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Back & Neck Overview

Lumbar Herniated Disc

Lumbar Disc Herniation Treatment at Midwest Orthopaedics at Rush

A lumbar disc herniation, often referred to as a “slipped” or “ruptured” disc, is a common condition that can cause significant back pain, leg pain (sciatica), and limited mobility. At Midwest Orthopaedics at Rush, our spine specialists provide advanced care for lumbar disc herniations, offering both non-surgical and surgical treatments to relieve pain, restore function, and help you return to your daily activities.

What Is a Lumbar Disc Herniation?

The lumbar spine, located in the lower back, is made up of vertebrae separated by intervertebral discs that act as shock absorbers and provide flexibility. A lumbar disc herniation occurs when the outer layer of a disc (annulus fibrosus) weakens or tears, allowing the inner gel-like substance (nucleus pulposus) to protrude. This protrusion can compress nearby nerves, leading to pain and other symptoms.

Symptoms of a Lumbar Disc Herniation

The symptoms of a lumbar disc herniation can vary depending on the location and severity of the nerve compression. Common symptoms include:

  • Lower Back Pain: Persistent or sharp pain in the lumbar region.
  • Leg Pain (Sciatica): Pain radiating down one or both legs, often following the path of the sciatic nerve.
  • Numbness or Tingling: Sensations in the lower back, buttocks, legs, or feet.
  • Muscle Weakness: Difficulty lifting or controlling the leg or foot.
  • Difficulty Sitting or Standing: Pain that worsens with certain positions or movements.

If these symptoms interfere with your quality of life, seeking prompt evaluation and treatment is essential.

Lumbar Herniated Disc Causes and Risk Factors

Lumbar disc herniation can result from:

  • Age-Related Degeneration: Discs lose water content and become less flexible with age, making them more prone to herniation.
  • Injury or Trauma: Sudden impact or strain on the lower back can cause a disc to rupture.
  • Repetitive Motion or Overuse: Activities that place stress on the lower back, such as heavy lifting or prolonged sitting.
  • Genetics: A family history of disc herniation may increase your risk.

Diagnosis of Lumbar Disc Herniation

At Midwest Orthopaedics at Rush, diagnosing a lumbar disc herniation involves:

  • Medical History and Physical Exam: Evaluating your symptoms, range of motion, and nerve function.
  • Imaging Studies: MRI or CT scans to confirm the diagnosis and identify the location and severity of the herniation.
  • Electrodiagnostic Tests: In some cases, nerve studies are performed to assess the extent of nerve compression.

Treatment Options for Lumbar Disc Herniation

Our specialists provide a comprehensive range of treatments for lumbar disc herniations, tailored to your specific condition and lifestyle.

Non-Surgical Treatments

Most patients experience relief with conservative treatments, including:

  • Physical Therapy: Exercises to strengthen the core and improve flexibility, reducing pressure on the herniated disc.
  • Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants to relieve pain and inflammation.
  • Epidural Steroid Injections: Reducing inflammation and relieving nerve irritation for temporary pain relief.
  • Activity Modification: Avoiding movements that worsen symptoms while maintaining light physical activity to promote healing.
Surgical Treatments

If conservative treatments do not provide relief or if symptoms worsen, surgery may be necessary. Options include:

  • Microdiscectomy: A minimally invasive procedure to remove the herniated portion of the disc and relieve nerve pressure.
  • Laminectomy: Removing part of the vertebra to create space and reduce nerve compression.
  • Disc Replacement: Replacing the damaged disc with an artificial one to preserve motion in the spine.

What to Expect During Recovery

Recovery from a lumbar disc herniation depends on the severity of the condition and the treatment approach. Most patients experience significant improvement within weeks to months. Key aspects of recovery include:

  • Physical Therapy: A personalized rehabilitation program to rebuild strength and mobility.
  • Gradual Return to Activity: Resuming normal activities under the guidance of your care team.
  • Ongoing Support: Regular follow-ups to monitor progress and address any concerns.

Why Choose Midwest Orthopaedics at Rush?

Midwest Orthopaedics at Rush is a leader in spine care, offering expertise in diagnosing and treating lumbar disc herniations.

If you’re experiencing back or leg pain due to a lumbar disc herniation, we are here to help. Contact us today to schedule a consultation and learn more about our advanced treatment options.