The first treatment for a slipped disk is a short period of rest with medicines for the pain. This is followed by physical therapy. Most people who follow these treatments recover and return to normal activities. Some persons will need to have more treatment. This may include steroid injections or surgery.
Medicines can help with your pain. Your doctor may prescribe nonsteroidal anti-inflammatory medications (NSAIDs for long-term pain control. Narcotics may be prescribed if the pain is severe and does not respond to NSAIDs.
If you have back spasms, you will usually receive muscle relaxants. In rare cases, steroid medicines may be given, either by pill or through a vein (IV), to control your back pain.
Diet and exercise are very important for improving back pain if you are overweight.
Physical therapy is important for nearly everyone with disk disease. Therapists will teach you how to properly lift, dress, walk, and perform other activities. They teach you how to strengthen muscles that help support the spine. You will also learn how to increase flexibility in your spine and legs.
Take care of your back at home:
- Reduce activity for the first few days. Slowly restart your usual activities.
- Avoid heavy lifting or twisting your back for the first 6 weeks after the pain starts.
- After 2 to 3 weeks, gradually start exercising again.
Steroid medicine injections into the back in the area of the herniated disk may help control pain for several months. These injections reduce swelling around the disk and relieve many symptoms. Spinal injections are usually done in your doctor's office.
Surgery may be an option if your symptoms do not go away with other treatments and time.
Diskectomy is surgery to remove all or part of a disk.
Discuss with your doctor which treatment options are best for you.