Signs & Symptoms of a Herniated Disc & Pinched Nerve in the Lower Back

It is important to remember that a pinched nerve in the lower back can be caused by a herniated disc. Discs serve as a cushioning pad between the vertebrae. If a rupture or break occurs on the central portion of the disc, it is called a disk herniation. Usually, rupturing takes place between the fourth or fifth lumbar vertebrae in the lower back. Affected disc tissues can put pressure on nerves in the spinal cord, which can lead to pinched nerves in the lower back.

Herniated Disc

• Typically, as the disc deteriorates from aging or injury, it can herniate through the outer layer of the disc. The most common place for a herniated disc to occur is in the vertebrae of the lower back. This area is constantly supporting the weight of the upper body. By bending and lifting, and twisting and turning the torso, the back becomes deeply involved in all of the body’s everyday movements.

  The symptoms depend on the location of the herniated disc and whether nerve tissue is being aggravated. At times, a disc herniation may not cause any symptoms. Herniated disc tissue, if the disc rupture is large enough, can put pressure on the spine, producing pain in a specific area. For example, if the rupture happened between the lower back vertebrae, shooting pains occur in the lower back, buttocks and legs. Another thing to look for is numbness and tingling in the legs. Prolonged standing usually worsens the situation, too.

Pinched Nerve In the Lower Back

• A pinched nerve is created when a nerve is injured or damaged due to compression. This direct pressure keeps the nerve from properly carrying its signals. Location plays a major role in the causes of pinched nerves. For instance, a pinched nerve in the lower back can be caused by arthritis, bone spurs or a herniated disc, among other things. The most common symptoms for a pinched nerve are tingling, numbness, pain and muscle weakness around the nerves. Symptoms will vary depending on what area is affected. Pinched nerves in the lower back can trigger back pain and stiffness in the legs.

Treatment Options

• Some treatments for a herniated disc may include physical therapy and pain medications (muscle relaxants and anti-inflammation medications). With pinched nerves in the lower back, surgery may be recommended if the condition continues to worsen. Otherwise, physical therapy can aid in strengthening and stretching the muscles around the affected nerves, and anti-inflammatory medications such as ibuprofen are generally used to reduce swelling.