- Anatomy of The Spine
- Back Pain in Children
- Caring for your Spine
- Emerging Spinecare Trends
- Evaluation of Spinal Disorders
- Exercise and The Spine
- Intervention - Spinal Disorders
- Intervertebral Disc
- Non Surgical Options
- Nutrition and Spinecare
- Options for Spine Treatments
- Pregnancy and Back Pain
- Prevalence of Spine Disorders
- Sleep and the Spine
- Spinecare Introduction
- Spinehealth and Disease
- Surgical Interventions
- Treatment with Medications
- Understanding Back Pain
Spinecare Topics
Intervertebral Disc
Disc Bulge
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Disc Bulge
The may be genetic predisposition to developing disc degeneration and associated disc bulge. Environmental factors such as heavy lifting, rotation, repetitive flexion-extension and injury can lead to disc fiber compromise and generalized disc bulging. Age related change sin the water content of the disc as ell as the biochemical composition of the disc can lead to disc bulging. Poor posture and repetitive physical microtrauma can also lead to a disc bulge. Any condition which promote disc degeneration such as reduced nutrient supply to the disc secondary to degenerative endplate changes. Increased loads place upon a disc can lead to temporary disc bulging secondary to pressure placed down upon the disc.
Most disc bulges are not associated with symptoms and represent a normal disc state. If there are bone spurs, thickening of spinal ligaments of spinal joint enlargement (facet hypertrophy) there may be crowding of the central or lateral spinal canal. This would leave less room for a spinal nerve in the presence of a disc bulges. Most patients with a bulging disc usually respond to conservative care. A small percentage of individuals may go on to develop chronic or progressive neurological involvement. The pain associated with disc bulges is usually self-limited. If a disc bulge is associated with annular tears in the disc, the condition is more likely to progress to a disc herniation and disc degeneration. An asymptomatic disc bulge requires no treatment. Treatment options include:
Conservative
Most disc bulges are not associated with symptoms and represent a normal disc state. If there are bone spurs, thickening of spinal ligaments of spinal joint enlargement (facet hypertrophy) there may be crowding of the central or lateral spinal canal. This would leave less room for a spinal nerve in the presence of a disc bulges. Most patients with a bulging disc usually respond to conservative care. A small percentage of individuals may go on to develop chronic or progressive neurological involvement. The pain associated with disc bulges is usually self-limited. If a disc bulge is associated with annular tears in the disc, the condition is more likely to progress to a disc herniation and disc degeneration. An asymptomatic disc bulge requires no treatment. Treatment options include:
Conservative
- Rest
- Spinal Manipulation
- Spinal Traction (Disc Decompression)
- NSAIDS
- Physical Therapy
- Epidural Injection
- Rehabilitation and exercise
Surgical
- IDET (Intradiscal ElectroThermal Therapy)
- Discectomy with stabilization if intractable pain
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