CNY Orthopedic Sports Medicine, PC: Treatment: Lumbar Disc Herniation
 
Injuries and Conditions: Back & Spine: Lumbar Disc Herniation: Treatment Options
 
Overview

 
Treatment options:
Conservative Treatment of Lumbar Disc HerniationLumbar Disc Herniation



Non-Surgical Treatment: Conservative Treatment of Lumbar Disc Herniation
  • Initial rest that may include bed rest for 2-10 days
  • The administration of anti-inflammatory medication (NSAID's), analgesics (pain medicine), and muscle relaxants to decrease the inflammation around the nerve root and reduce the level of pain.
  • Initial physical therapy that may include hot and cold packs, massage, ultrasound and traction.
  • Ongoing physical therapy will incorporate stretching and back strengthening exercises. The type and duration of exercise will be dependent on the severity of the herniation and the severity and duration of symptoms.
  • Activities that place stress on the spine or cause pain (for example lifting heavy objects, bending, or straining) should be avoided until symptoms are minimal and a gradual increase in activity can begin.
  • Sleep on a firm supportive mattress and adjust sleeping posture; sleeping on your back reduces the amount of stress placed on the spine.
  • Maintain proper posture while standing, lifting and sitting.
  • An epidural steroid injection may be ordered to provide pain relief and a reduction in inflammation.

  • Non-Surgical Product Considerations

    Lumbar: Supports
    A bad back can often be the result of poor posture and positioning. A lumbosacral back support, when properly fitted and positioned, will help to maintain a proper, stable posture when sitting at a chair or driving in the car. Poor posture while sitting forces the spine out of its proper position and puts a significant strain on the muscles, tendons and ligaments that support the spine. Lumbar supports can be found in a wide range of sizes and styles.

    NSAIDs
    NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
  • Pain resulting from inflammation or swelling.
  • Pain after injury.
  • Joint pain and arthritis.

  • Hot/Cold Pack
    The use of hot and cold packs to relieve pain and inflammation is a common method of treatment for many conditions. When the soft tissue groups become strained or irritated the rotating application of hot and cold can be beneficial. Cold therapy numbs the nerves to reduce pain and combats swelling by constricting blood vessels and by slowing blood flow to the site of injury. The application of heat to an injury after a few days of cold therapy and after swelling and redness has been reduced promotes the healing process. Heat therapy speeds up healing by increasing the flow of blood to the site of injury. Heat will also restore flexibility, relieve muscle cramping, and arthritic symptoms.


    Surgical Treatment: Lumbar Disc Herniation
  • To alleviate the compression of the nerve root by removal of the herniated disc material.


  • Surgical Product Considerations

    Lumbar: Supports
    A bad back can often be the result of poor posture and positioning. A lumbosacral back support, when properly fitted and positioned, will help to maintain a proper, stable posture when sitting at a chair or driving in the car. Poor posture while sitting forces the spine out of its proper position and puts a significant strain on the muscles, tendons and ligaments that support the spine. Lumbar supports can be found in a wide range of sizes and styles.

    NSAIDs
    NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
  • Pain resulting from inflammation or swelling.
  • Pain after injury.
  • Joint pain and arthritis.



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