| Herinated
Disc |
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| What is a
herniated disc? |
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The
spinal disc is a largely misunderstood piece of anatomy. Here
is a quick lesson in disc terminology. The term "slipped
disc" is a commonly used term. Many people claim to have
them. However spinal discs do not slip. They are firmly locked
in place. There are many ills that can befall a spinal disc.
It can degenerate, it can bulge, it can herniate, but they do
not slip. So when someone tells you that they have a slipped
disc you can safely assume that this is not the person to advise
you on treatment.
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| Discs are usually injured
through trauma such as whiplash, or repetitive
overuse trauma, or chronic poor posture. |
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A
degenerated disc is a spinal disc that has lost its height usually
due to trauma, advanced arthritis, or repetitive stress over
time from poor posture. The degeneration of spinal discs is the
reason a person might lose height over the years.
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The
two other disc terms that are often confused are bulge,
and herniation. A spinal disc has two parts, a center nucleus, and cylindrical
fibers surrounding the nucleus, called the annulus fibrosis.
Think of the disc as a jelly doughnut where the jelly is the
nucleus of the disc and the doughy part represents the annulus
of the disc.
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In
the case a herniation, the jelly has not only shifted to one
side of the doughnut, it is also escaping or leaking through
a hole in the dough. The problem here is that in the case of
the spine the nucleus is leaking though the annulus and often
into the space of the spinal cord and spinal nerves, this can
be very painful and dangerous.
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Disc bulges and herniations
usually have an event of onset. This event can be a major trauma such
as a car accident or slip and fall, or a minor incident such and twisting
and bending. People have even injured discs while sneezing. Disc problems
create low back pain that radiates down the back of the leg often
to the level of the knee or foot. Most disc problems can be treated
very effectively with conservative measure such as chiropractic care.
In cases of extreme disc herniation or cases that do not respond to
a trial of conservative therapy such as chiropractic, an orthopedic
consult is recommended.
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Once
discs herniate they undergo deterioration in most cases especially
when they are under continued stress due to abnormal posture
or mechanics of the spine. (See the section on spinal deterioration.)
These deterioration changes can produce a worsening of pain with
increased head, chest, leg or arm symptoms over time. Persistent
nerve pressure from the disc can alter blood flow to the arm
or leg and can affect the function of areas normally supplied
by the nerves; internal organs, penis, heart, lungs, stomach,
diaphragm, intestines, etc. This can alter organ function and
health.
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| How the Chiropractic
Physicians at SRWC can help: |
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GENTLE FLEXION
AND DISTRACTION THERAPY
- Allows for
the jelly center of the disc to be pulled back into place
- Provides
pain relief
- Removes
source of nerve irritation allowing for the area to begin
the
healing process
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CHIROPRACTIC
ADJUSTIVE PROCEDURES
- Restores normal
biomechanical motion to the spinal segment
- Removes
inflammatory adhesions that may restrict joint movement
as well as propagate the inflammatory process
- Helps disperse
muscular spasm and provide significant pain relief
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THE USE OF
MODALITIES
- Interferential
current (IFC) has been proven to provide pain relief by breaking
the cycle of inflammation and
muscular spasm
- Heat,
cold, and IFC provide pain relief and allows the patient
to relax
- IFC
has also been shown to restore circulation to the area
and accelerate
the healing process
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SOFT TISSURE
WORK
- Massage, post
isometric relaxation (PIR), proprioceptive neuromuscular
facilitation (PNF
- Provide pain relief
- Accelerates
the healing cycle by stopping the cycle of spasm and chronic
inflammation
- Allows
the patient to relax
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THERAPUTIC
EXERCISE AND STRETCHING
- Strengthens
weak musculature allowing for proper posture and the removal
of possible propagation
of injury
- Restores
normal length to tight musculature which could alter normal
joint mechanics
- Allows for
muscular reeducation and the maintenance of normal, pain
free posture
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