Disc Injuries


Disc injuries may occur when there is too much pressure placed on the spine and often occurs as a result of an automobile accident.  You have 23 discs in your spine, one between each vertebrae (with the exception of the space between the first and second vertebrae) and act a shock absorber.  When a disc herniates the inner gel-like portion of the disc may push though the fibrous outer ring.  This type of injury is referred to as a herniated, bulging, slipped or prolapsed disc.  This may cause pain and discomfort around the site of the injury or if the disc is pressing up against a spinal nerve, you may experience pain, tingling, or numbness along the affected nerve which may run down your arms or legs.  Other symptoms may include pain that worsens at night or with certain movements, pain that worsens when sitting or standing, pain when walking short distances, or having weakness in your arms or legs.  

If Dr. Moscow suspects that you have a an injury to a disc he may order imaging such as an MRI to evaluate the size and exact location of your injury.  

How are disc injuries treated?

Dr. Moscow has successfully treated thousands of patients who had injured discs.  Once the location, size, and type of disc injury is properly identified we will discuss the appropriate methods of treatment.  Treatment options may include a chiropractic adjustment or manipulation including a traditional chiropractic adjustment or he may use gentle techniques such as using decompression therapy (flexion-distraction) or an Arthrostim or Activator instrument or do various stretching techniques.  These therapies are designed to relieve disc pressure as well as pressure on the surrounding nerves which in turn help the disc to heal.  

Dr. Moscow may also utilize other treatment modalities such as electrical muscle stimulation, ultrasound, hot and cold packs, various methods of stretching, massage therapy, exercise and rehabilitation, nutrition counseling or may prescribe a brace or orthotic.  Our medical doctor may also prescribe medication or may recommend over-the-counter type medications or even trigger point injections.   

In addition we have excellent relationships with many other physicians in Sarasota including orthopedic surgeons, neurologists, neurosurgeons and pain management specialists that we may consult if needed for your injuries. 

Every person is different and deserves an approach to treatment that is best suited to you.