Some myths surrounding herniated discs:
- Intervertebral discs do not heal.
- Herniated disc is a lifelong problem.
- It is abnormal to have pain beyond 3 months when you suffer from a herniated disc.
- The bigger the hernia is on an MRI, the more likely you are to have sequelae and persistent pain.
- All “degenerative” changes seen on imaging are a cause of pain.
But what is it really?
Herniated discs can resolve and heal within 3 to 12 months! Moreover, the larger the hernia, the higher the chances of resorption. So don’t be put off by the looks on the imagery. Indeed, several changes in the intervertebral discs visible on magnetic resonance imaging are not reliably correlated with the presence of current or future pain in a considerable percentage of the population over 40 years of age. Many findings on imaging are now considered “normal age-related changes.” Yes, in humans, a picture is not always worth a thousand words and the judgment of an up-to-date health professional on scientific evidence is required.
It is therefore important to stay positive and avoid convincing yourself that the pain and functional disabilities will be there forever. However, we are very aware that it is not always easy. Suffering from a herniated disc can be very disabling and frustrating for many people as the symptoms are often present for several months. So, consulting a qualified professional like one of our chiropractors to help you regain control over your pain can be very helpful! For professional advice and optimal monitoring of your condition, do not hesitate to make an appointment with us in chiropractic.
Types of herniated discs
From more “serious” to less “serious”
- Disc sequestration: 96% resorption rate
- Disc extrusion: 70% resorption rate
- Disc protrusion: 41% resorption rate
- Disc bulge: 13% resorption rate
Findings on MRI that are common in the asymptomatic (pain-free) population over 40.
- Cervical region (Neck)
- 5-35% signs of asymptomatic disc “degeneration”
- 5-35% asymptomatic disc bulge
- Lumbar region (lower back)
- 68-96% signs of asymptomatic disc “degeneration”
- 50-84% asymptomatic disc bulge
Note: The content presented is for informational and educational purposes only and is in no way intended to replace the advice of a qualified health professional who has adequately assessed your condition.
References
Brinjikji W,. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol. 2015 Apr;36(4):811-6. doi: 10.3174/ajnr.A4173. Epub 2014 Nov 27.
Determinants of spontaneous resorption of intervertebral disc herniations. Spine (Phila Pa 1976). 2006 May 15;31(11):1247-52. doi: 10.1097/01.brs.0000217681.83524.4a. PMID: 16688039.
Natural history of lumbar disc hernia with radicular leg pain: Spontaneous MRI changes of the herniated mass and correlation with clinical outcome. J Orthop Surg (Hong Kong). 2001 Jun;9(1):1-7. doi: 10.1177/230949900100900102.
The probability of spontaneous regression of lumbar herniated disc: a systematic review. Clin Rehabil. 2015
Dr Charles Bélanger, Chiropractor
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Dr Charles Bélanger
Chiropractor