A physiotherapist can help develop a personalized exercise program to improve strength, flexibility, and posture, which can alleviate symptoms of herniated discs. They may also use manual therapy techniques, such as spinal manipulation, to relieve pressure on the affected nerves.
Massage therapy can help alleviate pain and reduce muscle tension associated with herniated discs. It may also improve circulation and promote healing in the affected area.
Medications: Medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and muscle relaxants may be prescribed to alleviate pain and inflammation associated with herniated discs. Pain specialists can help to determine which medications may be most effective and appropriate for each individual's specific needs and medical history.
Platelet-rich plasma (PRP) therapy
PRP therapy involves using a patient's own blood to create a concentrated solution of growth factors and other healing agents, which is then injected into the affected area to promote healing and reduce pain and inflammation.
Epidural steroid injections
A minimally invasive procedure where a corticosteroid medication is injected into the epidural space of the spine to reduce inflammation and relieve pain. It can be helpful for reducing symptoms in the arms or legs that are affected by the herniated disc.
Transforaminal steroid injections
Similar to epidural steroid injections, transforaminal steroid injections target a specific nerve root where the herniated disc is pressing on the nerve. This type of injection may be more effective for people with unilateral symptoms (symptoms only on one side of the body).
Facet joint injection
Facet joints are small joints located between the vertebrae that provide stability and allow for movement of the spine. When these joints become inflamed or irritated, they can cause pain in the back or neck. Facet joint injections involve the injection of a local anesthetic and/or corticosteroid medication into the affected joint to provide pain relief and reduce inflammation.
Pulsed radiofrequency procedure
Pulsed radiofrequency is a minimally invasive procedure that uses electrical stimulation to interrupt pain signals in the nerves surrounding the herniated disc. A small electrode is inserted near the affected nerve and pulses of radiofrequency energy are delivered to the area, which can provide long-lasting pain relief. This procedure is often used in cases where other treatments, such as medications or physical therapy, have not been effective.