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Bulging/herniated disc question

Posted on 2/2/22 at 4:31 pm
Posted by TU Rob
Birmingham
Member since Nov 2008
13456 posts
Posted on 2/2/22 at 4:31 pm
A couple of years ago, right before Covid hit, I was diagnosed with a slight bulging disc in my neck. The neurosurgeon I went to said it wasn't that bad, and didn't suggest surgery, but instead he prescribed physical therapy. I did maybe 6-8 weeks of that, 2-3 days a week at the therapist with varying exercises, and ending with traction. They also left me with some at home instructions to do on the days I didn't come in. Ended up with a standing desk as a result of it, and some exercises to continue doing at home once I was done with going in to maintain. I still do a series of stretches and resistance band exercises a few days a week to help with posture.

Back then my main symptom was a tingling/numb sensation starting in the fingertips of my left hand, and then sometimes it would travel up my arm. After a month of therapy, that sensation was totally gone.

Right after Thanksgiving this year, I started having some tightness/pain in the middle of my back. Not up high near the neck, and not down in the lower back. I chalked it up to traveling for the holiday, not sleeping in our memory foam bed, and racking up several hours behind the wheel over a short period. My wife said her back was tight as well so we just thought sleeping in a small old bed at the house we were staying in was the cause. I got a cortisone shot after a week of dealing with it, and that helped for about a month. Then the same thing happened right after New Years. Except it was just me this time, she was fine. So now, given my history with the disc in the neck, I'm starting to wonder what's going on in my back.

I exercise a few days a week on our Peloton, and the days I do that, it loosens up. It is on recovery/rest days that it tightens back up. So I know that getting myself moving helps, but I'm a little concerned on what to do next. I'm thinking get an appointment with an orthopedic group and hope I can just figure out some PT to do to alleviate the pain. I've got a couple of different foam rollers, a tens unit, heating pad, and massage gun, but even using all of those at different times only gives me relief temporarily.

Have any of you dealt with similar issues, and can you tell me what you did to get relief? I've always been pretty healthy, and don't do any physical or manual labor that would be aggravating it. Work a desk job and I've lost a good bit of weight in the last 3-4 months, so I would expect carrying less weight would only help things but it seems to have popped up after I had lost about 20 lbs. Don't think it is related to that, and I feel great otherwise, it just gets annoying for those couple of days a week that it tightens up on me.
Posted by CoachChappy
Member since May 2013
34197 posts
Posted on 2/2/22 at 4:52 pm to
I have 3 bulging disks in my back. They act up when my body is inflamed and bloated. When my diet cleans up, the inflammation is gone, it doesn’t bother me at all.

I find yoga helps a lot as well. There are certain positions that focus on that area. I do those everyday. It only takes a few minutes to get really good results.
Posted by Zappas Stache
Utility Muffin Research Kitchen
Member since Apr 2009
43066 posts
Posted on 2/2/22 at 5:10 pm to
Go see a Neurosurgeon rather than Ortho. A disc is really a nerve issue and neuros specialize in that.
Posted by rebelrouser
Columbia, SC
Member since Feb 2013
13209 posts
Posted on 2/2/22 at 6:38 pm to
Being active is key. Transition into weight lifting. Healthy diet will help but you need to eliminate diet sodas completely.
Posted by Big Scrub TX
Member since Dec 2013
39746 posts
Posted on 2/2/22 at 8:01 pm to
quote:

Go see a Neurosurgeon rather than Ortho. A disc is really a nerve issue and neuros specialize in that.
I agree with this. And I would be very careful just adopting new workout regimens and hoping they work. They could very well make it worse - perhaps especially including yoga.

Much better to find out exactly what is going on in there before just doing things.
Posted by Big Scrub TX
Member since Dec 2013
39746 posts
Posted on 2/2/22 at 8:01 pm to
quote:

Transition into weight lifting.
Necks are finnicky. This is advice I would take be very delicate with.
Posted by TU Rob
Birmingham
Member since Nov 2008
13456 posts
Posted on 2/2/22 at 8:21 pm to
quote:

Being active is key. Transition into weight lifting. Healthy diet will help but you need to eliminate diet sodas completely.


I do some light to medium weight dumbbells in addition to the spin classes, and on the diet I was on I cut out pretty much all carbonated drinks. I have maybe 1-2 a week, mainly as a mixer. And it’s usually a diet ginger ale. The diet is great now. Eating low sugar Greek yogurt and berries for breakfast and some lunch meat cheese wraps for lunch. Dinner varies but it is all low carb/fat and high proteins. I’ve got that part under control. Just odd that this started bothering me once I lost over 30 lbs. I’ll get in touch with the neurosurgeon again. Thanks all.
Posted by TU Rob
Birmingham
Member since Nov 2008
13456 posts
Posted on 2/2/22 at 8:23 pm to
quote:

Necks are finnicky. This is advice I would take be very delicate with.

Yeah I’m not doing any weights that put a strain on my neck or back. Just some arms work with dumbbells. I’m never going to attempt a squat again. Not risking injury to my neck.
Posted by Big Scrub TX
Member since Dec 2013
39746 posts
Posted on 2/2/22 at 9:31 pm to
quote:


Yeah I’m not doing any weights that put a strain on my neck or back. Just some arms work with dumbbells. I’m never going to attempt a squat again. Not risking injury to my neck.
Military press is brutal for that too.
Posted by whatchamacallit
Moulin Rouge
Member since Nov 2012
632 posts
Posted on 2/3/22 at 11:12 am to
quote:

Go see a Neurosurgeon rather than Ortho. A disc is really a nerve issue and neuros specialize in that.


This all day. I saw an orthopedic Dr for my first back problem and it was not resolved very well. I went to a Neuro guy since then and I fell my treatment is much more thorough and complete.
Posted by TU Rob
Birmingham
Member since Nov 2008
13456 posts
Posted on 2/3/22 at 12:56 pm to
quote:

This all day. I saw an orthopedic Dr for my first back problem and it was not resolved very well. I went to a Neuro guy since then and I fell my treatment is much more thorough and complete.




Thanks. I just made an appointment for early next week with the Neuro that diagnosed my neck issue a couple of years ago. Hopefully I can get an idea of what is going on and what to do to get some relief.
Posted by Macavity92
Member since Dec 2004
6349 posts
Posted on 2/5/22 at 9:11 pm to
How is your posture at the standing desk and how many hours a day do you use it? Having experimented with both, I find a treadmill desk provides more comfort and less back issues than a standing desk alone. As you tighten up on rest days, walking low speed (1.5 mph) while you work may help avoid that.
Posted by Ricardo
Member since Sep 2016
6466 posts
Posted on 2/6/22 at 8:19 am to
Stay hydrated. Lose extra weight. Keep limber. (Doing gradual stretching movements a couple times a day is great.)

If you exercise, stick to bodyweight exercise.

Make sure you eat a good diet. As we age our collagen levels decrease. Connective tissues get worse over time and things like disc herniations become more common.

I would view surgery as a last ditch effort to maintain comfort. If the pain and discomfort becomes debilitating, and you've tried everything else - then and only then would I have back surgery. Once you start down that road, it doesn't end.
Posted by TU Rob
Birmingham
Member since Nov 2008
13456 posts
Posted on 2/7/22 at 1:38 pm to

So the doc ordered a thoracic MRI and wants to see me again after that is done.  Also called in some muscle relaxers.  The Rx was for 3 per day for 14 days, but the pharmacist said that I should take the first dose tonight and warned about drowsiness.  And it seems to bother me more later in the day, so if it can help out at night so I can sleep that would be great.  Obviously not a long term solution, and it isn't a narcotic.  So hopefully I can go get in the tube soon and get the images back.  The doctor's office said they would be calling within a day or two to schedule that, and it usually doesn't take long to get in once they call.

As far as standing and posture, pretty good there. I have a mat to stand on, and try to alternate standing and sitting so I'm not doing one or the other for more than an hour or so. I take breaks to walk around as well. My diet is very healthy now, and I'm at an ideal weight. Wasn't the case a few months ago, but the wife and I started this diet together, and once I lost about 25-30 lbs I have been able to maintain. I'm currently down about 35 lbs from my heaviest, and other than the back pain some days, I feel great. I've been exercising, mainly on our Peloton, and outside of that just body weight stuff and some light dumbbells. Nothing that would strain my back.

Of course surgery would be a last resort, and since it doesn't bother me all the time, I'm hoping maybe a round of PT and knowing what stretches and movements to do will ease it. I had a great therapist when I had my neck issue, so if that is the route then I will go back to the same place.
Posted by rebelrouser
Columbia, SC
Member since Feb 2013
13209 posts
Posted on 2/7/22 at 7:56 pm to
quote:

And it’s usually a diet ginger ale.


I'm convinced the fake sugar is bad for your back. If you have an otherwise healthy intake of sugar, i would go with regular ginger ale especially since you don't drink many. Sugar in my coffee is my sugar vice.
Posted by bayouvette
Raceland
Member since Oct 2005
5888 posts
Posted on 2/8/22 at 8:32 am to
Number 1 key to disc issues is hydration. They need to be hydrated.

Everybody's issue will be different when it gets with the nerves, but you have to be hydrated.
Posted by TU Rob
Birmingham
Member since Nov 2008
13456 posts
Posted on 2/9/22 at 8:09 am to
quote:

I'm convinced the fake sugar is bad for your back. If you have an otherwise healthy intake of sugar, i would go with regular ginger ale especially since you don't drink many. Sugar in my coffee is my sugar vice.


Thanks, I'll give that a try. I cut out anything with added sugars, and most of the time when I have a drink it is just bourbon, but every now and then I'll mix. I may just get some regular coke or ginger ale for mixing. I've been using monk fruit and stevia for coffee sweetener, and that is just the first cup. I try to just drink it black after that. I agree that the long term use of fake stuff is bad for you.
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