Contained Disc Herniation

You have surely heard of the bulging disc or protruding disc or slipped disc, all terms that hurt just to hear them. The appropriate term for these types of herniated discs is "contained disc".

A thorough, clinical examination that may include imaging is important to your recovery.

Lumbar Spine Exam Description

In-office, Atiyeh Chiropractic and Functional Neurology uses Cox Technic Flexion Distraction and Decompression to lower the pressure in the disc so the nucleus pulposus returns to the center of the disc, aid in the healing of the torn anular fibers, and drive out chemicals that irritate and inflame the spinal nerves.

Graphic Animation of Cox Technic - Lumbar Spine The disc is pressing on the nerve. Note that as the disc herniation reduces, the pinched nerve is relieved.
	Cox Technic Protocol I - for severe pain or pain that extends below the knee		Cox Technic Protocol II - for pain that is in the low back and stays above the knee

You must understand that it takes three months for a torn disc to heal well enough to allow you to return to daily activities like prolonged sitting, bending, lifting, twisting, etc.

The first three to four weeks of concentrated treatment, therapies, and at-home care are designed to allow the best opportunity for the disc to heal quickly.

This three month window does not mean that you must be treated continually throughout this time period, but means that you must be cautious and aware of your spine's healing. Recognize that even though the pain is gone, healing is still taking place and could be hindered if you do something to aggravate the process.

In the published 1000 cases study of patients undergoing care for their back pain, 91% reported maximum improvement in 90 days of care and 70% of patients in less than 30 visits.

At home you will want to avoid sitting for long periods of time, wear a support brace if recommended, take nutritional supplements that help rebuild disc cartilage, sleep on a supportive mattress, sit in an ergonomically designed chair, avoid constipation which just forces you to use pressure that your spine doesn't need, and modify your daily activities as needed.

Exercise is important to your recovery and prevention of future pain.
important to start exercises as soon as possible, not vigorously, but gently.
Do only exercises recommended.
Do exercises only to your tolerance.

• Disc Herniation L5-S1
• Discogram-Confirmed Disc Herniation Treated Successfully with Cox® Distraction Manipulation
• Large Sequestered Right L5-S1 Fragment & L5-S1 Subchondral Sclerosis of Bone with Degeneration of the L5-S1 Disc 
• Patient Choice Takes Him to Surgery, Still Has Radiculopathy Post Surgery
• Case Of Facet Removal For Surgical Removal Of Large Extraforaminal Free Fragment Of L5-S1 Disc
• 27 year old man with two herniated lumbar discs fails to grasp the significance of such findings to his life... We all are in this situation all too often!
• L3-4 Disc Herniation in 68 year old man who is told to have surgery is managed successfully with Cox® flexion-distraction & decompression adjusting
• Large L5-S1 Disc Herniation Avoids Surgery with Cox® Technic
• Failed VAX-D Treatment of L4-5 Disc Protrusion and Lumbar Scoliosis Treated Successfully with Cox® Technic
• Left Sided Lumbosacral Pain with L4-L5 Disc Herniation and Stenosis Controlled with Cox Technic  
• 56 Year Old Male With Marked Motor Weakness And Atrophy Of The Left Quadriceps Muscle Treated Successfully With Cox® Protocols
• L5S1 Disc Herniation Resolved with Cox® Technic
• Cox Technic Relieves Low Back and Leg Pain due to Two Discs - one extruded and one herniated
• Pain from Spondylolisthesis and Disc Herniation in a 37 year old Female Relieved with Cox Technic  
• Lumbar Disc Herniation without Myelopathy: Patient Compliance is Important!

 Contact Atiyeh Chiropractic and Functional Neurology for conservative, non-surgical care of your lumbar spine contained disc herniation.