What Should Be Done About a Bulging Disk That Has Not Ruptured Yet?

A bulging disc in the back or neck occurs when the outer covering of the disc cracks and the jelly-like nucleus (pulposus) shifts toward the weaker side. This puts pressure on spinal nerves and can cause pain. The best way to prevent the bulging disc from rupturing is through rest, topical treatments, medication and exercise.

Significance

• If the disc ruptures, the part of the pulposus fluid will leak out of the disc. This can put additional pressure on the spine and even cause sciatica problems, where pain shoots down the buttocks and legs. Rest is the foremost treatment for preventing this from happening.

Treatment Types

• An individual with a bulging disc should use ice for the first 48 to 72 hours after the injury. This will reduce inflammation and swelling that can lead to herniation or a rupture. Ice should be compressed directly against the pain source for 15 to 20 minutes. A back or neck brace can keep the affected disc immobilized, which can prevent a rupture.

Other Treatment

• Anti-inflammatory medications such as ibuprofen (Advil, Motrin) and naproxen (Aleve) can reduce swelling and stop the progression of a bulging disc. A doctor may also prescribe steroids.

Exercise

• Exercise can help increase blood flow for healing. Exercise can also strengthen the back or neck and add more stability to the vertebrae and disc.

Time Frame

• A bulging disc can start improving almost immediately as the disc will repair itself. The key is to use all of the recommended treatments.