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Bulging Disc A bulging disc injury is a common spine injury sustained to your spine's intervertebral disc. It can occur in your lumbar spine (lower back), thoracic spine (upper and mid-back) or your cervical spine (neck). A bulging disc can commonly be referred to as a slipped disc or a protruding disc. However, when the disc bulge is significant enough for the disc nucleus to come out of the annulus, it is known as a herniated disc. What Causes a Bulging Disc? When a bulging disc, disc herniation or disc rupture occurs, it is typically due to either: a pre-existing weakness in the annulus, or a sudden increase in pressure through the disc causing fibres of the annulus to tear. Bulging Disc Symptoms A bulging disc injury is suspected when your back pain is aggravated by: sitting forward bending coughing or sneezing lifting Sciatica, leg pain, pins and needles, numbness or weakness are commonly associated with more severe disc pathologies. Altered bladder and bowel function can indicate a severe disc pathology, which should prompt immediate medical assessment. When is a Professional Opinion Recommended for Bulging Disc? 1. Loss of Bladder or Bowel Function. There are some bulging disc cases where professional care is essential. In some cases, such as when you lose bowel or bladder control, it is deemed an emergency and you may require immediate surgery. These bulges are normally very significant and affect your nerve control involving your bladder or bowels. You should go straight to your nearest emergency department in these instances. 2. Weakness in your limb muscles is also of some concern. If you experience arm, hand, leg or foot weakness, you are strongly advised to seek prompt medical assessment. 3. Reduced or altered sensation is your next priority. Mild disc bulges can reduce your ability to feel things touching you eg numbness or pins and needles. If you experience any of the above symptoms you should definitely seek professional assistance. 4. Referred Pain. Pain in you limbs eg legs (sciatica) or arms (brachialgia) is usually a more significant injury that when experience only spinal pain. We recommend that the professional advice of your healthcare practitioner is sought in these cases. 5. Spinal Pain. Interestingly, if you are only experiencing spinal pain, these bulging discs are generally mildest and the most likely to heal quickly if you assume low disc pressure postures and exercise accordingly. Most patients who are inconvenienced by their pain will seek professional advice. We treat all such spinal pains since 2007. Avoid Surgery. get total pain relief with operation. Dr Gaurav Paiwal (PT)