Symptoms of Herniated Discs: When to Seek Help

I would like to inquire about the symptoms of a herniated disc?

First, let me describe my symptoms.
I have been experiencing these issues for about seven years, but I haven't addressed them seriously.
Here are my symptoms: 1.
If I stay in the same position for too long or if I exert myself by lifting heavy objects during the day, when I sit down to rest, my right thigh and buttock feel like they need to "pop" before I can comfortably relax my leg; otherwise, I experience a sharp pain that prevents me from exerting force.
2.
When I lie flat to sleep, my lower back also needs to "pop" in order for me to lie comfortably; this means my lower body remains level, but my upper body has to turn to the left or right to allow my back to "pop" so I can lie flat comfortably.
Otherwise, I experience soreness and weakness similar to what I described earlier.
3.
Additionally, when using the restroom, my right foot easily becomes numb.
4.
Recently, my right lower back and right leg have been increasingly uncooperative.
At work, my right lower back feels like a deep ache, but it's bearable.
However, the area where my right leg meets my right buttock has started to feel very uncomfortable.
No matter how I try to "pop" my bones, that area has a dull pain that leads to weakness and difficulty sleeping.
When I walk, my right foot becomes noticeably uncomfortable, as if it is hitting a pain point that follows my movement.
Those are my symptoms, but I'm not sure if I have a herniated disc.
If so, which specialty should I consult? Thank you very much for taking the time to respond!

Lizi, 20~29 year old female. Ask Date: 2016/08/31

Dr. Yin Xinbei reply Rehabilitation

It doesn't seem like a herniated disc; you can schedule an appointment with a rehabilitation specialist or an orthopedic doctor for further evaluation.

Reply Date: 2016/08/31

More Info

Based on your description of symptoms, it sounds like you may be experiencing issues related to a herniated disc or possibly other spinal conditions. Herniated discs occur when the soft material inside the disc pushes out through a tear in the tougher exterior, which can lead to nerve compression and pain. Your symptoms, such as the need for your hip and lower back to "pop" or "click" to relieve discomfort, the tingling or numbness in your right leg, and the deep-seated pain in your lower back and hip area, are all indicative of potential nerve involvement, which is common with herniated discs.

When to Seek Help
1. Persistent Pain: If your pain persists despite rest or over-the-counter pain medications, it’s crucial to seek medical attention. Chronic pain that affects your daily activities, such as walking or sleeping, should not be ignored.

2. Neurological Symptoms: The tingling or numbness in your right leg, especially if it worsens, is a sign that you should consult a healthcare professional. Nerve compression can lead to more severe issues if not addressed.

3. Difficulty with Mobility: If you find it increasingly difficult to move, or if your leg feels weak or unresponsive, this is another reason to seek immediate medical attention. Weakness in the legs can indicate significant nerve involvement.

4. Changes in Bowel or Bladder Function: Although you did not mention this, any changes in bowel or bladder control can be a sign of a serious condition known as cauda equina syndrome, which requires urgent medical intervention.

Recommended Steps
1. Consult a Specialist: Given your symptoms, it would be advisable to see a specialist in either orthopedics or neurology. An orthopedic surgeon can assess your spine and determine if there are structural issues, while a neurologist can evaluate nerve function and any potential nerve damage.

2. Diagnostic Imaging: You may need imaging studies such as an MRI or CT scan to visualize the discs and surrounding structures. These tests can help confirm whether a herniated disc is present and if it is affecting nearby nerves.

3. Physical Therapy: If a herniated disc is diagnosed, physical therapy is often recommended as a first-line treatment. A physical therapist can guide you through exercises that strengthen the muscles supporting your spine, improve flexibility, and alleviate pain.

4. Pain Management: In some cases, medications such as NSAIDs (non-steroidal anti-inflammatory drugs) or muscle relaxants may be prescribed to help manage pain and inflammation. If conservative treatments fail, more invasive options like corticosteroid injections or surgery may be considered.

5. Lifestyle Modifications: It may also be beneficial to evaluate your daily activities and posture. Ergonomic adjustments at work, proper lifting techniques, and regular exercise can help prevent further injury.

Conclusion
Your symptoms warrant a thorough evaluation by a healthcare professional. It is essential to address these issues early to prevent further complications and to improve your quality of life. Do not hesitate to seek help, as early intervention can lead to better outcomes and a more effective treatment plan.

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