By Scott Jackson


Inter-vertebral discs are structures found between adjacent vertebral bodies forming the spinal column. Their main role is to act as shock absorbers when movements are taking place at the inter-vertebral joints. Occasionally one or more discs may be displaced from their position especially when blunt trauma is directed to the back. Chronic back pain is the commonest symptom when this happens. There are a number of options in herniated disc pain relief Conroe residents can consider.

Among the first things that your doctor will do when you pay them a visit is to take a clinical history. The history will be centered on establishing the duration of your illness, its severity and whether it is experienced constantly or intermittently. The pain resulting from a displaced disc usually affects both the back and the lower limbs. It is exacerbated by walking.

There are several investigations that are needed to aid in making the diagnosis. They include both radiological images and blood tests. The exact combination required is dictated by the findings of the history and the physical examination. Among those used frequently are the CT scan and magnetic resonance images, MRI. Apart from ruling out other conditions, these images also help in assessing the disc that has been displaced and its effects.

Interventions that are used in managing this condition fall into one of two categories; the conservative group and the surgical group. Conservative treatments are those in which the condition is managed without opening up the affected inter-vertebral joint. Traction and analgesic drugs (particularly the non-steroidal anti-inflammatory drugs) are the two most commonly used modalities. Others include the alternative medicine options such as acupressure, acupuncture and chiropractic among others.

Traction is a procedure that involves the application of a steady pulling force to the spine. This is achieved by fixing a harness around the lower limbs and pelvis. With the patient lying on their side on a couch, a predetermined force is applied to the spine through the harness. The average individual will need about 20 sessions to experience relief. Over time, the prolapsed disc falls back into its original position.

Traction is considered a largely safe procedure due to the fact that it is non-invasive. One of the precautions that are taken in a bid to prevent undue injury to the spine is a calculation of the force needed by a computer program. There are some patients that should not be subjected to the pulling force. Alternative measures should be sought or the procedure postponed to a more appropriate time. Patients who fall in this category are those that have implants in long limb bones and pregnant women.

Surgery is considered as an alternative if the conservative measures fail to yield the desired results. The operations that are used in this case are broadly termed decompression surgeries. This is because they reduce the pressure that has been exerted by the displaced inter-vertebral disc. Surgical risks exist and should be assessed first before one us put on the schedule. They include excessive blood loss, infections and spinal instability in the long term.

The herniation of a disc causes considerable discomfort. If diagnosed early, interventions can be undertaken and the quality of life restored. The doctor and the patient should consider the advantages and disadvantages of the available options as they look for what is most appropriate.




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