What is a bulging disc in the back

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What is a bulging disc in the back

Has anyone had a shot in the back for a herniated disc and nerve pain going down your arm? I've been off work for three weeks and can't get any help around here. Physical therapy isn't helping. Then I heard that the steroid shots are not approved by the FDA for the epidural area. I'm trying to get into Mayo but might be another two or three weeks. I also have bone spurs. What do I do!! A bulging disc is a common condition of the spine. While a lot of people use the term interchangeably with a slipped disc or herniated disc, these conditions have unique identifying characteristics and defining traits. Depending on the severity, a bulging disc can be an asymptomatic normal sign of aging, or it can cause significant pain. A bulging disc extends beyond the ridges of the endplate or ring apophyses -- the edge of the disc, though this depends on how much of the disc is affected. When it affects less than 25 percent of the disc's circumference, it is a protrusion. When it affects more than 25 percent, it is a bulge. Interestingly, neither of these is considered a herniation. RUNSTUDIO / Getty Images The discs of the spine are rubbery pads that are about a quarter of an inch thick. They have a tough outer membrane called the annulus fibrosus, and a softer, flexible core -- nucleus pulposus. The annulus fibrosus is made of rings of collagen that dehydrate and stiffen over time. A bulging disc affects only this membrane. PixelsEffect / Getty Images The deterioration that leads to bulging discs is usually age-related. Discs lose their elasticity and begin to bulge downwards. This can affect multiple discs and may lead to other spinal conditions, like lumbar stenosis. Bulging discs can occur at any point along the spine, but they are most common in the lumbar region. FlyMint Agency / Getty Images Bulging discs are considered normal in some cases, particularly if they do not cause pain or interfere with the person's quality of life. Asymptomatic people may have minor bulging, most often from the seventh lumbar vertebra to the first sacral vertebra in the lower back. This can result from osteoporosis, trauma, or other spinal deformities. undefined undefined / Getty Images A bulging disc is not a specific diagnosis. Rather, it is an observation made from an image of the spine and be attributed to multiple things. It may not even indicate a true pathological change in the body and, sometimes, people with bulging discs do not even know they have them until getting a scan for some other reason. RUNSTUDIO / Getty Images At some point, almost everyone has a bulging disc somewhere in their spine. Though they rarely cause symptoms, if the disc is weak enough and the pressure grows, they can increase in severity, eventually getting larger and becoming a protruding disc. If the bulge is pushing against the nerves, it can cause tingling, weakness, or numbness. Jan-Otto / Getty Images Most bulging discs affect the lumbar spine, and multiple imaging techniques can evaluate it, depending on the pathology. The doctor will usually do an X-ray first, to identify the reason for back pain. CT scans are also useful to evaluate trauma and complex fractures, and MRIs provide in-depth information about the spinal cord, meninges, and nerve roots. stevecoleimages / Getty Images When a bulging disc is symptomatic, there are multiple treatment options available. Over-the-counter NSAIDs are effective against mild pain, but the doctor may recommend steroid injections to relieve significant nerve pain. If the bulging disc progresses to the point of lumbar stenosis, a patient may require spinal decompression surgery. Fahroni / Getty Images The main difference between a bulging disc and a herniated disc is the part of the disc that is affected. A bulging disc involves only the annulus fibrosis, but a herniated disc may affect the annulus fibrosis, nucleus pulposus, cartilage, or the apophyseal bone. A herniated disc must have material displaced from its normal location. It only occurs when there is a defect or other abnormality. Igor Vershinsky / Getty Images A degenerative disc is another term used interchangeably with a bulging disc, though they are not the same. This term includes both pathologic changes and changes of normal aging. Disc degeneration is graded based on observations from CT scans of the interior of the disc and marrow changes seen on an MRI and may or may not include a bulging disc. Eva-Katalin / Getty Images Medically reviewed by Gregory Minnis, DPT -- Written by Sara Lindberg on January 27, 2020Share on PinterestNeck pain is a common ailment that can derail physical activity and make daily activities difficult to perform. For some people, the pain is temporary and only causes minor disruptions in their life. But for others, neck pain can be a result of a more serious condition, such as a bulging disc, that requires a specific treatment plan to feel relief. "A bulging disc happens when the vertebral disc, located in between two spinal vertebrae, is compressed and causes the disc to be pushed out of its normal placement," explained Grayson Wickham, PT, DPT, CSCS, founder of Movement Vault. The disc usually protrudes out of the back of the spine, either on the right or left side. A variety of treatment options exist for a bulging disc, including exercises you can do at home. Here are five expert-approved moves you can do for a bulging disc. "This exercise targets the deep neck flexors, as well as causing your neck vertebrae to move into extension," said Wickham. Over time, this can help reduce pain and improve neck strength.Sit up tall as if you had a string attached to the top of your head. Make sure your neck is straight. Gently push your head backward. This will cause your chin to tuck, making a double chin. You should feel the muscles underneath your chin activating. Do 10 repetitions, 10 times per day.Share on Pinterest"A lot of times, people are afraid to move when they have a disc injury, but this exercise helps activate your neck muscles and prove to your body that it's OK to move," said Wickham. Start on your hands and knees or on an exercise ball. Arch your neck upward as far as is comfortable and pain-free. Hold in this position for 3 seconds, then come back to the starting position, which is a straight neck. Do 10 repetitions, 10 times a day.Share on PinterestThis joint mobilization targets the individual cervical vertebrae joints and the discs between the joints. "Light neck mobilizations like this have been shown to decrease pain and increase neck movement over time," explained Wickham. Place a rolled-up towel behind the back of your neck. Grab both ends of the towel, and take up any slack in the towel. Gently pull forward with your hands while performing a chin tuck. Come back to the starting position and repeat. Do 10 repetitions, 3 times per day."This stretch can help loosen the upper trapezius muscle, which often gets tight when you have neck pain," says Dr. Farah Hameed, assistant professor of rehabilitation and regenerative medicine at Columbia University Medical Center.Seated or standing, slowly tilt your head in order to bring your ear close to your shoulder. Hold gently for 10 to 20 seconds.Switch to the other side and hold for 10 to 20 seconds. If you're not feeling much of a stretch, you can gently use your hand to pull your head further to the side. Do 2 sets -- both sides is 1 set -- 2 to 3 times per day. "Poor posture and rounding of your shoulders forward can also increase the pressure on disc bulges, which can lead to pain," explained Hameed."A scapular setting stretch can increase the stretch in the front of your chest, improve your overall alignment, and bring your shoulder blades backward in a better position to help relax your neck muscles," she added. Seated or standing, place your fingers on your shoulders. Roll your shoulders back and glide your shoulder blades down and together at the back with your elbows bent, as though you're trying to place them down and back toward your back pocket. Hold this posture for 10 seconds.Repeat this exercise several times throughout the day, especially if you've been sitting for a while. Performing stretches and exercises designed specifically for rehab purposes are an excellent way to target your neck and the surrounding areas. That said, there are exercises you should avoid when you're dealing with a bulging disc in the neck. Wickham says some common movements and stretches to stay away from include any movement that applies pressure to your neck, and any movement or stretch where your neck is flexed significantly. "If you're experiencing pain from a bulging disc in the neck, you should avoid heavy weight lifting, especially anything overhead, until a physician has evaluated you." -- Dr. Farah Hameed, assistant professor of rehabilitation and regenerative medicine at Columbia University Medical CenterYou should also avoid exercises or positions that may put direct pressure on the neck, such as headstands and shoulderstands in yoga. Lastly, Hameed says to avoid high impact exercises such as jumping and running. Anything that may cause you to do sudden sharp movements may aggravate pain from a bulging disc.As always, if a particular movement increases your pain or exacerbates your symptoms, stop doing it, and talk with a doctor or physical therapist for alternative exercises. In addition to any stretches or exercises you're performing on your own, your doctor may also recommend taking a nonsteroidal anti-inflammatory (NSAID), such as ibuprofen, to help ease pain and inflammation. Treatment may also include weekly visits with a physical therapist who can use a combination of stretches, muscle activation techniques, and hands-on manual therapy. According to the Cleveland Clinic, in more serious cases, a cortisone injection in the spine can provide relief. "There are cases where the herniation is severe enough in which surgery is warranted, but in almost all cases, it is best to try physical therapy before getting surgery," said Wickham. If you're already under a doctor's care for a bulging disc, they'll likely have steps for you to follow for return visits. But in general, some red flags indicate it may be time to make an appointment sooner rather than later. "If your symptoms do not get any better in 1 to 2 weeks or you have moderate to severe numbness, tingling, or burning sensations in your neck shoulders, arms, or hands, you should see a doctor," said Wickham. Because there's a close relationship in the spine of the discs and spinal nerve roots and spinal cord, Hameed says having any neurologic symptoms -- such as persistent numbness, tingling, or weakness in your arms -- warrants a trip to your physician to undergo an evaluation and physical examination. Additionally, if you experience any of the following signs of cord compression, you should see a physician for urgent evaluation:balance disturbanceclumsiness with the use of your handsfallsbowel or bladder changesnumbness and tingling in your abdomen and legsTreating a bulging disc in a timely manner is critical, especially since discs can eventually rupture. Performing the exercises and stretches listed above is a great place to start. A doctor or physical therapist can assist you with developing a more comprehensive exercise program to help manage any pain you may feel in your neck and strengthen the muscles in the surrounding areas. Last medically reviewed on January 27, 2020 what is the treatment for a bulging disc in lower back. what is the treatment for a bulging disc in your back. what is a bulging disc in the lower back. what's a bulging disc in back

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