Non-operative spine care defines well within our practice. Before recommending surgery for spine disorders, with our extensive research and innovative procedures, we offer non-surgical treatment modalities for our patients. Our non-surgical services for patients involve diagnosing, detection, pain relief, physical therapies, exercise, and medication in order regain patient's activity.
Our approach is to ensure that the patient with slip disc should recover without surgery for this through and accurate diagnosing is required.
Investigations: You may not require any investigations if your symptoms are resolved in a week or two. Once your doctor has examined you, he/she may recommend for few investigations to confirm the diagnosis.
X-ray can detect the structure of the vertebrae and the outline of the joints, which helps to search for other potential causes of pain like fractures, infections, tumors, etc.
Magnetic resonance imaging (MRI): The MRI scan evaluates the study of Herniated disc using strong magnets and computer technology to view three-dimensional images of the body structure. It is a non-invasive and non-radioactive of detecting spinal cord, nerve roots, and surrounding areas, as well as any enlargement, degeneration, and tumors.
Electromyogram and Nerve Conduction Studies (EMG/NCS): These tests measure the electrical activity of the muscular tissues, nerve roots, and peripheral nerves. It will indicate whether the ongoing nerve is damaged, if the nerves are in a state of healing from a past injury, or it is another site of nerve compression. Nerves control the muscles in the body with electrical signals called impulses.
A lumbar herniated disc treatment is the finest example of the non-operative method of treating this type of disc order.
Herniation is possible due to wear and tear or sudden injury. The jelly-like nucleus pushes and enters the outer ring causing lower back pain. With more herniation of the nucleus, the spinal nerves are compressed and at times irritated giving more rise to sciatica and possible foot pain, numbness or weakness in both legs.
Lumbar disc herniation has a very favorable natural history, i.e. the patients improve without much intervention. 80% of the patients improves in six weeks and 90% after twelve weeks. Also, the majority of disc herniations seen on MRI diminish in size over time, with 80%, decreasing by >50% in 6-12 months.
This shows that the non-operative method is the initial default pathway of healing majority of the patients with lumbar radiculopathy due to disc herniation2, 3. (Evidence Based Practice).
Bed rest: Not more than 1-2 days of bed rest are advised and you are encouraged to move around in the house as much as your back allows. It is advisable to take rest breaks during the day, but also avoid sitting for a longer duration of time. You can slowly make all your movements. For best results, change daily activities so that you can avoid movements that can further aggravate the pain, especially during lifting and bending.
Traction: It is a form of decompression therapy that relieves pressure on the spine. Traction Spine can be performed manually or mechanically and may be beneficial as a method to enforce rest for a day or two. However, research shows that "traction is not effective" in the treatment of herniated disc.
Bracing/Lumbar supports: There is limited evidence favoring lumbar support for relieving. It may be useful for journeys to avoid sudden jerks, improves back posture, and may manage the pain for short-term. But, prolonged brace wear may decrease muscular strength and may cause more problems to the spine.
Exercise Regime: Exercise enhances physical activity to maintain overall health and fitness. Your physiotherapist will recommend and guide you through specific exercises that are suitable for your condition. Gradually your muscles at the back and abdomen develop to protect your spine from further injury. A good regular practice of exercise is the best way to prevent all problems related to the degenerative spine. However, avoid doing exercises that aggravate your pain.
Epidural Steroid Injections: In this procedure, epidural steroids are injected into your back to reduce local inflammation. Of the other non-operative methods, only epidural injections have proven to be more effective to reduce the symptoms. There is good evidence that epidural injections can be successful in 42%-56% of patients who have not been recovered from other non-surgical care of 6 weeks or more.
Vitus Spine strictly follows "Evidence Based Practice" of non-operative spine care that gives a positive outcome for our patients suffering from spinal disorders. Although surgery or operative procedures for lumbar herniated disc have been proven to be effective in quickly reliving the pain, we practice non-surgical methods, which also has been indicated to be more effective.