It is a misconception that people with lumbar disc herniation must undergo surgery to recover. This is not always the case—rest can play a significant role in helping with recovery. In this article, we will discuss methods to reduce disc pain as well as the proper way to rest for treating lumbar disc herniation. By learning about this condition, you can better cope with its chronic pain.The philosophy behind rest is to reduce spinal movements and therefore lower the pressure inside the disc. When we lie down or recline, the least amount of pressure is exerted on the disc, giving the torn ring of the disc an opportunity to heal.Thus, the fresher the disc injury, the greater the chance of recovery with rest. Conversely, older disc injuries are less likely to improve solely with rest.<h2 class="ql-align-justify">How Many Days of Rest Are Needed for Lumbar Disc Patients?</h2>Lumbar disc herniation is divided into acute and chronic categories.<ul><li class="ql-align-justify">Acute disc: Symptoms have appeared for less than one month. In such cases, rest can be effective.</li><li class="ql-align-justify">Chronic disc: Symptoms have lasted longer; rest alone is usually less helpful.</li></ul><h2 class="ql-align-justify">Is Strict Bed Rest Necessary for a Herniated Disc?</h2>Yes, strict bed rest is recommended during the first 48 hours. The patient should ideally not leave the bed even for the bathroom. If using a bedpan is not possible, the patient may only get up briefly to use the toilet. Meals should also be taken in a semi-reclined position.<h2 class="ql-align-justify">In What Position Should the Patient Rest?</h2>The patient can rest either:<ul><li class="ql-align-justify">Lying on the side</li><li class="ql-align-justify">Lying on the back (supine position)</li></ul><h2 class="ql-align-justify">How Long Should Rest Last for Lumbar Disc Problems?</h2>The duration of rest depends on the severity and type of disc injury. Generally, the doctor will provide tailored recommendations. Common approaches include:<ul><li class="ql-align-justify">Initial strict bed rest: Usually up to one week or slightly longer in acute cases, to allow the body to heal and inflammation to subside.</li><li class="ql-align-justify">Active rest: After this stage, patients are encouraged to gradually return to daily activities and appropriate exercises.</li><li class="ql-align-justify">Personalized guidance: Doctors may provide specific advice on sitting, standing, and daily movements.</li><li class="ql-align-justify">Physiotherapy: Exercises to strengthen the back and abdominal muscles can be prescribed.</li><li class="ql-align-justify">Monitoring: Doctors often follow up and adjust treatment if needed.</li></ul>Key point: Always follow your doctor’s advice and avoid activities that may worsen the condition. A gradual return to normal life and physical activity ensures long-term recovery.<h2 class="ql-align-justify">Absolute Rest for Lumbar Disc Treatment</h2>Absolute rest means greatly reducing daily activities and giving the body complete rest—especially important when dealing with disc herniation.This includes avoiding heavy lifting, bending, or twisting movements. Alongside rest, other medical recommendations may include:<ul><li class="ql-align-justify">Medications: Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling.</li><li class="ql-align-justify">Physiotherapy: Strengthening and mobility techniques for back and abdominal muscles.</li><li class="ql-align-justify">Therapy devices: Electric massagers or pain-relief devices.</li><li class="ql-align-justify">Lifestyle changes: Adjustments in diet, weight management, and regular appropriate exercise.</li><li class="ql-align-justify">Alternative therapies: Acupuncture, chiropractic care, or complementary approaches.</li><li class="ql-align-justify">Support aids: Such as lumbar belts for additional support.</li></ul>Always consult your physician to create a treatment plan tailored to your medical history and condition.<h2 class="ql-align-justify">Sleeping Positions for Lumbar Disc Patients</h2>The best sleeping positions include:<ul><li class="ql-align-justify">On the side, in a fetal position, with knees drawn toward the chest.</li><li class="ql-align-justify">Supine (on the back), with a pillow under the knees.</li><li class="ql-align-justify">Slightly elevating the foot of the bed (about 10 cm) can also help reduce spinal pressure.</li></ul><h3 class="ql-align-justify">Can Patients with a Freshly Ruptured Disc Sleep on Their Stomach?</h3>Yes. Sleeping on the stomach can reduce cerebrospinal fluid pressure, giving the disc a better chance to heal.<h3 class="ql-align-justify">Is One Month of Rest Recommended for Disc Patients?</h3>No. If the disc ring does not heal within 2–7 days, even a full month of rest will not cause it to heal. Long-term rest was an old method used when modern medicine and physiotherapy were not available. Recent studies show that prolonged rest is no more effective than 24 hours of rest in treating disc problems.<h3 class="ql-align-justify">What Is the Maximum Duration of Necessary Rest?</h3>Up to 48 hours.<h3 class="ql-align-justify">Is Rest Recommended Without Medication?</h3>No. Rest should be combined with anti-inflammatory medications to reduce swelling around the disc and give it a chance to heal.<h3 class="ql-align-justify">Can a Herniated Disc Heal with Rest Alone?</h3>Rest can reduce pain and support recovery, but its effectiveness depends on the severity and type of the herniation. In severe cases, especially when nerve compression causes numbness, weakness, or loss of muscle control, medical interventions beyond rest are required.<h2 class="ql-align-justify">Home Treatment for Disc Herniation</h2>For the first 72 hours after pain begins:<ul><li class="ql-align-justify">Stop normal activities temporarily.</li><li class="ql-align-justify">Apply ice packs for the first 48–72 hours, then switch to heat therapy.</li><li class="ql-align-justify">Some recommend alternating between cold and heat (20 minutes each).</li><li class="ql-align-justify">Over-the-counter pain relievers like ibuprofen or acetaminophen can help.</li><li class="ql-align-justify">If lying flat on the back increases discomfort, switch to the fetal side position with a pillow between the knees.</li><li class="ql-align-justify">For supine sleeping, place a pillow under the knees.</li><li class="ql-align-justify">Warm baths or massage can help reduce muscle spasms.</li></ul><h2 class="ql-align-justify">Best Resting Practices for Lumbar Disc Herniation</h2><ul><li class="ql-align-justify">Proper sleeping positions: On the back with knees elevated or on the side in the fetal position.</li><li class="ql-align-justify">Use of supportive pillows: To maintain spinal alignment.</li><li class="ql-align-justify">Strengthening surrounding muscles: Core and back strengthening exercises aid healing.</li><li class="ql-align-justify">Avoid harmful movements: Bending or twisting.</li><li class="ql-align-justify">Appropriate exercise: Balance, endurance, and stability workouts for long-term health.</li><li class="ql-align-justify">Therapeutic approaches: Massage, acupuncture, physiotherapy, chiropractic methods.</li><li class="ql-align-justify">Always consult your doctor before making any changes to your routine.</li></ul><h3 class="ql-align-justify">Frequently Asked Questions</h3><h4 class="ql-align-justify">Is absolute rest necessary for lumbar disc treatment?</h4> Yes, but only during the first 48 hours of acute pain. After that, light activity should resume.<h4 class="ql-align-justify">What is the best sleeping position?</h4> On the side in a fetal position, or supine with a pillow under the knees.<h4 class="ql-align-justify">What is the maximum recommended duration of bed rest?</h4> 48 hours. Longer rest has no significant benefits.<h4 class="ql-align-justify">Can lumbar disc herniation be treated with rest alone?</h4> No. Rest is supportive but must be combined with medication, physiotherapy, and lifestyle changes.<h4 class="ql-align-justify">What home treatments are effective?</h4> Ice/heat therapy, pain medication, proper sleeping positions, and avoiding heavy activity.

How to rest to treat lumbar disc2

Resting for lumbar disc treatment means reducing spinal movements to minimize pressure on the disc and give the cracked ring a chance to heal properly.

How to Rest for Lumbar Disc Treatment – Dr. Ghasem Eshaghi

Non-surgical methods for improving and treating lumbar disc herniation

How to Rest for Treating a Lumbar Disc Herniation

Endoscopic Lumbar Disc Surgery

Endoscopic lumbar disc surgery is a minimally invasive technique that relieves nerve pressure, reduces pain, and allows faster recovery than open surgery.

Endoscopic Lumbar Disc Surgery–Lumbar Disc Surgery-Dr Eshaghi

For several years, the endoscope has been introduced into neurosurgery and spinal surgery. These methods are called minimally invasive techniques, and they are particularly used in spinal surgeries for removing lumbar disc.s

The lumbar disc is like a ball bearing — the nucleus rotates inside the annulus of the disc, and the annulus itself is attached to the vertebrae. This living “ball bearing” allows the movements of the spine. In one of these movements, the annulus of the disc may crack, which is commonly referred to as a degenerated (worn-out) disc. In another movement, the fissure in the annulus may enlarge, causing the contents of the disc to protrude outside the annulus and press on a nerve. The exact cause of lumbar disc herniation is unknown. Genetic predisposition is considered the most important factor. In other words, people who suffer from disc herniation often have discs of poor quality, and otherwise, even heavy physical work would not necessarily cause a rupture.<h2 class="ql-align-justify" style="direction: ltr;">Treatment of Lumbar Disc Herniation</h2>Despite the development of minimally invasive techniques, surgery is still considered the best treatment for lumbar disc herniation.<h3 class="ql-align-justify" style="direction: ltr;">Reasons why surgery remains the best treatment for lumbar disc herniation:</h3><ol><li class="ql-align-justify" style="direction: ltr;">During surgery, the ruptured portion of the disc is removed, allowing the annulus to heal and fuse, preventing future leakage.</li><li class="ql-align-justify" style="direction: ltr;">The compressed nerve root is directly visualized, and the pressure is relieved.</li><li class="ql-align-justify" style="direction: ltr;">The recurrence rate is low; about 4% of discs relapse after surgery.</li></ol><h3 class="ql-align-justify" style="direction: ltr;">Surgical Methods for Treating Lumbar Disc Herniation</h3><ol><li class="ql-align-justify" style="direction: ltr;">Microsurgical discectomy (Laminectomy): A common method for removing the herniated disc material under a microscope.</li><li class="ql-align-justify" style="direction: ltr;">Minimally invasive endoscopic surgery: Allows the patient to return to work sooner without the need for large incisions or tissue removal.</li><li class="ql-align-justify" style="direction: ltr;">Laser disc decompression (PLDD): Performed for bulging or degenerated discs, using laser energy to reduce disc volume and pressure.</li></ol>Non-invasive treatments for disc rupture include physical therapy and anti-inflammatory drugs, commonly referred to as painkillers by the general public.<h3 class="ql-align-justify" style="direction: ltr;">Herbal Treatments for Lumbar Disc Herniation</h3>The first remedy modern humans discovered for disc rupture was herbal medicine. The first anti-inflammatory drug created by humans was derived from willow bark — known as aspirin.Other herbal-based remedies include:<ul><li class="ql-align-justify" style="direction: ltr;">Piascledine: Extracted from avocado fruit.</li><li class="ql-align-justify" style="direction: ltr;">Curcumin: Derived from turmeric, available in 40 mg and 80 mg capsules.</li><li class="ql-align-justify" style="direction: ltr;">Devil’s claw extract (Doloteffin): Used in various herbal preparations for joint and back pain.</li></ul><h3 class="ql-align-justify" style="direction: ltr;">Causes of Lumbar Disc Herniation</h3><ol><li class="ql-align-justify" style="direction: ltr;">Genetic predisposition:</li><li class="ql-align-justify" style="direction: ltr;"> Multiple genes are involved in disc rupture. It is estimated that about 75% of cases have a hereditary origin.</li><li class="ql-align-justify" style="direction: ltr;">Dehydration:</li><li class="ql-align-justify" style="direction: ltr;"> Dehydration of the body and lumbar disc leads to degeneration. A recent study examining discs removed from 18 patients who underwent surgery for L4–5 or L5–S1 herniations found that Aquaporin-I levels correlated with MRI signs of disc dehydration.</li><li class="ql-align-justify" style="direction: ltr;">Mechanical overload on the spine:</li><li class="ql-align-justify" style="direction: ltr;">Not all herniations occur in degenerated discs. Some patients have herniations without significant degeneration or loss of water content. Static and dynamic overload — such as prolonged sitting or repetitive forward/backward bending — can increase the risk, especially in younger sedentary individuals.</li><li class="ql-align-justify" style="direction: ltr;">Inflammatory signals:</li><li class="ql-align-justify" style="direction: ltr;"> Infection with Propionibacterium acnes, acidic environment formation, and microstructural changes in the nerve root can trigger inflammation.</li><li class="ql-align-justify" style="direction: ltr;"> Factors like COX-2, FSTL1, and TNF-α have been shown to be significantly higher locally and systemically in patients with lumbar disc herniation compared to controls.</li></ol><h2 class="ql-align-justify" style="direction: ltr;">Symptoms of Lumbar Disc Herniation</h2>Lumbar disc herniation is a general term that covers various types, similar to how the word “person” can refer to many different kinds of individuals.<h3 class="ql-align-justify" style="direction: ltr;">Does a disc behave like a living being?</h3> Yes. Unlike a pebble that passively presses on a nerve root, the disc is living tissue and can behave differently over time.<h3 class="ql-align-justify" style="direction: ltr;">Possible locations of disc rupture:</h3><ul><li class="ql-align-justify" style="direction: ltr;">Midline</li><li class="ql-align-justify" style="direction: ltr;">Right side</li><li class="ql-align-justify" style="direction: ltr;">Left side</li><li class="ql-align-justify" style="direction: ltr;">Inside the intervertebral foramen</li></ul><h3 class="ql-align-justify" style="direction: ltr;">Key symptoms include:</h3><ol><li class="ql-align-justify" style="direction: ltr;">Low back pain: Caused by irritation of pain-sensitive fibers before nerve compression occurs.</li><li class="ql-align-justify" style="direction: ltr;">Sciatica: Pain radiating along the sciatic nerve from the back down to the buttock, thigh, and calf. It may be unilateral or bilateral.</li></ol>Some patients have only leg pain without back pain, especially if the rupture is peripheral rather than central.Severe cases: A large herniation can compress all nerve roots in the spinal canal, causing sudden leg paralysis and urinary/fecal incontinence or retention.<h3 class="ql-align-justify" style="direction: ltr;">Other possible neurological signs:</h3><ul><li class="ql-align-justify" style="direction: ltr;">Foot drop (difficulty lifting the front of the foot)</li><li class="ql-align-justify" style="direction: ltr;">Recurrent ankle sprains due to weakness</li><li class="ql-align-justify" style="direction: ltr;">Knee giving way (due to L3–L4 root involvement)</li><li class="ql-align-justify" style="direction: ltr;">Numbness, tingling, or “pins and needles” sensations</li><li class="ql-align-justify" style="direction: ltr;">Abnormal hot or cold sensations in the legs</li></ul>The severity of symptoms is not always proportional to the size of the herniation — a small but high-pressure disc can cause more pain than a large, low-pressure one. Some ruptures are asymptomatic, especially if the spinal canal is wide and internal disc pressure is low.<h3 class="ql-align-justify" style="direction: ltr;">Can a Herniated Disc Heal Naturally?</h3>Yes. Healing is similar to a skin wound — small tears may heal with rest, but larger ones (especially in high-motion areas) may require “stitches” (surgery).Healing process requires:<ol><li class="ql-align-justify" style="direction: ltr;">Removal of extruded nucleus material between annulus edges.</li><li class="ql-align-justify" style="direction: ltr;">Reduction of internal disc pressure to bring edges closer.</li><li class="ql-align-justify" style="direction: ltr;">Growth of collagen tissue to close the annular tear.</li><li class="ql-align-justify" style="direction: ltr;">Time (about one month) for collagen to strengthen.</li></ol>The body naturally:<ul><li class="ql-align-justify" style="direction: ltr;">Sends macrophages to remove the extruded fragment.</li><li class="ql-align-justify" style="direction: ltr;">Reduces activity due to pain, lowering disc pressure.</li><li class="ql-align-justify" style="direction: ltr;">Initiates collagen repair.</li></ul>About 80% of ruptures heal without surgery.<h3 class="ql-align-justify" style="direction: ltr;">Why Some Herniated Discs Don’t Heal and Need Surgery</h3>About 20% require surgery because:<ol><li class="ql-align-justify" style="direction: ltr;">The extrusion is too large for macrophages to remove.</li><li class="ql-align-justify" style="direction: ltr;">Disc pressure remains high.</li><li class="ql-align-justify" style="direction: ltr;">Immune or collagen production is weak.</li></ol><h3 class="ql-align-justify" style="direction: ltr;">What Happens After Surgery</h3>The surgeon replicates the natural healing steps:<ul><li class="ql-align-justify" style="direction: ltr;">Removes part of the nucleus to reduce pressure.</li><li class="ql-align-justify" style="direction: ltr;">Stabilises unstable vertebrae with pedicle screws if necessary.</li><li class="ql-align-justify" style="direction: ltr;">Allows collagen tissue to close the annular tear.</li></ul><h3 class="ql-align-justify" style="direction: ltr;">Why Some Discs Re-Rupture</h3>Patients who recover may forget they had a herniation and lift heavy loads or make sudden movements, raising disc pressure and tearing the weaker scar tissue.<h3 class="ql-align-justify" style="direction: ltr;">Frequently Asked Questions :</h3><h4 class="ql-align-justify" style="direction: ltr;">1. What is lumbar disc herniation?</h4>Lumbar disc herniation occurs when the inner nucleus of the spinal disc protrudes through a tear in the annulus, pressing on nearby nerves and causing pain.<h4 class="ql-align-justify" style="direction: ltr;">2. What are the main causes of lumbar disc herniation?</h4>The main causes include genetic predisposition, disc dehydration, mechanical overload (such as prolonged sitting or heavy lifting), and inflammatory processes.<h4 class="ql-align-justify" style="direction: ltr;">3. What are the common symptoms of a herniated lumbar disc?</h4>Symptoms include low back pain, sciatica, leg numbness or tingling, muscle weakness, foot drop, and in severe cases, paralysis or bladder/bowel issues.<h4 class="ql-align-justify" style="direction: ltr;">4. How is lumbar disc herniation treated?</h4>Treatment options range from physical therapy, pain medication, and herbal remedies to advanced surgical methods such as microsurgical discectomy, endoscopic surgery, and laser decompression.<h4 class="ql-align-justify" style="direction: ltr;">5. Can a lumbar disc herniation heal without surgery?</h4>Yes, about 80% of cases heal naturally with rest, reduced disc pressure, and collagen repair, but around 20% require surgery if the extrusion is too large or healing is incomplete.<h3 class="ql-align-justify" style="direction: ltr;">Conclusion</h3>Lumbar disc herniation is a common yet treatable condition. In about 80% of cases, healing occurs naturally through rest, reduced disc pressure, and the body’s repair mechanisms. However, in around 20% of patients, the severity of the herniation or insufficient healing makes surgery necessary. Fortunately, today various options such as microsurgical discectomy, endoscopic surgery, and laser disc decompression, along with non-surgical approaches like physical therapy and herbal medicine, provide patients with a wide range of effective treatment choices. The appropriate method should always be determined based on each patient’s condition under the supervision of a specialist.Among these specialists, Dr. Ghasem Eshaghi stands out as an experienced spine surgeon, well-known for applying modern and minimally invasive techniques in the treatment of lumbar disc herniation. His expertise and careful selection of the most suitable treatment for each patient have helped many individuals achieve recovery with minimal complications and faster rehabilitation.

The latest methods of lumbar disc rupture

Lumbar disc herniation expert Dr. Ghasem Eshaghi explains lumbar disc herniation causes, symptoms, and modern treatments including surgery and herbal care.

Lumbar Disc Herniation: Causes, Symptoms & Latest Treatments

Lumbar disc herniation causes back and leg pain; treatments include surgery, minimally invasive methods, and herbal remedies.

Lumbar Disc Herniation and the Latest Treatment Methods

The treatment for lumbar disc disease involves a range of approaches aimed at reducing pain and symptoms related to the condition, as well as improving the quality of life for the affected individual. The most effective methods for treating lumbar disc disease include:<ol><li class="ql-align-justify">Rest: Resting in positions that do not exacerbate severe or unbearable pain can help reduce pressure on the disc.</li><li class="ql-align-justify">Physical Therapy: Exercises and physical therapy techniques, such as strengthening back muscles, stretching, and corrective exercises, can help strengthen the back muscles and reduce pressure on the disc.</li><li class="ql-align-justify">Behavioral Education: Educational treatments to improve attitudes and daily behaviors that might increase strain or tension can be beneficial.</li><li class="ql-align-justify">Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), pain relievers, and corticosteroids may help reduce inflammation and pain. Medication should always be prescribed by a doctor.</li><li class="ql-align-justify">Injections: Local injections, such as steroids or anti-inflammatory substances, may be effective in reducing inflammation and pain.</li><li class="ql-align-justify">Surgery: In severe cases, or when conservative treatments fail, surgery may be considered. In lumbar disc surgery, the damaged portion of the disc is repaired or removed.</li></ol>The specific treatment plan should be determined by a specialist depending on the severity of symptoms, and the patient should follow the doctor's advice accordingly.<h2 class="ql-align-justify">Types of Lumbar Disc Disease and Their Treatments</h2><ol><li class="ql-align-justify">Functional Disc Dysfunction: In this type, the disc does not function properly even though there is no structural problem visible on MRI. Patients often experience sciatic pain or back pain.</li><li class="ql-align-justify">Degenerative Disc Disease: Discs that have lost water content are shown as "dehydrated" on MRI, appearing black, unlike healthy discs which appear gray. These are called degenerated or black discs.</li><li class="ql-align-justify">Cracked Discs: These discs develop cracks in their outer ring. The cracks may be longitudinal, transverse, or radial, similar to a car tire.</li><li class="ql-align-justify">Bulging Discs: A healthy disc has a bean-shaped cross-section, with the center being more concave than the edges. When the disc bulges, it is as though the "mortar" between two vertebrae pushes outward.</li><li class="ql-align-justify">Herniated Discs: In this case, the outer ring of the disc tears, and the soft inner material starts to push out into the spinal canal, causing nerve compression. This is also referred to as a disc prolapse.</li><li class="ql-align-justify">Loss of Disc Height: In this condition, the disc's height decreases, and instead of the disc appearing normal on CT scan, air is seen. This is due to the disc's degeneration, and it often causes narrowing of the spinal canal along with bone spurs pressing on nerve roots.</li></ol><h2 class="ql-align-justify">Worst Case of Lumbar Disc Disease</h2>The most severe form of lumbar disc disease is a "herniated disc" or "slipped disc." In this case, the soft inner material of the disc leaks through the outer ring and exerts significant pressure on the spinal nerves.Symptoms of this severe type of disc disease include intense pain, nerve compression, muscle weakness, spasms, and restricted movement. It may interfere significantly with daily activities and reduce quality of life.Treatment for severe lumbar disc disease includes rest, anti-inflammatory medications, physical therapy, pain-relief measures such as heat or cold compresses, steroid injections, and surgery if symptoms persist despite other treatments.<h2 class="ql-align-justify">Best Methods for Treating Lumbar Disc Disease</h2>The best treatment methods for lumbar disc disease include physical therapy and strengthening exercises. These exercises, along with stretching and corrective techniques, strengthen the back muscles and reduce the strain on the disc. In more severe cases, injections, pain relievers, and surgery may be necessary. Consulting a specialist will help determine the most appropriate course of treatment.<h3 class="ql-align-justify">What is Good for Lumbar Disc Disease?</h3>There is no specific food known to cure lumbar disc disease, but certain natural remedies have been suggested. For example, turmeric has been traditionally used in ancient medicine. It is well known for its anti-inflammatory properties and as a powerful antioxidant. Turmeric supplements, specifically curcumin, are available for patients today.Another beneficial herbal remedy for disc herniation is Devil's Claw (Harpagophytum procumbens), which is available as a pharmaceutical supplement under the name Tantalus.<h3 class="ql-align-justify">Treatment for Lumbar Disc Disease at L5</h3>The human lumbar spine consists of five vertebrae, labeled L1 to L5, with the L5 vertebra being located above the sacrum (S1). The disc between the fifth lumbar vertebra and the sacrum is referred to as the L5-S1 disc.The treatment for L5-S1 disc disease includes anti-inflammatory medications such as diclofenac, ibuprofen, or meloxicam, muscle relaxants like methocarbamol or tizanidine, and sometimes diazepam. Medications like pregabalin or gabapentin, which slow the transmission of pain signals from the spine to the brain, are also prescribed. Wearing a back brace for immobilization can help treat L5 disc disease.If conservative treatments do not provide relief, treatments such as epidural steroid injections or laser surgery may be considered.<h2 class="ql-align-justify">Duration of Lumbar Disc Disease Treatment</h2>The total treatment duration for lumbar disc disease generally spans one to two months. In most cases, patients should experience improvement within this time frame with conservative treatment. If the patient does not improve, surgery may be required.Surgery is often highly effective if performed at the right time. When the disc is damaged, not only the disc but also other structures such as the facet joints can be affected. Delaying surgery may reduce the chances of a successful outcome.<h3 class="ql-align-justify">Is There a Permanent Cure for Lumbar Disc Disease?</h3>There is no definitive cure for lumbar disc disease. Approximately 20% of patients with lumbar disc disease do not recover completely, but 80% will improve. Patients should aim to be in the 80% group that responds to treatment. It is crucial to undergo conservative treatment within the first one to two months, and if this fails, surgery should be considered promptly.Surgery is successful in 80% of cases, but 20% of patients may not benefit. Therefore, it is ill-advised to avoid surgery in cases where conservative treatment fails, as the risk of avoiding surgery may be much greater than the risk of undergoing the procedure.<h2 class="ql-align-justify">Medications for Lumbar Disc Disease Treatment</h2>The best medications for lumbar disc disease are anti-inflammatory drugs, which should be used for at least one week. These include diclofenac, ibuprofen, meloxicam, and piroxicam in pill form. A muscle relaxant like methocarbamol or tizanidine is also often recommended. Other medications like pregabalin or gabapentin may be used to block the transmission of pain signals from the spinal cord to the brain.In some cases, patients may ask why painkillers are prescribed. The reason is that anti-inflammatory drugs provide relief over one to two weeks, reducing inflammation. Painkillers should not be used to replace necessary surgery in conditions like appendicitis or cases where lumbar disc disease is causing paralysis.<h3 class="ql-align-justify">Acupuncture in Lumbar Disc Disease Treatment</h3>Acupuncture is another treatment method that may help improve lumbar disc disease. Like medication, acupuncture does not work for every patient, and if a herniated disc does not improve after a month of non-surgical treatments, surgery may be necessary.Acupuncture is based on centuries of experience in countries such as China, Japan, and Korea. It is believed that applying pressure or inserting needles into specific points on the body can alleviate pain in other parts of the body. Scientific research has supported its efficacy, showing it to be effective in relieving certain types of pain.<h3 class="ql-align-justify">Disc Repair for Lumbar Disc Disease</h3>Lumbar disc disease is a common cause of back pain and sciatica, with approximately 12% of the population experiencing it at some point in their lives. In many cases, the condition improves with conservative treatments, and the disc can repair itself.The disc may become damaged due to water loss, which can lead to cracks. Fibroblast cells in the disc's outer ring typically help repair these cracks. Anti-inflammatory medications are often prescribed to help with this healing process.In some cases, the disc may bulge and press against nerves. Over time, biomechanical changes in the spine may help reduce the pressure inside the disc, allowing the outer ring to heal and alleviating nerve pressure.In severe cases, if the disc ruptures and the inner material leaks out, the body’s immune cells work to reduce the protruding material. This self-repair process typically occurs within a month. If the disc does not heal by this time, surgery may be necessary.<h3 class="ql-align-justify">Can Lumbar Disc Disease Be Cured?</h3>Yes, lumbar disc disease can be cured in most cases. Approximately 80% of patients with herniated discs recover with non-surgical treatments, while 20% may require surgery. Surgery is effective when performed at the right time. However, late surgeries may yield less favorable outcomes, and delaying treatment can lead to additional damage to the spine.Studies show that it can take anywhere from 8 to 22 months for a disc to show self-healing on MRI. Therefore, patients often prefer surgery to speed up recovery.<h3 class="ql-align-justify">Frequently Asked Questions</h3><ol><li class="ql-align-justify">What are the treatment methods for a lumbar disc? Treatment for a lumbar disc includes rest, physical therapy, anti-inflammatory medications, injections, and in severe cases, surgery.</li><li class="ql-align-justify">What is the worst type of lumbar disc condition? The worst type is a herniated or ruptured disc, which puts pressure on the nerves, causing severe pain, muscle weakness, and limited mobility.</li><li class="ql-align-justify"> How long does lumbar disc treatment take? Treatment usually takes between one to two months. If there is no improvement within this period, surgery may be considered.</li><li class="ql-align-justify">Is there a permanent cure for lumbar disc disease? No, there is no permanent cure. However, about 80% of patients fully recover with non-surgical treatments or surgery.</li><li class="ql-align-justify">Can a lumbar disc heal on its own? Yes, in many cases the disc heals gradually over time. But if recovery does not occur within a month, surgery may be necessary.</li></ol>

Lumbar disc treatment

Lumbar disc disease treatment includes rest, physical therapy, medications, and surgery. With proper care, lumbar disc disease can often improve effectively.

Effective Treatment Options for Lumbar Disc Disease

Lumbar disc disease treatment includes rest, therapy, medication, injections, or surgery; most patients recover with conservative care.

Treatment of Lumbar Disc Disease

There is a common misconception that individuals with lumbar disc disease must undergo surgery to recover, but this is not the case. Resting can significantly aid in recovery. Below, we will discuss methods to reduce lumbar disc pain and how to rest effectively for treating this condition. By understanding the treatment for lumbar disc disease, you can better manage this chronic pain.The philosophy behind rest is to minimize spinal movement and reduce the internal pressure within the disc. When we lie down, the pressure on the disc is minimized, allowing the damaged disc ring to heal.Therefore, the earlier the disc injury, the higher the likelihood of improvement with rest. Conversely, the older and more damaged the disc, the less effective rest becomes in aiding recovery.<h2 class="ql-align-justify" style="direction: ltr;">How Many Days of Rest Are Necessary for a Patient with Lumbar Disc Disease?</h2>Lumbar disc disease is divided into two categories: acute and chronic. An acute disc issue refers to a problem that has lasted less than a month. In acute cases, rest is often effective.<h2 class="ql-align-justify" style="direction: ltr;">Is Bed Rest Essential for Herniated Discs?</h2>Complete bed rest is recommended within the first 48 hours. During this time, the patient should avoid leaving the bed even for the restroom unless it is absolutely necessary, and if a bedpan is unavailable, they should only get up for the bathroom. Meals should be taken in a semi-sitting position.<h2 class="ql-align-justify" style="direction: ltr;">What Position Should the Patient Rest In?</h2>The patient can lie on their side or back, whichever feels most comfortable.<h3 class="ql-align-justify" style="direction: ltr;">How Long Should Rest for Lumbar Disc Disease Last?</h3>The duration of rest varies depending on the severity and type of the problem. In most cases, the doctor will provide specific recommendations. These may include: <ol><li class="ql-align-justify" style="direction: ltr;">Initial Rest: In acute cases, complete rest may be recommended for up to a week or longer to allow the body to heal and inflammation to subside.</li><li class="ql-align-justify" style="direction: ltr;">Active Rest: After the initial rest period, the doctor may advise gradually returning to daily activities and suitable exercises.</li><li class="ql-align-justify" style="direction: ltr;">Personalized Recommendations: The doctor may offer specific advice regarding posture, standing, and daily movements tailored to the individual’s condition.</li><li class="ql-align-justify" style="direction: ltr;">Physical Therapy: The doctor may suggest working with a physical therapist to learn exercises and techniques that strengthen the back muscles and reduce pain.</li><li class="ql-align-justify" style="direction: ltr;">Follow-Up and Monitoring: The doctor may monitor the patient’s progress and adjust the treatment plan as needed.</li></ol>In all cases, the most important factor is to follow the doctor's advice and avoid activities that could worsen the condition. Gradually resuming daily activities and exercises will help ensure a sustainable recovery.<h2 class="ql-align-justify" style="direction: ltr;">Complete Rest for Lumbar Disc Disease</h2>Complete rest refers to significantly reducing daily activities and providing the body with the opportunity to heal, especially when dealing with lumbar disc problems. This is considered an essential part of the treatment for disc disease.During this rest period, the patient should avoid heavy physical activity and allow the body time to heal. Activities that put pressure on the back, such as lifting heavy weights, bending, or twisting, should be avoided.In addition to complete rest, the doctor may offer additional recommendations, including:<ul><li class="ql-align-justify" style="direction: ltr;">Medications: Anti-inflammatory drugs (NSAIDs) may be prescribed to reduce pain and inflammation.</li><li class="ql-align-justify" style="direction: ltr;">Physical Therapy: Exercises and physical therapy techniques to help strengthen the back and abdominal muscles.</li><li class="ql-align-justify" style="direction: ltr;">Therapeutic Devices: Devices such as electric massagers and pain-relieving machines can be helpful for pain management.</li><li class="ql-align-justify" style="direction: ltr;">Lifestyle Changes: These may include dietary changes, weight loss (if necessary), and regular, appropriate back exercises.</li><li class="ql-align-justify" style="direction: ltr;">Alternative Therapies: Acupuncture, chiropractic care, and other complementary therapies can assist with pain relief and recovery.</li><li class="ql-align-justify" style="direction: ltr;">Supportive Aids: The doctor may recommend back braces or other devices to support the back during the healing process.</li></ul>Always discuss your specific condition with your doctor to ensure the best treatment plan based on your medical history and current situation.<h3 class="ql-align-justify" style="direction: ltr;">Best Sleeping Positions for Patients with Lumbar Disc Disease</h3>The best position for sleeping is on your side in a fetal position, where the knees are drawn towards the chest. It is beneficial to place a 10 cm object under the bed where the feet rest to create a slight incline, making the bed angle towards the head.<h4 class="ql-align-justify" style="direction: ltr;">Can a Patient with a Newly Herniated Disc Sleep on Their Stomach?</h4>Yes, sleeping on the stomach can reduce spinal pressure, giving the disc a chance to heal.<h4 class="ql-align-justify" style="direction: ltr;">Is It Advised for a Patient to Rest for One Month for a Disc Herniation?</h4>No, because if the disc ring does not heal within 2 to 7 days, it is unlikely to heal with one month of rest. Long periods of rest are outdated practices, as modern medicine and physical therapy provide better options. Research has shown that extended rest does not have more positive effects than 24 hours of rest.<h4 class="ql-align-justify" style="direction: ltr;">Maximum Duration of Rest for Lumbar Disc Disease</h4>The maximum recommended rest period is 48 hours.<h4 class="ql-align-justify" style="direction: ltr;">Should Rest Be Taken Without Medication?</h4>No, rest should be accompanied by anti-inflammatory medication to reduce white blood cell activity and swelling around the disc. This allows the disc ring to heal.<h4 class="ql-align-justify" style="direction: ltr;">Can a Herniated Disc Heal with Rest Alone?</h4>Rest can help reduce pain and improve the condition in some cases of herniated disc disease, but its effectiveness depends on the severity and type of herniation. In certain cases, rest may be helpful temporarily to reduce inflammation and give the body time to heal.However, complete bed rest may be advised in cases of severe pain or when daily activities become disabling. If the herniated disc is causing pressure on nearby nerves and symptoms such as fatigue, loss of muscle control, or numbness in parts of the body are present, more serious medical interventions may be necessary.In all cases, it is crucial to consult with your doctor about your specific condition and follow their advice. The doctor can provide a tailored treatment plan based on your medical history and current status.<h3 class="ql-align-justify" style="direction: ltr;">Home Treatment for Lumbar Disc Disease</h3>Home care is beneficial during the first 72 hours after pain onset. If pain does not improve after this period, contact your doctor. For the first few days, it is advisable to stop your usual physical activities and apply an ice pack to the back. Doctors generally recommend using ice during the first 48 to 72 hours, then transitioning to heat. Some also suggest alternating between ice and heat (20 minutes of ice followed by 20 minutes of heat). Over-the-counter pain relievers such as ibuprofen or acetaminophen (Tylenol) can be helpful.Sometimes, lying flat on your back (supine position) can worsen discomfort. If this is the case, try sleeping in a fetal position, with your knees drawn up and a pillow between them. Alternatively, place a pillow under your legs if you prefer sleeping on your back. A warm bath or massage can often alleviate muscle spasms in the back.<h3 class="ql-align-justify" style="direction: ltr;">Best Resting Methods for Lumbar Disc Disease</h3>Appropriate rest for lumbar disc disease can significantly reduce pain and improve recovery. Below are the best resting methods for this condition:<ol><li class="ql-align-justify" style="direction: ltr;">Sleeping in a Suitable Position: The best position for sleeping on your back is with your legs raised on a surface (such as a bed) and your knees bent. Using a lumbar support pillow can help avoid direct contact between the back and the bed.</li><li class="ql-align-justify" style="direction: ltr;">Supportive Pillows: Using special pillows designed to support the lumbar region while lying or sitting can be beneficial.</li><li class="ql-align-justify" style="direction: ltr;">Strengthening the Surrounding Muscles: Performing exercises to strengthen the muscles around the back and abdomen can support the healing process and expedite recovery.</li><li class="ql-align-justify" style="direction: ltr;">Avoiding Incorrect Movements: Avoid activities such as bending or twisting. Instead, focus on exercises that strengthen the abdominal and back muscles.</li><li class="ql-align-justify" style="direction: ltr;">Appropriate Exercises: Engaging in exercises that focus on endurance, balance, and strengthening the muscles involved in back support can help improve recovery and prevent further injury.</li><li class="ql-align-justify" style="direction: ltr;">Therapeutic Techniques: Techniques such as massage, acupuncture, physical therapy, and chiropractic care can effectively reduce pain and improve the condition of the lumbar disc.</li></ol>Before making any changes to your treatment plan or engaging in physical activities, always consult with your doctor. They can offer specific advice based on your condition.<h3 class="ql-align-justify" style="direction: ltr;">Frequently Asked Questions</h3><ol><li class="ql-align-justify" style="direction: ltr;"> Is complete bed rest necessary for treating a herniated disc? Yes, complete bed rest is recommended during the first 48 hours after acute pain begins. However, after that, patients should gradually return to light activities.</li><li class="ql-align-justify" style="direction: ltr;">What is the best sleeping position for patients with a herniated disc? Sleeping on the side in a fetal position or lying on the back with a pillow under the knees is best for reducing pressure on the disc.</li><li class="ql-align-justify" style="direction: ltr;">What is the maximum recommended rest period for a herniated disc? The maximum recommended bed rest is 48 hours. Extended rest beyond this period does not significantly improve recovery.</li><li class="ql-align-justify" style="direction: ltr;">Can a herniated disc heal with rest alone? No, while rest is helpful, it is usually recommended alongside medication, physical therapy, and lifestyle changes for full recovery.</li><li class="ql-align-justify" style="direction: ltr;">What are effective home treatments for a herniated disc? Applying ice followed by heat, taking anti-inflammatory medications, sleeping in a proper position, and avoiding strenuous activity are effective within the first 72 hours.</li></ol>

How to rest to treat lumbar disc

Lumbar disc treatment starts with proper rest. Learn the best resting positions and techniques to relieve lumbar disc pain and support non-surgical recovery.

Best Resting Methods for Lumbar Disc and Back Pain Relief

Short-term rest, medication, physical therapy, and home care can help treat lumbar disc disease without surgery.

Rest and Non-Surgical Treatment for Lumbar Disc Disease

Ghasem Eshaghi MD. Is a spine surgeon who has finished his spine surgery, federal Fellowship and Thomas Jefferson University under Dr. Simeon and he has done thousands of surgery and lumbar discs cervical discs as well as scoliosis and kyphosis and also minimal invasive surgery including endoscopy surgery and laser surgery

Typically, after completing a neurosurgery or orthopedic residency, some surgeons who are particularly interested in spinal surgery pursue specialized training exclusively in this field and often dedicate their entire careers to it. The main focus of spine surgeons and specialists in lumbar disc and spinal conditions is performing surgeries on the disc, spinal canal stenosis, and vertebral slippage, commonly referred to as degenerative diseases or disc rupture. Another significant aspect of their work is conducting surgeries on congenital abnormalities such as kyphosis, scoliosis, and meningomyelocele. Spinal and lumbar specialists also perform surgeries on spinal tumors, including tumors within the spinal cord and bone metastases to the vertebrae.In addition, these surgeons treat spinal infections, including infections caused by tuberculosis, brucellosis (Malta fever), or common bacterial infections like staphylococcal infections. Aside from these procedures, spinal specialists also engage in minimally invasive treatments, such as endoscopic disc surgery, laser-assisted disc surgery, epidural injections in the cervical, thoracic, and lumbar regions, as well as injections into the vertebral joints. One of the most challenging tasks for a spinal specialist is correcting patients who have become significantly bent forward, a condition referred to as sagittal imbalance in medical terms.Moreover, spine surgeons face difficulties in performing surgeries to remove tumors in the pelvis, including those affecting the sacrum and pelvic bones. Some professionals in this field also implant spinal stimulators for intractable pain and metastasis-related pain in the vertebrae, as well as morphine pumps for unbearable pain and baclofen pumps to relieve severe muscle spasms and stiffness in the legs. Furthermore, spinal specialists now utilize advanced technology such as artificial, mobile discs.Dr. Ghasem Es'haghi obtained his subspecialty in spinal surgery from the University of Pennsylvania. He completed his training under renowned professors such as Rothman and Simeone, who authored the first textbook on spinal surgery. Dr. Es'haghi contributed to the section on spinal tumors in the previous edition of this textbook. Thomas Jefferson University in Pennsylvania is one of the most advanced centers for spinal surgery in the world.

Who is a spine and lumbar disc surgeon and specialist?

Lumbar disc and new methods of lumbar disc treatment

Lumbar discs are cartilaginous structures , which are located between the two vertebral bodies and act like ball bearing and allow the two vertebrae move on each other

Lumbar disc herniation or lumbar disc disease - Dr Eshaghi

Lumbar spine is the most important part of the body in terms of disc  disease and provides weight support, and also protects the spinal cord and allows  range of body motions of your waist. Lumber is fine.

Lumbar disc herniation or lumbar disc disease

Lower Back conditions include problems such as herniated discs, sciatica, back arthritis,and muscle strains that can lead to pain and limitations of lower back movements

back

Back diseases-treatment of back pain-back pain-Dr. Es'haghi

Elbow diseases caused by inflammation, and injuries including tennis elbow and golfer's elbow, which can cause limitation of elbow range of motion and require proper diagnosis and treatment.

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Knee diseases include various types of joint and tissue problems, including knee arthritis, meniscus tears, ligament injuries, and knee patellar inflammation.

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Knee diseases - treatment of knee pain - Dr Ghasem Es'haghi

Neck disorders include conditions such as cervical disc herniation, neck osteoarthritis, neck , and neck muscle strain that cause pain, and limitation of neck movement.

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Shoulder conditions include problems such as tendinitis, rotator cuff tears, frozen shoulder that cause pain and limited range of motions of the shoulder.

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Shoulder diseases-Treatment of shoulder pain-Dr.Es'haghi

Foot diseases include conditions such as plantar fasciitis, heel spurs, flat feet, and ankle sprains that can cause pain and limitations of walking.

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