Herniated Disc Treatment in Knoxville

Four Stages of a Herniated Disc

Herniated discs happen when the disc begins to push into the spinal canal. This is commonly due to spinal degeneration over time but certainly can be traumatic. There are 4 stages to disc herniation:

1. Disc Degeneration – The inner rings of the annulus (car tire) begin to break down and the disc starts to weaken. Spinal joint mechanics may start to be altered.
2. Disc Protrusion or bulge- The nucleus begins to press out into weakened inner rings of the annulus thus making it stick out into the spinal canal. If the bulge is significant enough to press upon the spinal cord then various types of nerve symptoms will be felt. The nucleus is still contained by the annulus at this stage.
3. Disc Extrusion – The car tire fully breaks and the nucleus presses out into the spinal canal. This is typically a much more significant amount of pressure on the spinal cord or spinal nerves and various levels of pain, weakness, tingling, etc. may be felt. Think, ‘Jelly just starting to exit the donut’.
4. Disc Sequestration – The nucleus or inner disc material fully ruptures through the annulus into the spinal canal and breaks off in the canal. It is then free to travel up or down the spinal canal and can press against the nerves of other levels. This would be if the jelly shot out of the donut and is in multiple globs in various places on the countertop.

Common Symptoms of a Herniated Disc

The severity of the symptoms varies as you progress through the various stages. At the degenerative stage, people may experience general and diffuse pain due to the joint mechanics being altered by disclosing its height as well as the chemical process involved with the breakdown of the disc material. Once the disc starts to protrude into the nerve, you will start to notice radiating pain into the extremities or at least traveling out from the site of pain. If the problem is in the low back you may begin to feel some pain in the glute or the top of the hamstring. As the herniated disc progresses and pushes more into the nerve, the more distal the symptoms will manifest. This means that the pain could travel into the foot or ankle. Numbness and tingling may accompany this process.

With consistent, sustained pressure on the nerve, muscle weakness may be observed. If the herniated disc is in the lower back this could manifest as a “drop foot” or inability to hold the front of your foot up while standing or stabilize while walking. Walking on your tiptoes may also be affected. At this point, a referral to your MD would be warranted as a round of steroids or some other type of potent anti-inflammatory medication would be in order.  If there is any change in your ability to use the bathroom or experience any degree of bowel/bladder incontinence a trip to the hospital is in order.

Herniated Disc Treatment in Knoxville

Outside of these extreme cases of herniated discs, chiropractic and physical therapy treatments for your herniated disc are your best bet to properly address the condition. Our herniated disc doctor uses a strategic set of exercises to gently coax the disc out of the spinal canal and remove its pressure from the nerves. This in combination with the chiropractic adjustments helps free up the affected segments and helps regulate nerve function yielding phenomenal results in the timely resolution of disc symptoms. 

Call Us Today for Herniated Disc Treatment

Call to make an appointment with a herniated disc doctor in Knoxville at (865) 337-5574. Receive an evaluation and a comprehensive plan on how to get out of pain and back to doing the activities that you love

Thinning Discs

What does it mean when someone you know or even yourself has been diagnosed with thinning discs in the spine?  It means that the discs, which are like little cushions between the bones (vertebrae) in your spine have begun to deteriorate. This can happen between any two vertebrae in your spine: neck, upper back, or lower back. 

What Causes Thinning Discs?

There are many causes of thinning discs, spinal discs are made of two types of cartilage, the outside of the disc is made of hard cartilage and the inside of the disc is softer, more gel-like cartilage. As we age, the discs can begin to deteriorate, it starts due to a loss of water content in the gel-like cartilage. The results of the water loss inside the disc cause it to become weaker and brittle. This can cause symptoms in your back that you seek treatment for. 

What Are The Complications of Thinning Discs?

As the spinal discs break down and become thinner from water loss they no longer perform their jobs very well. One of those jobs is to be shock absorbers that protect the vertebrae during movement and impact. Thinning disks have decreased shock absorption which can increase your chances of injury to the spine. Less protection between the vertebra during movement and/or high impact activities can cause bones that are too close together to rub on each other causing damage. 

The spine may respond to the deterioration and changes that are happening in different ways:   

• There could be more pressure being put on spinal nerves sending nerve pain to your extremities 
• Decreased movement in the joints can affect your ability to bend over at the waist and affect other back movements.
• The natural curves in your back can become less curved or more curved which will cause the joints to bind on themselves which, over time, will become very painful.
• Muscle spasms, trigger points, strains, and sprains are caused by injuries from the thinning discs.

What Are Common Symptoms of Thinning Discs?

There are several symptoms that thinning discs can cause you to experience. These symptoms are not isolated to just thinning discs and are common in most disc pathology. Here are some examples:

• The first of which is localized pain. It may be present in the spine at the level of where the injury is. It could be sharp and focused or slightly more diffuse and cover a larger area around the region of concern.
• Radiating pain can be common as well. This may feel like pain that radiates out from the neck/low back and into the arm or leg. In the neck, it is common to have pain in the shoulder or down the side of the arm.
• You may notice some tingling, numbness, or changes in sensation in the arms or legs. For example, you may experience a sensation change in specific fingers or toes or even parts of the arm or leg. 
• When the condition becomes more progressed or is particularly inflamed, you may also experience weakness, like it’s hard to lift your toes up while standing, or difficult to hold on to certain objects. In specific cases of the neck, you may notice that fine motor skills like holding a pencil or writing are altered in some way.

You can have one or more of these symptoms from thinning discs that you want to get help for in hopes of finding some relief. One of the chiropractors or physical therapists in our office can help figure out what is going on and help create a plan to get you feeling better and back to what you enjoy doing.

Thinning Discs Treatment in Knoxville

We can help you find thinning disc treatment in Knoxville, at your first appointment with Knoxville Spine and Sports. We would get you started with a new patient evaluation. One of our Doctors of Chiropractic or our Physical Therapists will become familiar with your past and current medical history. Next, they will review all the symptoms you are currently having and potential causes for problems. Then they will observe your posture and the way you walk and conduct a physical and neurological exam. One of the last things discussed at this first appointment will be what goals you and your Chiropractor or Therapist would like to reach. All of these steps go into being able to understand the way your body is currently moving and help them create a plan of care that fits your personal needs to get you on a path to recovery.

Chiropractic Care For Thinning Discs

Let us first talk about one of the goals in chiropractic care that is in every patient’s plan of care. It is to restore the mechanics inside of the joints, get rid of inflammation, and gain control of movement in the spine. One of the biggest ways that chiropractors accomplish these goals is by the use of spinal manipulations. Manipulation is defined by Webster’s Dictionary as: “1: to treat or operate with the hands or by mechanical means especially in a skillful manner manipulate the fragments of a broken bone into the correct position.” There are different types of manipulations that can be done. One of the most common ways is by using a gentle thrusting technique.  Our Doctor of Chiropractic may also use other methods of treatments that include dry needling, Active Release Technique, or even Grade IV laser treatments.

Physical Therapy For Thinning Discs

In the Physical Therapy side of the house, thinning discs may be treated with a variety of treatments dependent on our patients’ individual needs. The Physical Therapist will design a plan of care that will be carried out by our physical therapy staff. The plan may include any of the following combination of treatments: deep soft tissue massage, stretching techniques, posture improvements, core strengthening, behavior modification education, and therapeutic physical therapy exercises.

 As the patient’s body responds to therapy, their individualized plan of care will be evaluated to make any needed changes. We want to make sure we are providing the best and most appropriate care that meets our patient’s needs.

Call Us To Get Thinning Disc Treatment Today!

Anyone who is looking for a thinning disc doctor in Knoxville should call us today at (865) 337-5574 We work hard to provide a caring and compassionate approach to healthcare that minimizes complications and side effects.

Disc Bulge (Bulging Discs)

The spine is made of four different sections of bones called vertebrae. The cervical region is made up of 7 vertebrae, the thoracic has 12, the lumbar has 5, and the sacrum is made of 5 fused vertebrae. Between these bones are little cushions called discs. There are 23 discs that start between the second and third vertebra in the cervical region and continue down the spine. Discs are made up of a tough outer layer, and on the inside is a softer layer that is often described as a jelly-like substance. These cushions have multiple functions like stability as the annulus (the outer portion of the disc) tightens with compression of the disc. The other roles these cushions play is for shock absorption throughout the spine caused by impact during activity. 

Unfortunately, sometimes different problems can occur with these discs. One of the most common problems is a bulging disc. Often this injury is confused with a herniated disc. With a herniated disc the layer on the outside is cracked, which exposes the softer inside layer causing the possibility of the “jelly” to leak out. A bulging disc is different because there is no crack or leak but it is bulging, or protruding, in a spot on the disc that might be damaged and weakened on the tough outer layer. 

Why Does a Disc Bulge?

The typical way that this injury occurs is when someone bends forward at the waist and twists, lifting anything with poor posture. Occasionally, it will be traumatic in nature and may be the result of an incident such as a fall. When this type of injury happens some of the most common signs and symptoms include: dull or achy pain in the area of the disc bulge, pain that goes into the arms or legs, muscle weakness, numbness and tingling in the arms or legs, pain with moving the neck, pain with bending forward, pain with sitting, pain with coughing or sneezing, or pain with lying on your back. If the disc bulge is very severe and low enough in the spinal column it could also cause bowel and bladder incontinence. If you experience any type of change in your bowel or bladder habits following this type of injury, immediately consult your doctor as this will very likely result in a trip to the hospital. The signs and symptoms can differ depending on the location of the disc bulge along the spine. Most often people seem to have more pain in the morning due to lying down.

The most common places along the spine where this may occur are in the lumbar region or in the lower cervical region. The reason it is less likely to happen above the lower cervical area is that there is more stability from the boney areas of the vertebrae. The lumbar region is most common due to the forces that they are constantly under as well as the lack of stability from another bony anatomy such as the ribs. Disc bulges can happen to anyone but the most common age range is those from 20-50 years old. 

Bulging Disc Treatment Options

Chiropractors and physical therapists can both diagnose and help treat this problem. They will start by doing a physical exam and taking your history. Chiropractors use different types of spinal manipulations, or adjustments, to help treat the issues that come along with a disc bulge. Along with the adjustments, the chiropractors and physical therapy staff at our office may use manual therapies such as trigger point therapy, instrument-assisted soft tissue therapy, therapeutic massage, laser therapy, dry needling, or manual joint stretching and resistance techniques. Other treatments that might be beneficial are ultrasound and interferential electrical stimulation. Ultrasound creates minimal heat by sending sound waves into the tissues affected. Interferential electrical stimulation is used to decrease inflammation by stimulating the muscles with a low-level frequency electrical current. One more way that we can help you is by suggesting some therapeutic exercises to help strengthen your muscles, which in turn not only helps you get better but helps prevent any future injuries. 

Bulging Disc Treatment in Knoxville

Our chiropractors and physical therapy staff will assess each person for not only the symptoms that come along with any injury, but the person as a whole. They will get to the root of the problem and will develop a care plan to help treat the cause of the underlying issue and the symptoms that come with it. 

Non-surgical Treatment for Herniated, Thinning & Bulging Disc

Chiropractors can offer relief through non-surgical treatment options. Our Knoxville chiropractor, Dr. Bert, will do an orthopedic and neurological assessment of the entire spine, looking at your reflexes, muscle strength, posture, and any loss of sensation.

The treatment plan will involve spinal manipulation (chiropractic adjustment), manual therapies, and therapeutic exercises or stretches tailored to your typical level of activity, overall health, and current pain level:

Chiropractors don’t “pop” your disc back into place—that is a misconception. They also don’t use forceful adjustments to manhandle your disc back in place. If you hear a popping sound, that is essentially the gas release from a joint—that’s all! Chiropractic care involves gentle low-force techniques that over time restore your spine and discs to their proper positions.

Many patients find great relief from chiropractic care for their herniated discs. Just know that in some cases, your chiropractor may refer you to a spine surgeon. Sometimes, the initial exam reveals extensive disc damage that can only be repaired by surgery. Sometimes, symptoms don’t improve with chiropractic care. In both these cases, your chiropractor may recommend a pain specialist, a spine surgeon, or both. Often, chiropractors are part of a team of professionals that co-manage or group to manage your herniated disc issues.

If you are suffering from symptoms related to a bulging or herniated disc, call us today to set up your first appointment! (865) 337-5574