David Spine Center

Herniated Disc

How a Herniated Disc develops is not always clear. What is clear, however, is that people with low back problems sometimes suffer from a Herniated Disc. However, you don’t always develop the related pain symptoms if you have a Herniated Disc.

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What’s a Herniated Disc?

Between the vertebrae of your back, there are discs called the intervertebral discs. A Herniated Disc is the ‘fracture’ or ‘bulge’ of the intervertebral disc. When this bulge starts to press on nerves it can cause complaints such as radiating pain in one buttock or leg.

Have you been diagnosed with a Herniated disc?
  • Avoid inactivity
  • Keep moving as much as possible

A Herniated Disc in the back mainly occurs in people with an “unstable” or inactive back or in people who strain their back incorrectly. Wear and tear of the intervertebral disc is part of the aging process and is therefore more common in 50% of cases in people over 50 years of age. Often a hernia does not cause any symptoms at all. A Herniated disc with complaints is most common in people between 25 and 50 years of age (who have a very demanding occupation). A Herniated Disc in the back most commonly occurs for these reasons:

  • Unstable back
  • Incorrect loading of the back (inactivity, heavy load)
  • Wear and tear of the intervertebral disc (aging process)
  • Between 25 and 50 years of age (strenuous professions)


Common Herniated Disc symptoms

A Herniated Disc doesn’t always have to cause complaints. The most common complaint with a Herniated Disc in the back is the radiating pain in the buttocks. However, pain in the leg and sometimes even below the knee (and in the foot) also occur regularly. Loss of sensation can also be a symptom of an existing Herniated Disc (because the bulge ‘presses’ on the nerve pathway). Sometimes the skin can feel ‘deaf’ and there is a regular loss of strength in one or both legs. When coughing, sneezing, or squeezing, the pain usually gets worse because the pressure on the spine is increased as a result.

  • Severe pain in the (lower) back;
  • Radiating pain in 1 or 2 legs;
  • Radiating pain in the back and/or buttocks;
  • Radiating pain up to sometimes below the knee / in the foot;
  • Deaf feeling in e.g. the legs;
  • Pain increases with ‘coughing’, ‘sneezing’ and ‘squeezing’;
  • Pain when lifting a stretched leg in a supine position;
  • Reduced reflexes (in e.g. calf/Achilles tendon);
  • Reduced force in e.g. leg;
  • Reduced mobility (e.g. bending forward with extended knees).

Causes of Acute Low Back Pain

What causes an Acute Low Back Pain attack depends on several factors. The cause of Low Back Pain (lumbago) is the inability of the joint chain of the lower back to work together properly. Below are a few examples of risk factors for lumbago:

  • Overburdened back (work / driving / tension)
  • Moving the (lower) back incorrectly (for a long time)
  • Sudden movement (bending or twisting of the back)
  • Stress
  • Doing untrained heavy work
  • Poor physical condition (passive)
  • Presence of a hernia in the (lower) back


Treatment for a Herniated Disc

Depending on the examination, we will determine which treatment method is most effective for your Herniated Disc symptoms. This can be for example the treatment methods below:

  • Dry needling
  • Manual therapy
  • Medical taping
  • Exercise Therapy with the David Devices
  • Home exercises


Exercise Therapy for a Herniated Disc

The David treatment will, among other things, be aimed at reducing muscle tension, reducing pain, giving tips/advice regarding your posture, and rebalancing (strengthening and stabilizing) your back.

  • Reducing muscle tension
  • Reducing pain
  • Increasing mobility
  • Learning the right posture
  • Increasing strength and stability in the back (Exercise Therapy)

Patient Experiences

David has treated more than a million people with Shoulder Pain in more than 25 countries over the last 10 years. Read the patient experiences on our blog page.

Patient stories