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Can a slipped disc reabsorb non-surgically?

30 December 2024

Amir Ayad, Osteopath

Options for managing a painful herniated disc vary from therapy to surgery

A slipped disc, also known as a herniated or prolapsed disc, occurs when the soft, gel-like center of a spinal disc protrudes through a tear in the tougher exterior. This condition can cause pain, numbness, and weakness, often in the lower back or neck, depending on the location of the herniation. Many people wonder if a slipped disc can resorb non-surgically, and the good news is that in many cases, it can. 

The body has an incredible capacity to heal itself, and this applies to herniated discs as well. Over time, the herniated portion of the disc can shrink and be reabsorbed by the body. This process can be aided by the body’s immune response, which works to clear away the extruded disc material. Additionally, the disc material can lose water content, causing it to shrink and reduce the pressure on surrounding nerves.

Non-surgical treatments are often the first line of defence for managing a slipped disc. These treatments aim to relieve pain and improve function while the body heals.

Some common non-surgical approaches include:

  1.  Physical Therapy: A structured physical therapy programme can strengthen the muscles around the spine, improve flexibility and reduce the load on the affected disc. Therapists may also teach patients proper body mechanics to avoid further injury.
  2. Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. In some cases, doctors may prescribe stronger medications or muscle relaxants.
  3. Epidural steroid injections: These injections can reduce inflammation and provide significant pain relief. They are often used when oral medications are insufficient.
  4.  Chiropractic and osteopathic care: Some patients find relief through adjustments, which can help improve spinal alignment and reduce pressure on the herniated disc.
  5. Rest and activity modification: Avoiding activities that exacerbate pain and incorporating rest periods can help manage symptoms. However, prolonged bed rest is not recommended, as it can lead to muscle weakening and reduced mobility.
  6. Lifestyle changes:  Adopting a healthy lifestyle can also support the healing process. Maintaining a healthy weight reduces stress on the spine. Regular low-impact exercise, such as walking or swimming, can improve overall fitness and spine health. Additionally, quitting smoking can enhance blood flow and oxygen delivery to spinal tissues, promoting healing.

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