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4abul.gif (193 bytes)   Let's Kick It Up A Notch
4abul.gif (193 bytes)   Let There Be Oxygen
4abul.gif (193 bytes)   My New Year's Resolution-To Lose Weight And Get Healthier!!!
4abul.gif (193 bytes)   Give The Gift Of Health This Year!!!
4abul.gif (193 bytes)   Physical Burnout And How To Avoid It
4abul.gif (193 bytes)   Herniated Disk
4abul.gif (193 bytes)   Michael's Body Scenes "Member Of The Quarter"


HERNIATED DISK
By Stephen Questell RPTA
Advanced Physical Therapy Assoc.

Disks are small circular cushions between vertebrae (the bones of the spine). Normally, disks act as shock absorbers to cushion your vertebrae from each other as you move. A herniated disk is a disk that has bulged out from its proper place. It may press on the nearby nerves and cause pain, numbness or even a lack in function of the body part it controls.

When a disk is damaged, the soft rubbery center of the disk squeezes out through a weak point in the hard outer layer. A disk may be damaged by:

  • A fall or accident
  • A sudden strenuous action such as lifting a heavy weight or twisting violently
  • Repeated straining of your back

A herniated disk may also happen spontaneously without any specific injury, a sneeze or pushing to hard during a bowel movement or even during labor. These types of herniations occur usually because of a weak low back and poor stabilization of the muscles that support the low back and pelvic area.

Symptoms of a herniated disk in your neck may begin suddenly or gradually. You may wake up and feel a sudden aching. Or you may have a twisted neck that you cannot straighten without extreme pain. You may also have numbness, tingling, or weakness in one or both arms. If your herniated disk is below your neck your symptoms may develop gradually or begin suddenly. Symptoms include:

  • Back pain
  • Pain down one or both of your legs
  • Numbness, tingling, or weakness in one or both your legs
  • Changes in bladder or bowel habits

Diagnosing a herniated disk can be done by a physical therapist or orthopedist through various test that are performed upon a examination, but symptoms of herniated disk can mimic an instability in the pelvic region in which the sacrum and innomonate bone (top of the hip) that make up the sacroiliac joint are misaligned. The confirmation that a disk is in fact herniated will be determined by an MRI.

In most cases, treatment without surgery will relieve your pain. Treatment for a herniated disk may include:

  • Cold and hot paks
  • Anti-inflammatory drugs
  • Muscle relaxants
  • Prescription pain killers

But physical therapy is one of the most prescribed remedies. This will include treatments such as:

  • Traction for the neck or the back
  • Electric stimulation
  • Ultrasound to take down swelling
  • Joint mobilization
  • Stabilization exercises and postural training to strengthen the muscles that support the spine
  • Massage and myofacial release

As your symptoms subside and you can return to a normal routine you must practice correct body mechanics when you are walking, sitting, standing, lying down or working out.

Keeping your weight down, eating a proper diet, and exercises to keep your muscles firm and your spine stable can often prevent a herniated disk. When exercising ALWAYS include your abdominal--its part of your core. Having a strong back and weak abs is not the ideal state.

You got question APTA has answers. Advise is free and APTA offers one free consultation to all members, come in and ask for Steve!

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