A herniated disc can be painful and disruptive, making everyday activities feel impossible. But does it always require surgery?
In many cases, your local physical therapist can provide relief and help you regain function without the need for an invasive procedure.
Call 913-914-7174 or book an appointment online to learn more.
Understanding a Herniated Disc
A herniated disc, also known as a slipped or ruptured disc, occurs when the soft inner portion of a spinal disc pushes through its outer layer. This can irritate nearby nerves, leading to pain, numbness, tingling, or weakness in the back, neck, arms, or legs.
Common Causes of a Herniated Disc
Several factors contribute to the development of a herniated disc, including:
- Repetitive movements or poor posture: Prolonged sitting or incorrect lifting can strain the spine.
- Sudden injuries: Heavy lifting, sudden twisting motions, or traumatic events such as falls or car accidents can lead to disc herniation.
- Age-related degeneration: Over time, spinal discs lose water content and become less flexible, increasing their susceptibility to injury.
- Genetics: Some individuals have a genetic predisposition to disc degeneration, increasing their risk of developing herniations.
- Obesity: Excess weight adds additional stress to the spine, increasing the risk of disc damage.
- Sedentary lifestyle: Weak muscles from lack of physical activity can contribute to poor spinal support and disc problems.
Symptoms of a Herniated Disc
The symptoms of a herniated disc vary based on the location and severity of the herniation:
- Lumbar (lower back) herniations:
- Pain that radiates down the leg (sciatica)
- Numbness, tingling, or weakness in the leg or foot
- Increased pain with sitting, bending, or lifting
- Cervical (neck) herniations:
- Pain in the neck, shoulders, or arms
- Tingling or numbness in the fingers
- Weakness in the arms or hands
- Thoracic (mid-back) herniations:
- Less common, but may cause pain around the ribcage or upper back
The severity of symptoms depends on the extent to which the herniation affects adjacent nerves. While some individuals experience minimal discomfort, others may struggle with significant pain and mobility limitations.
When Is Surgery Necessary?
Surgery is typically considered only when conservative treatments, like physical therapy, fail to provide relief after several months. It may be necessary if:
- Pain is severe and persistent, limiting daily activities
- Weakness or numbness worsens, affecting mobility
- Loss of bladder or bowel control occurs (a rare emergency called cauda equina syndrome)
However, research shows that most people with herniated discs improve without surgery. A study published in Spine found that 90% of patients experienced significant improvement within six weeks of conservative treatment.
How Physical Therapy Can Help
Physical therapy plays a crucial role in managing herniated disc symptoms and preventing future issues. A customized treatment plan may include:
1. Targeted Exercises for Strength and Flexibility
Strengthening the core and back muscles helps support the spine and reduce pressure on the affected disc. Gentle stretching exercises improve flexibility, promote better posture, and reduce strain.
2. Manual Therapy for Pain Relief
Hands-on techniques such as joint mobilizations and instrument-assisted soft tissue mobilization (IASTM) can alleviate muscle tension, improve circulation, and enhance mobility.
3. NEUBIE Therapy for Faster Recovery
NEUBIE Therapy uses electrical stimulation to retrain muscles and improve neuromuscular function. This advanced approach accelerates healing and reduces pain.
4. Dry Needling for Muscle Relaxation
Dry needling targets trigger points in tight muscles, providing relief from spasms and nerve irritation associated with herniated discs.
5. Postural Education and Movement Training
Improper posture and movement patterns can contribute to disc issues. A physical therapist will guide you in making adjustments to daily activities, reducing strain on your spine and preventing reinjury.
Benefits of Choosing Physical Therapy First
Opting for physical therapy before considering surgery has multiple advantages:
- Non-invasive: Avoids the risks and recovery time associated with surgery
- Pain relief without medication: Reduces reliance on painkillers and anti-inflammatory drugs
- Improved mobility: Helps restore movement and function naturally
- Long-term prevention: Strengthens muscles to prevent future injuries
Ready for Precision in Motion? Relief Starts Here.
If you’re struggling with a herniated disc, physical therapy can be a highly effective solution. Our team of physical therapists specializes in precise, customized care to help you regain mobility and reduce pain.
Call us at 913-914-7174 or book an appointment online to start your recovery today.





