How long does a herniated disc take to heal

Picture of Dr. Pasquale X. Montesano
Dr. Pasquale X. Montesano

Principal Orthopedic Spine surgeon at Montesano Spine & Sport.

Factors that influence healing time

A herniated disc can take anywhere from a few weeks to several months to heal, depending on factors like severity, location, age, activity level, and treatment.

General Healing Timeline:

  • Acute Phase (0–6 weeks):
    Most people begin to feel significant improvement with rest, medications (like NSAIDs or muscle relaxants), and physical therapy.
  • Subacute Phase (6–12 weeks):
    Continued recovery for most. Around 80–90% of people improve without surgery within this period.
  • Chronic Phase (>3 months):
    If pain persists beyond 3 months, it may require further intervention—such as epidural steroid injections, or in some cases, surgical options like microdiscectomy.

Key Tips to Help Healing:

  • Stay active (within limits): Light walking and PT help prevent stiffness.
  • Avoid prolonged bed rest.
  • Use proper posture and body mechanics.
  • Consider conservative care: PT, anti-inflammatories, chiropractic, acupuncture.
  • Imaging & follow-up: If no improvement in 6–8 weeks, consider MRI and specialist referral.

Factors that influence healing time

Factors that influence healing time

Certainly! Here’s the list of factors that influence healing from a herniated disc:

  • Location of the herniation: Lumbar (lower back) herniations may take longer due to weight-bearing stress compared to cervical (neck) discs.
  • Size and severity of the herniation: Larger herniations or ones compressing nerves more significantly can prolong healing.
  • Age: Older adults may heal more slowly due to decreased disc hydration and elasticity.
  • Overall health: Conditions like diabetes, arthritis, or autoimmune diseases can delay healing.
  • Physical activity level: Overexertion or poor body mechanics may worsen symptoms, while light, guided activity aids recovery.
  • Occupation: Jobs involving heavy lifting, bending, or long periods of sitting or standing can slow progress.
  • Smoking: Decreases blood flow to spinal structures and slows tissue repair.
  • Body weight: Excess weight puts more pressure on spinal discs and can impede recovery.
  • Adherence to treatment: Following physical therapy, medications, posture correction, and other recommendations improves outcomes.
  • Stress and mental health: Chronic stress or anxiety can increase pain perception and muscle tension, affecting recovery.

Certainly. Here’s the revised explanation without the treatment section: