Slipped disc

A slipped disc can cause:

• lower back pain
• numbness or tingling in your shoulders, back, arms, hands, legs or feet
• neck pain
• problems bending or straightening your back
• muscle weakness
• pain in the buttocks, hips or legs if the disc is pressing on the sciatic nerve (sciatica)

Not all slipped discs cause symptoms. Many people will never know they have slipped a disc.

Sometimes back pain may be a result of an injury such as a sprain or strain, but often there's no obvious reason.

Back pain is rarely caused by anything serious.

Keeping active and taking painkillers can help ease the pain from a slipped disc.

Keep active

If the pain is very bad, you may need to rest at first. But you'll get better more quickly if you gradually start doing gentle exercise such as walking, swimming and yoga as soon as you can.

The type of exercise is not important as long as it does not cause pain or make your back pain worse.

Take painkillers

Try anti-inflammatory painkillers such as ibuprofen to help ease the pain.

Take them regularly (up to the recommended daily amount) rather than just when the pain is particularly bad. This will help you to keep moving.

A pharmacist can help with a slipped disc

Anti-inflammatory painkillers are not suitable for everyone. Speak to a pharmacist if you're not sure if you can take them.

You can also get advice from a pharmacist about stronger painkillers containing codeine. These can help for pain that's just started, but they can cause addiction and should only be used for a few days.

Find a pharmacy

See a GP if:

Call 999 or go to A&E if:

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance.

Bring any medicines you take with you.

You will usually be able to be diagnosed with a slipped disc from your symptoms.

You may also have a physical examination. You might be asked to raise your arms or do simple leg exercises to find out where the slipped disc is.

You might be prescribed a stronger painkiller, a steroid injection or a muscle relaxant to use in the short term for a slipped disc.

If your symptoms do not get better, you may be referred for further tests, like an MRI scan.

You may also need physiotherapy.

Physiotherapy from the NHS might not be available everywhere and waiting times can be long. You can also get it privately.

Surgery for a slipped disc

Surgery is not usually needed, but a GP might refer to you a specialist to discuss surgery if your symptoms:

• have not improved using other treatments
• include worsening muscle weakness, or numbness

Alternative treatments for a slipped disc

There's some evidence that manual therapies, like osteopathy, can help ease lower back pain.

You'll usually have to pay for this treatment privately.

A slipped disc can happen because of:

• ageing
• exercising too hard
• lifting heavy objects the wrong way
• sitting down or driving for long periods of time
• being inactive or overweight

There are some things you can do to help prevent a slipped disc.