Herniated Disc Specialist

APMI Orthopaedics, Sports Health & Regenerative Medicine -  - Board Certified Orthopedic Surgeon

APMI Orthopaedics, Sports Health & Regenerative Medicine

Orthopedics & Pain Management Specialists located in Chevy Chase, MD & Greenbelt, MD

Chronic back pain is quite often due to degenerative disc disease and bulging or herniated discs that press on nerves in your spinal column. At APMI Orthopaedics, Sports Health & Regenerative Medicine in Chevy Chase and Greenbelt, Maryland, you can take advantage of cutting-edge diagnostics, expert physical therapies, and the most advanced, effective treatments for a herniated disc. Find relief from your back pain by calling the office nearest you today or booking an appointment online.

Herniated Disc Q & A

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What is a herniated disc?

A herniated disc is a quite common cause of back pain, especially in the lumbar spine (lower back) and cervical spine (neck).

The discs concerned are shock absorbent pads that sit between each pair of vertebrae — the bones that make up your spine. Discs protect your vertebrae and enable you to move comfortably, but they can get damaged.

Damaged discs could put pressure on the nerves branching out from your spinal cord through the gaps in your vertebrae. This leads to pain in your back or neck and sometimes causes unpleasant sensations like tingling or burning.

The pain and other sensations can spread down your legs if your herniated disc is in your lower back, or your arms if the herniated disc is in your neck.

What causes a herniated disc?

Herniated discs are sometimes the result of trauma where the discs come under extreme stress, such as an auto accident. Most often, though, a herniated disc is a result of a problem like degenerative disc disease.

This condition develops as you get older when the spinal discs start to dry out and flatten. The tough outer layer around the discs can weaken as a result of this deterioration, allowing the softer center to bulge or squeeze through. This is a herniated disc.

How is a herniated disc treated?

At APMI Orthopaedics, Sports Health & Regenerative Medicine, you benefit from having access to a comprehensive range of treatments for your herniated disc. Physical therapy is typically the initial approach, alongside medication and techniques like chiropractic manipulation and acupuncture where needed.

The physical therapy service offers noninvasive approaches such as:

  • Stretching and strengthening
  • Lumbar stabilization
  • Therapeutic exercise programs
  • Postural correction
  • Soft tissue mobilization
  • Proprioceptive neuromuscular facilitation (PNF) techniques
  • Ultrasound
  • Electrical stimulation
  • Cold packs
  • Moist heat
  • Cold laser therapy

Your physical therapist also provides you with instructions regarding proper ergonomic workstations and creates a home exercise program designed specifically for your needs.

Would I need surgery for my herniated disc?

Many patients at APMI Orthopaedics, Sports Health & Regenerative Medicine recover well without needing surgery for their herniated disc. If initial approaches aren't sufficient, you have a number of minimally invasive treatment options, including:

  • Epidural steroid injections
  • Dekompressor discectomy
  • Intradiscal electrothermal therapy (IDET)
  • Percutaneous disc nucleoplasty
  • Percutaneous laser discoplasty

Some patients might require surgery to remove the disc (discectomy) followed by fusion of the vertebrae. Alternatively, you might be a good candidate for artificial disc replacement.

To learn more about your options and get all your treatment in one location, call APMI Orthopaedics, Sports Health & Regenerative Medicine today or book an appointment online.