Lumbar Disk Disease (Herniated Disk)

What is lumbar disk disease?

Lumbar disk disease refers to degenerative or structural changes affecting the intervertebral discs in the lower spine. These discs act as shock absorbers between the vertebrae, allowing the spine to move and flex smoothly. Over time, discs may lose hydration, weaken, bulge, or herniate due to aging, repetitive stress, injury, or genetic factors.

When a damaged disc places pressure on nearby nerves or causes inflammation, it can result in significant pain and dysfunction. Lumbar disk disease may develop gradually or appear suddenly following trauma, heavy lifting, or repetitive strain.

What are the symptoms of lumbar disk disease?

Symptoms of lumbar disk disease can vary depending on the severity of disc damage and whether spinal nerves are involved. Many individuals experience persistent lower back pain that may worsen with bending, lifting, prolonged sitting, or physical activity.

Pain may feel dull and achy or sharp and stabbing. When nerve compression occurs, symptoms can radiate into the hips, buttocks, legs, or feet, sometimes referred to as sciatica.

Additional symptoms may include stiffness, muscle spasms, numbness, tingling, weakness in the lower extremities, or reduced range of motion. In more advanced cases, lumbar disk disease can interfere with walking, sleeping, and daily activities, significantly impacting quality of life.

How is lumbar disk disease diagnosed?

Accurate diagnosis is essential for effective treatment. Diagnosis typically begins with a thorough medical history and physical examination to evaluate posture, spinal alignment, muscle strength, reflexes, and range of motion.

Dr. Hilal may assess how symptoms change with movement or specific positions. Advanced imaging studies such as X-rays, MRI scans, or CT scans are often used to confirm disc degeneration, bulging, herniation, or nerve compression.

In some cases, diagnostic injections such as nerve blocks or facet joint injections may be used to pinpoint the source of pain and guide treatment planning.

How is lumbar disk disease treated?

Treatment for lumbar disk disease is highly individualized and often begins with conservative, non-surgical care. Dr. Hilal offers a wide range of therapies designed to reduce inflammation, relieve pain, and restore function. Treatment options may include:

• Ultrasound therapy
• Electrical stimulation
• Hot and cold therapies
• Anti-inflammatory or pain-relieving creams

These conservative treatments can manage discomfort and promote healing. Customized stretching and strengthening exercises, along with functional movement training, help improve spinal stability and prevent future injury.

For patients with persistent or more severe symptoms, advanced interventional treatments may be recommended. These include platelet-rich plasma (PRP) injections, prolotherapy, epidural steroid injections, facet joint injections, nerve blocks, trigger point injections, and radiofrequency ablation. These minimally invasive procedures are designed to reduce inflammation, disrupt pain signals, and support tissue repair without surgery.

By combining innovative therapies with rehabilitative care, South Coast Spine & Sports helps patients return to active, pain-free lifestyles as safely and efficiently as possible.

To schedule an appointment at South Coast Spine & Sports, call the office or request an appointment online today.