Non-Surgical Care for Herniated and Bulging Discs
A herniated or bulging disc can contribute to back pain, neck pain, stiffness, radiating symptoms, numbness, tingling, or weakness. At Kitsap Spine & Wellness, we provide conservative disc injury care for patients in Silverdale, WA and surrounding Kitsap County communities.
Spinal discs act as cushions between the vertebrae. When a disc becomes irritated, damaged, bulges outward, or herniates, nearby spinal structures and nerve roots may also become irritated. Symptoms may remain in the neck or back or travel into an arm, hand, hip, leg, or foot.
Care is provided under the direction of Dr. Mark Goodman, D.C., who has practiced since 1993 and has specialized training in spinal decompression.
Our goal is to identify what may be contributing to your symptoms and determine which conservative treatment options are appropriate for your condition.
Call Us At (360) 698-4411
What Is a Spinal Disc Injury?
A disc injury occurs when one of the discs between the vertebrae becomes irritated or structurally changed. Spinal discs help absorb forces and allow the spine to move, but they can be affected by injury, repetitive stress, age-related changes, or sudden loading.
Disc problems can develop after lifting, twisting, falling, sports activity, work injuries, or auto accidents. In other cases, symptoms develop gradually without one obvious event.
Herniated Disc vs. Bulging Disc
Although the terms are sometimes used interchangeably, a bulging disc and a herniated disc are not exactly the same.
Bulging Disc: A bulging disc generally extends outward beyond its normal boundary while much of the outer disc remains intact. A bulge does not always cause symptoms, but it may irritate nearby structures when it affects a sensitive area.
Herniated Disc: A herniated disc involves a more focal disruption of the disc’s outer layer that allows inner disc material to push outward. If nearby nerve tissue becomes irritated, symptoms may extend beyond the spine.
For a more detailed explanation, read our article about bulging discs and how they can affect the spine.
Common Disc-Related Conditions We Evaluate
Symptoms of a Herniated or Bulging Disc
Some disc problems primarily cause localized neck or back pain. Others irritate a nearby nerve root and produce symptoms farther from the spine.
Possible symptoms include:
- Lower back pain
- Neck pain
- Radiating arm or leg pain
- Sciatica symptoms
- Numbness or tingling
- Burning or electric-like pain
- Weakness in an arm, hand, leg, or foot
- Stiffness or reduced spinal mobility
- Pain that changes with sitting, bending, lifting, or certain positions
Symptoms such as numbness, tingling, radiating pain, or weakness may indicate nerve involvement. Learn more about our pinched nerve treatment in Silverdale.
How We Evaluate Disc-Related Pain
Your care begins with an evaluation of your symptoms, health history, previous injuries, and functional limitations. We want to understand where your symptoms begin, whether they travel, and which movements or positions affect them.
Your evaluation may include:
- Where your pain is located
- Whether symptoms travel into an arm or leg
- Whether numbness, tingling, or weakness is present
- How sitting, standing, bending, lifting, or walking affects symptoms
- Spinal mobility and range of motion
- Relevant previous injuries or treatment
- Available imaging or medical records when appropriate
Because similar symptoms can have different causes, treatment recommendations are based on the individual evaluation rather than the presence of back or neck pain alone.
Non-Surgical Treatment Options for Disc Injuries
For appropriate patients, disc-related symptoms may be managed with conservative treatment rather than immediately pursuing more invasive options.
Your care plan may include:
The specific combination of treatments depends on your symptoms, examination findings, health history, and response to care.
Spinal Decompression for Herniated and Bulging Discs
Non-surgical spinal decompression may be considered when disc-related symptoms are associated with mechanical loading or irritation of nearby spinal structures.
Kitsap Spine & Wellness uses the Kennedy Decompression Table and Back on Trac for non-surgical spinal decompression. These systems provide controlled decompression options that can be selected according to the patient’s condition, treatment area, and comfort.
Dr. Mark Goodman, D.C. has specialized training in spinal decompression and determines whether decompression is appropriate following an evaluation.
Not every herniated or bulging disc requires decompression, and decompression is not appropriate for every patient. When it is used, it is typically one part of a broader conservative care plan.
Disc Injuries and Nerve Symptoms
When a disc irritates a nearby nerve root, symptoms may extend beyond the neck or lower back. Cervical disc problems can contribute to symptoms in the shoulder, arm, forearm, hand, or fingers. Lumbar disc problems may contribute to symptoms in the buttock, hip, thigh, lower leg, or foot.
These symptoms may include radiating pain, numbness, tingling, burning, or weakness. In the lower back, certain nerve-related symptoms may be associated with sciatica.
Patients experiencing nerve-related symptoms can also learn more about our pinched nerve treatment.
What to Expect During Your First Visit
Your first visit focuses on understanding the problem before determining treatment. We will discuss when your symptoms started, how they affect your daily activities, what movements make them better or worse, and what treatments you have already tried.
If conservative disc injury care is appropriate, we will explain which treatment options are being recommended and how they fit into your overall care plan.
Depending on your condition, this may involve chiropractic care, spinal decompression, exercise therapy, laser therapy, Trigenics, movement work, or other conservative services available at Kitsap Spine & Wellness.
Disc Injuries After Accidents, Work, or Sports
Disc-related symptoms may develop after auto accidents, work injuries, sports injuries, lifting incidents, falls, or repetitive physical stress.
Symptoms may begin immediately or become more noticeable over time. If pain, numbness, tingling, weakness, or radiating symptoms continue after an injury, an evaluation can help determine whether the spine or discs may be involved.
Why Choose Kitsap Spine & Wellness for Disc Injury Care?
- Dr. Mark Goodman has practiced since 1993
- Specialized training in spinal decompression
- Kennedy Decompression Table and Back on Trac available in-office
- Care for herniated and bulging discs
- Evaluation of disc and nerve-related symptoms
- Multiple conservative treatment options available in one office
- Personalized treatment based on examination findings and goals
Learn more about Dr. Mark Goodman, D.C., his education, licensure, experience, and specialized treatment training.
If disc-related pain or nerve symptoms are interfering with work, sleep, exercise, or normal movement, schedule an evaluation to determine which treatment options may be appropriate.
Call Us At (360) 698-4411