If an MRI or CT scan does not give a clear picture, your provider may recommend a discogram. Our Frisco, TX office can help you decide whether a discogram is right for you. To get started, contact us.
What causes a ruptured disc?
The spine is made of small bones called vertebrae stacked on top of each other. Ligaments and muscles hold them together, and spinal discs sit between them. Discs act as shock absorbers and let the spine move freely.
Each disc has a tough outer layer and a soft inner layer. Over time, the outer layer can wear down, and the inner layer can bulge out. This is called a ruptured or herniated disc.
A ruptured disc can result from:
- Age-related wear and tear
- Injury or trauma
- A sudden movement or twist
What are the symptoms of a ruptured disc?
Symptoms range from mild to severe. The most common are:
- Back pain
- Arm or leg pain
- Numbness or tingling
- Weakness
Some people have trouble moving their back or find it hard to walk or stand for long because of pain or numbness in the arms or legs. Seek urgent care right away if you have loss of bladder or bowel control, numbness in the groin area, or severe or quickly worsening weakness.
How is a ruptured disc diagnosed?
Your provider starts by reviewing your history and asking about your symptoms. Imaging such as an MRI or CT scan is usually the first step. If those tests do not give enough information, a discogram may help. During a discogram, dye is injected into the affected disc so it shows up more clearly on X-ray. The images are used to look at the dye pattern and check for damage before a diagnosis is made.
When might a discogram be recommended?
A discogram is more invasive than an MRI or CT scan, so we may recommend those tests first. If they do not give enough information to find the cause of your pain, a discogram may help. Your provider will discuss sedation options for your procedure at your visit.
How is a ruptured disc treated?
Treatment depends on how severe your symptoms are. For some people, over-the-counter pain medicines and ice or heat may ease back pain, and staying gently active as your provider advises can help. Others may need more than that, such as an epidural steroid injection. Our providers can work with you on a plan that fits your situation.
Talk to our Frisco team
Back pain, numbness or weakness should not be ignored. If you are having these symptoms, the team at Lewis Pain & Physical Medicine in Frisco, TX can help find the source and talk with you about options. Learn about our back pain care, then book an appointment.