Lumbar herniated disc treatment Clinical treatments: Most cases of lumbar ruptured intervertebral disc symptoms resolve on their own within six weeks, so patients advised to start with clinical treatments. However, this will vary with the character and severity of symptoms. Initial Pain Control for a Lumbar Herniated Disc When the first symptoms appear, controlling that pain is the most crucial step. Initial pain control options are likely to include: Ice application: Application of ice or a chilly pack could also be helpful to ease initial inflammation and muscle spasms related to a lumbar ruptured intervertebral disc. An ice massage can also be effective. Ice is best for the primary 48 hours after the pain has started. Pain medications: The doctor may recommend non-prescription non-steroidal anti-inflammatory medicines (NSAIDs) like ibuprofen or naproxen to treat pain and inflammation. Muscle relaxants: Muscle spasms may accompany a lumbar ruptured intervertebral disc, and these prescription medications may offer relief from the painful spasms. Heat therapy: Heating pads, a hot compress, and adhesive heat wraps are all effective options that can help relieve painful muscle cramp after the initial 48 hours. Moist heat, like a hot bath, could also be preferred. Heat and ice: Some people find alternating hot and cold packs provides maximum pain relief. Bed rest for severe pain is best limited to at least one or two days, as extended rest will cause stiffness and more pain. After that, simple activity and frequent movement—with proper rest breaks—is advised. Heavy weight lifting and strenuous exercise are not recommendable. Additional Therapies for Lumbar Herniated Discs that is helpful for longer-term pain relief: Physical therapy helps teach targeted stretching and exercises for rehabilitation. The program can also teach the patient safer ways to perform ordinary activities, like lifting and walking. Epidural injections of steroid medications offer pain relief in some cases. An epidural steroid injection provides enough pain relief for the patient to form progress with rehabilitation. The effects vary, and pain relief is temporary. Spinal manipulations performed by a chiropractor or osteopath can also ease pain and supply a far better healing environment. Acupuncture uses hair-thin needles inserted into the skin near the world of pain & its approval as a treatment for back pain. Cognitive behaviour therapy can help manage sciatica pain & people control and change self-defeating behaviours. A therapist can also be helpful in teaching techniques like mindful meditation and visualization to scale back pain. Massage therapy can relieve back pain as it increases blood circulation, relaxes muscles and releases the natural pain relievers called endorphins. If clinical treatments (generally four to six weeks) is not relieving pain from a herniated disc, lumbar decompression surgery may be an option. Surgery is on a recommendation if: • There is severe pain & the person is having difficulty performing daily functions, such as standing or walking. • The person is experiencing progressive neurological symptoms, such as worsening leg weakness or numbness. • There is a loss of bowel movement & the bladder doesn't function. • Medication, physical therapy or other clinical treatments have not significantly eased symptoms. In some cases, surgery is in need even before the patient has completed six weeks of nonsurgical care. Microdiscectomy Procedures for a Lumbar Herniated Disc: Two minimally invasive surgical procedures are: • Microdiscectomy • Endoscopic Microdiscectomy These procedures take the pressure off the nerve root and supply a far better healing environment for the disc. Usually, only the tiny portion of the disc pushing against the nerve root needs removing & the majority of the disc remains intact. Small incisions are involved in microdiscectomy. For endoscopic microdiscectomy surgery, instruments are inserted through a skinny tube or tubes to attenuate disruption to the encompassing tissue. A tiny camera can be inserted through a tubule to provide visualization for the surgeon. Both sorts of surgery involve with or without overnight stay within the hospital. Most patients can return to figure and their regular routines in one to 3 weeks. Success Rates for Lumbar Herniated Disc Surgery Surgery for a lumbar ruptured intervertebral disc features a high rate of success. The success rates are 84% of these having a microdiscectomy and nearly 80% for an endoscopic microdiscectomy. The treatment options for a lumbar ruptured intervertebral disc will largely depend upon the length of the time the patient has had symptoms and the severity of the pain. Specific symptoms (such as weakness or numbness) and the patient age may also be factors. Herniated Disc https://www.neurosurgerybangalore.com/herniated-disc/