The disc that bulged
A 'disc' refers to a spinal disc. It is basically acushion, located between the two jointed vertebrae. Vertebrae arecylindrical bones, slightly resembling a can that grew horns, whichform a spine. these are connected by powerful ligaments and theircomplex jointing system, together with the spinal discs, allows forthe great flexibility of the spine.
In normal circumstances, the discand the vertebrae that it separates are aligned. however, the discmay come out of its place. This can happen when the disc looses itsshape. the disc is built from the elastic outer mantle and the innergelatinous core. Wear and tear that happens with time cause damage tothe wall of the outer mantle, and make it permeable. Thus, the waterin the gelatinous inner core may escape through the wall. This makesthe disc to loose its elasticity and shape, and such a disc can slipout of its position. Of course, the disc will not fall out, a bulgingdisc is rarely more than three millimeters out of its place. But, thatis enough to cause a problem.
Bulging or prolapsed disc should not be confused withdisc herniations, where the tear in the outer mantle allows thegelatinous mass from the disc core to ooze out.
Diagnosis and treatment
A physical test and medical history check are carriedout first. After that, tests such as CT, MRI Scan, or X ray are doneto determine how bad the bulging is. Possible treatment optionsdepend on the severity of the condition. surgery is rarely used andgeneral guidelines are rest and avoidance of pain - triggeringactivities. It should be noted that too much rest actually worsensthe condition.
Acute pain and inflammation related to the bulgingdisc are treated with medications, that is painkillers, antiinflammatory drugs, muscle relaxants, and, eventually, injections ofcortisone, distributed in the spinal canal if spinal nerves areirritated. The problem with these is that they address the symptoms, notthe cause, and that the pain will be back the moment when the effectof the medication wears off. In any case, a doctor's advice is requiredbefore any medication therapy is to be taken.
Physical therapy and chiropractic care are a goodsolution when combined. The focus of the physical therapy is on exercisesthat help to stretch and strengthen the region of the herniated disc.these are mixed with ice and heat therapies, while traction andspinal manipulation, if executed by a skilled chiropractor, areregarded as excellent alternative medicine methods for treating a abulging disc. This kind of therapy offers relief from the most severeacute pain and is a good temporary solution.
Surgery is used only if all else fails. It is a veryserious procedure associated with numerous risks and should not betaken lightly, and there is a fairly low success rate.