Hi - I want to share as much as I can about this debilitating condition. I have had about 5 or 6 prolapses on the L4/L5 disk. The last time was 3 months ago, and I was unable even to get up for 1 month. I understand it is the speed at which the nuclear disk material shoots out onto the spinal cord which determines the severity of the damage.
Before all this happened, I had enjoyed 3 pain-free years, and had no problem riding a bike or taking a train. But I had gradually gained weight from 75kg to 85 kg. During a spate of work when I had spent the better part of 24 hours working at the computer without sleep or exercise, every day for 1 week or so, the cat came in and started jumping on the scanner and fax machine. So I took the cat with both arms and threw it into a chair. This sudden, forward movement blew the disk, and left me unable to walk properly. The next day, however, thinking it was getting better, I got up in the morning and straightaway sat in the chair to work - and man, did that disk blow! It was excruciating.
This time I was totally unable to walk, so I crawled to bed and stayed there for 1 month. Therefore, I have not left my house in the last 3 months, save to walk a few steps around it last week. Following this, I have gradually been getting used to moving about, but the disk is still bulging near to the nerve. Occasionally, if I move the wrong way, it touches the nerve and threatens to cause another spasm similar to what happened on the last occasion when the disk herniated. Over the last month, there has been the "disk bulge" pain when I get up (during the day). This lasts only for about 30 minutes or so, after which I have no pain. I suppose the disk is more swollen after sleeping, and it takes some time for this water to be extruded by standing up so that it recedes away from the nerve. I also think the facet joint around the disk has become a bit arthritic, and it takes some time and movement to produce any synovial fluid in the joint. But normal activity is no longer possible.
What am I going to do about it, a friend asked? Nothing, I replied. At least, nothing drastic. As for surgery, I have read that it shows no advantage in the long-term over conservative care - with the exception of "cauda equina" syndrome where muscle control and sensation are lost, and surgery must be performed within 3 days if total paralysis is to be avoided. In addition, surgery can be disastrous, as in the case of one woman here who died on the operating table (she was 37). As for VAX-D motorized traction (not available in the UK), a case recently surfaced where winch and pulley traction actually made a disk protrusion worse - so painful that "urgent microdiscectomy was performed" (although VAX-D deny that the traction involved here was VAX-D).
What does that leave us with?
It leaves us with other invasive options such as chymopapain therapy or prolotherapy, both of which involve painful injections of material into the disk.
It also leaves us with non-invasive options including, but not limited to, osteopathy, acupuncture, shiatsu, infrared lamp treatment, soft laser tissue treatment (e.g. the "Terra Quant" device sold in the UK), cod liver oil, calcium orotate, glucosamine, joint supplements, aminoacid supplementation, proanthocyanidins, magnesium lotion, jojoba oil, avocado oil, and hypericum oil "for people with shrunken disks".
At this time, I have started to take Icelandic cod liver oil and calcium orotate,
and am waiting for the glucosamine and avocado oil to be delivered. The glucosamine product is a liquid glucosamine containing 11 other ingredients and will be delivered together with a "glucosamine roll-on". The hypericum oil massaged into the disks feels good, but it`s too early to say yet. I will keep this forum posted.
Best - Max