Low Back Bulging Disc Injury and Treatment

 A bulging disc, or disc prolapse is where the disc protrudes, or bulges outwards, but remains intact.  A herniated disc (sometimes referred to as a ‘slipped disc’) differs; it is where the outside of the disc (annulus) develops a tear causing the inside (soft nucleus) to seep through into the spinal canal. Both scenarios can cause the disc to protrude into the spinal canal, causing compression of the nerve roots.

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What causes a bulging disc?

A bulging disc is often an age related degenerative condition.  Many people with bulging discs are often asymptomatic, meaning they have no symptoms or pain.  As it is a degenerative condition, symptoms are often gradual rather than sudden.  Some lifestyle related factors that may increase your risk of a disc bulge include:

·      Poor posture over time including sitting, sleeping or exercise posture

·      Sedentary lifestyle

·      Heavy lifting over many years can wear down the spinal discs

·      Weak back muscles


Symptoms of a bulging disc

As a bulging disc has not progressed to a herniated disc, symptoms may be non-existent or milder in nature, if your symptoms are severe, the disc may have herniated.

Symptoms of a bulging disc include: 

·      Tingling, numbness and/or burning sensation down the legs

·      Loss of strength and may have difficulty walking

·      Muscle spasms through the back

 

Treatment of a bulging disc

Below is a detailed general recovery treatment plan for an acute episode of low back pain:

  1. Minimising Pain: Day 1 & 2- The first few days of injuring your back can be debilitating and painful. For many, just getting in and out of bed can be an arduous task. In the first 1-2 days, minimal movement and avoiding activities that aggravate your back is wise. You may choose to take some anti-inflammatory medication (see your doctor for advice). Ice may be appropriate depending on muscle pain and location of this.

  2. Increasing Range of Movement and blood flow to the area - After 48 hours it's a good idea to book an appointment with your myotherapist. They will assist you in gaining back some range of movement and helping to relax any muscle tension around the area. They will also be able to provide a thorough assessment. Remember - scans and imaging are NOT often required for low back pain.

  3. Getting back into your normal routine - One of the most important things I recommend those with back pain do is move! Evidence shows it is important to gradually get moving again and partake in your normal day-to-day activities, including lifting, twisting and bending, all of which help to strengthen and regain movement in the back. Avoiding doing such movements will mean a slower recovery. Best of all - walking works wonders for low back pain!