[Hinews] [Physician's Column] By Jeong Won Park, MD, Chief Director of Himdream Pain Clinic (Specialist in Anesthesiology and Pain Medicine)

Lumbar disc herniation is a common spinal condition in modern society, particularly among office workers who sit for prolonged periods, laborers who repeatedly lift heavy objects, and middle-aged or older adults facing age-related spinal degeneration. Because the spine connects the upper and lower body and bears most of the body’s weight, disc-related pain can severely affect daily functioning.

Lumbar disc herniation occurs when an intervertebral disc between the spinal vertebrae is damaged. Often called a "slipped" or "ruptured" disc, the condition can cause more than just lower back pain. Symptoms may include radiating pain to the hips, legs, or toes, numbness, and, in severe cases, partial paralysis of the lower limbs—underscoring the importance of early diagnosis and treatment.

Persistent back pain should not be mistaken for simple muscle strain. Accurate diagnosis and tailored treatment are critical for effectively managing lumbar disc herniation.

Photo: Jeong Won Park, MD, Chief Director of Himdream Pain Clinic (Specialist in Anesthesiology and Pain Medicine)
Photo: Jeong Won Park, MD, Chief Director of Himdream Pain Clinic (Specialist in Anesthesiology and Pain Medicine)

Diagnosis relies on imaging modalities such as X-rays, CT scans, or MRIs to evaluate spinal alignment, disc protrusion, and nerve root compression. These studies are instrumental in shaping the treatment plan and determining its success.

Nerve block procedures have become a widely used non-surgical treatment for lumbar disc herniation. These involve injecting anti-inflammatory medication around the affected nerve to reduce inflammation and improve blood circulation, thereby relieving pain. Using C-ARM fluoroscopy, physicians can precisely target the involved nerve root, increasing treatment effectiveness and reducing the risk of recurrence.

Nerve blocks are minimally invasive, requiring no incisions or general anesthesia, and typically take about five minutes to perform. As an outpatient procedure, it is well-suited for busy professionals and elderly patients. The key to its effectiveness lies in accurately identifying the involved nerve root to optimize outcomes.

Nerve blocks are often considered a first-line option before surgery. Once pain is controlled, patients can begin physical therapy or rehabilitation exercises to restore mobility and prevent recurrence—forming a comprehensive, multi-phase treatment approach.

Lumbar disc herniation is no longer a condition limited to the elderly. If you experience severe back pain or numbness in your legs, don’t dismiss it as simple fatigue. Early diagnosis and conservative treatments such as nerve blocks can help you avoid surgery and restore normal daily function.

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