You may also hear terms such as herniated disc, ruptured disc, disc bulge, pinched nerve, or sciatica.

They are related, but they do not all describe exactly the same thing.

Understanding the basics can make a diagnosis much less confusing and help you better understand your treatment options.

What Does a Spinal Disc Do?

Your spine is made of stacked bones called vertebrae. Between many of those bones are flexible discs that act as cushions and help the spine absorb force while you move.

Each spinal disc has two main parts:

• A softer, gel-like center called the nucleus
• A tougher outer layer called the annulus

You can think of the disc as a shock-absorbing cushion between two vertebrae. These discs help your spine bend, twist, and handle the forces created by everyday movement.

What Is a Herniated Disc?

A herniated disc occurs when some of the softer material inside a spinal disc pushes through a tear or weakened area in the outer portion of the disc.

According to the Mayo Clinic, a herniated disc can irritate or compress a nearby nerve, potentially causing pain, numbness, tingling, or weakness.

A herniated disc can occur anywhere along the spine, although it is especially common in the lower back. Herniated discs can also occur in the neck.

Does a Disc Actually “Slip”?

“Slipped disc” is a common everyday term for a herniated disc, but the disc itself generally does not slide out of position.

Instead, material from inside the disc pushes outward through or into the tougher outer layer.

Other terms you may hear include:

• Herniated disc
• Ruptured disc
• Protruding disc
• Disc extrusion
• Bulging disc

Imaging reports can sound highly technical, so your symptoms and physical examination remain important when determining whether a disc finding is actually contributing to your pain.

Herniated Disc vs. Bulging Disc

A bulging disc and a herniated disc describe different patterns of disc displacement.

Bulging Disc

With a bulging disc, a broader portion of the outer disc extends outward beyond its usual boundary.

Herniated Disc

With a herniated disc, material from the softer center pushes farther into or through a weakened area in the outer layer.

The American Academy of Orthopaedic Surgeons explains that disc problems may be described using terms such as bulging, protruding, or herniated depending on the pattern and extent of disc displacement.

It is also important to know that imaging findings do not always match the severity of a person’s symptoms. Some people have a herniated disc without experiencing pain at all.

What Does a Herniated Disc Feel Like?

Symptoms depend on where the affected disc is located and whether it is irritating or compressing a nearby nerve.

Herniated Disc in the Lower Back

Possible symptoms may include:

• Low-back pain
• Buttock pain
• Pain traveling down one leg
• Tingling or numbness
• Leg weakness
• Sciatica-like symptoms

Pain caused by nerve irritation may sometimes feel sharp, burning, electric, or radiating rather than remaining confined to the lower back.

Herniated Disc in the Neck

A cervical herniated disc may cause:

• Neck pain
• Shoulder pain
• Pain traveling into an arm
• Tingling in the hand or fingers
• Numbness
• Arm or hand weakness

What Causes a Herniated Disc?

Disc changes often develop gradually rather than happening during one dramatic event.

As spinal discs age, they can lose some of their flexibility and become more vulnerable to tearing or degeneration.

Other possible contributors include:

• Heavy lifting
• Repeated bending
• Twisting while lifting
• Physically demanding work
• Previous spine injuries
• Falls or trauma
• Repetitive stress on the spine

The Mayo Clinic notes that many people cannot identify one specific event that caused their herniated disc.

Does a Herniated Disc Always Require Surgery?

Most people with a herniated disc do not automatically require surgery.

Symptoms may improve with conservative treatment and time. The American Academy of Orthopaedic Surgeons notes that nonsurgical treatment is generally the initial approach for most lumbar herniated discs.

Depending on your symptoms and examination findings, conservative treatment may involve:

• Activity modification
• Physical therapy
• Therapeutic exercise
• Medication recommended by a physician
• Chiropractic care when clinically appropriate
• Spinal decompression when appropriate for the individual patient

At Everett Spine & Rehab, treatment can be coordinated across chiropractic care, physical therapy, and spinal decompression based on the patient’s symptoms, examination findings, and overall health history.

How Physical Therapy Can Help With Disc-Related Pain

Physical therapy may be helpful when a disc problem has affected your strength, mobility, posture, or ability to perform normal activities.

A physical therapy program may focus on:

• Improving spinal and hip mobility
• Strengthening muscles that support the spine
• Improving movement mechanics
• Gradually returning to work or exercise
• Reducing movements that repeatedly aggravate symptoms

The goal is to improve function while helping you move more comfortably and confidently.

When Are Herniated Disc Symptoms More Concerning?

Some symptoms require prompt medical attention.

Seek medical evaluation if back or neck pain is accompanied by significant weakness, progressive numbness, or increasing difficulty walking.

Loss of bowel or bladder control, numbness around the groin or inner thighs, or rapidly worsening neurological symptoms require urgent medical attention.

Frequently Asked Questions About Herniated Discs

Can a herniated disc heal?

Symptoms from many herniated discs improve over several weeks or months. The body may gradually reduce or reabsorb some of the herniated disc material over time. Recovery depends on the location of the disc, severity of symptoms, nerve involvement, activity level, and other individual factors.

Can a herniated disc cause sciatica?

Yes. A herniated disc in the lower back can irritate nerve roots that contribute to the sciatic nerve. This may cause pain, tingling, numbness, or weakness that travels from the lower back or buttock into the leg.

Learn more about sciatica from the Mayo Clinic.

Do I need an MRI to know if I have a herniated disc?

An MRI can provide detailed images of spinal discs, nerves, and other soft tissues, but imaging is not always required immediately. Your healthcare provider can determine whether imaging is appropriate based on your symptoms, physical examination, injury history, and response to conservative care.

Herniated Disc Treatment in Everett, WA

If back pain, neck pain, sciatica, tingling, numbness, or radiating pain is interfering with everyday life, the first step is understanding what may be causing your symptoms.

Everett Spine & Rehab provides chiropractic care, physical therapy, spinal decompression, and injury rehabilitation in Everett, WA for patients dealing with disc-related pain and mobility problems.

We also serve patients throughout Snohomish County, including Mill Creek, Lynnwood, Mukilteo, Lake Stevens, Marysville, Snohomish, Edmonds, Bothell, Monroe, and Mountlake Terrace.

Call Everett Spine & Rehab at (425) 347-8614 to schedule an evaluation and learn which treatment options may be appropriate for you.

Sources

• Mayo Clinic: Herniated Disk, Symptoms and Causes
• American Academy of Orthopaedic Surgeons: Herniated Disk in the Lower Back
• Mayo Clinic: Sciatica, Symptoms and Causes

Sciatica is not a diagnosis by itself. It is a symptom pattern that usually points to irritation or compression involving the sciatic nerve or the nerve roots that feed into it. The National Institute of Neurological Disorders and Stroke describes sciatica as pain caused by compression, inflammation, or injury affecting a spinal nerve, often creating burning or shock-like pain that can travel through the buttock and down one leg.

When sciatica should not be ignored

Some mild cases improve with time and activity modification, but there are situations where getting checked makes sense sooner. If sciatica is affecting sleep, making it hard to sit through the day, limiting walking, or causing ongoing numbness or tingling, it is worth an evaluation. When symptoms keep returning or gradually get worse, patients often start changing the way they sit, stand, and move, which can add more strain elsewhere.

It is especially important to pay attention if pain is beginning to affect strength in the leg or foot, or if normal daily activities are becoming more difficult. Those changes can point to a problem that needs more than rest and guesswork.

What treatment may involve

At Everett Spine & Rehab, sciatica care may involve more than one service depending on what appears to be driving the symptoms. Chiropractic care may be used to address spinal and joint motion. Physical therapy may help improve mobility, core support, and movement patterns that reduce stress on the irritated area. Massage therapy can be useful when muscle guarding builds up around the low back, hip, or gluteal region. In some cases, spinal decompression may also be considered when disc-related symptoms appear to be part of the picture.

The National Center for Complementary and Integrative Health notes that spinal manipulation may lead to small improvements in pain and function for some people with low back pain. That matters because sciatica often overlaps with low back problems that affect walking, standing, sleeping, and other daily activities.

Why early care can matter

People often wait because they hope the pain will settle once they take it easy for a few days. Sometimes it does. But when radiating pain keeps affecting movement, work tolerance, or sleep, waiting too long can make recovery more frustrating. The longer nerve-related symptoms alter the way someone moves, the easier it is for compensation patterns to build.

A focused exam can help identify whether symptoms look more like nerve irritation, disc-related pain, muscular tension, or a combination of factors. From there, treatment can be individualized instead of based on trial and error.

FAQs

What does sciatica usually feel like?

It often feels like pain that travels from the low back or buttock into the leg. Some people also notice tingling, numbness, burning, or weakness.

Does sciatica always come from a herniated disc?

No. A disc issue is one possible cause, but sciatic symptoms can also be influenced by inflammation, joint restriction, or muscular tension affecting nearby nerves.

Can chiropractic and physical therapy both help sciatica?

In many cases, yes. Chiropractic care, physical therapy, massage therapy, and spinal decompression may each play a role depending on the source of symptoms and how severe they are.

When should I get checked?

If leg pain, numbness, or tingling is affecting sleep, walking, sitting, work, or daily movement, it is a good time to schedule an evaluation.

If sciatica is making everyday life harder, Everett Spine & Rehab can help identify what may be driving the pain and build a treatment plan focused on relief, function, and recovery.

When it comes to spring fitness, there are several things to note and consider, along with examples of exercises that are particularly well-suited to the season.

Springtime Fitness and Exercise Tips before you Get Started

Gradual Progression: If you’re returning to outdoor exercise after a winter break, start slowly and gradually increase the intensity and duration of your workouts to avoid injury.

Hydration: Hydration is always important but it is especially so in warmer temperatures which can lead to increased sweating. Carry a water bottle with you during outdoor workouts and drink plenty of fluids before, during, and after exercise.

Sun Protection: As the sun gets stronger, protect your skin by wearing sunscreen, sunglasses, and a hat, and try to exercise during the cooler parts of the day to minimize sun exposure.

Appropriate Clothing: Dress in layers that you can easily remove as you warm up during your workout. Choose moisture-wicking fabrics that help keep you dry and comfortable.

Incorporate Nature: Take advantage of the beautiful spring weather by exercising outdoors in parks, trails, or green spaces. Incorporating nature into your workouts can also improve your mental health.

Variety of Activities: Spring offers a wide range of outdoor activities to enjoy, such as hiking, cycling, jogging, gardening, or playing sports like tennis or soccer. Mix up your routine to keep things interesting and target different muscle groups.

Functional Training: Incorporate exercises that mimic movements you use in everyday life, such as squats, lunges, and pushing or pulling movements. These exercises help improve strength, balance, and coordination.

Interval Training: High-intensity interval training (HIIT) is effective for burning calories and improving cardiovascular fitness. Mix short bursts of intense activity with periods of rest or lower-intensity exercise.

Bodyweight Exercises: A zero-cost way to fitness! No equipment is needed for bodyweight exercises like push-ups, squats, burpees, and planks. These exercises can be done anywhere, making them perfect for outdoor workouts.

Flexibility and Mobility: Don’t forget to include flexibility and mobility exercises in your routine to improve range of motion and prevent injury. Yoga, stretching, and foam rolling are beneficial for maintaining flexibility and reducing muscle stiffness. Here’s an awesome list you can check out.

But What If I Suffer from Back Pain?

For those dealing with back pain, it’s crucial to approach spring fitness with care and consideration for your body’s needs. Start with low-impact exercises that strengthen the core and support the spine, such as swimming, walking, or gentle yoga. Focus on maintaining proper posture during workouts and avoid high-impact activities that may exacerbate discomfort. Incorporating regular stretching and foam rolling sessions to improve flexibility and alleviate tension in the back muscles can also be beneficial. Listen to your body, take breaks when needed, and consult with a healthcare professional or a certified trainer for personalized guidance on managing back pain while staying active during the springtime.

Questions About a Fitness Regimen or Treatment Plan if You Have Chronic Back Pain?

If chronic back pain persists or worsens despite these precautions, seeking professional help from a chiropractor or physical therapist may be necessary. These healthcare professionals can assess your condition, identify underlying issues (bulging disk, spinal stenosis, arthritis of the spine, herniated disk, sciatica, etc) , and develop a personalized treatment plan to address your specific needs. Remember, prioritizing your health and well-being is paramount, and seeking expert guidance can pave the way for a pain-free and fulfilling springtime fitness journey. If you’re in Snohomish County, please visit our Everett Chiro, PT and Massage office for a consultation: 425-347-8614.

Sources:

Health.ucdavis.edu
health.com
Healthline.com
webmd.com
openai.com

Health care has included massage therapy for thousands of years. Human structure and conditions, like musculoskeletal injuries, pregnancies, stress, and disease, are affected by muscle tone and conditioning.

Studies have indicated that consistently applied force on injured muscles squeezes inflammation-causing cells from the muscles. The results of the controlled circumstances in the studies showed muscle regeneration and reduced tissue scarring were significant.

There are many techniques for massage therapy. When a medical professional provides a diagnosis for their patient, the therapist can use the appropriate massage technique to support the recommended rehabilitation path.

Examples of conditions could be Runner’s Knee, torn rotator cuffs, whiplash, sciatica, sports injuries, automobile accident injuries, or work-related injuries.

Another factor in determining the type of massage therapy applied would be a patient’s medical conditions. Knowing if a patient has heart or blood pressure issues, anxiety, depression, or previous injuries is all pertinent information for treatment.

Swedish Massage

Swedish massage can help release muscle knots. It uses a combination of kneading, flowing strokes in the direction of the heart, passive joint movement, and circular motions.

Swedish massage can be a supportive treatment for low back, neck, and shoulder injuries. Studies indicate the relief may be temporary but effective when combined with exercise.

Deep Tissue Massage

Deep tissue massage uses more pressure than Swedish massage. The massage therapist will use deep finger pressure to relieve tension in the connective tissue and the deepest layers of muscle.

Research on Deep Tissue massage suggests the technique may help with recovery by improving circulation to reduce swelling, reduce the buildup of fluid around the injury, improve the range of motion and reduce pain and stiffness in the affected joints.

Sports Massage

Massage therapists apply sports massage to the entire body or injured area. The therapist may use different pressures or strokes depending on the injury and limb stretching techniques.

Limb stretching during sports massage can be beneficial to increase flexibility and range of motion of the joints. Sports massage can lower an athlete’s stress levels, increase blood flow and relieve muscle tension. All these factors lead to improved injury rehabilitation.

Reflexology and Shiatsu Massage

Massage therapists use Reflexology and Shiatsu to relax or restore energy levels. The therapist will apply firm pressure on different pressure points on the hands, feet, and ears in Reflexology, and Shiatsu works the whole body.

These two forms of massage can improve a person’s recovery from injury by affecting their internal energy system. There is limited research, but studies have found that shiatsu massage can complement standard injury treatment for low back pain.

Lymphatic Drainage Massage

Lymphatic Drainage Massage is a gentle massage to move lymphatic fluids through the body.  Because it removes toxins and improves circulation, lymphatic drainage massage can be helpful in the healing process of many conditions.

Rehabilitation specialists often use Ice, compression, and elevation, which are effective therapies, but manual lymphatic drainage promotes more effective edema reduction after an injury.

Massage therapy has its place in the world of injury rehabilitation. Assembling an appropriate team of health and wellness providers can and will provide the best possible treatments for each individual, and remaining open to the possibilities can be life-altering for them.

Everett, Washington Massage Therapy for Injury Rehab

Our clinic specializes in work and auto injury rehab. Our goal is to get you back to feeling normal again! If you have any questions or would like to schedule an appointment, please call 425-347-8614.

I’d like to talk to you about sciatica, what causes it and what can be done about it.

There are several causes of sciatica. The sciatic nerve is about as big as your pinky and runs all the way down from your low back down your leg, to your toes. When this nerve is pinched or being impeding some way, the pain it causes is called sciatica.

The sciatic nerve can be pinched or impeded in several different areas along that route to your foot. The first area where it can be pinched is in the lower back itself. This can happen because of degeneration of the spine or the discs–remember, they’re the shock absorbers of your spine start to wear out. As they get thinner and thinner, there’s less space for the nerves to exit out. If they run out of space, those nerves can be pinched and can cause pain running down both legs, not just one side or the other. Also if the vertebra in the area are misaligned, or if there’s an accident that cause a lot of inflammation, this can also cause pain that runs down the leg. So sciatica can come from degeneration in the spine or disc herniation which is similar to rupture.

The other area sciatica can come from is from your piriformis muscle. Some of you may have heard of this muscle. It goes from your hip to your tailbone and it connects those two bones. It also helps when turning your foot in and out. The piriformis muscle can go into spams for various reasons. Sometimes it starts to go into spasm because it’s trying to compensate for weak muscles surrounding it. If the muscles have become weakened due to lack of use in the butt area, the piriformis muscle starts to tighten up. The sciatic nerve passes either directly below or sometimes through the piriformis muscles so when piriformis muscle the tightens up, it goes into spasms, it can pinch the sciatic nerve in that spot and cause pain all the way down the leg. Sciatic nerve pain can be completely debilitating to the point where someone can’t walk, can’t think, can’t concentrate–it can be very, very painful and can stop a person doing their activities at work, at home, at school, or wherever they may be.

When somebody comes to us with sciatica we do a very thorough examination and diagnostic test to find out what is causing it. We can’t treat someone or tell someone we can fix their problem until we know where the pain is coming from.

Once we know what’s causing it, we can offer appropriate recommendations. Our recommendations might include physical therapy to stretch that muscle and strengthen the ones around it, it might also include a trigger point injection right into that muscle to get it to relax–that provides some immediate relief. And we might recommend decompression for the spine as we separate those discs and vertebrae, to open up that space it’s going to take that pressure off that nerve and the patient will feel a lot better and it’s also going to help rehydrate those discs.

Everett Chiropractic Adjustments, Snohomish County

We also may probably recommend chiropractic adjustment, just to make sure the bones and joints are moving properly and freely like they should. There are a lot of other treatments we can do such as cold laser, Graston Techniques, ultrasound, muscle therapy, like massage and other types of injections. But we don’t know what’s going to be the best for our patient until we are able to properly evaluate them. Please contact us at 425-347-8614 to schedule an appointment today. We are located in Everett, nearby Mukilteo, Marysville and Lynnwood.

What Causes Sciatica?

Sciatica is caused when the sciatic nerve gets irritated. But how exactly does it get irritated? The most common cause of sciatic is a herniated or slipped disc. This very common condition occurs when a spinal disk that sits between your vertebrae, slips out of place. It may also be caused by degenerative disc disease (osteoarthritis of the spine) and lumbar spinal stenosis (narrowing of the spinal canal).

3D medical animation still showing back pain caused by a compression of the sciatic nerve. | Image Credit: http://www.scientificanimations.com/wiki-images/ CC BY-SA 4.0

How Do I Know if I Have Sciatica?

At Everett Spine & Rehab, we will conduct a physical exam and take note of your health history, in order to diagnose you. We will develop a treatment plan specifically for you. If you think you have sciatica, or are experiencing pain, don’t wait–please schedule an appointment with us at (425) 347-8614.