About A Fort Wayne Contained Disc HerniationIntroduction You have surely heard of the bulging disc or protruding disc or slipped disc, all terms that hurt just to hear them. The appropriate term for these types of herniated discs is "contained disc". Description The "contained disc" is a herniated disc in which the nucleus pulposus (the center of the disc) is contained within the anulus fibrosis (the outer layers of the disc). Since the anulus fibrosus is very pain sensitive, a contained disc causes back pain and, if the contained disc presses on a spinal nerve, may cause leg pain. Watch this video description of contained disc herniation. Examination A thorough, clinical examination that may include imaging is important to your recovery. Lumbar Spine Exam Description Treatment In-office, Cox Chiropractic Medicine Inc uses Cox Technic Flexion Distraction and Decompression to lower the pressure in the disc so the nucleus pulposus returns to the center of the disc, aid in the healing of the torn anular fibers, and drive out chemicals that irritate and inflame the spinal nerves. Graphic Animation of Cox Technic - Lumbar Spine The disc is pressing on the nerve. Note that as the disc herniation reduces, the pinched nerve is relieved. This is an animation of the goal of Cox Technic Flexion-Distraction and Decompression: reduced irritation of spinal elements enough to relieve pain and help you regain your quality of life. The amount of decrease in size of the herniated disc necessary for pain relief varies from 0% to 100% for each individual patient. Cox Technic Protocol I - for severe pain or pain that extends below the knee Cox Technic Protocol II - for pain that is in the low back and stays above the knee Time to Improvement You must understand that it takes three months for a torn disc to heal well enough to allow you to return to daily activities like prolonged sitting, bending, lifting, twisting, etc. The first three to four weeks of concentrated treatment, therapies, and at-home care are designed to allow the best opportunity for the disc to heal quickly. This three month window does not mean that you must be treated continually throughout this time period, but means that you must be cautious and aware of your spine's healing. Recognize that even though the pain is gone, healing is still taking place and could be hindered if you do something to aggravate the process. In the published 1000 cases study of patients undergoing care for their back pain, 91% reported maximum improvement in 90 days of care and 70% of patients in less than 30 visits. At Home Care At home you will want to avoid sitting for long periods of time, wear a support brace if recommended, take nutritional supplements that help rebuild disc cartilage, sleep on a supportive mattress, sit in an ergonomically designed chair, avoid constipation which just forces you to use pressure that your spine doesn't need, and modify your daily activities as needed. Exercise Tips Exercise is important to your recovery and prevention of future pain. important to start exercises as soon as possible, not vigorously, but gently. Do only exercises recommended. Do exercises only to your tolerance. Clinical Case Reports Disc Herniation L5-S1 Discogram-Confirmed Disc Herniation Treated Successfully with Cox® Distraction Manipulation Large Sequestered Right L5-S1 Fragment & L5-S1 Subchondral Sclerosis of Bone with Degeneration of the L5-S1 Disc Patient Choice Takes Him to Surgery, Still Has Radiculopathy Post Surgery Case Of Facet Removal For Surgical Removal Of Large Extraforaminal Free Fragment Of L5-S1 Disc 27 year old man with two herniated lumbar discs fails to grasp the significance of such findings to his life... We all are in this situation all too often! L3-4 Disc Herniation in 68 year old man who is told to have surgery is managed successfully with Cox® flexion-distraction & decompression adjusting Large L5-S1 Disc Herniation Avoids Surgery with Cox® Technic Failed VAX-D Treatment of L4-5 Disc Protrusion and Lumbar Scoliosis Treated Successfully with Cox® Technic Left Sided Lumbosacral Pain with L4-L5 Disc Herniation and Stenosis Controlled with Cox Technic 56 Year Old Male With Marked Motor Weakness And Atrophy Of The Left Quadriceps Muscle Treated Successfully With Cox® Protocols L5S1 Disc Herniation Resolved with Cox® Technic Cox Technic Relieves Low Back and Leg Pain due to Two Discs - one extruded and one herniated Pain from Spondylolisthesis and Disc Herniation in a 37 year old Female Relieved with Cox Technic Lumbar Disc Herniation without Myelopathy: Patient Compliance is Important! Disc Herniation with Spondylolisthesis Treated with Cox Technic Flexion Distraction Lumbar Disc Herniation with Radiculopathy Treated Successfully Lumbar spine Disc Herniation Pain Relief L4-5 Disc Herniation with Motor Weakness - Relief with Cox Technic Cox Technic Relieves Pain due to Disc Herniation when Neurotin isn't Tolerated Multilevel Low Back Disc Herniations and Radiculopathy Relieved with Cox Technic Contact Cox Chiropractic Medicine Inc for conservative, non-surgical care of your lumbar spine contained disc herniation. References Cox, JM, Feller JA, Cox JA: Distraction Chiropractic Adjusting: Clinical Application, Treatment Algorithms, and Clinical Outcomes of 1000 Cases Studied. Topics in Clinical Chiropractic 1996; (3)3:45-59, 79-81 "This information and website content is not intended to diagnose, guarantee results, or recommend specific treatment or activity. It is designed to educate and inform only. Please consult your physician for a thorough examination leading to a diagnosis and well-planned treatment strategy. See more details on the DISCLAIMER page. Content is reviewed by Dr. James M. Cox I."