the Consequences of Untreated Disc Herniation

User continues to ask?

Dr.
Huang: If I do not seek treatment, what consequences might I face? (In the letter I wrote to you last week: I have a troubling pain, which is a herniated disc, particularly severe at the first and fifth lumbar vertebrae.
After hiking last Sunday, my lower back pain became extremely intense.
I went to the hospital for rehabilitation, but it seems ineffective, and I have been undergoing rehabilitation for over a month.
The rehabilitation treatments include electrical stimulation, magnetic therapy, heat therapy, and ultrasound.
Initially, I also had lumbar traction, but I re-injured my back by lifting heavy objects.
Now, I can neither sit nor stand comfortably; I can sit for less than a minute before experiencing significant pain, especially around the coccyx area, which is the most uncomfortable.
I cannot stand for too long, and walking is difficult; my right leg feels particularly strained, and there is a noticeable difference in sensation between my right and left legs.
Sometimes, my right leg feels tight.
I have also undergone a CT scan and MRI, and the doctor's conclusion is a herniated disc at the fifth and first lumbar vertebrae.
Currently, I am suffering daily due to the back pain.
Dr.
Huang, is there any way to alleviate my discomfort and reduce the pain? Would further treatment be necessary, and would hospitalization (for examination) be more beneficial? Thank you! I work in an office, but I sometimes have to lift heavy items! The doctor's response is: The physician suggests that if rehabilitation, rest, and medication (pain relievers and muscle relaxants) do not improve your discomfort, it may be time to consider surgical treatment!)

angelas〈 Xin Yu〉, 20~29 year old female. Ask Date: 2001/09/04

Dr. Huang Yingzhe reply Neurology

If left untreated, symptoms may resolve on their own, but there is a possibility of recurrence.
However, if the symptoms do not subside and instead worsen, it could affect neuromuscular function and potentially lead to muscle atrophy and issues with bowel and bladder control, which requires careful attention.

Reply Date: 2001/09/04

More Info

Untreated disc herniation can lead to a variety of complications that may significantly affect your quality of life and overall health. When a disc herniates, it means that the soft inner gel-like material of the disc has protruded through the tougher outer layer, potentially pressing on nearby nerves. This can result in pain, numbness, and weakness in the affected areas, often radiating down the legs if the lower back is involved.

In your case, you mentioned experiencing severe pain in your lower back, particularly after physical activity such as hiking. This is a common scenario for individuals with disc herniation, as physical exertion can exacerbate the condition. The symptoms you describe, including difficulty sitting or standing for extended periods, and the sensation of tightness in your right leg, suggest that the herniated disc may be compressing a nerve root, leading to radiculopathy.

If left untreated, the consequences of untreated disc herniation can include:
1. Chronic Pain: Over time, untreated disc herniation can lead to chronic pain that may not only affect the lower back but can also radiate down the legs. This chronic pain can become debilitating, affecting your ability to perform daily activities and work.

2. Nerve Damage: Prolonged pressure on the nerves can lead to permanent nerve damage. This may result in loss of sensation, weakness, or even paralysis in the affected areas. In severe cases, this can lead to conditions such as cauda equina syndrome, which is a medical emergency.

3. Muscle Weakness: As you mentioned, you are experiencing differences in strength between your legs. This can be a sign of nerve compression affecting muscle function. Over time, muscle weakness can lead to atrophy, where the muscles shrink and weaken due to lack of use.

4. Loss of Mobility: The pain and discomfort associated with untreated disc herniation can lead to a decrease in physical activity. This can result in stiffness and decreased flexibility, further limiting your mobility and quality of life.

5. Psychological Impact: Chronic pain and mobility issues can lead to psychological effects such as anxiety and depression. The inability to engage in activities you once enjoyed can take a toll on your mental health.

6. Surgical Intervention: If conservative treatments such as physical therapy, medication, and rest do not alleviate your symptoms, you may eventually require surgical intervention. Surgery can be effective in relieving pressure on the nerves and alleviating pain, but it carries its own risks and recovery time.

Given your situation, where conservative treatments have not provided relief, it may be time to consider further evaluation by a spine specialist. They may recommend additional imaging studies, such as an MRI, to assess the extent of the herniation and determine the best course of action. If surgery is deemed necessary, it can provide significant relief and improve your quality of life.

In summary, untreated disc herniation can lead to chronic pain, nerve damage, muscle weakness, loss of mobility, and psychological effects. It is crucial to address these symptoms promptly and consider further medical evaluation to prevent long-term complications. Consulting with a healthcare provider who specializes in spinal disorders can help you explore your options and find a treatment plan that works for you.

Similar Q&A

Understanding Herniated Discs: Surgery Risks and Rehabilitation Options

Does this condition require surgery, or are there other rehabilitation methods to alleviate the pain caused by nerve compression? What is the risk level associated with surgery? Thank you!

Dr. Zhou Hongzhi reply Orthopedics
1. Surgery is not always necessary and depends on the symptoms. 2. Rehabilitation can improve symptoms. 3. The risks of surgery depend on the severity of the symptoms; generally, the risks are not high.

Possible Aftereffects of L5-S1 Disc Herniation Surgery: What to Expect

I would like to inquire about the possible complications following surgery for a herniated disc at the L5-S1 level, specifically regarding the removal of a piece of cartilage.

Dr. Ding Xianwei reply Neurosurgery
There are indeed many potential sequelae. If you need assistance, it is recommended that you visit the outpatient clinic to discuss your concerns in detail with your attending physician.

Understanding Herniated Discs: Treatment Options and Surgery Risks

Hello Dr. Hsiao! I live in Macau, and my boyfriend has recently undergone an MRI, which confirmed that he has a herniated disc. He is 30 years old and experienced sudden severe lower back pain at the beginning of this year, which worsened to the point of weakness in both legs. Af...

Dr. Xiao Furen reply Neurosurgery
1. Surgery may not be necessary if symptoms are mild. 2. It depends on the symptoms. 3. There are options available. 4. Microsurgery is an option, but it still carries risks. 5. If you have health insurance, the costs are not too high. 6. There is still a small percenta...

Understanding Lumbar Disc Herniation: Risks, Treatments, and Costs

You have a herniated disc at the L4-L5 level and have undergone MRI imaging. You are experiencing severe limitations in bending and a significant impact on your quality of life, making it difficult to work. The doctor has diagnosed that you need to have the disc removed and that ...

Dr. Xu Xianda reply Neurosurgery
Please visit the outpatient clinic and bring your MRI films for a clearer understanding of your condition. Neurosurgeon Dr. Yu-Shu Chiu.