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1. Myth: A Herniated Disc Means You’ll Have Pain Forever
Reality: Herniated discs are incredibly common—even in people who have no pain at all. In fact, studies using MRI scans have found that a significant percentage of people over 30 have disc herniations without any symptoms. Just like gray hair, these changes happen to almost everyone over time. Pain is complex, and while a herniated disc may show up on an MRI, it doesn’t mean it’s the sole cause of your discomfort.
2. Myth: A Disc Can “Slip” or “Pop Out”
Reality: The term “herniated” can be misleading. It implies that something has ruptured or broken, but in reality, discs don’t just pop out or slip. Instead, they bulge or protrude as part of the normal aging process or due to specific movement patterns, loading issues, or posture habits. A visible herniation on an MRI doesn’t necessarily correlate with pain, dysfunction, or the need for surgery.
3. Myth: If You Have Numbness and Tingling, You Need Surgery
Reality: A lumbar herniation might sound scary, but the good news is that most cases resolve spontaneously—even when symptoms like numbness and tingling are present. Research shows that the body is incredibly effective at reabsorbing disc material over time. Many people experience a full recovery within a few months without invasive treatment. However, just because the disc heals doesn’t mean the root cause of the issue has been addressed.
4. Myth: The Herniated Disc Is the Only Cause of Your Pain
Reality: While it’s easy to blame pain on a herniated disc seen on an MRI, many other structures could be contributing to your symptoms. Your pain may actually stem from:
- Facet joints (small joints in your spine that can become irritated or inflamed)
- Muscle imbalances causing excessive tension or weakness in the lower back and hips
- Nerve irritation from factors other than the disc itself
- SI joint dysfunction (issues with the sacroiliac joint, which connects your spine to your pelvis)
- Movement patterns and posture habits that put excessive stress on the lower back
This is why physical therapy focuses on a full-body approach rather than just treating the disc herniation alone.
5. Myth: Once You’ve Had a Herniated Disc, You’re Stuck With Back Problems Forever
Reality: While there is a higher chance of recurrence if underlying issues aren’t corrected, that doesn’t mean you’re doomed to chronic pain. Studies suggest recurrence rates can range from 10-40%, but this is largely preventable with the right rehab approach. Physical therapy helps correct:
- Core and hip stability to support the spine
- Movement mechanics to reduce unnecessary stress on the lower back
- Mobility work to ensure even load distribution through the spine and hips
- Strength training that exceeds the usual “theraband and bodyweight” rehab approach
The Bottom Line: Movement Matters
A lumbar disc herniation doesn’t have to be a lifelong problem, but if you don’t correct the why behind it, you may find yourself dealing with recurring issues. At The Training Room in Charlotte, we focus on long-term solutions—not just symptom relief. If you’ve been diagnosed with a herniated disc or have struggled with recurring low back pain, let’s get to the root cause and build strength that lasts.
Need guidance? Schedule a free discovery call in Charlotte today!
