Disc Herniation

Injury to the discs of the lumbar spine (low back) is a very common condition occurring in 5-20/1000 individuals every year. It is often precipitated by lifting in a forward bent position, conditions that place a load on the lumbar discs.

Pain from disc herniation or injury is severe and frequently disabling. It is often accompanied by protective muscle spasm. This may lead to an erroneous assumption that the injury is muscular. Stretching only aggravates the situation.

The most comfortable position in this setting is lying down, often with the legs elevated and supported on a chair or couch. This position decreases pressure in the disc and opens the spinal canal. Ice may decrease the muscle spasm and provide temporary relief.

The good news is that 93% of patients with acute disc herniation, including those with sciatica, get better with a comprehensive conservative (nonsurgical) treatment program (Saal et al, Spine: July 1990). Only a very small minority require surgery for resolution of symptoms.

At the Physicians’ Back Institute, our doctors, Irène Minkowsky M.D. and Robert Minkowsky M.D., have successfully been treating patients with acute disc injury and herniation for over 35 years. They have an extensive experience defining the issues and finding the right approach for each individual. They provide treatment of the immediate situation as well as guidance for the long-term prevention of recurrence. 

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Physicians' Back Institute SF

Schedule Your Consultation Today
(415) 776-4644

Don’t let chronic pain and musculoskeletal injuries affect your quality of life. Drs. Irène and Robert Minkowsky have helped thousands of patients. Let the doctors at the Physicians’ Back Institute treat you so you can enjoy an active lifestyle. They are proud to serve the San Francisco Bay Area.

We are located at
2000 Van Ness Ave, #305
San Francisco, CA 94109
(415) 776-4644
Call us for more information about how we can help you.