How does a herniated disc cause back pain?

Answered by Willian Lymon

A herniated disc can cause back pain due to the pressure it puts on the outer ring of the disc. This pressure is often a result of wear and tear or a sudden injury to the spine. Let’s dive deeper into how this process occurs.

1. The structure of a disc: To understand how a herniated disc causes back pain, it’s important to know the structure of a disc. A disc consists of a tough outer ring called the annulus fibrosus and a jelly-like center called the nucleus pulposus.

2. Wear and tear or sudden injury: Over time, the discs in our spine can undergo wear and tear, making them more susceptible to herniation. Additionally, a sudden injury like a fall or lifting a heavy object improperly can also lead to a herniated disc.

3. Pressure on the outer ring: When a disc herniates, the nucleus pulposus, which is supposed to stay contained within the annulus fibrosus, can push through the outer ring. This puts pressure on the nerves and surrounding structures in the spine.

4. Compression of nerves: The herniated disc can compress nearby nerves, causing irritation and inflammation. This compression can lead to localized pain in the lower back.

5. Radiculopathy: In some cases, the herniated disc may compress a specific nerve root, resulting in a condition called radiculopathy. Radiculopathy can cause pain, numbness, tingling, or weakness that radiates down the leg, known as sciatica.

6. Inflammatory response: The body’s natural response to the herniated disc is to initiate an inflammatory process. This inflammation can further contribute to pain and discomfort in the affected area.

7. Muscle spasms and guarding: To protect the injured area, the body may go into muscle spasms and guarding. These involuntary muscle contractions can lead to stiffness and more pain in the back.

8. Impaired mobility and function: Severe back pain caused by a herniated disc can significantly limit mobility and everyday activities. It may be difficult to bend, twist, or perform certain movements without experiencing increased pain.

9. Chronic pain: In some cases, a herniated disc can result in chronic back pain that persists even after the initial injury or inflammation has subsided. This can have a significant impact on a person’s quality of life and overall well-being.

It’s important to note that the severity of back pain caused by a herniated disc can vary from person to person. Factors such as the location and size of the herniation, as well as individual pain tolerance, can influence the intensity of symptoms experienced.

In my personal experience, I have seen patients who have struggled with excruciating back pain due to herniated discs. The pain can be debilitating and can impact their ability to perform daily tasks or engage in physical activities they once enjoyed. Seeking proper medical evaluation and treatment is crucial in managing and alleviating the pain caused by a herniated disc.