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ASK THE DOCS
Presented by Midwest Orthopaedics at Rush
Ask The Docs | Herniated Disc
Patient Question:

I am an active person who enjoys playing hockey.
Last week after taking a hit I began experiencing
pain in my lower back. The pain has increased from a
dull, throbbing sensation to a sharp shooting pain
that also runs down my leg. I’ve never experienced
anything like this, and I’m growing concerned.
Dr. Kern Singh:
The pain you are describing sounds like it may be
caused by a herniated disc. A herniated disc may be
caused by an accident, sports injury, or from aging.
As we age, our discs become dehydrated. Once this
occurs, discs become susceptible to rupturing or
herniation of their center also known as the
nucleus. A sudden traumatic motion such as a car
accident or hard hit in sports may cause herniated
discs. Herniated discs most often occur in the lower
back and spine (lumbar spine), which are
coincidentally common muscles strained and tested in
hockey.
Dull, throbbing back pain can be a warning sign
before the disc ruptures. When the disc herniates,
the pain becomes more intense and sharp. Usually
patients also experience pain running down one leg
as the ruptured disc hits a main nerve. Conditions
associated with a herniated disc also include
tingling and weakness in the buttocks and leg,
numbness in the back and legs, and even sharp
shooting pains during a cough.
Treatment: 
There are both nonsurgical and surgical treatments
for a herniated disc. Nonsurgical treatment methods
include using cold and heat therapy, a
physician-prescribed pain medication, electrical
stimulation and massage, and most importantly
decreased physical activity. A herniated disc is a
serious injury, so it’s vital that you visit a
sports medicine orthopaedic physician for an
evaluation.
When nonsurgical treatments fail to promote healing,
surgery is often necessary. Surgical procedures for
a herniated disc include spinal fusion, open
decompression, and minimally invasive procedures.
Through a thorough examination including diagnostic
testing, your physician can help you determine if
surgery is the right course of treatment for your
condition.
For
more information about Dr. Singh and the Sports
Medicine physicians of Midwest Orthopaedics at Rush,
call 877 MD BONES or visit them online at
www.rushortho.com.
The
information contained on this page is intended only
for general public education, and is not intended to
serve as a substitute for direct medical advice.
This information should not replace necessary
medical consultations with a qualified orthopaedic
physician.
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