Sedation and dizziness are common side effects. You might be prescribed these if you have muscle spasms. They include gabapentin (Gralise, Horizant, Neurontin), pregabalin (Lyrica), duloxetine (Cymbalta, Drizalma Sprinkle), or venlafaxine (Effexor XR). ![]() These drugs affect nerve impulses to decrease the pain. If your pain is mild to moderate, your doctor might recommend pain medication available without a prescription, such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve). The test evaluates the electrical activity of muscles when contracted and when at rest.Ĭonservative treatment - mainly modifying activities to avoid movement that causes pain and taking pain medication - relieves symptoms in most people within a few days or weeks. During an EMG, a doctor inserts a needle electrode through the skin into various muscles. The study measures the electrical impulses in nerve signals when a small current passes through the nerve. This test measures electrical nerve impulses and functioning in the muscles and nerves through electrodes placed on the skin. This can help pinpoint the location of nerve damage. This test can show pressure on the spinal cord or nerves due to multiple herniated disks or other conditions.Įlectromyograms and nerve conduction studies measure how well electrical impulses are moving along nerve tissue. A dye is injected into the spinal fluid before a CT scan is taken. This test can be used to confirm the location of the herniated disk and to see which nerves are affected. Radio waves and a strong magnetic field are used to create images of the body's internal structures. A CT scanner takes a series of X-rays from different directions and then combines them to create cross-sectional images of the spinal column and the structures around it. Plain X-rays don't detect herniated disks, but they can rule out other causes of back pain, such as an infection, tumor, spinal alignment issues or a broken bone. If your doctor suspects another condition or needs to see which nerves are affected, he or she may order one or more of the following tests. ![]() In most cases of herniated disk, a physical exam and a medical history are all that's needed for a diagnosis.
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