Herniated Disc Treatment in Novi, MI
About herniated discs
The discs between the bones of the spine act as cushions. A herniated disc happens when some of the soft inner material pushes through a weak spot in the tougher outer layer. Herniations are most common in the low back (lumbar spine) and the neck (cervical spine).
A herniated disc may cause no symptoms, or it may irritate a nearby nerve root. Many people improve with time and non-surgical care, which is the focus of physical medicine and rehabilitation.
Common symptoms
Symptoms depend on where the herniation is and whether a nerve is irritated. They can include neck or low back pain, pain that travels into an arm or leg, numbness or tingling, and muscle weakness.
Get emergency care right away for new loss of bladder or bowel control, numbness in the groin or inner thighs, or leg or arm weakness that is quickly getting worse.
How it's evaluated and treated
- A comprehensive physiatric assessment: your history, a physical and neurological exam, and a review of any imaging.
- A plan focused on function, which commonly starts with activity guidance and physical therapy.
- If pain is limiting your progress, injection options such as an epidural steroid injection may be discussed.
- Follow-up to track your progress and adjust the plan. If your symptoms suggest surgery should be considered, a surgical opinion may be recommended.
Physician-led care in Novi
Treatment at Excel Physical Medicine and Rehab is provided under the direction of Dr. Augustus (Peter) Evangelista, who is board certified in Physical Medicine and Rehabilitation and in Pain Medicine. Treatment plans can include on-site physical therapy in Novi.
Verify this physician's specialty and practice address in the Corewell Health directory or Trinity Health Michigan directory.
Common questions
- Do herniated discs need surgery?
- Most do not. Many herniated discs improve with time and non-surgical treatment. Surgery is usually considered when there is significant or worsening nerve weakness, or when pain continues despite appropriate conservative care.
- How do I know if this treatment is right for me?
- Every treatment plan at Excel Physical Medicine and Rehab starts with a comprehensive physiatric assessment. Dr. Evangelista reviews your history, examines how the problem affects your function, and discusses whether this option makes sense alongside alternatives such as physical therapy.
This page is general patient education, not medical advice. Whether a treatment is appropriate for you is decided after an in-person evaluation. For emergencies, call 911.
Schedule a consultation
Start with a comprehensive physiatric assessment at our Novi office.