Non Surgery Back Remedies for a Herniated Disc

Vertebral discs are fluid-filled pads that sit between the bones of the spine (vertebrae) and cushion them during sudden shocks and everyday activity. When one of these discs ruptures (herniates), its soft interior leaks out through its fibrous outer layer, leading in some cases to abnormal pressure on the nerves near the disc. Although surgery is an option for treating a herniated disc, numerous nonsurgical remedies or treatments are also available.

Nonsurgical Pain Relief

• According to the Mayo Clinic, most people with herniated discs gain significant relief through nonsurgical treatment. The general goals of this conservative approach are relief of your back pain and a restoration of proper movement and body function. To relieve your pain, your doctor may begin by asking you to rest in bed for a couple of days to ease some of the stress on your back and ruptured disc. If so, use a bed with a firm mattress if possible. As an alternative, you may lay on your back on a firm, padded surface such as a carpeted floor. If you choose this option, keep your legs elevated and bend your knees and hips. Typically, you will need to become more active after a day or two to promote proper muscle strength in your back. However, you should still limit your activities and avoid any action that might worsen your condition.

  To further pain relief, your doctor may recommend an over-the-counter painkiller such as ibuprofen, aspirin or acetaminophen. If your pain is more pronounced, he may prescribe stronger medications, including muscle relaxants or medications for nerve pain such as duloxetine (Cymbalta) or pregabalin (Lyrica). He may also prescribe low doses of a tricyclic antidepressant, which can block pain messages to your brain. If these treatments are ineffective, your doctor may prescribe an oral or injectable corticosteroid such as prednisone. In some cases, you may also receive short-term doses of an opioid painkiller such as hydrocodone or codeine.

  Additional options for nonsurgical pain relief of your herniated disc include electrical stimulation from a transcutaneous electrical nerve stimulation (TENS) unit, use of a back brace to limit your movement, application of cold or heat to your back, traction to stretch your lower back and hydrotherapy, which involves performing various exercises while sitting or standing in a whirlpool or similar device.

Promoting Proper Movement and Function

• To help restore your function and mobility once your pain subsides, your doctor may recommend any one of several forms of physical therapy or exercise. Dynamic lumbar stabilization exercises are designed to coordinate simultaneous use of your back and abdominal muscles. Stretching exercises such as the McKenzie maneuvers are designed to continue your pain relief and decrease your risk of injuring your back further. Aerobic exercises such as biking, swimming, walking or use of an elliptical machine are designed to strengthen your back and continue your pain relief. You can work with your doctor and a physical therapist to determine which exercises will work best for you.