Archive for May 9th, 2009

A bulging disc / herniated disc can be one of the most frustrating spinal conditions to heal, and can cause quite a bit of pain and dysfunction. Fortunately, there are some good solutions available, even for the person suffering with the most severe herniated disc pain.

This article will discuss what a herniated intervertebral disc is, as well as the causes, symptoms, and therapies available for relief. But before we discuss this information, we need to have a basic understanding of what a spinal disc is, as well as how it functions.

The discs of the spine are like shock absorbers that separate each set of bones in the back. They are very important, because they separate the vertebrae and prevent them from rubbing together when you move (which would be very painful). They also absorb shock so the bones don’t break when force is applied to the spine.

Each spinal disc is composed of a strong outer covering called the annulus, and a soft jelly center called the nucleus. When a person suffers from a back bulging disc, the outer layer of the disc tears, and the jelly begins to shift through where the disc is damaged. This will create a bulging in the disc.

If you look closely at the spine, you will see that the spinal nerves are located directly behind each disc. This is an important point to understand when we begin to discuss the symptoms associated with bulging vertebral discs, because the spinal nerves are truly what cause most of these symptoms.

In fact, the spinal discs are actually designed to not feel pain. I realize that this may sound strange at first, but if you think about it, this actually makes sense when you consider their function of shock absorption. If the discs could cause you to feel pain directly, you would be hurting all day long, with every movement you make.

So, if this is true, why does this condition cause so much pain? The reason is because of the nerves – when the disc bulges, it tends to bulge where the nerve is located, and will apply pressure on the affected nerve.

You have to realize that the spinal nerves control everything in the body, so this condition will not only cause pain, but also malfunctioning of whatever parts of the body the nerve controls.

For example, if you have a bulging spinal disc in your neck, not only will you have neck pain, but you may also develop problems with your arms and hands, chest pains, heart problems, headaches, and even blurred vision and ringing in the ears.

Bulging vertebral discs in the middle back will result in mid back pain, radiating pain around the rib cage, chest pains, and even digestive problems (because the nerves in the middle back control the gall bladder and liver, which are involved with digestion).

In the lower back, a back bulging disc will cause low back pain, pain traveling down the legs, weakness in the legs and an inability to walk, as well as problems with your bowel and bladder.

In fact, these other symptoms related to the spinal nerves tend to be even more frustrating than the back pain associated with a herniated disc because they really affect a person’s normal ability to function.

The cause of bulging discs is usually a trauma of some sort. Whether it be a car accident, or lifting something heavy, these are the types of traumas that may cause this condition to develop.

There are other factors that cause this condition as well. Genetics plays a role, so if you have a family member (or members) who have developed a spinal condition, you may have a genetic predisposition to develop a bulging disc / herniated disc.

Your lifestyle also plays a role in the development of bulging discs. Smokers, for examples, tend to have a higher likelihood of developing a herniated intervertebral disc because toxins will destroy the strong wall of the disc. Poor diet also plays a role, as well as a lack of exercise.

The therapies available for bulging discs in back are often somewhat discouraging, unfortunately. Most physicians will begin by prescribing medications (usually pain killers and muscle relaxers), pain injections (such as cortisone and epidurals), physical therapy, and surgery as a last resort.

These therapies will tend to only provide temporary relief, at best. The reason for this is because they are primarily designed to numb the affected nerve. Although this may sound good on the surface, because the nerve is what causes you to experience the pain, if you don’t address the cause of the problem (which is the bulging disc / herniated disc), the pain will relapse.

Some may say, “Well, wait a second – doesn’t surgery address the disc?” And the answer would be, not really. The surgeries that are available for bulging discs will either remove the bulging area of the disc, or remove the disc completely and fuse the vertebrae above and below together.

In the first case, the disc will typically bulge again after a short period, because even if they remove this area of the disc, the disc does not heal with the surgery and the problem will tend to re-occur after a period of time. A spinal fusion is even worse – this causes the discs above and below this area to work harder than they normally do, and the problem will then spread to other areas of the back.

There are other treatment options available that are more effective, however most physicians are not familiar with them. In fact, it is really a combination of therapies that I have found to be most successful with this condition.

If you would like to learn more about the most effective therapies for a bulging spinal disc, as well as the combination of those treatments that I recommend for the best results, you can click here (herniated disc) to get all the details.

 

About the Author: Dr. Ron Daulton, Jr. is a chiropractor, national speaker, and published author who specializes in spinal disc conditions.

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Acute low back pain is one of the most common reasons people go to the doctor and it is second only to the ordinary cold as a cause for missing work. It is the leading workmen’s comp injury and cause of disability in people under the age of 45. Back pain is ranked second in diagnosed leading to surgery. Medical experts say the incidence of back pain may occur more often due to the alarming increase in obesity and the gradual aging of our population.

Causes Of Acute Back Pain

  • An injury or trauman such as a car accident
  • A sports injury
  • Lifting or straining at work or around the house
  • Sudden twisting movement while lifting or moving a heavy object
  • A fall
  • A blow to the body that is strong enough to force a joint out of its normal position
  • Chronic overuse of muscles and tendons from repetitive, prolonged movement

Symptoms

  • Sudden sharp pain in lower back that causes extreme discomfort
  • Muscle spasms or cramping in lower back
  • A dull, persistent nagging pain in lumbar region that appears after hours of work, such as shoveling snow, digging, or bending.
  • Sharp pain in low back may radiate down front, side or back of one leg
  • Activity may aggravate the pain
  • Sitting may also make it worse
  • Decreased range of motion
  • Difficulty walking
  • Problems bending forward or sideways
  • Standing erect may become painful

Acute back pain may gradually ease and clear up after a month or so. When the pain is due to trauma resulting in a back sprain or strain the pain may gradually clear up. Muscle strains and sprains are often grouped together and referred to by physicians as musculoligamentous injuries of the lumbar spine.

Lumbar Strain - Bacj Strain

The tendons are fibrous bands that are connected muscles to the bone. With a back strain, the muscle fibers in the low back are stretched or torn. Tendons that help the support the spine in the low back may also be twisted, torn or pulled. The result is a lumbar strain, also diagnosed as a low back strain.

Lumbar Sprain - Back Sprain

A sprain is the stretching or tearing of a ligament which is a tough band of tissue that connects two or more bones at a joint and prevents excessive movement of that joint.With a lumbar sprain, low back muscles and the ligaments are stretched or torn.

Chronic back pain is classfied if the pain persists for three months or more. This may become progressively worse and the cause can sometimes be difficult to determine. Thorough physical examination must be done as well as lab tests and x-rays. To determine the cause of back pain a CT scan and MRI might be ordered from your Doctor.

For more information about back pain and treatments for back pain visit our resource on back pain relief.

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Now that you know common causes of back pain you may have a better understanding of how to prevent and treat it in the first place.  Losing a few pounds may seem like an impossible option but of course it can be well worth the effort when you get some relief for that pain. A big part of relief for your back is using correct posture and lifting with your legs.

But sometimes you need to do something more than all of this. Even if you are extremely careful you still have back pain – after all, you can’t very well live your life in cotton wool or refuse to pick up your children just to keep yourself safe from potential injury! What can you do when you have soreness and pain?

PRESSURE RELIEF

The muscles of the back are usually able to heal and repair themselves from minor injury, and sometimes the pain you feel is simply those muscles cramping up to protect themselves so that they can heal. Relieving the pressure on your back can help your body to heal on its own.

Making a movement without involving the back is virtually impossible. Even while you are sitting, the back muscles are working to keep your upper body straight and supported.

Keeping this in mind, you realize how important it is to be in a reclined position that tilts your body back and relieves that pressure on your midsection.  When your feet are higher than your pelvic area then you have less pressure on your back and it can heal.  Many have found that stretching out on the floor with pillows under the knees can help tremendously, however, do not put the pillows under your feet. This puts added pressure on the area of the hips which results in the back muscles tensing up even more.

If you’re laying flat on your stomach your back is still working as the front of your body collapses and your back keeps you straight.  You can instead use cushions or pillows under your stomach and upper body area to support yourself so that the back is not working as hard.

HEAT

Why is it that heat can help to relieve body pain?  Simply put, heat draws blood to that area of the body where heat is applied and blood delivers important nutrients and healing elements.  When you apply heat to your muscles they relax because the increased blood flow forces them to “unclench” themselves, and especially in areas of the back can this be important.

When your back is in pain you don’t want to go overboard with the heat and of course there are injuries and other ailments that won’t be responsive to heat – for example if you have a herniated disk that’s not going to be healed with a heating pad! – but often muscles that have been overworked and strained can relax with a simple application of heat.  If you’re at work all day see if you can somehow arrange a heating pad behind you for the duration of the day.  When you notice your back getting tense, lean back and stay that way for a few minutes so that the heat has a chance to work.

While they’re not scorching hot, heating pads can still be dangerous to the bare skin.  Never sleep on top of one or turn it up too high. It pays to keep some protective material between the heating pad and your skin so if the pad is not covered be sure to wrap it in cloth or similar.

Moist heat can also help the body to relax as the moisture loosens the muscles and skin as well.  You can get a thin towel or washcloth wet and put it between the heating pad and your back.

The heat of a hot shower or bath can also go a long way toward relieving that pressure.  A shower massage especially can work those muscles like a massage and force them to loosen up and soothe back pain.

STRETCHING

By making those back muscles relax when they want to clamp up you can reduce the pain.  Stretching your back and your sides is a great way to reduce your pain.

This however is a place where caution is also needed.It’s possible to do more damage by overextending yourself. Don’t forget to stretch properly so that you don’t put added strain on your back. Without the proper support many bodybuilders and fitness enthusiasts actually do a lot of damage to their back when stretching and working out.

Just sit on the floor with your hands behind you and stretch your back slightly.  This will give it support as you pull those muscles loose.  Moving forward carefully and slowly until your body is extended out in front of you can also loosen those muscles.

Extension and flexion

In terms of stretching, flexion means bending forward and extension means moving backwards.Stretching forward helps to relieve pressure on the vertebrae and creates more space between them which helps to alleviate the pressure and grinding that is common with back pain.  Sometimes just standing with your feet shoulder-width apart and bending straight forward to touch your toes can help to alleviate back pressure and pain.Attend to your posture as you do this and make sure you’re not curling yourself up and putting more pressure on your spine, but a simple stretch like this helps to loosen those tight and sore muscles.

When bending backwards you also need to watch your posture and make sure you don’t overextend.  Some have a tendency to think of a particular area they want to touch or span they want to reach, but you need to be mindful of your body’s own flexibility.

EXERCISE

Does anyone really like to exercise?  Sure, there are some who do but not everyone is like this.  Most people see exercise as a chore to be dreaded and would rather spend their free time stretched out in a favorite chair in front of the television or movie screen.

There are innumerable benefits to regular physical activity for humans, no matter what your physical situation.  Exercise increases blood circulation and the blood is what brings nutrition and oxygen to every cell in the body.  The digestive system, skin, bones, and major organs all benefit in this way from increased blood circulation.  Because the heart and lungs work harder when exercised they become stronger and a person is less likely to suffer from asthma, shortness of breath, heart disease, and conditions such as this.  Regular exercise also helps to keep one’s weight under control and there are many benefits to being at a healthy weight.

But exercise also helps with back problems and can keep a person from having painful back problems.  How so?

The first connection has to do with one’s weight; as we’ve mentioned excess body weight means more stress and strain on the back as it needs to work harder to move that weight around and to keep the body steady and upright.  Many who are overweight also find that their posture suffers quite a bit as this excessive weight pulls them forward, and this too keeps the back muscles tense and painful.

There is more to the association between exercise and back problems than just weight.  That increased blood circulation means that your back muscles are also getting those important nutrients and healing agents that are delivered by the blood.  Oxygen is one of the most important elements the body needs and uses for healing any wound or injury, and oxygen is delivered by the blood.  When your back muscles are overused, injured or tense, that oxygen is desperately important for it to heal itself.

Exercise helps those back muscles stay loose and relaxed.  When you walk or cycle or do anything else along those lines, the back muscles are worked and forced to loosen up.  This means that they’re relaxed and less likely to be pulled or cramped when in use.

Just as happens with other body muscles, they become stronger when exercised.  When the back muscles are stronger they’re more resistant to pulls, tears, and overuse.  Regular exercise is good for the back muscles in this way and can help to alleviate pain from these types of injuries.

Regular exercise has been proven to strengthen the bones.  This may be because the blood circulation also helps the bones to strengthen themselves, and if the bones in the back are stronger then the back is more supported.

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