What Is a Herniated Disc?
Spinal discs are rubbery cushions between the vertebrae that absorb shock and allow movement. When the soft inner material (nucleus pulposus) pushes through a tear in the tough outer layer (annulus fibrosus), it can press on nearby nerves — causing pain, numbness, tingling, or weakness.
Disc herniations can occur anywhere in the spine but are most common in the lumbar (lower back) and cervical (neck) regions. Common symptoms include:
- Sharp, shooting pain in the back or neck
- Radiating pain, numbness, or tingling into the arm or leg (depending on location)
- Muscle weakness in the affected limb
- Pain that worsens with sitting, bending, or coughing
- In severe cases, loss of bladder or bowel control (requires immediate medical attention)
Non-Surgical Disc Herniation Treatment at Pittsburgh Physical Medicine
Research shows that the majority of disc herniations improve with conservative treatment — and surgery is often unnecessary. Our treatment approach for disc herniation includes:
- Chiropractic spinal adjustment — gentle, targeted manipulation to restore alignment and reduce disc pressure on nerve roots
- Flexion-distraction / Cox Technic — a gentle traction-based technique specifically designed for disc conditions
- Orthopedic manual therapy — Dr. Crockatt's evidence-based hands-on approach to disc and nerve conditions
- McKenzie-based directional preference exercises — proven exercises that help the disc centralize and reduce nerve involvement
- Core stabilization — building the spinal support system to protect the disc and prevent recurrence
- Shockwave therapy (ESWT) — for chronic disc-related pain and associated muscle dysfunction
When Should I Seek Treatment for a Herniated Disc?
If you have been diagnosed with a herniated disc — or if you have radiating arm or leg pain, numbness, or tingling — you should seek evaluation as soon as possible. Early treatment produces better outcomes and significantly reduces the risk of chronic pain. At Pittsburgh Physical Medicine, most patients with disc herniation are seen within 24–48 hours of calling. We serve patients from East Liberty, Shadyside, Bloomfield, Oakland, Lawrenceville, and across Pittsburgh PA.