Originally posted by: Radracer
After having one microdiscechtomy surgery (L5-S1), 8 epidural steroid injections, 1 adhesiolysis procedure, and 3 spinal nerve blocks, I think I can speak in detail about back pain & injury. If you have a bulging (aka ruptured or slipped) disc, a cortisone or steroid injection can help you. These type of injections are not pain killers per se...they reduce pain indirectly by reducing the swelling and inflammation of the nerve that is causing the pain. The source of the pain is the ruptured disc itself, and once it's bulging, the only way to fix it is surgery to cut off or remove the bulging part (microdisechtomy). Picture a jelly donut...that is your disc. Press down on it with your hand and jelly will squirt out. That is the food equivalent of a ruptured disc. The stuff that squirts out pushes on the nerve, causing leg and butt pain. There is no way to get that jelly back in the disk.
A nerve block is done as a last, temporary resort...this is when they inject a numbing solution into your spine, flooding the affected nerve. Relief can last from 1 month to up to 3 years. I'm at 2 moths on the latest one...so far so good. My only other option is a fusion surgery, and I don't want that.
Thanks Joker. You always find something worthwhile to post.
I appreciate what you are saying, my point is though, that MOST people never do anything for there back pain to address the CAUSE. Most just cover it up with aleve (take it for pain...take it for life), steroid injections or whatever other masking agent they can find.
I am aware of the anatomy of the disk, the nucleus pulposis can bulge out of the annulus, but USUALLY this situation can be cured with conservative care. Conservative care meaning chiropractic, exercise, work/activity modifications/restrictions and education. A recent study found that roughly 20-30% of adults had a bulging disk and were not even aware of it.
The reason the disk can bulge is because of a dysrelationship between the vertebra above and below the disk. The disk just suffers the consequences and causes the pain. The fix should not be surgery, but regaining the normal motion b/w the bones which can be achieved through conservative care. The disk problem will work itself out naturally once the bones work right again.
Imagine a tire out of balance and wearing unevenly, dont just keep fixing the tire, fix the alignment (the spine) which is causing the uneven wear.
-Nuf said, and joker, you do come up with some great freebies...
(btw - I'm a chiropractor)