What is a Herniated Disc?
Spinal discs are the cushion-like pads between the vertebrae that act as shock absorbers for the spine. Each disc has a tough outer layer (annulus fibrosus) surrounding a soft, gel-like center (nucleus pulposus). A herniated disc—also called a slipped or ruptured disc—occurs when the soft inner material pushes through a tear in the outer layer.
When this herniated material presses on nearby spinal nerves, it can cause significant pain, numbness, or weakness in the area served by those nerves. Disc herniations most commonly occur in the lower back (lumbar spine) or neck (cervical spine).
Types of Disc Problems
Bulging Disc
The disc extends beyond its normal boundaries but the outer layer remains intact. May or may not cause symptoms.
Herniated Disc
The inner gel-like material pushes through a tear in the outer layer, potentially pressing on nerves.
Extruded Disc
A more severe herniation where disc material breaks through but remains connected to the disc.
Sequestered Disc
Disc fragment breaks off completely and migrates into the spinal canal.
Symptoms of Herniated Disc
Treatment Options
Many patients with herniated discs respond well to non-surgical treatment. Dr. Ohanyan offers a range of minimally invasive options:
Epidural Steroid Injections
First-line treatment delivering anti-inflammatory medication directly to the affected nerve roots.
Transforaminal Nerve Blocks
Precise injections targeting specific nerve roots for diagnosis and treatment.
Regenerative Medicine
PRP therapy to promote disc healing and reduce inflammation naturally.
Spinal Cord Stimulation
Advanced option for chronic disc-related pain that hasn't responded to other treatments.