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How to deal with a herniated disc?

20 lipca 2025
A spinal disc herniation, also known as discopathy, is one of the most common musculoskeletal conditions. Its development is influenced by both mechanical factors and lifestyle, especially sedentary work, lack of physical activity, and stress. This condition can lead to chronic pain and even reduced mobility.

However, it is important to remember that a herniated disc is not a life sentence. Thanks to advances in physiotherapy, ergonomics, and medicine, along with growing patient awareness, effective management is possible. The key lies in a holistic and functional approach that considers both body and mind.

What is a spinal hernia?

A herniated disc is an undesirable condition in which the nucleus pulposus of the intervertebral disc moves out of its anatomical position. This results in pressure on nerve structures, which can cause pain and tingling, and sometimes even limb weakness. This issue most commonly affects the lumbar spine, though it can occur elsewhere as well.

The symptoms of a herniated disc are quite varied and depend on its location. In the lumbar region, a typical symptom is sciatica – pain radiating down the leg. In the cervical spine, it may manifest as brachialgia, or other types of pain radiating into the arm. These symptoms are often accompanied by sensory disturbances and muscle weakness. Ignoring them may lead to serious neurological complications, so prompt response is essential.

A herniated disc usually develops as a result of mechanical overload, such as lifting heavy objects in an improper position, prolonged sitting, and lack of physical activity. Genetic and metabolic factors also play a role, often requiring an additional trigger. Living under stress increases muscle tension, which further exacerbates the symptoms.

Understanding the mechanisms behind a herniated disc is crucial for effective treatment. It's important to remember that pain relief alone is not enough, as it's merely a symptom. It's necessary to eliminate the root cause and restore balance in the musculoskeletal system. Therefore, treatment should be comprehensive and tailored to the patient, which requires a skilled specialist.

How is it diagnosed and treated?

The first step in the diagnosis of a herniated disc is a medical interview and physical examination. Neurological symptoms such as sensory disturbances, muscle weakness, or problems with urination are particularly important. Next, imaging studies are performed, primarily magnetic resonance imaging (MRI), which allows for an accurate assessment of the extent of intervertebral disc damage.

Currently, treatment of a herniated disc is still conservative in most cases. It includes pharmacotherapy and physiotherapy, as well as patient education. Painkillers and anti-inflammatory medications provide relief in the acute phase, but it is rehabilitation and lifestyle change that play a crucial role in regaining function. Strengthening and stretching exercises for the paraspinal muscles are especially important.

When there is persistent pressure on nerve structures or additional symptoms appear, surgery may be necessary. Modern surgery offers minimally invasive techniques that reduce risk and shorten recovery time. However, spinal surgery is a last resort. It is always advisable to exhaust all non-invasive treatment options first.

The psychological aspect of herniated disc treatment is also extremely important. Chronic pain significantly affects well-being, motivation, and social relationships. Therefore, it is worth including psychological support or even cognitive behavioral therapy in the treatment process.

How can regeneration be supported?

An often overlooked aspect of herniated disc treatment is the ergonomics of everyday life. What you sleep and sit on has a direct impact on your spine health. That’s why we say clearly that an ergonomic mattress can do more than some medications. The same goes for a orthopedic sleeping pillow, which supports the spine in a healthy position.

Our Osaka Air mattress is an example of a product designed with people suffering from spinal conditions in mind. Its four-layer construction made of hypoallergenic HR and V foams and the Aero 3D ventilation system provides optimal support and comfort. The thermoelastic foam in the second layer adapts to the body, relieving pressure on the spine, while the HR foam layers ensure stability and durability.

Orthopedic pillows such as Asana, Enso, and Hiro are cast from high-resilience foam molds, allowing them to maintain their anatomical shape throughout the night. This is especially important for the cervical spine, particularly in people with cervical discopathy. Thanks to the HR foam, the pillows retain their shape.

The regeneration offered by ergonomic products goes beyond physical comfort. Improved sleep quality, along with reduced pain and increased mobility, all contribute to better quality of life. Ergonomics thus becomes not just a complement to therapy, but an integral part of it.

What role does lifestyle play?

Dealing with a herniated disc is not just about treating symptoms. It also involves a lifestyle transformation. Regular physical activity is key—of course, not strenuous but moderate. Water exercises, Pilates, yoga, and Nordic walking are excellent choices, as they strengthen and stabilize muscles.

Another crucial aspect is stress reduction, since psychological tension affects muscle tension. This can intensify pain and reduce the effectiveness of therapy, which is counterproductive. That’s why it's worth turning to relaxation techniques, meditation, or psychotherapy, especially in cases of chronic pain.

ONSEN® encourages a different perspective on health, viewing it as a path to fulfillment—not merely the absence of illness. Referring to our philosophy, we constantly invite you to reflect. Ask yourself, why do you want to be healthy and what could you achieve through it? That kind of motivation gives you the strength to act, even in tough times. A herniated disc is a major challenge, but also an opportunity—a chance to regain balance and body awareness, helping you make decisions that truly support your health.

We also invite you to explore more articles on the best blog about sleep and health, as well as the Healthy Sleep Encyclopedia created by the ONSEN® specialist team. For those caring for their spine health, we recommend the spine exercise set developed by a physiotherapist.

FAQ: Spinal hernia

What is a spinal hernia?

A spinal hernia is the displacement of the nucleus pulposus of an intervertebral disc through a weakened annulus fibrosus, leading to compression of spinal nerves or nerve roots. In severe cases, it can cause chronic pain and neurological impairments.

What are the symptoms of a spinal hernia?

The most common symptom is intense back pain, often radiating. In the lumbar region, it typically radiates to the legs (sciatica), while in the cervical region, it may radiate to the arms and shoulders. Other symptoms include numbness, tingling, muscle weakness, and in severe cases, problems with bladder or bowel control.

Is a spinal hernia dangerous?

Yes, a spinal hernia is a serious condition. It can lead to chronic pain, limited mobility, and permanent nerve damage. In extreme cases, it may cause muscle weakness and loss of bladder or bowel control. Early diagnosis and treatment greatly reduce the risk of complications.

What should you avoid with a spinal hernia?

During periods of intense back pain, avoid lifting, sudden movements, twisting, and prolonged sitting or standing in one position. These activities can worsen the condition. Carrying loads on one shoulder or engaging in vigorous physical activity without professional guidance should also be avoided.

What are the risks of an untreated spinal hernia?

If left untreated, a spinal hernia may result in chronic nerve compression, causing lasting muscle weakness, severe movement limitations, and sensory or bladder/bowel dysfunction. In such cases, surgical intervention often becomes necessary.

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