A slipped disc also known as a herniation or prolapsed disc, is a common but misunderstood condition. It refers to a condition where one of the discs in the spine protrudes out of its normal position. These discs comprise of a soft, gel-like centre called the nucleus pulposus, surrounded by a tougher outer layer called the annulus fibrosis. When the annulus fibrosis tears or weakens, the nucleus pulposus can push through, creating a bulge. This bulge can press on nearby nerves, leading to pain, numbness or weakness in the area that those nerves supply.
Let’s explore the pathway of two hypothetical patients who have experienced a slipped disc.
Adam’s Cautionary Approach
Avoiding Professional Help
When Adam first felt the onset of back pain in the form of a back spasm, he hoped it would resolve with pain medication alone. However, the condition kept recurring. By the time he decided to seek help, his symptoms had become chronic (lasting more than 6 weeks).
Opting for Surgery Prematurely
Frustrated with his pain and the lack of improvement, Adam chose to undergo surgery as a quick fix. Unfortunately, he didn’t fully explore conservative treatments or rehabilitation options first. The surgery did not address the underlying factors contributing to his condition and was not a success.
Neglecting Rehabilitation and Exercise
Post-surgery, Adam’s recovery was negatively impacted by a lack of rehabilitation. His surgeon had failed to advise him on the importance of rehabilitation post surgery. He didn’t bother with physiotherapy, just did some walking and then returned to his normal lifestyle. His reluctance to engage in a structured rehab programme led to ongoing symptom, prolonged stiffness, decreased mobility, mood and quality of life
Paul’s Proactive Approach
Seeking Professional Advice Early On
Paul made a point to educate himself on his condition. He didn’t wait for his symptoms to worsen before seeking help and advice from a physiotherapist. His physiotherapist educated him about slipped discs, which helped him to understand his condition and to manage his expectations. Paul’s physiotherapist conducted a thorough assessment, developed a tailored rehab plan and helped him to make informed decisions about his recovery. Paul ensured his condition was guided by a professional expert which helped him to avoid unnecessary complications.
Committing to a Structured Rehab Program
Following advice from his physio, Paul engaged in a structured rehab program that included specific exercises to improve strength and spinal stability. He attended regular sessions and followed through with his home exercise program. Instead of avoiding physical activity, Paul incorporated exercises into his lifestyle. This consistent effort helped Paul to reduce
discomfort and improve his overall symptoms.
Outcomes
Thanks to Paul’s proactive approach, he experienced significant improvement. His pain levels decreased, his mobility improved and he was able to return to his usual daily activities with confidence. In contrast, Adam’s lack of proactive care and commitment to rehab resulted in poor outcomes. He continued to experience pain and limited mobility which affected his quality of life and ability to return to his usual activities.
Adam and Paul’s journeys with slipped discs illustrate how different approaches to managing the same condition can lead to vastly different outcomes.
At Reflex Physiotherapy, we are dedicated to helping you achieve a similar pathway to Paul. Our team can provide personalised care designed to address your specific needs and condition getting you back to your healthy self.
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