A severe herniated disc is characterized by the extrusion of the inner core of a spinal disc through its outer layer, causing compression or irritation of nearby nerves. This can result in intense pain, numbness, weakness, and tingling in the affected area, typically the lower back or neck. Severe herniated discs can also lead to muscle spasms, difficulty walking or standing, and decreased range of motion. In some cases, a severe herniated disc may cause loss of bladder or bowel control, a condition known as cauda equina syndrome, which requires immediate medical attention.
Diagnosis of a severe herniated disc often involves a physical examination, imaging tests such as MRI or CT scans, and possibly nerve conduction studies. Treatment options for severe herniated discs may include rest, physical therapy, pain medication, corticosteroid injections, and in some cases, surgery. The goal of treatment is to alleviate symptoms, reduce inflammation, and improve mobility and quality of life for the affected individual. It is important for individuals with severe herniated discs to follow their healthcare provider’s recommendations and to avoid activities that may exacerbate their condition.
Finally, your doctor will be interested in knowing if you have problems when you have to urinate or have a bowel movement. This is important to make sure there is no pressure from the herniated disc on the nerves that go to the bowels and bladder. If you do, this may be an emergency, and require immediate surgery.
Is an MRI necessary for diagnosing a herniated disc? Some physicians continue to recommend X-ray and CT scanning. However, herniated disc MRI is the most preferred diagnostic procedure since it is the most sensitive imaging technique for this condition and does not expose the patient to unnecessary radiation.
An untreated herniated disk can get worse. That’s especially true if you continue the activities that caused it — for instance, if it developed because of your work. A worsening ruptured disk may cause chronic (ongoing) pain and loss of control or sensation in the affected area.Jul 1, 2021
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