Cornerstone Orthopedics & Sports Medicine, P.C.: Nonsurgical: Lumbar Disc Herniation
Injuries and Conditions : Back & Spine : Lumbar Disc Herniation : Treatment : Non-Surgical : Conservative Treatment of Lumbar Disc Herniation
 
Overview
Medication and Medical Products
Lumbar: Supports A bad back can often be the result of poor posture and positioning. A lumbosacral back support, when properly fitted and positioned, will help to maintain a proper, stable posture when sitting at a chair or driving in the car. Poor posture while sitting forces the spine out of its proper position and puts a significant strain on the muscles, tendons and ligaments that support the spine. Lumbar supports can be found in a wide range of sizes and styles.


NSAIDs NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are a group of drugs used to control pain. This category of medications includes both prescription and common over-the-counter painkillers such as ibuprofen. NSAIDs are effective for many types of pain that can occur because of inflammation of muscles, joints and bones. The drugs work quickly and people often notice some benefit within a few hours of taking the tablet. However, the complete effectiveness of the drug may not be realized for up to four weeks. For each individual, some varieties of NSAIDs are more effective than others. Often, patients will find that one or two varieties are helpful whereas others may not be as effective in controlling symptoms. It is usually necessary to try several brands and continue with the one that is most suitable. NSAIDs can be used to treat:
  • Pain resulting from inflammation or swelling.
  • Pain after injury.
  • Joint pain and arthritis.


  • Hot/Cold Pack The use of hot and cold packs to relieve pain and inflammation is a common method of treatment for many conditions. When the soft tissue groups become strained or irritated the rotating application of hot and cold can be beneficial. Cold therapy numbs the nerves to reduce pain and combats swelling by constricting blood vessels and by slowing blood flow to the site of injury. The application of heat to an injury after a few days of cold therapy and after swelling and redness has been reduced promotes the healing process. Heat therapy speeds up healing by increasing the flow of blood to the site of injury. Heat will also restore flexibility, relieve muscle cramping, and arthritic symptoms.




    Long-Term Expectations for Recovery
    Patient's who follow a treatment plan and rehabilitation schedule should expect a significant reduction in their symptoms.
  • Patient's tend to recover from an injury at different rates, each individual's recovery time is dependent upon the severity of the herniation, degrees of nerve root compression, and general physical condition of the patient.
  • The prognosis for recovery is good for both non-surgical and surgical.
  • The length of time to recover from a surgical procedure may be shorter than for non-surgical therapies.

  • Possible Complications and Risks
  • Permanent damage to the nerve root may occur.
  • Non-surgical therapies fail to provide relief or symptoms become increasingly worse during therapy.
  • Returning to a pre-injury activity level may increase the severity of the disc herniation requiring immediate surgical attention.