Disc Herniation - What is a Disc Protrusion vs Disc Extrusion?
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- เผยแพร่เมื่อ 28 ก.ค. 2024
- Disc Herniation - What is a Disc Protrusion vs Disc Extrusion?
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Visit us at: www.SoFloSportsRehab.com When it comes to disc herniations there are different types and oftentimes they can be treated differently. Additionally, they may have different symptoms! That said, here we talk about a disc herniation with a protrusion vs extrusion.
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Thank you 🙏🏽 so much for explaining it . Very helpful
You're so welcome!
Very helpful explanation thanks!
Glad it was helpful!
Excellent overview
Thank you. I appreciate the feedback and you watching.
Well done explanation of the nature and extent of both types of injury to the disc.
Thank you and thanks for watching!
Thank you for the video, this help me understand more about disc protrusion. What is your opinion of Surgical and Nonsurgical Decompressed Spine Therapy?
It definitely has its place. We are a big fan of active rehab to build strength and mobility. Decompression is a tool , not THE tool
I have a 3mm x 6mm posterocentral protrusion in the t6-t7 in thoracic spine,no sequestration or significant spinal cord damage, I had a CT scan, should I have a MRI to be sure, I was in so much pain, heaps of nerve pain, my left side is more effected, my whole left shoulder went stiff and had burning pain down left side of spine from shoulder down upper back is that normal for that area? I am having improvements but mainly a tight compression feeling in the area, I constantly feel it, I'm going on 3 months, how serious is a protrusion in that area? Can I live pain free one day? Can disc protrusions cause arthritis or other problems later in life?
The other day when I was going for a kettlebell swing, I experienced what felt like a "slip" in my lower back. That's the best way I can described it. But I can't seem to find any other descriptions like that or any definitive explanation for such a phenomenon. Prior to this, for a couple of days, I was experiencing tinnitus and what I would describe as a stiffness that kept me slightly hunched over even when walking around. I thought I was just sore or had been sitting in a chair too long and was getting tight hip flexors. What are your thoughts, please?
Doctor i have 2.7mm 2.6 2.1 on 7,6,5,4 cervical disks no nerves through arms so far but neck muscles is incapacitating me. Any chance i can heal with PT And injection?
My mom 55yo was recommended surgery for Cervical Radiculopathy, protrusions on C5-C6, C6-C7 for symptoms on hands and arms, and headaches. They are not treating it as an emergency, but they want to schedule it in 6 months or so. Does it sound like surgery is absolutely necessary?
How long until you lose toilet functions with a protrusion?
I have a bulge at l4 l5 and a extrusion at l5 s5 and impingement s1 nerve. It’s been about 4 and a half months. I would love to avoid surgery at any cost. I feel like I need to stop resting although painful, but start doing some Light exercises with my chiropractic treatment I recently started. Would you suggest that is a good plan? Feel like sitting and not being active is prolonging this. I appreciate you posting this video!
Sorry to hear that it can be really difficult and you likely need a solid plan. I do have a full length course to help rehab this. You can check out a lot of the videos and see if its a good fit. Just visit www.drjoshjagoda.com/Low-Back-Fix
Try drx9000 spinal decompression broski
Hi am diagnosed by loss of lumbar lordosis with posterior central disc protrusion at L4-L5. Can you help me by suggesting, how serious is the issue and what can I do about it?
How serious depends on your pain level and loss of function. There are plenty of people with this condition that have no pain. I suggest you work with a therapist or look into a program that helps strengthen this issue. Feel free to check out our course on this as its designed exactly for this condition.
sandiegospineandsport.com/product/the-low-back-pain-sciatica-e-book-pdf/
Great explanation! Is there a way to reignite the inflammatory cascade? I recently reaggrevated my disc, mri from 4 weeks ago showed a 7mm extrusion. I was making significant improvements, but now it is weak again, but the pain has subsided.
Great question. You can re-ignite the cascade in many ways. Stress, food, loss of sleep, re-injury, etc. 7mm is a decent size so please take your time on the healing process and unfortunately, there are flare-ups. You can definitely stay active but plan on a good 12 weeks of consistent exercises that are geared towards rehab of this injury.
Make sure you get sleep!
@@DrJoshJagoda thanks for that! Appreciate the time to answer. 🙏🏼
@@MichaelTchao how are You doing now
@@augen8819 I'm way more functional, I don't have a ton of pain any more, but I still suffer from sciatic symptoms, mostly numbness and weakness in my calf. It's coming back slowly, but it's been a really slow process. almost 2 years later
Great video! A few questions if I may? I have 3 buldging discs at L3/L4/L5 but my MRI doesn't say Protrusion or Extrusion. Do you know why I don't see those words on the report? My daughter is in the hospital with 3 Protrusions in the lower spine. Same areas as me as a matter of fact. She says her hip and leg are numb and she was complaining of a lot of abdominal pain when she was admitted. Protruding Discs can cause abdominal pain? Why?
Is her problem inherited from me?
Last question please. I also have Severe Spinal Stenosis at L5/S1, Bilateral Pars Defect at L5/S1, and Grade 2 Spondylolisthesis. What type of surgery would be done to correct all that? Wouldn't this be considered an emergency surgery? I also had an ACDC Double Cervical Fusion in May 2019, for Cervical Myelopathy. I wear a back brace and now a wrist brace. :(
Thank You in advance for your answers.
It may just be terminology that was not used on from the MRI report. This is not usually an inherited or genetic problem as far as I understand. Protruding discs can cause referral pain and the hips/psoas may have some pain that can feel like abdominal pain. I would seek further internal medicine for the abdominal pain.
@@DrJoshJagoda Thank You! They did a full abdominal workup on my daughter while she was at the hospital. All the tests were Negative. She'll be going to PT for a Pinched Nerve.
I have a chiropractor and an orthopedic doctor. After analyzing my MRI, you'd think the answers and treatment options would be similar. However, they contradict each other. One says it's a mere tiny bulge and that heat, therapy, and a cortisone shot if needed would help. I was diagnosed with muscle spasms.
The chiropractor says it's a full protrusion that I need to ice and incorporate back strengthening exercises.
I'm a dancer and I can't dance or exercise at all without a tight waist band which limits my mobility.
The injury happened in June or July so it's progressively worsened over the period of 4 months.
Any tips and advice would help 💜
(L5-S1 achey pain on left side and feels worse after experimental treatments such as lowering my lower body repeatedly while turning and others I'm not sure the name of. My lower spine is also rotated so the spinus process curves. Nothing seems to help all that much)
Thank you and sorry for the novel haha
Sorry, this happened to you. Treatments options can definitely be confusing and different for all types of people and practitioners. I would really focus on rehab as well. I would love to give advice but I cannot when there is a lot of missing information about the injury, activity level, MRI, etc.
We would be happy to refer you to someone or do an online Consult to see if we can help. Let us know if you have any questions.
sandiegospineandsport.janeapp.com/#staff_member/1
@@DrJoshJagoda I wish I could upload pictures on here lol my activity level is high which is likely aggravating it more. Thank you!
Hey I have a L1-l2 8mm extrusion I’m only 27 n I am pretty active I run 21 miles a week 7 miles Friday through Sunday, chiropractor said my situation was serious that I’ll need surgery in the future I don’t feel anything crazy I had my moments with back pain but I always managed to handle it I’m only seeing this chiropractor due to my lawyer having me connect with him, should I be worried about my disc?
8 mm is a fairly large extrusion but everyone responds differently to pain. I have a few patients right now... 1 with a 7mm and decent pain but can tolerate the exercise, and one with a 3mm and has a lot of pain.
I would make sure you are doing a lot of rehab and strengthening first including lumbar traction, and hip traction. Personally, I am not a large fan of adjusting the spine with a lot of force, especially with this injury. I would be focused on your current rehab rather than "worried." I hope this helps a little.
I have c6-7 posterocentral disc extrusion with caudal migration and annular fissure 🥺 I have crazy pain in my fingers and forearms. I've already had. Lumbar surgery and not sure if I will need surgery for my neck. What are your thoughts?
Hang in there! I wish I could help give you real advice but if you're having this pain then you need to see a professional or seek care online or in person. I wish you luck. Keep up your rehab. Look into McKenzie Extension
How was ur lumbar surgery? I am sorry u feel so bad.
I have multilevel disc protrusion at each level from t4 thru t12 and a paracentral disc extrusion at t9-t10 with severe pain radiating into my flank around and into the abdomen the last surgeon I seen said surgery wouldn't help and didn't recommend surgery. What do you think? The pain is severe like I am being stabbed to death, taking max Lyrica dose and hydrocodone-acetamen 7.325 but unable to take together with nausea. I have a high pain tolerance this makes my lumbar and sciatica issues seem like a birthday party. Need relief
Sorry to hear all that. It would be wise to get multiple opinions on surgery and seek another surgeon. Typically, the thoracic spine does not have that many complications but everyone is different.
he dear doctor , so if I have and pain after 10 days physiotherapy and have no tingling or numbness do I have protrusion disc and do you think that my broblem remove completely , I'm appreciate you if you reply me,
I cannot say exactly without learning about your case in more detail but you can definitely improve your symptoms in either case. Please make sure you check out our lower back pain playlist as all these videos can help!
Hey man so I have a L5-S1 protrusion .06mm The ER Doctor told me I would recover fast cause I'm 30 with no surgery. I plan to take it easy but what are your thoughts?
Glad to hear you are healthy and a 6mm protrusion can be challenging but it definitely depends on many factors. One of the MOST important factors is the QUALITY of your rehab so choose wisely. We have a free low back pain guide for disc protrusions/herniations that is available at this link.
www.drjoshjagoda.ac-page.com/lowbackpainguide
Thank you
This gives me a little hope. I have a L5/S1 posterocentral disk extrusion,the dimensions are 17×8×12mm with thecal sack indentation/compression
Dr said there was no getting better, I may have to see a surgeon when I start to lose drive/power in my left leg.
I've been in pain for last 3 months.
you can get better!
Go see a therapist first that can help and an ortho. Get multiple opinions.
I have extrusion 6mm l5s1 , I wasn’t aware of that from the beginning as I used to suffer from lower back pain for years but 3 months ago I started to have muscle contractions in my right leg. Until I’ve done mri in January I found about disc extrusion and started physiotherapy . But today I took my steroid injection epidural and my interventional radiologist who gave me steroid told me that your disc might resolve by it’s own and I can give it a chance but I have to swim and keep doing physiotherapy . Unfortunately all other neurosurgeons told me it has been 3 months already and you should go for a surgery.Maybe I will wait for another 3 months on physiotherapy and see.
I really wonder if my disc can heal or not after 3 months of symptoms 😢
Yes it can heal but in either case, even if you need surgery, YOU MUST REHAB. I would encourage you to download our free low back pain guide.
@@wejdanamer8935 how are You doing now
@@DrJoshJagoda had 2 disc bulges one at L4-L5 and L5-S1. Had another mri L4-L5 disc bulge is gone but L5-S1 is a protrusion now. What should I do? Wait it out of have surgery?
I have a 8 mm left posterolateral extrusion compressing the proximal left S1 nerve root at L5-S1. You are very right about only 1 or 2 positions being comfortable. I am a college athlete on scholarship so this is very devastating. Everything you said about the pain and frustration is spot on. Great video. Super informative.
Thanks Skyler! I hope you heal quickly and I am glad you found this video useful. Feel free to drop any questions you have here for us.
I have the same thing...it hurts had it for 2 years. It keeps getting reinjured
How are You doing now
@@augen8819 i had a microdiscectomy surgery November 2021. I still experience sciatica and nerve pain in my hip/lower back area but it is NOTHING compared to the disabling pain I was feeling before I had the herniated disc removed. It is such a relief and I quit sports because I feared it would happen again. Overall I am doing so much better after surgery.
I am 33 and have a 3mm Protrusion at L1L2 right concentrate. Will this heal itself? Can I still play basketball and ski? Thank you
It can heal for sure, but you'll want and need to do the right exercises to help so that you don't have a higher risk of problems in the future. We have a FREE Low back guide for this exact type of injury. You can download it at drjoshjagoda.ac-page.com/lowbackpainguide
Hello Dr I Have a minimum broad based disc protrusion, I just have it after making a physical demanding job, the doctor told me it's not dangerous and didn't affect the nerve, do you think it can be healed and what is your advise ?
I have A pain the the back and in the left leg but it happend almost after making an effort
Thats good that its not touching the nerve. You can definitely get better from this. I would consider some rehabilitation for a few weeks
Can stenosis be caused by extrusion? I saw stenosis has no cure but if the 'ants' eat away the extrusion part then there should be less stenosis in the long run? I have it and it's made my life so difficult
Sorry to hear that. Good question! True stenosis is typically when the spinal canal is smaller due to bone growth. Things like arthritis but in the center of the "Tube." Extrusion on the other hand is when a disc ruptures out and can cause compression to the nerve. In time, many of the cells can eat away the extrusion and there can be reduced symptoms. In the mean time, you will need to try and do pain relief exercises and rehab. Make sure you look into our back pain guide as this can help!
drjoshjagoda.ac-page.com/lowbackpainguide
I have a question, Does the disc in the Extrusion condition after recovery get back the same as before? Will the disc loss of the nucleus be regenerated? or will the entire disc be flat? and if the circumstances that caused the herniation continued will cause more progressive issues such as disc degeneration or thinning the next time? Like, we only have one chance for our bodies to deal with this trauma, and the next time is going to be harder to deal with-ish?
Great question. Each person is different but we typically see some loss of heigh following the recovery. Just because you have this now, does not mean it will be harder to deal with other issues later but based on the info I know of, it can be.
Hope this answered your question
@@DrJoshJagoda Thanks a lot, doctor 👍
Hi sir l have disc extrusion l4_l5,l5-s1 any salutation, please help me
Please visit our website for more info or watch our low back pain video playlist. We also have a free low back pain guide
What application is this?
Visible body
Dear sir I have posterior extrusion on l5 s1 is it dangerous? And how many days will take for recovery doctor said 30% slipped disc.
Days? Nobody has that answer. You need a rehab program. This can take months and should if done correctly I would visit my website www.drjoshjagoda.com and check the rehab program. Its 50% OFF right now "HOLIDAY" promo code.
Drx 9000 spinal decompression I swear by it
How long will a protrusion take to heal fully or can it heal fully ????
That is a tough question to answer but it can make a full recovery. Depending on the severity, I would recommend at least 2-3 months of rehab and specific exercises to help. They can also linger around but knowing which exercise to do and when is very important. Let us know if you have any other questions.
How long does it take to heal from an extrusion on average? Is it months? Weeks? Years? What if anything speeds recovery?
Did u recover
I am also dealing with extrusion. 7mm on the left side L5-S1. It has been terrible and about 9 months PT. I work out and try to avoid loading my back, but the pain still shows up randomly at times.
I’ve been dealing with this about 1.5 years. I have 5 more months for this to “clinically” be “equivalent” to of have undergone microdiscectomy.
Overall I don’t know how much of this disc material has been removed by the body naturally. Or how much longer it will be for my body to remove it completely. Having a lot of these same questions.
I have been pain free, but things like hiking, or moving around a bit will inflame the nerve a bit. But it’s difficult to know how much of this has improved.
Anybody know?
i have extrusion doc on between L4&L5.. do i really need to undergo surgery?
It depends on your symptoms, neuro, and what you have done in the past. It should be a last option if possible. Check with your doctor on this and get multiple opinions.
@@DrJoshJagoda mri said i have posterior central extrusion.. when i saw ur vid that it can heal by itself i feel really glad about it..
i feel numbness on my left and sharp pain wen i did a wrong positio also weakness on my calf.. wat do u think doc thanks alot for any advise
@@ianrobz5725 did you undergo surgery?
@@brodz520 no.. im okay now.. just do the walking evryday and eat healthy bone broth for faster recovery 🙂
I have suffered an extrusion. The chiropractor I see is telling me to rethink surgery, the surgeon is highly recommending a "quick" operation as I am still in pain on morphine 2 weeks after the injury
What did your MRI read
97% of people recover. Your Chiro should be suggesting exercises that help.
@@DrJoshJagoda Doctor, how do they recover from an extruded disc?
Hey Mark how are you now?m hope you're doing well ❤️🩹 did you had surgery??
Hi, I have a focal left disc bulge that is impinging on the traversing S1 nerve root. I'm doing physio and have some improvement after first few sessions. I have reduced pain in calf and glutes but still have a minimal tingling in bottom of foot. Is this normal? Standing and walking I have virtually no pain except the mild tingling. Thanks!
Sounds like you are progressing slowly. Keep a watchful eye out for any foot drop or neurological weakness. You want the pain to start to centralize back into the lower spine and go up the leg.
Dr plz it was proved that the protrusion can completely healed and get back to normal???
yes this can happen. We have a free low back pain guide that can help guide you.
@@DrJoshJagoda ok how can i get it
@@DrJoshJagoda this causes right shoulder drop and pelvic rotation also unbalanced anterior neck muscles
I feel i'm crooked from my head to my foot
Cuz i ' ve been suffering from the disc since 2019 but now i'm good but still have slight sciatica and mild LBP .. I feel that the uneven pelvic and shoulder drop (crooking ) makes me the remaining symptoms
There is no definitive treatment for herniated or bulging disc except the treatment mentioned by the Messenger of God, Muhammad, may God bless him and grant him peace, the last of the messengers
Salam alaikum... what's the treatment brother...
@@user-ct5ux7fj5p the grease of sheep's tail
@@user-ct5ux7fj5p the grease of sheep's tail
The grease of sheep's tail
@@abdulhakimelmabruk6373 thank you ... inshallah I will do it.