What is a focal central disc protrusion?

What is a focal central disc protrusion?

Case Discussion. A bulge involves more than half of the circumference of an intervertebral disc (greater than 180 degrees) whereas a disc herniation involves less than half. A focal disc protrusion occur when its base involves less than 90 degrees of the disc circumference.

How do you treat a central disc protrusion?

Physical therapy, exercise and gentle stretching to help relieve pressure on the nerve root. Ice and heat therapy for pain relief. Manipulation (such as chiropractic manipulation) Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen or COX-2 inhibitors for pain relief.

What is the difference between disc protrusion and bulge?

The nucleus presses against the annulus, causing the disc to bulge or prolapse outward. The bulged disc material is still contained within the annulus. But in some cases, the nucleus pushes completely through the annulus and squeezes out of the disc. This is called a disc herniation or protrusion.

Is a disc protrusion a bulging disc?

A bulging disc (protrusion) occurs when the disc annulus remains intact, but forms an outpouching that can press against the nerves. A true herniated disc (also called a ruptured or slipped disc) occurs when the disc annulus cracks or ruptures, allowing the gel-filled center to squeeze out.

Is surgery recommended for bulging discs?

Your doctor may recommend surgery if your symptoms do not subside in six weeks or if your slipped disc is affecting your muscle function. Your surgeon may remove the damaged or protruding portion of the disc without removing the entire disc.

Do bulging discs always require surgery?

When & How to Seek Medical Care. Fortunately, the majority of herniated discs do not require surgery. With time, the symptoms of sciatica/radiculopathy improve in approximately 9 out of 10 people. The time to improve varies, ranging from a few days to a few weeks.