
Headaches, Sciatica & Disc Bulges
Headaches, Sciatica & Disc Bulge Therapy
Headaches, sciatica, and disc bulges are often interconnected. A bulging disc in the neck (cervical spine) can often lead to headaches, while a bulging disc in the lower back (lumbar spine) can cause sciatica pain. Both of these situations can arise from a herniated disc, which is when the gel-like centre of the disc pushes through its outer layer, irritating nearby nerves.
Right at Home Allied Health Chiropractors and Physiotherapists take an evidence-based approach to assess and manage headaches, sciatica, and disc buldges. They begin with a thorough history to understand the location, frequency, timing, triggers, and associated symptoms. A detailed orthopaedic and neurological examination follows to identify the cause of your headaches, sciatica, or disc bulge, and determine the most effective treatment plan. If your condition requires additional medical evaluation or treatment, they will provide appropriate referrals to ensure comprehensive care.
Headaches
Headaches are one of the most common pain-related complaints, with approximately 95% of people experiencing one at some point in their lives. While headaches can affect individuals of all ages, they are most frequently reported by those aged 25–44. Headaches are classified into two main categories, primary and secondary.
Primary headaches include migraines, tension-type headaches, and cluster headaches, which together account for 98% of all cases. Secondary headaches arise as a result of underlying conditions or triggers such as sinus infections, neck pain, dehydration, medication side effects, or other health issues.
Headaches can be triggered by anything that stimulates pain receptors in the head or neck. Common causes include stress, muscle tension, arthritis, head or neck injuries, spinal issues, TMJ disorders, hormonal changes, eye strain, and disorders of the ears, nose, or throat.
Sciatica
Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from your lower back, through your hips and buttocks, and down the leg.
Symptoms can include:
- Pain in the buttocks, back of the thighs, calves, ankles, or feet
- Pins and needles
- Numbness and/or weakness in the legs or feet
Sciatica is often a result of compression or irritation of the sciatic nerve, either from a herniated disc, osteoarthritis, spinal stenosis (narrowing of the spinal canal), degenerative disc disease, muscle imbalances including piriformis syndrome, and more. Several factors can increase the risk of sciatica, including age-related spinal changes like herniated discs and bone spurs, a sedentary lifestyle, obesity, and jobs involving heavy lifting or prolonged sitting. Conditions such as diabetes, which affect nerve function, and pregnancy, which adds pressure to the sciatic nerve, can also contribute to sciatic pain.
Disc Bulges
A disc bulge occurs when the soft, gel-like centre of a spinal disc presses against its tough outer layer, causing the disc to extend beyond its normal boundary. Spinal discs act as cushions between the vertebrae, absorbing shock and allowing for smooth movement of the spine. When a disc bulges, it can put pressure on nearby nerves, leading to pain, stiffness, numbness, or tingling. Disc bulges commonly occur due to age-related wear and tear, poor posture, repetitive movements, heavy lifting, or prolonged sitting.
Cervical Disc Bulges
Cervical disc bulges occur in the neck region of the spine, where discs cushion the vertebrae and support head and neck movement. When a disc bulges in this area, it can cause pain, stiffness, and reduced mobility in the neck, shoulders, and upper back. If the bulge compresses nearby nerves, symptoms such as tingling, numbness, or weakness may radiate into the arms, hands, or fingers. Poor posture, extended screen time, or repetitive neck movements often contribute to cervical disc issues.
Lumbar Disc Bulges
Lumbar disc bulges develop in the lower back, where discs act as shock absorbers between vertebrae, supporting weight-bearing and movement. A bulging disc in the lumbar spine can put pressure on nearby nerves, resulting in back pain and sciatica-like symptoms, including sharp pain, numbness, or tingling that radiates through the hips, buttocks, and down one or both legs. Activities like heavy lifting, prolonged sitting, or repetitive bending can place excessive strain on the lumbar spine, increasing the risk of a disc bulge.