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A herniated disc—also
called a slipped or ruptured disc—happens when the gel like center of an
intervertebral disc pushes through a tear in its tough outer layer and
presses on adjacent nerves or the spinal cord. It most commonly affects
the lower back (lumbar spine) and neck (cervical spine), where movement
and load bearing are greatest. Causes include age-related disc degeneration,
sudden strain, heavy lifting with improper technique, repetitive
bending, or trauma.
Symptoms range from mild to
severe and depend on the location and size of the herniation. Many people
experience local back or neck pain, radiating pain down the arm or leg
(such as sciatica), numbness, tingling, or muscle weakness. In rare but serious
cases, a herniated disc can compress nerves that control bowel or
bladder function, requiring urgent medical care.
Diagnosis usually combines a
physical exam with imaging such as MRI or CT to confirm nerve root
involvement. Treatment typically begins with conservative measures—rest,
pain relievers, anti inflammatory drugs, activity modification, and physiotherapy—aimed
at reducing inflammation and improving strength and posture. Most
patients improve within weeks to months without surgery. If symptoms
persist or nerve related weakness progresses, procedures such as microdiscectomy
or other minimally invasive surgeries may be considered.