What’s the Difference Between a Bulging Disc and a Herniated Disc? – Part one of two

Continuing from our article in the January issue, this article covers the remaining differences.
What is a herniated disc?
Also sometimes referred to as a “ruptured disc” or “slipped disc”, a herniated disc occurs when the fibrous outer layer becomes cracked or torn and the protein-based fluid inside the disc begins to leak into the area around the spinal nerves.  This fluid causes pressure on the nerves of the spine, causing chronic pain as well as pain that radiates into the extremities (Cervical Radiculopathy or Sciatic Pain).
Some of those with herniated discs may never experience any symptoms while others will experience severe and chronic pain.  The severity of symptoms usually depends on the location of the disc herniation as well as the size of the herniation.
When should I consult a spine specialist?
If you are experiencing persistent pain in the cervical or lumbar spine, or pain/numbness that radiates into the extremities, it is important to consult a spine specialist as this is a sign of spinal nerve irritation.  The spine specialist will create a treatment protocol based on the severity of symptoms as well as each patient’s lifestyle and goals.
It is important to note that once a disc has become bulged or herniated, it is not possible for the disc to assume its original shape.  However, conservative modalities (physical therapy) can strengthen the muscle structures near the affected disc and reduce or alleviate the symptoms altogether.
For those who have not seen results from conservative modalities, a spinal procedure may be an option to relieve the pain.  One procedure specifically, a Minimally Invasive Discectomy, has been proven to be an effective option for disc herniations.  This procedure uses a small incision (usually about 1 inch) as well as small surgical tools to remove only the herniated portions of the spinal disc.  The removal of the herniated portion of the disc allows for the decompression of the affected spinal nerve, which in turn relieves symptoms.
Dr. Anthony Virella is a Board-Certified, Fellowship trained Neurological Spine Surgeon with advanced training in the management of complex spinal disorders. He attended medical school at Columbia University College of Physicians and Surgeons and is a graduate of the UCLA Neurosurgery Residency Program. Dr. Virella completed his complex spine in-folding resident fellowship at the world renowned Cleveland Clinic Foundation with Dr. Edward C. Benzel, M.D. Additional work included a second fellowship in Minimally Invasive Spine Surgery at the UCLA Comprehensive Spine Center.
Dr. Virella is a nationally recognized specialist in the field of complex and Minimally Invasive Spine Surgery and has offices located in Westlake Village and Valencia.
If you, or someone you love, is suffering from persistent neck or back pain, call us at 805-449-0088 to schedule an appointment.