Pinched Nerve · Lower Back Neck Guide
Medically Reviewed by Dr Vem Krishna Bhargava Reddy

Slipped disc

When the soft centre of a spinal disc pushes out and presses on a nearby nerve.

Affected Area Cervical & Lumbar (C5–C7, L4–S1)
Key Signal Nerve pinch radiating into arm or leg
First-Line Care Active movement, physio & pain relief
Expected Outlook Most improve in weeks to months without surgery
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The discs between the bones of the spine act as cushions. Each has a tough outer layer and a softer centre. In a slipped disc (also called a herniated or prolapsed disc), part of the softer centre pushes through the outer layer and can press on a nerve.

It is most common in the lower back and the neck, and often happens between the ages of 30 and 50.

Patients with slipped disc frequently report one or more of the following sensations:

Back or neck pain
Pain that travels down the leg (sciatica) or down the arm
Numbness or tingling in the leg, foot, arm or hand
Weakness in the muscles supplied by the affected nerve
Pain that worsens with sitting, bending, coughing or sneezing
Routine Specialist Consultation

Otherwise, see a spine specialist if symptoms last more than a few weeks, keep coming back, or stop you from working, sleeping or walking comfortably.

Phase 1 · First-Line Care

Without surgery

The vast majority of spine conditions begin and resolve with conservative care:

1
Staying gently active rather than resting in bed
2
Pain-relieving and anti-inflammatory medication
3
Physiotherapy and exercises
4
Nerve root or epidural injections for severe nerve pain
Phase 2 · When Needed

When surgery may help

Surgery is only considered when non-surgical measures do not provide relief:

Surgery is considered when pain continues despite several weeks of proper treatment, when weakness is getting worse, or when there are urgent warning signs. The usual operation is a discectomy, which removes the part of the disc pressing on the nerve. It can often be done through a small incision (microdiscectomy) or with an endoscope.

Outlook & Rehabilitation

Many people improve within a few weeks to a few months without surgery. After a minimally invasive discectomy, many patients walk the same or the next day and return to light activity within a few weeks.

Recovery varies from person to person. Your doctor will guide you on what is right for you.

Can a slipped disc heal on its own?

Often, yes. In many people the symptoms settle over weeks to months as the inflammation reduces and the disc material shrinks.

Does a disc bulge on my MRI mean I need surgery?

No. Disc bulges are common on scans, even in people without pain. Treatment depends on your symptoms and examination, not the scan alone.

CLINICAL CONSULTATIONS · HYDERABAD

Consult Dr Vem Krishna Bhargava Reddy regarding your slipped disc symptoms

Most spine conditions respond to structured conservative care. If your symptoms are severe, worsening, or not responding to initial remedies, an in-person clinical examination and MRI review will give you clear, reassuring answers.

Consultations are scheduled across Apollo Hospitals (Jubilee Hills) and Vem Speciality Clinics, Madhapur based on schedule and clinical availability.

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