Targeted relief for nerve pain with conservative care first
A herniated disc occurs when the soft inner portion of a spinal disc pushes through its outer layer and irritates nearby nerves. This can lead to pain, numbness, or weakness that travels into the arms or legs.
At Virginia Spine Specialists, we focus on precise diagnosis and individualized treatment, beginning with non-surgical care and advancing to minimally invasive solutions only when necessary.
Understanding a Herniated Disc
What Is a Herniated Disc?
Spinal discs act as cushions between the vertebrae. When a disc becomes weakened or injured, its inner material can bulge or rupture outward—this is known as a herniated disc (sometimes called a slipped or ruptured disc).
Herniated discs most commonly occur in:
- The lumbar spine (lower back), often causing leg pain (sciatica)
- The cervical spine (neck), often causing arm pain or weakness
Not all herniated discs cause symptoms, but when nerve compression occurs, targeted treatment is important.
Symptoms
Symptoms depend on the disc location and severity of nerve irritation and may include:
- Back or neck pain
- Pain radiating into the arm or leg
- Numbness or tingling in the hands, arms, feet, or legs
- Muscle weakness
- Pain that worsens with certain movements, coughing, or sitting
Because nerve symptoms can progress, early evaluation helps guide appropriate care.
Common Causes
- Age-related disc degeneration
- Repetitive strain or poor body mechanics
- Sudden injury or heavy lifting
- Prolonged sitting or postural stress
Treatment Options
Conservative (Non-Surgical) Treatment
Most patients with a herniated disc improve without surgery. Initial treatment may include:
- Physical therapy to improve strength, flexibility, and posture
- Anti-inflammatory medications
- Image-guided spinal injections to reduce nerve inflammation
- Activity modification to reduce stress on the spine
These treatments aim to relieve pain while allowing the disc and surrounding tissues to heal.
Minimally Invasive Surgical Treatment
If pain, weakness, or nerve symptoms persist despite appropriate conservative care, surgical treatment may be considered.
Microdiscectomy
- Removes only the portion of the disc pressing on the nerve
- Performed through a small incision using minimally invasive techniques
- Often provides rapid relief of leg or arm pain
Surgery is recommended only when clearly indicated and expected to improve function and quality of life.
When to Seek Urgent Evaluation
Seek immediate medical attention if you experience:
- Progressive or severe weakness
- Loss of bowel or bladder control
- Increasing numbness in the groin or legs
These may indicate significant nerve compression requiring prompt treatment.
Expert Spine Care with Dr. Mudit Sharma
Dr. Sharma is a board-certified neurosurgeon specializing in the diagnosis and treatment of herniated discs using evidence-based, minimally invasive spine techniques when appropriate.
At Virginia Spine Specialists, you’ll receive:
- Personalized treatment plans
- Access to advanced minimally invasive techniques
- Compassionate, patient-centered care close to home
Call (571) 921-4877 for an appointment.
Serving Manassas, Fredericksburg, Dulles and surrounding Northern Virginia communities
Frequently Asked Questions
Yes. Many herniated discs improve over time with conservative treatment such as physical therapy and pain management.
No. A bulging disc extends outward but remains intact, while a herniated disc involves rupture of the disc’s outer layer.
Surgery may be recommended if severe pain, weakness, or nerve symptoms persist despite non-surgical care.
Many patients return to light activity within weeks, with gradual improvement as healing continues.
Phone: (571) 921-4877
Toll Free: (855) 774-6334
Fax: (571) 208-0585
Toll Free: (855) 774-6334
Fax: (571) 208-0585
Conditions We Treat
Chronic Back Pain
Neck Pain
Arm Pain and/or Numbness
Leg Pain and/or Numbness
Herniated Disc – Lumbar and Cervical
Sacroiliac Joint (SI) Pain
Slipped Disc
Spinal Stenosis
Spinal Fractures
Whiplash Syndrome
Failed Back Surgery
Office Hours & Locations
Monday – Thursday: 8am – 4pm Friday: 8am – 2pm Loudoun County 24430 Stone Springs Blvd, Suite 250 Dulles, VA 20166 Spotsylvania County 4604 Spotsylvania Parkway, Suite 300 Fredericksburg, VA 22408 Prince William County 9625 Surveyor Ct. Suite 320 Manassas, VA 20110