Treatment for a disc protrusion in Montreal and Terrebonne

Appointments in Montreal / Mont-Royal and Terrebonne.

Montreal / Mont-Royal

1140 avenue Beaumont, Mont-Royal

Tuesday and Thursday, 9 a.m. to 6 p.m., by appointment.

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Terrebonne

1150 rue Lévis, bureau 200, Terrebonne

Monday and Wednesday, 8 a.m. to 6 p.m., by appointment.

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The disc protrusion is a condition in the spine that can cause pain and loss of mobility. It occurs when the intervertebral disc, which acts as a cushion between the vertebrae of the spine, moves out of its normal position. Conservative treatments such as drugs for analgesic and anti-inflammatory drugs can help relieve pain, but for more severe cases, the spinal decompression may be an effective option.

 

Disc Protrusion Tagmed Clinic Montreal Terrebonne

 

Symptoms of disc protrusion

Symptoms of disc protrusion include back or neck pain, numbness or tingling in the arms or legs, and muscle weakness. Causes often include physical trauma, poor posture or natural aging.

Seven symptoms of disc protrusion:

  1. Pain in the neck, lower back, or legs
  2. Numbness or tingling in the arms or legs
  3. Muscle weakness
  4. Limited range of motion in the spine
  5. Difficulty standing upright and walking
  6. Loss of reflexes in the affected areas
  7. Foot drop (inability to lift the toes off the ground)

 

Causes of disc protrusion

Physical trauma, such as an injury from a car accident or another traumatic event, can contribute to a disc protrusion. A sudden force can displace the intervertebral disc from its normal position, causing pain and other symptoms. Poor posture may also contribute over time, particularly when work involves repetitive movements or prolonged sitting.

When the spine is held in an unnatural position, it can put pressure on the intervertebral discs, resulting in disc protrusion.

 

Natural aging also plays a role in disc protrusion. As we age, bones and muscles can become weaker and more sensitive to changes in posture or force. This can lead to microtears and damage to intervertebral discs, contributing to disc protrusion.

 

Among the other potential causes of disc protrusion include obesity, smoking and certain diseases such as osteoarthritis or degenerative disc disease (DDD). A body weight excessive exerts additional pressure on the spine and increases the risk of herniated disc. Similarly, smoking has been associated with a higher risk of developing DDD, and other spinal problems, including a disc protrusion.

 

Finally, people with certain medical conditions may be more likely to develop disc protrusions because their condition weakens bones and ligaments.

 

Whatever the underlying cause, people with symptoms of disc protrusion should promptly consult a healthcare professional for an appropriate diagnosis and treatment.

 

 

List of 7 possible causes of disc protrusion:

  1. Trauma or injury to the spine
  2. Bad posture
  3. Repetitive movements
  4. Aging
  5. Obesity
  6. Smoking
  7. Undue strain on the muscles of the spine

 

What is the difference between a disc protrusion and a herniated disc?

 

To understand the difference between a disc protrusion (bulging disc) and a herniated disc, it helps to understand the intervertebral disc. Intervertebral discs are cushion-like structures between the vertebrae. They absorb shock and contribute to spinal stability, flexibility and movement. This article examines how these discs work, their anatomy, the annulus fibrosus and the nucleus pulposus.

 

The intervertebral disc has two main parts: the annulus fibrosus and the nucleus pulposus. The annulus fibrosus is a tough outer layer made of collagen fibres arranged in concentric rings around a central core. It provides much of the disc's strength. The nucleus pulposus is a gel-like substance inside the annulus fibrosus. It consists mainly of water, along with proteins and proteoglycans. Its main role is to distribute pressure evenly across the disc, helping it absorb shock when we move or lift a heavy object.

 

 

A disc protrusion does not always about the periphery of a disc, but at least a quarter, or even half, of its circumference is usually affected. Only the outer layer of the disc (the annulus of the disc, or annulus fibrosus) is involved. Some fibres are damaged and the disk is overflowing then the contour of the vertebra.

A herniated disc occurs when a fissure (tear) in the disc's outer layer (the annulus fibrosus) allows some of the gel-like material inside the disc to escape through the tear.

Compared to a disc protrusion, a herniated disc is more likely to cause pain because it is generally farther and is more likely to irritate nerve roots or the spinal cord. The irritation can be due to compression of the nerve, or, much more frequently, to a painful inflammation of the nerve root caused by the hernia.

 

Disc protrusion and disc herniation both affect the intervertebral discs of the spine. Although these terms are often confused, distinguishing them helps guide an accurate diagnosis and appropriate treatment. The following sections describe each condition and their main differences.

 

Disc Protrusion

Definition

A disc protrusion occurs when the nucleus pulposus starts to extend through a weakened area of the annulus fibrosus without rupturing it. The disc remains intact but projects slightly beyond its normal position.

Types

  1. Circumferential protrusion: The disc extends evenly around its circumference.
  2. Focal protrusion: The disc extends in a specific direction, usually posterior or lateral.
  3. Central protrusion: The disc extends into the spinal canal, which can compress the spinal cord.

Herniated Disc

Definition

In contrast to the protrusion, a herniated disc occurs when the ring of fibrous breaks, allowing the nucleus pulposus to escape. This can lead to a compression of the nerves adjacent and more severe symptoms.

Types

  1. Contained disc herniation: The nucleus pulposus has moved out of position but remains within the ruptured annulus fibrosus.
  2. Uncontained disc herniation: The nucleus pulposus escapes completely from the annulus fibrosus.
  3. Foraminal disc herniation: The nucleus pulposus escapes through the foramen, the opening through which the spinal nerves emerge from the vertebral column.

Comparison

  1. Disc integrity: In a protrusion, the annulus fibrosus remains intact, whereas it is ruptured in a herniated disc.
  2. Symptoms: Symptoms of a herniated disc are generally more severe because nerve compression is more pronounced.
  3. Treatment: The treatment options for a hernia can be more invasive, including decompression neurovertébrale, while a protrusion can often be treated with methods that are conservative.

 

Diagnosis of disc protrusion

The diagnosis of disc protrusion is usually performed by medical imaging such as an x-ray or an MRI.

When you experience symptoms of a disc protrusion, it can be difficult to identify the underlying cause and determine the most appropriate treatment.

Without an accurate diagnosis, you may not receive appropriate treatment for your condition and could develop additional complications or even permanent damage.

a good news is that there are several diagnostic tools to help diagnose a disc protrusion. Medical imaging, such as X-rays or MRI, can provide detailed images of the spine, which helps to identify any abnormality of the intervertebral disc, which may indicate a disc protrusion.

A physical examination by a healthcare professional can also help identify signs of a herniated disc, such as muscle weakness or loss of reflexes in the affected areas. This information helps your healthcare professional make an accurate diagnosis and recommend appropriate treatment options.

 

Treatment for disc protrusion

If the conservative treatment does not work, the spinal decompression can be considered. This technique consists of applying a force to sweet on the spinal column to stretch the muscles and ligaments surrounding to increase the space between the vertebrae and allow the inter-vertebral disc to return to its normal position.

 

Conclusion

The spinal decompression is an effective option to treat the disc protrusion in some patients. However, it is important to consult with a qualified health care professional before undertaking any treatment for this condition. In addition, it is recommended to adopt healthy habits such as regular exercise and good posture to prevent future problems of the spine.

 

Published research/studies in Spinal Decompression Therapy

 

Download the research that has been published regarding spinal decompression therapy:

 

Disc Protrusion Tagmed Clinic Montreal Terrebonne

 

FREE special report on spinal decompression to download

Disc Protrusion Tagmed Clinic Montreal Terrebonne

 

To find out more about non-surgical spinal decompression therapy, please visit our specialized websites:

 

 

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Frequently Asked Questions

Disc protrusion

  • Disc protrusion: what does it mean?

    A disc protrusion is a localized form of disc herniation. The term describes the shape of displaced disc material, rather than directly measuring pain or disability.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc protrusion: what symptoms can occur?

    It may cause no symptoms. Depending on its location and the structures involved, it may be associated with local or radiating pain, sensory changes or weakness when a nerve is affected.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc protrusion: what distinctions matter?

    A protrusion is localized, while a disc bulge extends over a broader portion of the disc boundary. The report must be interpreted alongside clinical findings.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc protrusion: what does assessment involve?

    Assessment begins with your history, pain distribution, difficult activities and previous care. It includes movement testing and, when symptoms warrant it, assessment of sensation, strength and reflexes. Available imaging reports are considered alongside these findings.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc protrusion: is an MRI always necessary?

    Imaging is not routine for every episode of back pain. It is considered according to symptoms, examination and whether it may change care. Progressive weakness or other concerning findings can warrant faster investigation.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc protrusion: what role may spinal decompression have at TAGMED?

    At TAGMED, suitability for spinal decompression is discussed after individual assessment. A motorized table applies controlled traction and relaxation phases adapted to the region. This approach is not suitable for every situation and cannot guarantee recovery or disappearance of an imaging finding.

    Further information: Clinique TAGMED.

  • Disc protrusion: what other measures may be discussed?

    Depending on the situation, options include activity adjustments, progressive exercise and individualized conservative care. Medical assessment may be appropriate for medication, injections or other interventions. Choices depend on your goals, tolerance and symptom progression.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc protrusion: how are progress and the duration of care assessed?

    Follow-up considers pain, daily activities, tolerance for positions and, when relevant, neurological findings. Visit frequency and duration are reassessed according to response. Lack of progress or worsening symptoms should lead to review of the plan and any further investigations.

    Further information: NICE NG59 — Low back pain and sciatica.

  • Disc protrusion: which signs need prompt medical assessment?

    New loss of bladder or bowel control, reduced sensation around the saddle area or marked progressive leg weakness requires urgent assessment. Pain with fever, significant trauma or general illness also warrants prompt medical assessment.

    Further information: AAOS — Herniated Disk in the Lower Back.

  • Disc protrusion: how can I prepare for a TAGMED appointment?

    Prepare a timeline of symptoms, activities that change them, previous treatments and any available imaging reports. Note your goals and questions. The associated detailed page provides condition information and practical details for the next step.

    Further information: Clinique TAGMED.

References

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Djuric, N., X. Yang, A. El Barzouhi, R. Ostelo, S. G. van Duinen, G. J. Lycklama à Nijeholt, B. F. W. van der Kallen, W. C. Peul, and C. L. A. Vleggeert-Lankamp. 2020. “Lumbar Disc Extrusions Reduce Faster than Bulging Discs Due to an Active Role of Macrophages in Sciatica.” Acta neurochirurgica 162(1): 79–85.
Rahyussalim, Ahmad Jabir, Muhammad Luqman Labib Zufar, and Tri Kurniawati. 2020. “Significance of the Association between Disc Degeneration Changes on Imaging and Low Back Pain: A Review Article.” Asian spine journal 14(2): 245.
Hajiahmadi, Somayeh, Azin Shayganfar, Mahsa Askari, and Shadi Ebrahimian. 2020. “Interobserver and Intraobserver Variability in Magnetic Resonance Imaging Evaluation of Patients with Suspected Disc Herniation.” Heliyon 6(11): e05201.
Canavese, Federico. 2022. “Disc Bulging and Herniation in Children and Adolescents.” In Essentials of Spine Surgery, Springer, 159–62.
Støttrup, Christian, Andreas K. Andresen, Carsten Ernst, and Mikkel Østergaard Andersen. 2018. “[Surgical treatment of lumbar disc herniation].” Ugeskrift for Laeger 180(2): V05170398.
Fernandez, Matthew, Manuela L. Ferreira, Kathryn M. Refshauge, Jan Hartvigsen, Isabela R. C. Silva, Chris G. Maher, Bart W. Koes, and Paulo H. Ferreira. 2016. “Surgery or Physical Activity in the Management of Sciatica: A Systematic Review and Meta-Analysis.” European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society 25(11): 3495–3512. http://doi.org/10.1007/s00586-015-4148-y.
Yuan, Sheng, Chuyu Huang, Yuanyue Xu, Dong Chen, and Lei Chen. 2020. “Acupuncture for Lumbar Disc Herniation: Protocol for a Systematic Review and Meta-Analysis.” Medicine 99(9): e19117. http://doi.org/10.1097/MD.0000000000019117.
Lee, Jung Hwan, Kyoung Hyo Choi, Seok Kang, Dong Hwan Kim, Du Hwan Kim, Bo Ryun Kim, Won Kim, et al. 2019. “Nonsurgical Treatments for Patients with Radicular Pain from Lumbosacral Disc Herniation.” The Spine Journal: Official Journal of the North American Spine Society 19(9): 1478–89. http://doi.org/10.1016/j.spinee.2019.06.004.
Kim, Chi Heon, Yunhee Choi, Chun Kee Chung, Ki-Jeong Kim, Dong Ah Shin, Youn-Kwan Park, Woo-Keun Kwon, et al. 2021. “Nonsurgical Treatment Outcomes for Surgical Candidates with Lumbar Disc Herniation: A Comprehensive Cohort Study.” Scientific Reports 11(1): 3931. http://doi.org/10.1038/s41598-021-83471-y.
Wang, Rui, and Huasong Luo. 2021. “Regression of Lumbar Disc Herniation with Non-Surgical Treatment: A Case Report.” The Journal of International Medical Research 49(6): 3000605211020636. http://doi.org/10.1177/03000605211020636.
Demirel, Aynur, Mehmet Yorubulut, and Nevin Ergun. 2017. “Regression of Lumbar Disc Herniation by Physiotherapy. Does Non-Surgical Spinal Decompression Therapy Make a Difference? Double-Blind Randomized Controlled Trial.” Journal of Back and Musculoskeletal Rehabilitation 30(5): 1015–22. http://doi.org/10.3233/BMR-169581.
Andersen, Mikkel Østerheden, Andreas K. Andresen, Marianne Dyrby Lorenzen, Alexander Isenberg-Jørgensen, and Christian Støttrup. 2017. “[Non-surgical treatment of lumbar radiculopathy].” Ugeskrift for Laeger 179(23): V05170397.
Salman, Iyad Abbas. 2022. “The Role of Non-Surgical Interventional Pain Management in Reducing the Rate of Spine Surgery.” THE IRAQI POSTGRADUATE MEDICAL JOURNAL 21(3).
Park, Jae Hyun. 2021. “Complete Resorption of Large Cervical Disc Protrusion Compressing Spinal Cord.” Sch J Med Case Rep 8: 884–85.
Arrotegui, Inaki. 2019. “Surgical Treatment Options in Lumbar Disc Herniation.”
Yoon, Wai Weng, and Jonathan Koch. 2021. “Herniated Discs: When Is Surgery Necessary?” EFORT Open Reviews 6(6): 526–30.
Andersen, Stina Brogård, Mikkel Ø Andersen, Leah Y. Carreon, Angela Coulter, and Karina Dahl Steffensen. 2019. “Shared Decision Making When Patients Consider Surgery for Lumbar Herniated Disc: Development and Test of a Patient Decision Aid.” BMC medical informatics and decision making 19(1): 1–9.
Chu, Eric Chun-Pu, Divya Midhun Chakkaravarthy, Fa-Sain Lo, and Amiya Bhaumik. 2020. “Regression of Lumbar Disc Herniation Following Non-Surgical Treatment.” European Journal of Molecular & Clinical Medicine 7(1): 27–29.
Dai, Feng, Yu Xiang Dai, Hong Jiang, Peng Fei Yu, and Jin Tao Liu. 2020. “Non-Surgical Treatment with XSHHD for Ruptured Lumbar Disc Herniation: A 3-Year Prospective Observational Study.” BMC Musculoskeletal Disorders 21(1): 1–8.
Ma, Zhijia, Pengfei Yu, Hong Jiang, Xiaochun Li, Xiang Qian, Zhenhan Yu, Yu Zhu, and Jintao Liu. 2021. “Conservative Treatment for Giant Lumbar Disc Herniation: Clinical Study in 409 Cases.” Bread Physician 24(5): E639.
Wang, Yi, Guogang Dai, Ling Jiang, and Shichuan Liao. 2020. “The Incidence of Regression after the Non-Surgical Treatment of Symptomatic Lumbar Disc Herniation: A Systematic Review and Meta-Analysis.” BMC musculoskeletal disorders 21(1): 1–12.

Preparing for spinal decompression treatment for a disc protrusion

  • Book your appointment online or contact our staff at the TAGMED clinic to book your appointment by phone.
  • Before going to the TAGMED clinic in Montreal or Terrebonne for your first treatment, there are some things you should absolutely do. First, make sure you have your medical imaging reports (X-ray, MRI, or ultrasound) available.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Finally, if you were unable to complete our form, as mentioned above, arrive 15 minutes before your appointment time to ensure you have enough time to discuss your condition, make the assessment and your treatment.

To be completed before your consultation at TAGMED clinic

Download, print and complete this questionnaire (your health history), before consulting us, in order to save time. (Click on the tablet!)

TAGMED CLINIC
Terrebonne

1150 rue Levis, suite 200, Terrebonne, QC, J6W 5S6
 (450) 704-4447

Make an appointment

TAGMED CLINIC
Montreal

1140 ave Beaumont, Mont-Royal, QC, H3P 3E5
 1-877-672-9060

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