Manage Back Pain

Herniated Lumbar Discs.

The best approach to treatment and back pain relief

Herniated lumbar discs are a common complaint in my daily work as a chartered physiotherapist.


Now, let's have a look at this condition in more detail: A herniated disc is a term used to describe a disc which is either oozing or deviated away from its correct position. A disc is like a jam doughnut. It has a crispy outer shell and a soft jam like centre. The disc functions as a cushion between each of the bony vertebrae of your back. It needs to be in its correct position to function effectively.


The makeup of a disc changes with age, as the water content of the disc lessons. When the water content of the disc lessons so does the mobility of the disc get less. This reduces the possibility of herniating your lumbar discs as you get older! As a result of this, disc herniations are most common in people under the age of 45.

A disc herniation may involve the jam in the centre of your disc oozing out to one side or the other. Alternatively, it can involve the outer shell of the disc cracking or moving out of shape in some way.



Herniated Lumber DiscsIn both these situations you may experience back pain alone - if no nerve is being impinged by the disc, or you may have sciatica type pain and symptoms - if a nerve is compressed by the disc.


The most common area in your spine for herniation of a disc is in the lumbar spine. It is most common at the level of L5/S1, which is low down in your lumbar spine. Herniated discs can occur at other levels also, but less frequently in my practice.


MRI scans are frequently used to diagnose lower back pain. Although most people will have some disc changes on MRI scanning, it is not significant unless your symptoms correlate with the findings. Seek a chartered physiotherapist’s advice before surgery.



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The information on this web site does not replace specific medical advice. It should only be used to complement advice from your doctor. Always seek in-person advice from a doctor or other qualified health provider for your particular condition.