Herniated Disc / Disc Bulge / Sciatica
What causes Sciatica?
Our spine is the centre of movement, it is an incredibly complex and important structure, consisting of 33 individual vertebrae that are stacked on top of each other. Between each of these vertebrae, we have very strong fibrous discs that are filled with a jelly-like substance. These discs serve as shock absorbers for the spine, allowing us to move freely and comfortably without experiencing discomfort or pain.
However, these discs can become damaged or degenerate over time, either due to natural aging or lifestyle factors such as poor posture or overuse. When this happens, the discs may start to bulge or herniate, putting pressure on nearby nerves (like the sciatic nerve, for example) and causing pain or discomfort.
A herniated disc occurs when the inner gel-like portion of the disc bulges out through the outer fibrous layer, putting pressure on the surrounding nerves. This can cause a range of symptoms depending on the location of the herniated disc and the severity of the pressure being placed on the nerves.
Symptoms of a herniated disc may include pain, numbness, tingling, or weakness in the affected area or further down along the route of the nerve. In some cases, the pain may be severe enough to interfere with sleep and daily activities, making it difficult to perform simple tasks like bending, lifting or even just sitting.
Treatment for Sciatica
The vast majority of cases of herniated discs can be effectively managed with physiotherapy and conservative treatment. A physiotherapist can perform a thorough assessment of the affected area to determine the underlying cause of the pain and develop a treatment plan tailored to the individual needs of the patient.
One of the main goals of physiotherapy for herniated discs is to initially reduce pain and inflammation in the affected area by tailoring pain-free exercises. Then start strengthening the hips and spinal muscles, to support the spine better and help prevent the pain from coming back so easily.
In addition, a physiotherapist may also use manual therapy techniques such as spinal mobilisation or soft tissue massage and dry needling to help alleviate pain and improve circulation in the affected area. These techniques can be particularly effective in relieving pain and discomfort associated with herniated discs.
Another key aspect of physiotherapy for herniated discs is exercise therapy. This involves a series of exercises designed to improve strength, flexibility, and range of motion in the affected area. By gradually increasing the load on the affected area, the muscles and tissues can adapt to the demands being placed on them, reducing the risk of further injury and promoting faster healing.
Overall, herniated discs can be a source of significant pain and discomfort, but with appropriate physiotherapy intervention, most people can achieve significant improvements in their symptoms and return to their usual activities. If you are experiencing pain or discomfort in your spine or back, consider booking an appointment with Oleg at Monageer Physiotherapy Clinic, to determine the best course of treatment for you.