Lumbar disc herniation or lumbar disc herniation is a very common problem that sometimes affects some people.. This problem has several reasons for which only one specific reason cannot be considered.. Disc herniation is one of the causes of back pain and it occurs when the soft inner part of the intervertebral disc protrudes from its place and puts pressure on the surrounding nerves. This problem can lead to numbness or weakness of the surrounding nerves. disc or disc It is protruding.... This condition can cause a lot of pain and affect a person's daily life.... What is a lumbar disc and how is it created?. It protects it... muscle weakness... It can occur in any part of the spine.... Sometimes some people do not feel any symptoms of lumbar disc herniation and therefore do not notice this disease. Disk structure The disc is placed as a cushion between the two vertebrae of the spine and absorbs the pressures on the spine, in fact, the function of the cushions is like a shock absorber, which leads to neutralizing the blows to the spine... Over time due to the pressure applied to the disc, its shape changes and it does not function as it should. When they are not under pressure, they have a spherical appearance, and when pressure is applied, they take on an egg shape.... The elasticity of the intervertebral disc depends on the amount of water in the central part and the health of the fibrous ring... Usually sudden movements to lift heavy objects cause damage to this part and finally disc herniation. Related content: Black Disc What are the symptoms of lumbar disc herniation? The signs and symptoms of this disease depend on the location of the disc and the amount of pressure on the disc.. Usually one side of the body is damaged: - Pain in the leg or arm (depending on the location of the disc) Numbness and tingling in the affected nerve - Muscle weakness - Intensification of pain when sneezing, coughing or sitting for a long time The mentioned symptoms may not be present in all people, even some people will not feel any symptoms despite having a lumbar disc. When your neck pain or back pain spreads downward, or you feel symptoms such as numbness, tingling, and weakness, you should definitely see a pain specialist to be treated. How is lumbar disc pain? Disc pain is usually felt as a deep, shooting, or burning pain in the lower back that can radiate to the buttock, thigh, back of the leg, or even the sole of the foot. The pain is often worse on one side of the body and may worsen with prolonged sitting, lifting, or even sneezing and coughing. Sometimes weakness, leg weakness is accompanied by more numbness. Temporarily improves found.. but without proper treatment by a pain specialist, it becomes chronic or more severe.... What factors lead to lumbar disc herniation?.. Disc herniation is often caused by wear and tear.. Wear and tear occurs gradually with age.. With age, the body becomes less flexible, even a slight stretch or twist may lead to a disc rupture. In general, it is not possible to determine the exact cause of such a problem.... sometimes using back muscles instead of leg and thigh muscles to lift heavy objects leads to this problem.... Rarely, events such as a back injury lead to such problems. Related content: stretching back muscles Risk factors in the development of lumbar disc Some factors increase the likelihood of a disc, which we mention below: ### Body weight Overweight or obesity causes pressure on the lumbar disc. ### Job Some people work in jobs that put a lot of pressure on the disc, lifting heavy objects, pushing, bending to the side, and twisting that happens frequently increases the risk of developing a herniated disc. ### Genetics Some people have lumbar discs genetically and therefore other family members are at risk of developing this disease. ### Smoking Smoking reduces the supply of oxygen to the disc and leads to damage in this part of the body. **Luminous disc and pregnancy** Usually, women experience various symptoms during pregnancy such as morning sickness, frequent headaches and other various problems during this period. When pregnancy reaches the fifth to seventh month, back pain may also be felt during this period. According to studies, pregnancy-related back pain may occur in 80% of women. However, the possibility of developing a lumbar disc during pregnancy is rare and is possible in only 1% of pregnancies. If you have a disc before pregnancy, you should first treat this problem and then try to get pregnant... because pregnancy itself puts pressure on the back, and if you already have this problem, the back pain will double. The best treatment method recommended by pain specialists today is non-surgical back pain treatment which is done with non-invasive methods and is much better than the open method. Complications caused by disc In rare cases, a herniated disc can lead to more serious problems: - Unbearable pain Urinary or fecal incontinence - Severe numbness around the pelvis and legs In this situation, it is necessary to see a doctor immediately.... When should we see a doctor?... - Spreading pain to the leg or arm Numbness or weakness in the limbs Urinary or fecal incontinence - Inability to perform daily activities Diagnosis of lumbar disc herniation To make a diagnosis, the doctor first performs a physical examination and checks the patient's records. If further investigation is needed, the following methods are used: - X-ray: to rule out other causes of back pain... - MRI: detailed imaging of the disc and nerves... - CT scan: detailed examination of the structure of the spine... - Myelogram: use of dye to observe the pressure on the spinal cord... - Electromyography and nerve conduction test: to examine the function of nerves and muscles... treatment of the lumbar disc To treat this disease, the doctor considers simple non-invasive methods as the first line of treatment for patients....we will mention each of the solutions below: - Relative rest - Physiotherapy and corrective exercises - Anti-inflammatory and muscle relaxant drugs - Epidural or discogel injection - Laser disc (outpatient treatment without anesthesia) The tasks that are done professionally in the pain clinic are as follows: - Laser disc: by creating a small hole without cutting, the protruding part of the disc is vaporized.. - Epidural injection: reduction of inflammation and pain for the ability to participate in rehabilitation exercises... - Discogel injection: one of the new and effective methods to reduce pressure on the nerve... If any of the mentioned things do not work for the patient, they will finally consider the operation, but not an open operation... general. We have had countless satisfactions with non-surgical methods... One of the patients says this about his experience: I had back pain for about two or three years... Within six months, the pain had become so severe that my right leg was numb and I could not walk and do my daily tasks... Now I can do all my personal tasks easily... But I have restrictions for three to four months, such as refraining from lifting heavy objects until complete recovery... Finally, I thank Dr. Delshad for They relieved my pain... laser disc without surgery for treatment For laser disc, the doctor injects the patient with local anesthesia and sedative pain, and there is no need to cut during the operation.... Usually, the process of this treatment takes about 15 minutes, and the patient can move after a short time and go to work the next day. A needle is inserted into the damaged disc with the help of X-rays....by placing the laser probe through the needle, the laser tip is placed in the soft part.... The laser probe injects energy into the disc and a small part of the protruding disc is vaporized, thus reducing the pressure on the nerves and spinal cord... Epidural injection for pain relief Epidural injection as a steroid medication sometimes leads to pain relief.... The purpose of epidural steroid injection is only to relieve pain so that the patient has the ability to participate in rehabilitation... The recovery period is different for each person, usually patients experience temporary pain relief with this method. Lumbar disc rupture treatment without surgery It is quite possible to treat a lumbar disc rupture without surgery, especially if the rupture is mild or moderate. This pain specialist explained: In the early days, relative rest is very important to reduce inflammation and pressure on the disc to treat back pain without surgery.... Of course, this does not mean complete immobility of the patient... Rather, the goal is to reduce the activities that aggravate the pain.... At first, the patient had to refrain from doing intense activities... but after a few days, he felt more comfortable... ### Physiotherapy and corrective exercises The doctor explained that physical therapy exercises help strengthen the back and abdominal muscles and can reduce the pressure on the disc. These exercises also improve the flexibility and proper movement of the spine. If the back pain is very severe, the doctor may suggest injecting anti-inflammatory drugs at the site of the ruptured disc. These injections can help reduce inflammation and pain and you no longer need surgery. Teaching the correct methods of sitting, standing and sleeping is of particular importance.... ### Anti-inflammatory drugs and painkillers In some cases, anti-inflammatory drugs can be useful to reduce pain and inflammation... It was suggested to the patient to use these drugs in case of exacerbation of pain... but at the same time, be careful that their long-term use does not cause complications. Solutions for treatment In addition to the painkillers recommended by your doctor, you can also consider these tips for home relief: - Alternate use of hot and cold compresses Avoiding too much rest - Slow walking and controlled movements - Correcting how to sit and stand Avoid lifting heavy objects the wrong way Solutions to prevent disk reversion To help prevent a herniated disc, you should pay attention to these points: - Strengthen your back and abdominal muscles by exercising.... - Keep your weight in a normal range.... - Follow the correct posture of sitting, standing and lifting objects.... - Avoid smoking.... **Does lumbar disc heal?** As we said, the first line of treatment that is considered for patients includes rest, painkillers, physiotherapy, injections, etc.. It is for recovery and most people will eventually recover after 6 weeks. If your symptoms persist, you should see a pain specialist so that non-surgical procedures, including laser disc, can permanently resolve your problem.