It’s Time to Get Back to Working, Playing and Living.

Back, Buttock, & Leg Pain

What causes a herniated disc?

If the outer cartilage develops a tear, the inner “jelly-like” cartilage can then squeeze out of the disc. If this disc material pushes on your nerves, you can experience severe pain down your leg. This is often called sciatica or radiculopathy. The tears are typically caused by degeneration of the discs (wear and tear). Patients will often describe the onset of their symptoms after they were lifting something and/or twisting.

Signs and symptoms

In addition to pain, pressure on nerves from a disc herniation can also cause numbness, tingling, burning, and weakness in your leg. Extremely large herniations can compress your nerves causing bowel and bladder problems as well as numbness in your groin. This is called cauda equina and is a medical emergency. If you experience bowel and/or bladder problems or have numbness in your groin, you should seek medical attention immediately.

Diagnosis

The diagnosis is first suspected when a patient complains of pain radiating from their back or buttock down their leg. Patients will also commonly complain of numbness, tingling, and burning down their leg. They may also have muscle weakness. After a detailed examination, the diagnosis is confirmed with an MRI of the lumbar spine.

Treatment

Luckily most disc herniations do not require surgery because your body can naturally absorb the herniated disc. Therefore, many patients can initially be treated with pain management, physical therapy, and activity modification. For patients with more severe or persistent symptoms, they may benefit from an epidural spinal injection. Patients with very severe pain and those who do not achieve long-lasting pain relief from injections may be candidates for surgery.

ProOrtho Medical Specialties

Latest ProOrtho News

  • Recreational Runners Don’t Hit Perfect Stride Until 50

    Love it or dread it, we all know running is one of the keys to health and longevity. However, we have good news for those who don’t find running as effortless as they’d hope: a new study found non-competitive runners don’t peak until they’re 50 years old. Researchers analyzed data from the Chicago, New York …

  • Free Spine Surgery and Rehabilitation Seminar

    Our friends over at Lake Washington Physical Therapy are excited to welcome ProOrtho’s physician and spinal specialist Dr. Addison Stone, MD for a free lecture on surgical considerations and conservative care for spinal rehabilitation on Thursday, April 20, 2017, 7:30-8:30 p.m. Dr. Addison T. Stone, MD specializes in minimally invasive spine surgery, trauma and fractures. He treats a …

  • Seattle Magazine’s Top Doctors 2017 Includes Dr. Angelo

    We are thrilled to announce that our very own Dr. Richard Angelo, outstanding orthopedic and sports medicine surgeon, was recently selected by Seattle Magazine as a 2017 Top Doctor in Sports Medicine. For their extensive 2017 report on the Seattle area’s most trusted physicians, Seattle Magazine utilized Castle Connolly Top Doctors to enlist well-known regional …

Sign up for Periodic Email Updates from ProOrtho

Business Office

Surgery Center

MRI

Stay Connected

A Service of Proliance Surgeons