What Treatments Are Available for a Herniated Disc?
The treatment for a herniated disc largely depends on the severity of the symptoms and the specific location of the herniation. In most cases, conservative treatments are effective in managing symptoms. Initially, rest and activity modifications are recommended to prevent further strain on the affected disc. Physical therapy is one of the most common treatments, focusing on strengthening the muscles around the spine to support the injured area and improve flexibility. Stretching and strengthening exercises can help reduce pain, improve posture, and prevent future injuries. Pain management may include the use of heat or cold packs, as well as over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief, but these should be used under the guidance of a healthcare provider.
If conservative treatments fail to provide relief, or if the symptoms worsen, more advanced interventions may be needed. Epidural steroid injections are sometimes used to reduce inflammation around the nerve and provide temporary relief of pain. In more severe cases where there is significant nerve compression or if other treatments do not work, surgery may be considered. Surgical options such as discectomy, which involves removing the herniated portion of the disc, or laminectomy, which involves removing part of the vertebra to relieve pressure on the nerve, may be necessary. Surgery is usually only recommended if non-invasive treatments have not been successful and if the patient experiences significant, ongoing pain or functional impairment.