Spinal Disc Herniation

Overview

A spinal disc herniation, commonly known as a slipped disc, occurs when the soft inner portion of the spinal disc pushes through the tough outer layer. This can press on nearby nerves, causing pain, numbness, or weakness. At the Royal Buckinghamshire Hospital our specialist spinal consultants provide advanced diagnostics and tailored treatment plans to relieve symptoms and support long-term spinal health.

What is Slipped Disc?

Spinal discs act as a shock absorbers between the vertebrae of your spine. When a disc herniates or ‘slips’ it may irritate or compress nearby spinal nerves, most commonly in the lower back (lumbar spine) or neck (cervical spine).

Causes of Spinal Disc Herniation

Herniated discs can result from:

• Gradual disc degeneration due to ageing
• Heavy lifting or awkward twisting motions
• Sudden impact or trauma to the spine
• Poor posture or repetitive strain
• Excess body weight increasing spinal pressure
• Genetic factors influencing disc strength

Common Symptoms

The symptoms depend on the location of the herniation:

Lumbar (Lower Back) Herniation:

• Lower back pain
• Pain radiating to the buttocks, legs, or feet (sciatica)
• Numbness or tingling in the legs
• Muscle weakness

Cervical (Neck) Herniation:

• Neck pain
• Pain radiating to the shoulders, arms, or hands
• Numbness or tingling in the arms or fingers
• Reduced grip strength

In rare, severe cases, symptoms may include loss of bladder or bowel control, requiring urgent medical attention.

Diagnosis

At Royal Buckinghamshire Hospital, we offer:

Detailed medical assessment and physical examination

MRI scans, providing clear images of the discs and nerves

X-rays, to assess spinal alignment and rule out other causes

Non-Surgical Treatments:

Most cases improve with non-surgical treatment:

• Rest and activity modification
• Pain relief medications
• Physiotherapy to strengthen muscles and improve posture
• Epidural steroid injections for targeted pain relief

Surgical Treatments:

Surgical Treatment may be considered if:

• Symptoms are severe or worsening
• Nerve compression is causing significant weakness
• Conservative treatments have failed

Common procedures include microdiscectomy or disc replacement, depending on the location and severity of the herniation.

If you’re experiencing persistent shoulder pain or weakness, contact Royal Buckinghamshire Hospital for expert assessment and treatment of rotator cuff injuries. There is no need to be registered with our The Royal Buckinghamshire Hospital, or live locally.

If you have insurance which covers consultations, we can in most cases invoice the insurer directly. Where you are paying directly any costs will always be discussed.

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