Home > Blog > Spine Physiotherapy > Slipped And Herniated Disc In The Back And Neck
Slipped And Herniated Disc In The Back And Neck
A herniated disc is known also ask disc buldge, compressed disc, herniated intervertebral disc, herniated nucleus pulposus, prolapsed disc, ruptured disc and the most inaccurate term of all, slipped disc. Interestingly, slipped/herniated discs is one of the more well-known spine conditions yet few truly knows what it really means - let's study that today.
Structure of a disc
A spinal or inter-vertabral (IV) disc sits between two spinal vertebrae and acts mainly as a shock-absorbing cushion to relief pressure off the spine joints and bones.
people imagine the disc as a rubber disc with a soft jelly-like centre, something like a jellied donut but actually it's more accurate to imagine a ball of
jelly that's encased with hundreds of very thin but very strong layers of fibre sheets. This fibre sheets is outside and is known as annulus fibrosus, and it covers/surrounds the inner ball of jelly, nucleus pulposus.
How our spine disc works
The disc sits in the center of two spine bones, and it's pretty much semi-firm. When there are forces applied to the bones, it will transmit the same forces to the disc, so
- if the force is one side, then that side, the disc will be compressed and the disc will be "squeezed" forwards
- if the force is equal, then force on the disc is spread out equally on all sides
The challenge happens when/if force occurs on one side for an extended period of time, the disc may risk becoming permanently stretched on one end, and even when it's "released" is may not return back to default position/size. The more often/longer one stretches the disc, the longer and looser it gets over time.
Stages of disc herniation
The spine discs doesn't burst "all of a sudden" unless
it is crushed/squeezed extremely hard (like in accidents). More often than not, our disc damage is more often due to getting stretched gradually over
time - a gradual process happening over each fibre at a time.
This stage is considered early stage, where the spine disc is stretched/elongated but isn't able to return back to normal shape even when pressure/force is relieved - retaining slight bulge/elongation. Here, some of the disc fibres may be damaged or torn and the soft jelly may be spilling out into the disc fibers but not out of the disc.
If/when this happens, one can see on imaging that the bulge is very obvious/prominent and that the soft jelly center has spilled out to the insider of the outer fibres.
disc full Herniation
In the case of a herniated
spinal disc, the soft jelly inside has completely spilled out of the disc and
now protruding out of the disc fibres.
Sequestration refers to the inner jelly material breaking out and leaking from the disc into outer, surrounding areas.
Can disc injuries heal?
A damaged disc cannot heal. It's got to do with not having direct blood supply (that carries nutrient rich blood), being of a cellular nature that doesn't/can't regenerate.
This means that once the disc fibres are stretched or damaged...it's not possible to revert back to normal.
will there be pain??
There are a couple of nerve endings in the spinal discs, and they're generally at the edge of the disc, this means that usually there's little-to-no pain experienced from:
- degenerative discs
- bulging discs
- herniated discs
Most of the time, any pain experienced from a herniated disc is moreso caused by the disc itself or the soft inner jelly core pressing into/onto nearby structures which contain more nerve endings. This means that you may have herniated disc but yet don't experience any pain if the herniated disc doesn't press against any nerves or structures.
If you have back pain or suspect slipped/herniated disc, do not hesitate to contact us and we will assist to advise and treat you as soon as possible.
Back to Top
book an appointment today
(or check your pains / injuries)
Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
See all the conditions our principal physiotherapists treat.
HAND THERAPY & CUSTOMIZED SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
- manage and decrease hand pains
- improve range of motion, strength and dexterity
- increase the function of their hand
following injuries or post-operations
Commonly treated hand pain injuries includes
REFORMER CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
- Cupping TCM
- Auricular Therapy TCM
- Herbal TCM Medicine & Supplementation
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required.
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence.
Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
do Tell Your Family, Friends And Colleagues About Us =)
We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.
We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.
book an appointment today
(or check your pains / injuries)
Nov 28, 21 12:08 AM
Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore
Nov 17, 21 12:30 AM
Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb.
Nov 16, 21 11:27 PM
Tendon injuries are extremely common and chances are that most people will experience one at some point in their life
Nov 10, 21 01:15 AM
Children, like adults, too can develop or suffer from tendon injuries. Good news is that our senior physiotherapists can treat most of these tendon injuries
Jul 08, 21 09:56 AM
Phoenix Rehab has a YouTube channel with videos - take a look, like, comment and share =)
Jun 07, 21 02:58 AM
treats a range of orthopaedic and musculoskeletal disorders and injuries, not just for athletes, but also for any person who wants to return to physical activity as quickly and safely as possible.
Jun 07, 21 01:42 AM
TCM’s approach to treating diseases takes into account your body constitution and targets the root cause to address your symptoms. It aims to help you regain internal balance and strengthen your body…
Jun 07, 21 01:37 AM
Gua Sha (pronounced as "gua sha,") is a Chinese/East Asian healing technique. To "Gua" means "to scrape or to rub".
Jun 07, 21 01:13 AM
Phoenix Rehab TCM Division was created to provide TCM acupuncture, guasha, cupping, auricular therapy and herbal medicine.
Jun 01, 21 03:21 AM
Traditional Chinese medicine is a broad range of medicine practices sharing common concepts which have been developed in China and are based on a tradition of more than 2,000 years