Slipped DISC / PIVD

Slipped Disc (PIVD) and Sciatica

A slipped disc, also known as a herniated disc or Prolapsed Intervertebral Disc (PIVD), is a common spinal condition that can lead to intense pain, especially when it affects the nearby nerves. This condition frequently causes sciatica, which is characterized by back pain radiating down the leg due to nerve compression. This condition is one of the most common causes of back pain and leg pain. Slipped disc happens when the gel-like center of a spinal disc protrudes through its tough outer layer, pressing on nearby nerves.

At Mitigate Pain Clinic, we offer innovative interventional treatments to relieve pain and promote healing, providing long-term relief without the need for invasive surgery.

What is a Slipped Disc or PIVD?

A slipped disc occurs when one of the discs between the vertebrae in your spine is pushed out of its normal position. These discs act as cushions for the spine, providing flexibility and absorbing shock. When a disc herniates or slips, it can put pressure on nearby nerves, causing pain and discomfort.

What is Sciatica?

Sciatica refers to the pain that radiates along the path of the sciatic nerve, which runs from the lower back down through the hips, buttocks, and legs. Sciatic pain usually occurs when a slipped disc presses on the nerve roots in the lumbar spine. This pain can vary in intensity, from a mild ache to sharp, burning sensations that worsen with standing, walking and sometimes even sitting.

Causes of Slipped Disc and Sciatica

A variety of factors can contribute to the development of a slipped disc and subsequent sciatica:

1. Age-Related Degeneration

As we age, the spinal discs lose their flexibility and hydration, becoming more prone to damage. This natural wear and tear makes discs more susceptible to herniation.

2. Injury and Trauma

Sudden trauma or injuries, such as falls, car accidents, or sports injuries, can cause a disc to slip or rupture. Even minor movements, like bending or twisting improperly, can lead to a slipped disc, particularly in individuals with pre-existing degeneration.

3. Poor Posture

Prolonged poor posture, especially when sitting or standing for long periods, can put excessive pressure on the spinal discs. Slouching or bending incorrectly while lifting can increase the risk of disc herniation.

4. Heavy Lifting or Repetitive Movements

Lifting heavy objects incorrectly or engaging in repetitive twisting or bending motions can place undue stress on the lower back, leading to a slipped disc and sciatica. This is particularly common in physically demanding occupations and sports.

Symptoms of Slipped Disc and Sciatica

The symptoms of a slipped disc and sciatica can vary depending on the severity and location of the herniation. Common symptoms include:

1. Lower Back Pain

Pain in the lower back is a common symptom of a slipped disc. The pain may be sharp, burning, or dull and achy, and it often worsens with certain movements or prolonged sitting.

2. Radiating Leg Pain (Sciatica)

Sciatica causes pain that radiates from the lower back down through the buttock and into the leg. The pain may extend to the thigh, calf, and the foot. Sciatic pain is often described as tingling, numbness, crawling of ants or sharp-shooting pain or electric-like. Sciatica pain often worsen with physical activity such as standing and walking.

3. Numbness and Tingling

Pressure on the spinal nerves can lead to numbness or tingling in the leg or foot. This sensation may be continuous or intermittent, depending on the severity of the compression.

4. Muscle Weakness

In some cases, the affected leg may feel weak, making it difficult to walk, stand, or lift objects. Severe muscle weakness may indicate nerve damage and should be evaluated by a specialist promptly.

Non-Surgical Treatment Options for Slipped Disc and Sciatica

At Mitigate Pain Clinic, we offer a range of non-surgical treatments designed to alleviate pain and restore function for patients suffering from slipped discs and sciatica.

1. Physical Therapy

Physical therapy is often the first step in treating a slipped disc. A trained therapist can help strengthen the muscles around the spine, improve flexibility, and alleviate pressure on the affected nerves. Specific exercises can also improve posture and prevent further injury.

2. Medications

Medications like simple pain relieving medications to muscle relaxants and co-analgesics are prescribed for the treatment of slipped disc and sciatica.

3. Interventional Pain Treatments

Mitigate Pain Clinic specializes in interventional treatments that target the root cause of pain. These minimally invasive procedures are designed to provide long-term relief for patients with slipped discs and sciatica.

Interventional Pain Management at Mitigate Pain Clinic

We offer a range of advanced interventional treatments that effectively address the pain caused by slipped discs and sciatica, helping patients avoid surgery.

1. Epidural Neuroplasty

Epidural neuroplasty is a minimally invasive interventional treatment used to manage pain associated with slipped discs and sciatica. It involves the injection of a mixture of medication and a contrast dye into the epidural space, targeting inflamed nerve roots and reducing pain. The procedure aims to alleviate pressure on the nerves, decrease inflammation, and improve the range of motion. Epidural neuroplasty is particularly effective for patients who have not responded well to conservative treatments, offering significant pain relief and improved function.

2. Ozone Nucleolysis

Ozone nucleolysis is a cutting-edge, minimally invasive procedure that uses medical-grade ozone gas to shrink the herniated disc. The ozone is injected into the disc to reduce its size and alleviate pressure on the nearby nerves, offering significant pain relief. This procedure is a safe, effective alternative to surgery for many patients suffering from a slipped disc.

3. Nerve Blocks

Nerve blocks are injections of medication near the nerves that are causing pain. These blocks provide pain relief, making it easier for patients to participate in rehabilitation exercises.

4.Pulsed Radiofrequency (PRF)

PRF uses heat to target and destroy specific nerves responsible for transmitting pain signals. This minimally invasive procedure offers long-lasting relief for patients with chronic back pain and sciatica.

5. Spinal Cord Stimulation (SCS)

Spinal Cord Stimulation involves implanting a small device that sends electrical impulses to the spinal cord, blocking pain signals from reaching the brain. This treatment is particularly effective for patients with chronic sciatica that has not responded to other treatments.

Prevention of Slipped Disc and Sciatica

Preventing slipped discs and sciatica involves making lifestyle adjustments to reduce strain on the spine:

Posture Correction: Maintain proper posture while sitting, standing, and lifting to avoid putting stress on your back.
Ergonomics: Ensure your workstation is ergonomically designed to promote good posture and reduce repetitive strain.
Core Strengthening Exercises: Strengthen the muscles in your abdomen and lower back to support your spine.
Avoid Heavy Lifting: Use proper techniques when lifting objects, and avoid lifting heavy items whenever possible.

When to See a Specialist

You should consult a specialist at Mitigate Pain Clinic if you experience:

Persistent or worsening back pain
Radiating pain down your leg (sciatica)
Numbness, tingling, or weakness in your leg or foot

Conclusion

Slipped discs and sciatica can cause significant pain and discomfort, but with the right treatment, relief is possible. At Mitigate Pain Clinic, we offer a range of interventional treatments designed to address the root cause of your pain, helping you regain mobility and improve your quality of life without the need for surgery.

FAQ: Slipped Disc (PIVD) and Its Interventional Non-Surgical Treatment

A slipped disc, also known as Prolapsed Intervertebral Disc (PIVD), occurs when a disc in the spine bulges out of its normal position, often pressing on nearby nerves. This can lead to symptoms like back pain, leg pain, numbness, and tingling sensations.

Slipped discs are commonly caused by age-related wear and tear, injury, repetitive strain, or poor posture. Heavy lifting, sudden movements, and prolonged sitting can also increase the risk of developing a slipped disc.

Common symptoms of a slipped disc include back pain, radiating pain in the legs (sciatica), numbness, tingling, muscle weakness, and loss of reflexes. These symptoms can vary depending on the location and severity of the disc bulge.

A slipped disc is diagnosed through a thorough medical history, physical examination, and diagnostic imaging such as MRI. These tests help determine the extent of the disc bulge and the involvement of surrounding nerves.

Non-surgical treatments for slipped discs include a range of minimally invasive interventional procedures aimed at relieving pain and promoting healing without the need for surgery. These treatments include epidural neuroplasty, nerve root blocks, ozone nucleolysis, PRF and spinal cord stimulator, which target inflammation and provide pain relief.

Ozone nucleolysis is a minimally invasive procedure that involves injecting medical ozone gas into the affected intervertebral disc. The ozone helps shrink the disc by breaking down its gel-like center, reducing pressure on the surrounding nerves and alleviating pain. It is an effective option for managing pain caused by slipped discs and sciatica without the need for surgery.

Epidural neuroplasty is a minimally invasive procedure that involves injecting medication and contrast dye into the epidural space to reduce inflammation, relieve pressure on nerves, and improve spinal function. This treatment is effective for managing pain caused by slipped discs and sciatica.

Yes, interventional treatments are generally safe when performed by trained specialists. These procedures are minimally invasive, with a low risk of complications. Your doctor will assess your condition to determine the best treatment option for you.

Recovery time after interventional treatments varies from person to person. Many patients experience significant pain relief within a few days to weeks. Full recovery can take several weeks, and patients are encouraged to follow a rehabilitation plan to strengthen the spine and prevent future injury.

In many cases, interventional treatments for slipped discs provide effective relief, reducing or even eliminating the need for surgery. However, the decision depends on the severity of the condition and how the patient responds to conservative treatments.