A herniated disc is a common cause of low back pain. This type of injury occurs mostly in people between 30 and 50 years of age. However, it is two times as likely to occur in men versus women.[i] Some herniated discs do not cause any symptoms. But, many cause pain and limitation in function.
Herniated disc pain is often burning or stinging and can radiate into the legs. If left untreated, this type of back injury can lead to pain, loss of function and mobility. In the article we will look at the symptoms and management for herniated discs.
What is a Herniated Disc?
A herniated disc refers to the condition where the disc ruptures. The soft substance in the middle of the disc pushes out through the tear. A herniated disc can occur in any part of the spine.
Herniated Disc Symptoms
A herniated disc can irritate nearby nerves. This may cause dysfunction, pain, weakness, numbness or tingling. It may cause radiating issues down the back of the leg. In some cases, it can influence a person’s bowel and bladder control.[ii]
A herniated disc may be problematic for some people. However, imaging studies show herniated discs in healthy, non-symptomatic people.[iii] It is important to assess the function and abilities of the person with a herniated disc.
Main Functions of Intervertebral Discs
When functioning well, these discs help to guide movement, absorb forces, and offer stability throughout our spine.
As we age, our discs become thinner. As a result, the surrounding ring that contains the soft substance becomes weaker. This may change the shape or congruence of the discs. In addition, it can lead to herniated discs or disc malformations.
Many studies have shown aging is a risk factor for a herniated disc.[iv] One study showed the incidence of lumbar disc herniation decreased after 80. Therefore, it is plausible that naturally occurring changes of the disc begin to slow down.
Management for Disc Bulge
Physiotherapy and exercise prescription can manage herniated disc symptoms. However, surgery is an option in cases where a conservative approach does not work.
Exercise prescription and physiotherapy can decrease herniated disc pain. It is possible to improve functional ability without surgical intervention.[v] Studies show this approach is more effective than rest and medication alone. This was true of people living with disc herniation when treatment programs were tailored to the person’s abilities and recovery stage, and guided by an experienced professional.[vi]
In short, surgery is not the only option to improving spine or disc health. There should be a broader discussion around prognosis, goals, cost and benefits to any herniated disc treatment.
Herniated Disc Treatment
No matter your age, you can live your life to the fullest. Maintaining your spine health and hygiene are key. Although natural changes occur to our bodies as we get older. Your approach those changes is what matters the most.
Not all herniated discs will respond to the same treatment plan. Therefore, we look at the full picture of your injury during your assessment. In addition, your past medical history is also taken into account. This allows us to prescribe appropriate exercises and timing for your custom treatment plan.
If you are experiencing a herniated disc, contact us to set up a phone consultation. You’re never too old or too young to begin a healthy relationship with your spine!
References
[i] Jordan J, Konstantinou K, O’Dowd J. Herniated lumbar disc. BMJ Clin Evid. 2009;2009:1118. Published 2009 Mar 26.
[ii] Ma D, Liang Y, Wang D, et al. Trend of the incidence of lumbar disc herniation: decreasing with aging in the elderly. Clin Interv Aging. 2013;8:1047-1050. doi:10.2147/CIA.S49698
[iii] Disc Herniation. StatPearls [Internet]. 2020 Apr 22.Available: (accessed September 20, 2021)
[iv] Ma D, Liang Y, Wang D, et al. Trend of the incidence of lumbar disc herniation: decreasing with aging in the elderly. Clin Interv Aging. 2013;8:1047-1050. doi:10.2147/CIA.S49698
[v] Singh V, Malik M, Kaur J, Kulandaivelan S, Punia S. A systematic review and meta-analysis on the efficacy of physiotherapy intervention in management of lumbar prolapsed intervertebral disc. Int J Health Sci (Qassim). 2021;15(2):49-57.
[vi] Disc Herniation. StatPearls [Internet]. 2020 Apr 22.Available: (accessed September 20, 2021)
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