Disc Herniation

Discogenic pain refers to pain that originates from the intervertebral disc, the cushion-like structure located between two vertebrae in the spine. One common form of discogenic pain is disc herniation, which happens when the outer layer of the disc tears and the inner material protrudes, putting pressure on a nerve root. However, it’s important to note that not all cases of discogenic pain are caused by herniation. In fact, discogenic pain can occur without a visible herniation on MRI.

Other factors, such as disc degeneration, annular tears, and chemical irritation, can also contribute to discogenic pain. These factors may affect the structural integrity and function of the intervertebral disc, leading to pain and discomfort. It’s crucial to accurately diagnose the underlying cause of discogenic pain to develop an appropriate treatment plan for effective pain management and restoration of function.

The most common symptoms of discogenic pain and disc herniations include localized or radiating pain in the neck or lower back, muscle stiffness, limited range of motion, increased symptoms with coughing and sneezing, and pain with sustained standing or sitting, depending on the affected disc/s’ level. The pain can be sharp or dull and can be accompanied by muscle weakness or numbness in the arms or legs, depending on the extent of nerve involvement. In severe cases, disc herniations can cause bladder or bowel dysfunction, which requires immediate medical attention.

At Functional Restoration Institute, Dr. Kohen takes a comprehensive approach to treating musculoskeletal and neurological conditions such as discogenic pain and disc herniations. A thorough evaluation is performed to determine the underlying cause of symptoms, after which an individualized treatment plan is developed to address the unique needs of each patient. Dr. Kohen also utilizes McKenzie method, which is a systematic approach to evaluation and treatment emphasizing patient education and self-treatment strategies. This method has shown great success in reducing pain and improving function.

Disc Herniation
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