Disc herniations can bring about back pain and
leg pain for some. Dr. Hoang's Chiropractic Clinic welcomes those disc herniation pain patients. Gentle, relieving treatment
without surgery is what we provide. Montreal back
pain patients are relieved when they find us!
DISC HERNIATION: Size, Weight, Sleep
What matters when a disc causes back
pain? Its size? Its weight? Its effect on quality of life? Spinal researchers have
produced data and documented that what the pain-producing disc looks like on imaging doesn’t really matter. The size and shape of an intervertebral
spinal disc’s bulging nucleus pulposus has no link to
a what a patient’s symptoms may be
or how a patient feels. (1) The weight of a disc fragment did not relate to the amount of time the symptoms lasted or severity
of pre- or post-operative leg pain nor post-operative leg pain or back pain improvement,
the percentage of space the disc occupied in the spinal canal, herniation classification, or vertebral level. The size
of the lumbar disc herniation did not have much effect on patient
outcomes. (2) Chronic lower back pain and sciatica due to lumbar disc
herniation negatively impacted sufferer’s
quality of sleep. Treatment positively impacted
patient perception of pain in visual analog scale (VAS) scores as well as
in the PSQI Pittsburg Sleep Quality Index scores. (3) Pain lessening
chiropractic treatment of a pain-producing disc necessitates
reducing the risk of recurrent back pain episodes as well as reducing
the pain of the current episode.
MANAGING BACK PAIN AND RISK OF ITS RECURRENCE
Once you have felt back pain related to a
disc herniation,
you do not want it again! Dr. Hoang's Chiropractic Clinic gets
that and shares that managing - as conservatively as
possible - the disc herniation is more accurate than curing it.
6.05% of lumbar discectomy surgery patients had a re-current disc
herniation. What brought that on? On their own, factors
like age, BMI, current smoking status, heavy lifting, degenerative facet joint
disease, operation time, and the ambulation time
after surgery influenced the risk of recurrent disc herniation.
Combined, older age, male sex, high body mass index (BMI), and early ambulation
were significant factors in the recurrence or a
lumbar disc herniation. Managing weight, not lifting heavy
items, and exercising were proposed risk reducers. (4) One new
study reported that the amount of sedentary time probably did not increase
the risk of a new bout of low back pain
as much as the amount and type of physical activity. (5) Pain relief comes
more as a roller coaster than a straight hill to no pain. A
disc herniation is like a bruise on an apple rendering the apple (and
by comparison, the spine) never quite the same again. That is
where Dr. Hoang's Chiropractic Clinic comes in with a treatment plan that ensures
you understand the disc herniation, how
to feed it nutritionally, how to get it
back to being strong with exercise and keeping it that way, and how to do activities
of daily living to prevent (re)injury. A recent
systematic review of approaches to managing back pain revealed 10 approaches:
manipulation/mobilization, psychological/behavioral, advice to stay active/bed
rest, reassurance, antidepressants, NSAIDS, opioids, muscle relaxants, and
paracetamol. (6) Dr. Hoang's Chiropractic Clinic promotes walking, moving,
careful lifting, and especially being treated with gentle, safe, effective Cox®
Technic spinal manipulation!
CONTACT Dr. Hoang's Chiropractic Clinic
Listen to this PODCAST
with Dr. Robert Patterson on The Back Doctors Podcast with
Dr. Michael Johnson as he illustrates the realistic expectations
back pain patients can have with The Cox® Technic System of Spinal
Pain Management.
Schedule your Montreal chiropractic
appointment soon. Disc herniation sufferers are welcomed
to our practice for relief and a plan for controlling its future effect
on life.