Can a Chiropractor Help with a Herniated Disc?

Chiropractor and Herniated Disc


Definition of a Herniated Disc

According to Mayo Clinic, a herniated disc is when the soft inner portion of the disc’s nucleus pushes into a crack in its outer annulus. This rupture can cause nerve compressions. A chiropractor is often recommended to treat this condition. This can cause pain, weakness, and even severe nerve damage. A herniated or ruptured disc may also be known as a slipped disc.

What Is a “Slipped” Disc? Is it the Same as a Herniated Disc?

The intervertebral disc is located between each vertebrae, with the exception of C1 and C2 vertebrae. Discs provide flexibility and act as shock absorbers and shock distributors.

Imagine jumping up and down. What would happen if the bony vertebrae which make up the spine were to fall apart without the support and cushioning of the discs? Move your back from one side to the other. Once again, you will be able to see the interaction between the vertebrae and the discs. Your spine would not function without them.

Although intervertebral discs are not “slippery”, the term “slipped disc” has become a popular term to refer to bulging or ruptured discs. In this article, we will refer to herniated or ruptured discs.

Your discs are composed of the annulus fibrosus (the hard outer layer) as well as the nucleus pulposus which contains a soft, gelatinous center. (See Figure 1.) The material inside the disc can push out if cracks develop in its outer layer. There are many factors that can cause a disc to herniate.

Can a sneeze cause a herniated disc?

Many people who have back pain due to a herniated disc (ie, back pain) begin with a small problem and then slowly builds up until you feel the symptoms like back pain.

Imagine that you sneeze suddenly and feel a sharp pain in your back. That pain may progress into sciatica or leg pain. It is possible that you have an underlying herniated or bulging disc. Then, the sneeze caused it to worsen. A sneeze, or a cough, can cause an intervertebral disc to herniate.

Chiropractic Care and Herniated Discs

A chiropractor can help with back pain or other herniated disc symptoms. The first appointment will involve a thorough medical history and physical examination. Your chiropractor may also perform neurological and orthopedic tests.

A chiropractor will check for many things. These are questions your chiropractor can help answer through orthopedics and neurological exams.

Are your reflexes working properly? Is your brain sending correct messages? (The classic reflex test is where the doctor taps your knee using a small hammer, and your leg lifts.

Are you experiencing muscle weakness or signs of wasting?

Is there any sensation loss along the nerve’s route?

The chiropractor will examine your posture and may order an Xray or MRI to assist with diagnosis.

Chiropractors examine the whole spine. Even if your lower back pain is minor, your chiropractor will also examine your neck. The chiropractor wants to assess how your spine functions overall. And remember, what happens in one region of your spine could have an effect on other areas of your body.

This information will help your chiropractor determine if there is an intervertebral disc injury. The type of disc injuries you have will dictate the treatment your chiropractor uses to treat them.

Some patients are not suitable candidates for certain chiropractic care treatments. Cauda equina is a condition that causes you to lose control of your bladder/bowel with intervertebral disc injuries. Your chiropractor cannot treat this condition.

If your chiropractor discovers that you have lost strength, sensation, or other abnormal neurological findings, they will refer you for treatment to a spine surgeon.

The majority of intervertebral disc injury are due to a herniated disc. Your chiropractor can offer various treatment options for your pain.

Your chiropractor will devise a treatment plan for a herniated spine. It may include spinal manipulation (also called adjustments) and other chiropractic techniques to ease the symptoms. The treatment plan will be individualized and may include manual therapy as well as therapeutic exercises.

You and your chiropractor will determine what is best for you. You can ask any questions you like about chiropractic treatments and the reasons for them. You need to be clear about what you will receive and how it may help with your pain. For most patients, chiropractic is safe and efficient.

Chiropractic Misconceptions

There is a myth that chiropractors can “pop a disc back in its place” by forceful adjustments. The sound of a “popping” is caused by gas being released under pressure in a joint. It’s similar to when you open a can full of soda. Another misconception is that chiropractors only offer a few treatments to “fix” your disc. Instead, chiropractors treat herniated discs with gentle low-force methods, as described above.

How can a chiropractor help with a herniated disc

Herniated discs happen when the disc that cushions the vertebrae in the spine is damaged. This type of degenerative disc disease can cause pain by placing strain on nearby nerves.

Non-invasive treatment options are available to relieve the symptoms. Chiropractic care is one option. Here’s how a chiropractor may help with pain from a herniated disc.

Take a look at your overall condition

Your chiropractor will assess the severity of the herniated disc damage. Instead of focusing on the parts that are painful, expect your chiropractor to assess your entire spine. They will also examine your medical history, and may perform a physical examination. They might also order diagnostic tests, if necessary.

During your first consultation, they will also assess your condition. The focus of their evaluation is on the following criteria.

  • If your reflexes feel normal
  • If you experience muscle loss or diminished muscle strength
  • If you feel numbness/loss of sensation

They may refer you to a spine surgeon depending on your findings. Sensitivity, muscle strength, and reflex loss can indicate the need for aggressive treatment.

They will also determine if you are a suitable candidate for chiropractic treatment. There are some patients who cannot undergo chiropractic adjustments.

  • Spinal cancer
  • Advanced osteoporosis
  • A bone anomaly in the upper neck
  • High risk of stroke

Perform Chiropractic Techniques

After your chiropractor has determined that you are suitable for spinal manipulation, they will create your treatment plan. This program will be tailored to your needs and condition.

These are some of the techniques chiropractors use with patients suffering from herniated discs.

Flexion-Distraction Technique

This type of spinal adjustment reduces pressure on the discs. This involves the use of a special table that makes it easier for your chiropractors to stretch your back. With a gentle pumping rhythm, they will apply light pressure to the affected area.

The gentle, pain-free Flexion Distraction procedure is great for those suffering from severe pain. You can relieve your symptoms by moving the herniated disc away from the nerve.

Pelvic Blocking Treatments

This technique uses cushioned wedges that are specially designed for chiropractic use. The pelvic block procedure is when your chiropractor places these wedges under your pelvis on both sides. This will allow your chiropractor to naturally remove the herniated disc from the affected area.

In addition to helping with herniated spines, pelvic blockage can also be helpful with other conditions such as headaches.

Recommendations: Additional Treatment Options

Your chiropractor may recommend that you include other techniques in your treatment plan to increase the effectiveness of your plan. These are the options your chiropractor may recommend depending on your specific condition.

  • 3D Active Traction
  • Laser therapy
  • Massage therapy
  • Ultrasound-guided Injections

These conservative treatments are able to target the root cause and alleviate your painful symptoms.

Manipulation with anesthesia

If a patient is suffering from severe pain due to herniated discs, this procedure can be performed. The patient will not feel any discomfort during treatment. The procedure takes approximately 15 to 1 hour. It may also require multiple days of treatment for a herniated disc. There are several types of anesthesia, each depending on the patient’s pain level. A chiropractor might use local anesthetics, mild sedation, or general anesthesia.

Final Conclusion

Your chiropractor will devise a treatment plan for herniated disc. If you are not able to improve your symptoms with chiropractic care, your chiropractor may suggest that you consult a pain management specialist as well as a spine surgeon.

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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

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  • 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

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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) 

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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