Slipped disc

Slipped disc treated with osteopathy

Treated by Philip Waldman D.O. FSCCO, Registered Osteopath at Chelsea SW10 and Brighton & Hove BN3

What is a slipped disc?

The intervertebral discs are the shock-absorbing pads that sit between each of the bones of the spine (vertebrae). Each disc has a tough outer ring (the annulus fibrosus) and a soft, gel-like centre (the nucleus pulposus). A slipped disc — more accurately called a herniated, prolapsed or bulging disc — occurs when the outer ring is weakened or damaged and the soft inner material pushes outwards through it.

This bulging disc material can press on the nearby spinal nerves, causing pain, pins and needles, numbness or weakness. In the lower back, a herniated disc commonly causes sciatica — pain and neurological symptoms radiating down the leg. In the neck, a herniated disc can cause pain, numbness or weakness radiating into the arm and hand.

Causes of disc herniation

Discs are subjected to considerable force throughout daily life. They can herniate as a result of a sudden injury — such as lifting a heavy weight with poor technique — or through a gradual process of degeneration and repeated minor stress. Poor posture, prolonged sitting, and restricted movement in other parts of the spine that forces the lumbar discs to absorb more load than they should are all contributing factors that Philip Waldman addresses as part of treatment.

Modern imaging has shown that disc herniations can resolve naturally over time — and that the severity of symptoms does not always correlate with the size of the herniation. Osteopathy supports this natural recovery process by reducing load on the disc, improving circulation to the affected area and restoring normal movement to the whole spine.

How Philip Waldman treats slipped disc

Philip Waldman D.O. FSCCO treats disc-related problems at his Chelsea and Brighton & Hove clinics. Treatment focuses on reducing the load on the affected disc, relieving muscle spasm in the surrounding area, and improving movement through the parts of the spine that are contributing to the problem by being too restricted. Cranial osteopathic techniques are sometimes used alongside conventional techniques where the tissues are too sensitive for direct manipulation.

Philip will also provide specific rehabilitation exercises and advice on positions and activities to avoid during recovery. Where he considers that imaging or specialist assessment would be beneficial, he will refer you appropriately.


Slipped disc and osteopathy

Can osteopathy help a slipped disc?
Yes, in many cases. Osteopathic treatment cannot physically push the disc back into place, but it can reduce the load on the affected disc, relieve the muscle spasm that typically surrounds a disc injury, improve circulation to the area and restore better movement to the rest of the spine — all of which support the natural healing process. Philip Waldman D.O. FSCCO will carry out a full assessment to determine whether your disc problem is suitable for osteopathic treatment.

Will I need an MRI scan before seeing an osteopath?
Not necessarily. Philip can often make a clinical diagnosis based on your history and physical examination, and will begin treatment accordingly. If he considers that imaging would change the management of your condition, or if your symptoms suggest something that needs further investigation, he will recommend that you seek an MRI through your GP or privately.

Do slipped discs heal on their own?
Many disc herniations do improve significantly over time. The disc material is gradually reabsorbed by the body, and symptoms typically reduce over weeks to months. Osteopathic treatment can support and speed up this process, while also addressing the underlying mechanical factors that contributed to the disc herniation in the first place — reducing the risk of recurrence.

When should I consider surgery for a slipped disc?
Surgery is generally considered only when conservative treatment — including osteopathy, physiotherapy and pain management — has not resolved the symptoms after an adequate trial, or when there are signs of serious neurological compromise such as progressive leg weakness or loss of bladder or bowel control. The latter requires urgent medical attention. Philip will always refer you appropriately if he has any concerns about your neurological status.

Chelsea Clinic
Initial Consultation £100
Follow-up Consultation £85

Payment: Credit card (inc. Amex), debit card, cash, cheque and bank transfer

Recognised by all major insurers including AXA PPP, BUPA, Exeter Friendly, Prudential, SimplyHealth and Vitality Health. You may be able to recover some or all of your treatment costs depending on your level of cover.

Brighton & Hove Clinic
Initial Consultation £65
Follow-up Consultation £55

Payment: Cash, cheque and bank transfer

Recognised by all major insurers including AXA PPP, BUPA, Exeter Friendly, Prudential, SimplyHealth and Vitality Health. You may be able to recover some or all of your treatment costs depending on your level of cover.