Worried About a Herniated Disc? Here’s What You Need to Know Before You Panic
You Googled “herniated disc” at 2 a.m. after your back locked up. Now you’re convinced you need an MRI and surgery. Let’s take a deep breath.
At The Cape Town Chiro, we see people every week who come in thinking the worst — but walk out with relief, clarity, and a recovery plan. Most of the time, it’s not a blown disc. And even if it is, you’ve got far more options than you think.
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What Is a Herniated Disc Really?
Discs are like shock absorbers between your spine bones. When one herniates, it means part of the soft centre pushes out — and may touch or irritate a nerve.
BUT:
- Many people have disc bulges without pain.
- Disc injuries often settle down without surgery.
- The real issue is how it affects your movement and function — not just the MRI picture.
Common Signs of a Herniated Disc
You might have a disc issue if you’re feeling:
- Pain down your leg or arm (sciatica or nerve-like pain)
- Numbness or tingling
- Weakness in a limb
- Back or neck pain that changes with sitting, bending, or coughing
But don’t panic — these symptoms can also come from joint or muscle issues. That’s why a proper physical assessment is key.
What to Do First (Before Panicking)
✅ Book a chiropractic assessment that includes a neuro + ortho exam
✅ Stay lightly active — avoid bed rest if you can still move
✅ Use ice or heat depending on what feels better
✅ Avoid any stretching or movements that increase pain down the leg/arm
You don’t always need an MRI — and you don’t need to commit to surgery right away.
📍 Book with Dr Tristan Koekemoer – Chiropractor Cape Town
How Chiropractors Actually Help Disc Injuries
At The Cape Town Chiro, your treatment will depend on your case. But generally, we may use:
- Safe manual therapy (joint techniques, traction, or mobilisations)
- Dry needling or IFC to reduce spasm
- Nerve glide techniques
- Specific rehab exercises to protect and strengthen the area
- Education around sitting, lifting, and safe training
Goal: Reduce pain, restore movement, and get you back to living — without relying on meds or surgery.
When You Do Need an MRI or Referral
We’ll refer you for imaging or a specialist opinion if:
- You’ve got red flag signs (loss of bowel/bladder control, progressive weakness)
- Symptoms aren’t improving after 4-6 weeks of treatment
- You’re a candidate for non-surgical spinal decompression or a neuro consult
We stay in our lane — and refer when it’s time.
You’re Not Broken — You’re Recovering
The herniated disc isn’t the end of your active life. It’s a challenge that, with the right care, most people recover from.
Cape Town runners, CrossFitters, and desk-jockeys — we’ve got your back.
Location & Contact Info
Check Availability WhatsApp Chiro- 📍 Chiropractor Cape Town – Dr Tristan Koekemoer
- 076 700 38 87
- Monday to Friday: 06:30 – 19:00
- Saturday: 06:30 – 16:00
- [email protected]
- Sea Point, Cape Town — walkable from Green Point, Mouille Point, and the V&A Waterfront.
Recommended Next Reads:
- Is Chiropractic Treatment Worth It?
- Mechanical Lower Back Pain: Explained
- Do I Need X-rays Before Seeing a Chiropractor?
Frequently Asked Questions:
Q: Does a herniated disc always need surgery? A: No. Most people recover with conservative care like chiropractic, exercise, and time. Surgery is a last resort.
Q: Can a chiropractor treat a disc bulge or herniation? A: Yes. Chiropractors trained in neuro-ortho exams can identify, treat, and co-manage disc injuries safely.
Q: Should I get an MRI before seeing a chiropractor? A: Not necessarily. If there are no red flags, a hands-on exam is often more useful at first. Imaging is used when clinically necessary.