How To Prevent Herniated Disc

Prevent Herniated Disc

Back pain can occur for many reasons. It can be caused by an injury or from improper lifting techniques. As well as an underlying condition like arthritis and herniated discs, back pain can also be caused by these conditions. Research has shown that 20 percent of all 1000 adults suffer from pain related to herniated discs. This is a quick guide that will help you to reduce the risk of developing herniated discs.

What is a herniated disc?

What is a herniated disc? Let’s start with your spine. Your spine is composed of vertebrae which are small bones. A small cushion or disc is located between each vertebra. The disc acts as a shock absorber in your spine and is composed of a gel-like nucleus, and an outer layer known as the annulus.

When the gel-like nucleus of the disc protrudes from a disc tear, it is called a herniated disc. The gel-like center can bulge out and press on your spine nerves, causing pain, discomfort, tingling and even numbness. This condition may also be called slipped discs or bulged discs or ruptured discs. Although herniated discs may occur due to wear and tear, you can reduce your chances by following these five tips.

Exercise regularly

Regular exercise is a great way to reduce back pain, particularly if you have slipped discs. Your back will be supported more if you strengthen your core muscles. A strong core can reduce the likelihood of disc herniation.

Tip: Swimming, cycling, and walking are all good options to lose weight. A healthy weight is important for a healthy spine.

Safe lifting is a good idea

Safe lifting techniques should be followed, no matter if you are lifting groceries or heavy boxes. You can put too much strain on your spine by lifting without turning or improper lifting. These are some safe lifting tips:

  • Lifting weights should not be done while bent.
  • Lift your legs and squat to get up.
  • If possible, get a friend
  • Do not hold items too close to your body.

A dolly is a great option for awkwardly shaped or heavy items to reduce back strain.

Good posture is key

Bad posture can lead to lower back pain, regardless of whether you are standing or sitting. These tips will help you improve your posture to keep your spine happy and healthy.

  • Standing, align your shoulders over your hips.
  • Keep your chin parallel with the floor
  • Avoid sitting down, especially when you are seated at your computer.
  • Place your feet flat on a hard surface and bend your knees at 90 degrees.

Consider making some changes to your home office if you are working from home. Adjust your computer monitor to eye-level by using a lumbar support chair. Twisting to view the screen can cause back pain.

Rethink your sleeping habits

Although we have just discussed posture, good posture is important even when you are sleeping. Your spine and cervical spine are put under too much stress by sleeping on your stomach, especially if you sleep on your stomach. These tips will help you improve your posture when sleeping.

  • You can sleep on your side or back.
  • To keep your spine neutral, place a pillow between your legs (for side or back sleepers), or under your knees (for side sleepers).
  • Use a firm mattress
  • Mattresses that are old and worn out can be replaced

You don’t need to be a good sleeper. These habits are good for your hips and shoulders, but also your hips and joints.

Say no to cigarettes

Although smoking is well-known for its effects on lung health, did you know that it can also impact your spinal health? Research shows that back pain is more common in those who smoke cigarettes.

Exercises to Avoid for Herniated Discs and Bulging Discs

Regular exercise is a good way to reduce the chance of developing a herniated disc. However, once you have one, there are certain exercises that you should avoid. Avoid exercises that cause the neck to bend, or other misalignment of the spine. Also avoid those that place excessive pressure on the spine.

These are the exercises you should avoid:

Sit-Ups

Sit-ups can be difficult to do correctly. They are not recommended for people with herniated discs due to the pressure on the lower back. Avoid Sit-ups if you have a herniated disc. They can cause serious damage.

Gentle exercises are important as they strengthen the back muscles and increase flexibility. Swimming, yoga, gentle stretches, stretching that don’t round the neck and back, walking, cycling, and other gentle exercises are all good options.

Squats

To squat, one must lean forward and lower down until the thighs touch the ground. This can cause extreme pressure to the spine, which can result in intense pain in the lumbar area and hyperextend the spine. Squats for people with a herniated disc can cause severe pain and should be avoided.

Cycling

Avoid forward-leaning movements during any exercise. A herniated disc can be exacerbated by poor posture and long-distance riding. Walking or hiking is a safer and more effective way to exercise with a herniated disc. Walking or hiking is a safer, lower-body exercise that doesn’t place undue pressure on your spine.

Standing Hamstring Stretch

Standing hamstring stretching requires that a person raise their leg off a surface and lean forward. The pressure on herniated discs will increase if the spine curves forward by leaning forward.

Deadlifts

Deadlifts should be avoided as they are one of the most difficult bulging disc exercises. If done wrongly, deadlifts can cause ligament and muscle tears and put a lot of strain on the spine. To avoid aggravating disc injuries, you should not deadlift.

Aerobic Exercise with High Impact

It is important to be able to quickly transition between moves in high-impact aerobic activity. Jumping and other plyometric exercises can lead to back strain and injury. Instead, look for high-impact aerobic exercise and plyometric alternatives.

Leg Press

A leg press is a position where a person lies down on their back, with their knees close together. Then they push up against the weights to round out their spine. Although this is a great exercise move, it can be dangerous for people with herniated discs.

Straight Leg Raises

Straight leg raises can put too much pressure on your spine and cause lower back pain for people with injuries. Lunges are a safer way to exercise your legs if you have a herniated disc.

Ways to Prevent Re-Herniating a Disc

You can prevent flare-ups or re-herniations by staying physically active. These options are not quick fixes and will not protect your spine. These include:

  1. Avoid lifting heavy objects and lifting incorrectly. This is a difficult suggestion for workers who do a lot of manual labor. However, it’s easy for many patients to avoid lifting heavy objects. You should never re-herniated discs. Your legs will take most of the strain.
  2. When sitting, standing, or walking, don’t slump your back. Poor posture puts additional pressure on your discs.
  3. Do not sleep on your stomach. Are you wondering how to sleep with a herniated disc? Medical professionals recommend sleeping on your stomach with a pillow under the knees or on your side. Your back may be strained if you sleep on your stomach.
  4. Flats are better than high heels. Veritas Health says high heels can “disrupt your natural curvature by shifting your weight forward.” This can put more stress on your lower back.
  5. Keep your weight down. A healthy weight can reduce compression and prevent further injury.
  6. Stop smoking. Global Spine published a study that examined the cases of almost 1,400 patients who had to have lumbar disc surgery. It also examined those who needed recurrent lumbar disc herniation. The most significant factor in the need for additional spinal surgery, according to the authors, was smoking.
Debunking Myths About Disc Herniation

The myths surrounding herniated discs are similar to the idea that a flu shot will cure you. A piece of gum left in your stomach can cause the flu for years. These myths include:

  • Each damaged disc can cause serious medical problems. Patients can suffer from serious problems if their discs are in danger of re herniating. Each case is unique, so you shouldn’t assume the worst.
  • Excruciating pain can result from compressed nerves. Yes, it is possible to feel some discomfort when you pinch a nerve. It can sometimes be very painful, but it is not always. Some people report more severe irritations in their feet or legs. This pain is usually manageable.
  • One spinal surgery leads to another. This article aims to highlight the fact that you can avoid re-herniating discs after injuring them once. This is not a set and forget rule. It is possible that a herniated disc will require additional surgery, but this is not a set-in-stone rule.
  • Surgery is always recommended by spine surgeons. Contrary to popular belief, surgeons do not always recommend surgery. According to a study, “While surgery may be an option for severe pain or disability, it is not always the best course of action.”

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Kevin Pauza, M.D.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Travis Foxx, M.D. - Premier Anesthesiology & Pain

Kevin Pauza, M.D. - Turtle Creek Surgery Center

Prior to attending Penn State University, Dr. Pauza earned his undergraduate degree from Lehigh University, and furthered his training with a Surgical and Medical Internship at Columbia University College of Physicians and Surgeons. He continued his specialty training at the University of Pennsylvania, followed by an Interventional Spine Fellowship. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. He established a Spine Fellowship program and continues training physicians from around the world. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians.

After helping hundreds of patients who failed to experience relief after spine surgery, it became evident to Dr. Pauza that current methods needed to change. This motivated him to seek better ways to help patients, by thinking outside the box.

Dr. Pauza is the first physician in history to pursue FDA approval for using biologics to treat the spine. Millions of patients will benefit from his development of minimally invasive treatments for degenerative disc disease and other more common and serious disorders of the spine.

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Brandon Tolman, D.O. - Nashville Spine Institute

Boris Terebuh, M.D. - Regenerative Spine & Joint Center

Boris Terebuh, MD specializes in providing personalized nonsurgical solutions for spine problems that interfere with the function patients desire and the independence they deserve. Dr. Terebuh completed his Physical Medicine & Rehabilitation residency training at The Ohio State University in 1997 and has been in solo practice in Ohio since 2001 because he is committed to providing accessible, individualized and attentive care to his patients. His regenerative approach to solving spine problems enhances the body’s natural ability to heal itself. His guiding principle is integrity – doing what is right for patients in a conscientious manner with the motivation of helping them become fully functional, independent and satisfied. Dr. Terebuh is a very unique Medical Doctor because he has earned seven Board Certifications in the field of musculoskeletal medicine and nonsurgical spine care. Boris Terebuh, MD is delighted to be a Discseel® provider because this revolutionary new technology aligns perfectly with his preferred regenerative treatment approach and patient care philosophy. Dr. Terebuh is also grateful to Discseel® developer, Kevin Pauza, MD, for all the years of diligent and meticulous research to create this innovative, paradigm-shifting intervention, which will certainly spare countless individuals the prospect of avoidable spine surgical procedures.

Thierry Bonnabesse, M.D. - Champlain Spine and Pain Management

Gregory Lutz, M.D. - Regenerative Sportscare Institute

Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). In addition, he currently serves as Physiatrist-In-Chief Emeritus at Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Dr. Lutz is one of the world’s leading experts in the field of regenerative interventional orthopedic medicine, appearing annually on Castle Connolly’s and New York Magazine’s “Top Doctors” lists.

Janet Pearl, M.D. - The Boston Stem Cell Center

Dr. Janet Pearl has been in practice since 1999 and is the Medical Director of The Boston Stem Cell Center. She is also the Medical Director of  Complete Spine and Pain Care  an interventional integrated Pain Management practice, both located in Framingham, Massachusetts. Dr. Pearl is Triple Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology and has over 20 years experience in doing these procedures.

Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Pain Management Fellowship program.

After graduating from Harvard College with an A.B. in Applied Mathematics with Economics, Dr. Pearl received a M.Sc. in Health Planning and Financing at the London School of Hygiene and Tropical Medicine. She then received her M.D. from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.

Watch Dr Pearl give an introduction to The Boston Stem Cell Center

Dr. Pearl completed her internship in Internal Medicine at New England Deaconess Hospital, her residency in Anesthesiology at the Massachusetts General Hospital, and her fellowship in Pain Management at the Brigham and Women’s Hospital. Dr. Pearl was the first resident ever to serve on the Accreditation Council for Graduate Medical Education (ACGME)’s Residency Review Committee for Anesthesiology. She is a Joseph Collins Scholar and a Rotary Scholar and was awarded the AMA/Glaxo Welcome and AMA/Burroughs Welcome Resident Leadership Awards.

From 2004 to 2010, Dr. Pearl served on the University of Massachusetts Board of Trustees. While there she chaired the Committee on Science, Technology and Research, was a member of the Committee on Academic and Student Affairs and the Governance Committee and also served as Vice Chair of the Advancement Committee, and as a member of the Committee on Athletics.

Dr. Pearl is Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology with the American Board of Regenerative Medicine and the American Board of Anesthesiologists.

Memberships:

  • The American Pain Society;
  • The Massachusetts Medical Society;
  • The Massachusetts Society of Anesthesiologists;
  • The Massachusetts Society of Interventional Pain Physicians;
  • The American Society of Anesthesiologists;
  • The American Society of International Pain Physicians;
  • The American Institute of Ultrasound in Medicine; and,
  • The American Board of Regenerative Medicine.

PUBLIC SERVICE:

  • Member, Massachusetts Department of Industrial Accidents, Health Care Services Board 
  • Member of the Association of Harvard College Class Secretaries and Treasurers
  • Past Member of the Board of Directors of the Harvard Alumni Association
  • Former Member of the Board of Trustees University of Massachusetts. (10/2010 – 10/2014) 

Mark Reecer, M.D. - Fort Wayne Physical Medicine

Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. He has over 20 years of work comp experience, and he routinely provides Independent Medical Examinations (IMEs) for the Indiana Workers’ Compensation Board. Dr. Reecer has lectured extensively and has authored multiple publications that promote his specialty and the use of treatment modalities to eliminate pain, improve function and avoid surgery.

Dmitry Buyanov, M.D. - IV Infusion Treatment Center

Dr. Buyanov is originally from Kiev, Ukraine. He received his training in Anesthesiology and his Interventional Pain Management Post-Doctoral at Penn State Medical Center, PA. Dr. Buyanov moved to San Antonio in 2003 at which time he was part of a multi-specialty group before he founded Premier Pain Consultants in 2004. His practice has over 5000 active patients in his practice. Dr. Buyanov treats his patients in a cost-effective manner although giving them the best care with interventional pain treatments/procedure to help each patient improve their quality of life. Dr. Buyanov strongly believes in an individualized and multidisciplinary approach to pain management, he believes in the Buddhist saying: “pain is inevitable but suffering is optional”. He works closely with the area internists, physical therapists, chiropractors, psychiatrists, neurologists, and spine surgeons to insure that each patient has the most optimal individualized treatment plan. Dr. Buyanov enjoys spending his spare time with his children.

Desmond Hussey, M.D. - NASA Neuroscience and Spine Associates. P.L

Dr. Hussey earned his undergraduate degree from Dartmouth College, and proceeded to earn his Medical Degree from The University of Miami School of Medicine. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. Dr. Hussey continued his specialty training at John Hopkins University pain clinic. A member of The Spinal Injection Society and The American Academy of Neurology and Psychiatry.

Haley Burke, M.D. - Colorado Rehabilitation and Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Maxim Moradian, M.D. - Interventional Spine Care & Orthopedic Regenerative Experts

Dr. Moradian is triple-board certified in Physical Medicine and Rehabilitation (PM&R), Sports Medicine and Pain Management. Dr. Moradian’s clinical practice is devoted to the comprehensive care of spine, joint, muscle, tendon, ligament, and peripheral nerve disorders. He is proficient in performing advanced, minimally-invasive procedures under fluoroscopic and/or ultrasound guidance in the entire spine. Dr. Moradian performs electrodiagnostic testing (EMG/NCS) for the accurate diagnosis of muscle and/or nerve disorders. He has a special interest in regenerative medicine, sports concussions, neuromuscular ultrasound, medical education, and clinical research. His true passion is to treat his patients like his family and friends.

Wendi Lundquist, D.O. - Active Life Physical Medicine & Pain Center

Dr. Lundquist is the Medical Director and founder of Active Life Physical Medicine & Pain Center, Innovative Surgery Center, and Regena Spa. She is dual board certified in Physical Medicine and Rehabilitation along with Pain Management and a diplomat with the American Board of Pain Medicine. She completed her training at Loyola University in Chicago, Illinois in July of 2005. During her time there, she served as Chief Resident and was involved in several research projects. Prior to, she completed medical school at Midwestern University at the Arizona College of Osteopathic Medicine campus in Glendale, Arizona and internship at Doctors Hospital in Massillon, Ohio. She also has a Bachelor of Science in Biology and minor in Chemistry from the University of New Mexico in Albuquerque. She has a special interest in sports medicine, pain and spine. With 17 years experience, she has great enthusiasm towards regenerative medicine.

Yasuyuki Nonaka, M.D. - Nonaka Lumbago Clinic

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Haley Burke, M.D. - Colorado Rehabilitation & Occupational Medicine

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

Matthias H. Wiederholz, M.D. - Performance Pain and Sports Medicine

Founding Partner, Triple Board Certified – Physical Medicine & Rehabilitation; Sports Medicine; Anti-Aging, Regenerative & Functional Medicine

Dr. Matthias H. Wiederholz is cofounder of Performance Spine & Sports Medicine, LLC. He is a fellowship-trained interventional pain physician whose clinical interests include: Interventional Pain Management, Sports Medicine, Musculoskeletal Medicine, Minimally-Invasive Spine Surgery, Non-Surgical Orthopedics, and Anti-Aging / Functional Medicine.

He received his specialty training in Physical Medicine and Rehabilitation at Baylor College of Medicine in Houston, Texas where he served as chief resident. He completed fellowship training in Interventional Pain Management in Marietta, Georgia. He is board-certified in Physical Medicine & Rehabilitation and Sports Medicine. He also received advanced fellowship training through the American Academy of Anti-Aging Medicine and is board-certified in Anti-Aging, Regenerative & Functional Medicine.

Dr. Wiederholz performs a myriad of interventional pain procedures including, but not limited to the following: epidural steroid injections, facet joint injections, radiofrequency ablation, sacroiliac joint injections, discography, percutaneous disc decompression, epidural lysis of adhesions spinal cord stimulator implants, and minimally-invasive discectomies. Endoscopic spine surgery is a very unique and valuable tool in his armamentarium and makes Dr. Wiederholz one of the most specialized physicians in the field of Pain Medicine.

Dr. Wiederholz uses musculoskeletal ultrasound in the diagnosis of musculoskeletal injuries. He incorporates ultrasound for precise injection therapy including cortisone injections, prolotherapy, and PRP (platelet rich plasma). This technology is also utilized to perform the Tenex procedure, a percutaneous procedure for treating chronic tendon pain (tennis elbow, rotator cuff, plantar fasciitis, etc).

Dr. Wiederholz is the fellowship director for the sports and spine fellowship at Performance Spine & Sports Medicine. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute.

Being advanced fellowship trained in Anti-Aging, Regenerative & Functional Medicine means that Dr. Wiederholz has the most advanced training in Anti-Aging Medicine available. He is a leading expert in Bio-Identical Hormone Restoration and helps patients achieve wellness through nutrition, lifestyle, and hormone therapies.

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Michael Wolff, M.D. - Southwest Spine & Sports