause of pain.


Treatment of spinal disc herniation depends upon the severity of symptoms and nerve damage.  In many cases, medication management and quality physical therapy may be enough to allow your body to heal.

  • Medications; these may involve steroids, non-steroidal anti-inflammatory drugs (NSAIDs), pain medications, and muscle relaxers to help control symptoms and reduce inflammation.
  • Physical therapy; improves mobility and strength, and helping achieve daily activities with greater ease and ability
  • Epidural steroid injection; when other conservative measures do not work then epidural steroid injection would become a treatment option for spinal disc herniation. Injection contain small amount of cortisone which injected into the spinal canal which may decrease nerve inflammation and ease pain caused by irritated nerve roots.

Most patients will improve with non-operative care and if the patient wont improves with non-surgical options then minimally invasive surgical interventions are usually highly successful in eliminating the symptoms and allowing people to return to a full and active lifestyle.

Pain management institute is helping people to cure acute and chronic long term pain to resume a normal life style. PMI has provided many treatments like stem cell therapy and many others.

For more details call on 815.412.6166

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The framework of Spinal Disc and How the Spinal Disc Herniation Occurs?

In the case of spinal disc herniation, the indications, for the most part, incorporate pain that moves into one or both arms or legs, numbness or tingling in parts of extremities, muscle weakness, and loss of the reflexes in extremities.

This transpires due to increased pressure and irritation of the nerves. Numerous individuals may not suffer from neck or back pain in the case of a herniated disc. The symptoms of spinal disc herniation rely upon where the herniation took place. The area of the symptoms helps determine the analysis as nerves generally travel in specific patterns.

The framework of Spinal Disc

The spine consists of 24 bones, named vertebrae that are set over each other. The way these bones link, as a result, make a canal that secures the spinal cord. A total of five vertebrae frame the lower back and this part is known as the lumbar spine.

The Spine Also Includes Other Parts:

This includes spinal cord and nerves that are categorized as the “electrical cables”. They move through the spinal canal carrying messages between your brain and muscles. Nerve roots branch out from the spinal string through openings in the vertebrae.

Further parts include intervertebral discs. In the middle of vertebrae, these are flexible discs. These are flat and round in shape, and about a half inch thick. These discs have a purpose to absorb shocks at the time when you walk or run. They are based on two segments:

Annulus Fibrosus

This is a sturdy, flexible external ring of the disc.

Nucleus Pulposus

This component is the soft, jelly-like center of the disc.

How the Spinal Disc Herniation Occurs?

A disc starts to herniate in the event that its jelly-like nucleus drives against its external ring because of wear and tear or unexpected damage. The lower back pain can take place due to this pressure against the external ring.

In the event that the pressure lasts, as a result, the jelly-like core may extend out through disc’s external ring or cause the ring to swell. Consequently, this causes pressure on the spinal cord and neighboring nerve roots. Likewise, the disc material discharges chemical annoyances that add to nerve inflammation. At the point when a nerve root is disturbed, there might be pain, numbness, and faintness in either of the legs, a condition termed as “sciatica.”

Causes of Spinal Disc Herniation

A herniated disc is frequently the consequence of natural, age-related wear and tear on the spine. This procedure is known as disc degeneration. In the case of children and young adults, discs contain high water content. As individuals age, the water content in the discs diminishes and the discs turn out to be less flexible.

Furthermore, these discs start to shrink and the spaces in the middle of the vertebrae get smaller. This usual aging process creates the discs increasingly inclined to herniation. On the other hand, a distressing mishap, for example, a fall, can likewise cause a herniated disc.

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Is There A Possibility That The Herniated Discs Heal Without Medication? Also, Find Out Best Tips to Strengthen Your Lower Back

There may be diverse responses to this question, whether the herniated discs will heal on their own, contingent upon who you ask. As per the fact, the spinal disc herniation symptoms can go away even without medication. However, does that indicate the spinal disc herniation healed on its own?

Due to such a large number of aspects, the appropriate response is imperfect. Truly, the symptoms may resolve, however, this does not really indicate that the spinal disc herniation restored automatically.

The Way Spinal Disc Herniation Causes Pain

Breaking the outer layer of the disc (annulus) or breaking the end plate off the vertebral body at last results in disc herniation, as a result, permitting the soft gel-like center to overflow out. This gel then works to squeeze or compress parts of the nerve sac, resulting in pain.

Inflammatory proteins are found in the herniated nucleus pulposus that works to make sufficient inflammation to impact the neighboring nerve and result in what is normally known as sciatica, or a radiculopathy.

How Does Spinal Disc Herniation Restore Itself, Or Wind Up A Symptomatic?

Three fundamental procedures are considered that turn out to diminish the symptoms and pain triggered by a lumbar herniated disc.

Immune Response by the Body

In a few examples, the body may perceive the portion of the disc that has herniated as outside material and attack it, lessening the part in size. The inflammatory proteins are also removed.

Water Absorption

Part of the herniated disc contains water. After some time this water will be consumed by the body, causing the herniated part to decrease in size. As soon as it decreases in size, it might never again impact the neighboring nerve.

Natural Mechanism of Disc

While dubious, some will contend that through extension workouts, the symptomatic segment of the disc can be pushed inward toward the disc and from the spinal nerves.

Best Exercises That Work in a Way to Help Diminish Herniated Disc Pain

A spinal disc herniation may require around 1 or 2 days of resting in order to ease the pain. Nonetheless, you should oppose the enticement of simply lying in bed for quite a long time since the muscles require conditioning which helps in the recuperation procedure. On the off chance that you quit doing your ordinary activities and physical exercises, your body probably won’t react well to the treatment as it would have done.

Few of the Benefits of Exercising

Everyday exercises are a decent method in order to strengthen the lower back muscles and consequently keeping any further injuries away as well as the pain. In the event that you have strong muscles, they will sufficiently bear the weight of the body and bones-in this way taking a portion of the excessive weight off from the spine. In any case, it is recommended to lose some weight regardless of the fact that you have strong muscles to support your back.

The reason behind it is that carrying around a considerable measure of weight will continually strain the back. On the off chance that you lose some weight, it will naturally work in a way to lower the pain and in this way support back’s health. In the case of lumbar herniation, it is advisable to particularly avoid the following exercises:

  • Stay away from doing a standing hamstring stretch
  • Stay away from using deadlifts
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What causes a spinal disc herniation?

The vertebral column is also called the spinal column is comprised of 33 bones. Each vertebrae is detached from the adjacent vertebrae by an intervertebral disc a, along with ligaments and the facet joints, which help each vertebrae to maintain the spine’s normal alignment and curve meanwhile also facilitating movement

In the middle of the spinal column there is an open carrier called the spinal canal. The spinal cord and the spinal nerves rests in the spinal canal, where they bath in the spinal fluid sheltered in the small spinal column

Herniated disc

A herniated disc happens when the fibrous outer part of the disc ruptures or is torn and the jelly like inner material is forced out. When the herniated disc exerts pressure consequently it gives rise to a pinched nerve condition that cause pain, numbness, tingling and weakness in the arms and legs. The inner squeezed substance in addition to pinching the nerve also give rise to inflammation and severe pain

Bulging disc

A bulging disc happens when the outer protective layer of the disc is depleted, but isn’t torn and pinches outwards. A herniated disc may evidently start as a bulging disc, eventually the outer wall is then torn by a potential amount of pressure

Disc herniation can arise in the cervical, thoracic and lower spine. The spot of pain is contingent to the location of the herniated disc. If the herniation arises in the cervical area, it can cause pain that spreads into the shoulder and the arm, it it arises in the lower back, the pain generated can spread into the hips and legs.


A cervical herniated disc may cause pressure on the cervical nerves and can give rise to triggers like pain, pins and needle sensation, numbness or weakness in the shoulder, neck and arm. A potential disc herniation in the cervical spine may pinch the spinal cord within the spinal canal and cause numbness, stiffness and immobility in the legs and conceivably some complications in bowel and bladder control

A thoracic disc herniation may give rise to severe pain in the back, if the disc herniation travels through the forearm. The pain and the numbness may spread near the rib cage from the back to the front of the chest and the upper abdomen.

A lower herniated disc may cause the following symptoms;

  • Intermittent or continuous back pain
  • Spasm of the back muscles
  • Sciatica
  • Muscle weakness in the legs
  • Numbness in the leg or foot
  • Decreased reflexes at the knee or ankle
  • Changes in bladder or bowel function
  • Difficulty walking

The symptoms of the disc disease may mask other medical conditions and medical problems. You must consult a physician for a complete diagnosis

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Know the causes of your spinal pain

What is a Herniated Disc?

The disc in your back is a tough, elastic structure like that of a rubber and performs as a cushion between the vertebrae , that makes up the spinal cord. The disc reacts as a natural shock absorber between the vertebrae. The disc can become injured due to daily wear and tear, a crack or rupture. The injured disc can cause stress on the spinal nerves. Spinal disc herniation in the neck causes nagging neck pain and often known as the cervical disc herniation. Spinal  disc herniation in the lower back is known as lumbar disc herniation. These two areas are highly sensitive for spinal disc herniation. Our board certified physicians at Pain Management Institute are highly trained in offering the best spinal disc herniation treatments

What causes a Herniated Disc?

Spinal disc herniation is common among individuals and can happen with sudden, hard accidents, direct exposure of the spine to injury, sports injury and older age. As we age our disc loose water and become easily breakable, resulting the bones vulnerable to tearing, cracks and injury

What are the symptoms of spinal disc herniation?

The symptoms of spinal disc herniation vary depending on the point of the spine where the disc is affected. Some common symptoms of cervical disc herniation include;

  • Neck pain
  • Pain, weakness or numbing of the shoulders or arms
  • Sensation in the arm

Common symptoms of lumbar disc herniation include;

  • Lower back pain
  • Debilitating pain and numbness of the buttocks or leg, including sciatica
  • Sensation of the leg
  • Difficulty and pain with walking and standing for longer periods of time

Herniated Disc Treatment at Pain Management Institute

Before treatment of spinal disc herniation at Pain Management Institute, your physician will inquire about your medical history, and may take a physical examination, along with an MRI. If you are found with having a spinal disc herniation, our expert physicians highly trained in non surgical treatment will help reduce your pain and improve mobility. Physicians at the Pain Management Institute will tailor a specialized treatment plan to fulfill your individual needs. Spinal disc herniation treatments at PMI includes, physical therapy, epidural steroid injection, nerve root blocks, Stem cell therapy and Platelet Rich Plasma therapy

What you need to do next?

The first step in figuring out what the best spinal disc herniation treatment plan for you is to make an appointment to see one of our spinal disc herniation doctors in PMI. Pain Specialists and Interventional Spine Specialist are a good option for herniated disc diagnosis and to learn your non-surgical herniated disc treatment options.

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