In between your vertebrae in your spine, you have intervertebral discs. They help cushion your movements. The disc has a gel-like inner substance called the nucleus pulposus and a tire-like outer band called the annulus fibrosus. The nucleus gel-like material can push out through the rupture in the outer ring annulus: that’s called a herniated disc or a slip disc or disc herniation.

Herniated discs can develop gradually as the result of wear and tear on the spine-a natural part of aging. As we grow older, our intervertebral discs can lose their elasticity and water content, making them more likely to herniate. Over several weeks or even months, the nucleus pulposus can start to push through the annulus fibrosus. Herniated discs can also happen suddenly from incorrect lifting or twisting that aggravates a weakened disc.

Ice during the first 24 to 48 hours after the initial injury (if you herniate your disc suddenly). The ice will help reduce the swelling, muscle spasms, and pain. Wrap the ice in a towel and put it on the painful area for 15 minutes at a time. picHeat after the first 48 hours because that will warm and relax sore tissues. You can use a heating pad for 20 minutes at a time. picRestricting your activities that increase the pain picLight exercise (walking, swimming, etc.) as recommended by your doctor picOver-the-counter medications picPrescription medications picPhysical therapy

Physiotherapy in consultation with your spine specialist or spine doctor is the recommended therapy with exercises to strengthen the muscles around your spine.

NSAIDs (non-steroidal anti-inflammatory drugs) in consultation with spine specialist that will help reduce the inflammation and pain.

Physical therapy – Back extension exercises and abdominal exercises

Epidural steroid injection in spine given by spine doctor or spine specialist decrease the inflammation of the nerve roots. Treatment options are plenty and shall be planned only in consultation with the spine specialist doctor.

Severe back pain, Buttock pain disabling, Leg pain, leg numbness, and tingling legs which prevent normal lifestyle.

Loss of sensation/ motor strength/ progressive weakness in legs or loss of sensation in the bowel and bladder.

Decompression: FREEING THE NERVE FROM EXTERNAL COMPRESSION IN SPINE

Rarely Stabilization: PREVENTION OF PAINFUL MOVEMENT BY SPINAL IMPLANT INSERTION AND PUTTING GRAFT FOR FUSION

Yes. Spinal surgery for Spinal Stenosis is done with minimal invasive spine surgery technique using a microscope. Endoscopic Spine surgery for spinal stenosis and endoscopic spinal surgery for slip disc is extremely safe and predictable results are obtained.

Recovery after Microscopic spine surgery and endoscopic spine surgery for slip disc and spinal surgery for spinal stenosis is extremely safe and fast. Patients do not need bed rest after discharge or surgery and can return to work in a couple of days with instructions.

Both surgeries are safe for spinal stenosis and slip disc. Minimal invasive spine surgery has benefits of small incisions, less pain, less blood loss, less infections, and early discharge and no bed rest after the surgery are needed.

Both surgeries are safe for spinal stenosis and slip disc. Minimal invasive spine surgery has benefits of small incisions, less pain, less blood loss, less infections, and early discharge and no bed rest after the surgery are needed.