Diagnosis of Bulging Discs
The diagnosis of bulging discs is a highly controversial topic in the dorsopathy sector and one which is currently redefining the very way doctors perceive and treat back, neck and radicular pain. The term
bulging disc
signifies an intervertebral spacer which is swollen in a particular way, often defined by many of the following terms:
diffuse,
broad based,
focal,
central,
paramedian
or
anterior.
While it is not important to understand the exact differences in these diagnostic names, it is crucial to understand the process of identifying bulges and how the findings are used to substantiate back and neck pain in many cases.
Diagnosis of Bulging Discs / Antiquated Notions
Originally, when advanced diagnostic imaging was made available to orthopedic specialists, the finding of virtually ANY disc bulge or herniation was considered grounds for pain and usually, immediate
surgery.
Well, as many patients found out, this turned out to be a ridiculous notion, but unfortunately, so many millions were scarred by needless
laminectomies
and
discectomies
for decades.Back in the day, there was little objective spinal research and almost any abnormality was deemed to be the definitive grounds for causing back pain. Luckily, we have come a long way since then.
Modern Diagnosis of Bulging Discs
Now
MRI
and CT scan is generally available worldwide, making positive
diagnosis of herniated discs
even easier. However, research has also caught up and doctors now know that
degenerative disc disease
is virtually universal and that the vast majority of bulging discs are not symptomatic or problematic in any way. Doctors find them daily on routine diagnostic testing in patients who have no back pain whatsoever. This is medical fact. Now, symptoms are based on neurological effects of herniations involving
spinal stenosis,
foraminal stenosis
or
chemical radiculitis.
While this is certainly a step in the right direction, it still does not prevent misdiagnosis of many pinched nerve conditions and it certainly does not prevent less ethical, or enlightened, care providers from taking advantage of naïve patients who will believe that ANY disc abnormality is still grounds for pain.
Diagnosis of Bulging Discs Summary
Finding a bulging disc, or 2 or 3, in your lumbar spine or cervical spine should never be a shock. We almost all have them and most are nothing to fear. Some may be problematic and these can usually be successfully identified and treated by a qualified spinal neurologist. I always recommend that patients understand their diagnostic findings and learn the
facts about herniated discs
in order to prevent themselves from becoming yet another in the countless millions who are improperly managed in the dorsalgia sector each year. I hope that this website will help you to better understand your diagnosed condition and spark some topics of conversation between you and your physician.
Diagnosis of Bulging Discs to Herniated Disc
1/20/11 Revised 3/9/12
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