Conditions We Treat
Herniated Discs
If a sharp pain shoots down your leg or into your arm, a herniated disc may be pressing on a nerve. An Evolve provider can look for the cause and walk you through options that may help.

Common signs
- A sharp, shooting pain down one leg, sometimes past the knee
- Pain that runs from your neck into your shoulder, arm or hand
- Pain that spikes when you cough, sneeze or strain
- Numbness or pins and needles in your foot, toes or fingers
- A foot that catches or drags, or a grip that feels weak
- Trouble sitting through a car ride or a workday
What is a Herniated Disc?
A herniated disc, also known as a slipped or ruptured disc, is a condition affecting the spine. It occurs when the soft inner gel of a spinal disc escapes through a tear in the tougher exterior. This can lead to significant pain and discomfort, often impacting one’s quality of life. At Evolve Medical Group, we understand the complexities of this condition and offer a range of treatments to help our clients achieve optimal wellness and relief.
What Causes a Herniated Disc?
There are several factors that can contribute to the development of a herniated disc:
Age-Related Wear and Tear
As we age, our spinal discs lose some of their water content, making them less flexible and more prone to tearing or rupturing.
Injury
Sudden trauma or injury to the spine can cause a disc to herniate. This is common in accidents or heavy lifting.
Repetitive Strain
Activities that involve repetitive bending, twisting, or lifting can put undue stress on the spine, leading to disc herniation.
Genetics
Some individuals may be predisposed to herniated discs due to genetic factors.
Obesity
Excess body weight can add stress to the spine, increasing the risk of a herniated disc.
Sedentary Lifestyle
Lack of physical activity can weaken the muscles that support the spine, making it more susceptible to injury.
What Symptoms Will I Experience with a Herniated Disc?
The symptoms of a herniated disc can vary depending on the location and severity of the condition. Common symptoms include:
Pain
This can occur in the lower back, neck, or along the path of the affected nerve.
Numbness or Tingling
Often felt in the arms or legs, depending on the location of the herniated disc.
Weakness
Muscles served by the affected nerves may weaken, leading to difficulty with movement.
Sciatica
Pain radiating from the lower back down one leg, often caused by a herniated disc in the lower spine.
Best Treatment Options for a Herniated Disc
When home remedies are not enough, professional treatment may be necessary. At Evolve Medical Group, we offer a variety of treatment options tailored to the needs of our clients:
Physical Therapy
Customized exercise programs to strengthen the muscles supporting the spine and improve flexibility.
Chiropractic Care
Manual adjustments to realign the spine and reduce nerve pressure.
Massage Therapy
Techniques to relieve muscle tension and improve blood flow to the affected area.
Injections
Corticosteroid injections to reduce inflammation and pain.
Minimally Invasive Procedures
Techniques like microdiscectomy or endoscopic discectomy to remove the herniated portion of the disc.
Surgical Options
In severe cases, surgical intervention may be necessary to remove or repair the damaged disc.
What Should I Try at Home Before Seeing a Provider for a Herniated Disc?
Before seeking professional treatment, there are several home remedies and lifestyle changes you can try to alleviate the symptoms of a herniated disc:
Rest
Avoid activities that exacerbate your pain. However, prolonged bed rest is not recommended.
Heat and Cold Therapy
Applying a cold pack can help reduce inflammation, while a heating pad can relieve muscle tension.
Over-the-Counter Pain Relievers
Medications like ibuprofen or acetaminophen can help manage pain and inflammation.
Gentle Exercise
Activities like walking, swimming, or yoga can help maintain mobility without putting too much strain on the spine.
Posture Correction
Ensure that your sitting and standing posture supports the natural curve of your spine.
Our Process for Treating Herniated Discs
At Evolve Medical Group, we take a holistic and personalized approach to treating herniated discs. Our process includes:
Comprehensive Evaluation
- We start with a thorough assessment of your medical history, symptoms, and lifestyle to understand the root cause of your condition.
Diagnostic Imaging
- Advanced imaging techniques, such as MRI or CT scans, are used to precisely locate the herniated disc and assess its severity.
Personalized Treatment Plan
- Based on the evaluation and diagnostic results, we develop a customized treatment plan that may include a combination of physical therapy, chiropractic care, massage therapy, and other modalities.
Ongoing Support and Monitoring
- We provide continuous support and monitor your progress to ensure the effectiveness of the treatment plan. Adjustments are made as needed to optimize outcomes.
Holistic Wellness Approach
- In addition to treating the herniated disc, we focus on overall wellness. This includes nutritional counseling, weight management programs, and stress reduction techniques to support your long-term health and wellbeing.
At Evolve Medical Group, we are committed to helping our clients achieve a pain-free and active lifestyle. Our expert-curated services and holistic approach ensure that you receive the best possible care for your herniated disc. Whether you are seeking relief from pain or looking to enhance your overall wellbeing, our supportive staff is here to guide you every step of the way.
How Evolve evaluates it
Your provider starts by listening: when the pain began, whether it travels down a leg or into an arm, and whether you’ve noticed numbness or weakness. They ask about your health history, medications and goals, then check your strength, reflexes and sensation to see which nerve may be involved.
If the exam points to nerve pressure, or your symptoms are severe or not settling, imaging such as an MRI may be recommended. You and your provider then talk through a personalized plan, if one is appropriate, with follow-up visits to track how your symptoms change.
Options your provider may discuss
FAQ
Questions, answered.
Your provider will answer anything else at your consultation.
Is sciatica the same thing as a herniated disc?
Not exactly. Sciatica describes pain that travels along the sciatic nerve, from the lower back or buttock down the leg. A herniated disc in the lower back is a common cause, but not the only one. Narrowing of the spinal canal, other spine changes and some hip and buttock problems can cause similar pain. Your provider’s exam, and imaging when needed, helps find the source.
Do I need an MRI right away?
Not always. When disc-related pain is new and there are no warning signs, imaging often isn’t needed at first, because it may not change the early steps of care. An MRI is more likely to be recommended if your symptoms are severe, include weakness, keep getting worse or aren’t improving, or if a procedure is being considered. Your provider decides this with you.
Does a herniated disc mean I need surgery?
Not necessarily. Many people with a herniated disc are managed without surgery. A surgical opinion is generally considered when weakness is significant or getting worse, when pain stays severe despite conservative care, or when there are red-flag symptoms such as loss of bladder control. If your provider thinks a surgical opinion makes sense for you, they may recommend a referral.
Can I keep working while I’m being treated?
Many people can, with some changes. Your provider may suggest adjusting heavy lifting, long stretches of sitting or driving, or other tasks that flare your symptoms. If your job is physical, describe what a typical day involves so your plan fits your work. Let your provider know if any task brings on numbness or weakness, since that may change the advice.
Locations
Six offices across South Texas
Not every office offers every treatment. Call the office you would like to visit to confirm before you book.
- San Antonio area
Stone Oak
20627 Huebner Rd, Suite 101
San Antonio, TX 78258(210) 526-4633 (Stone Oak) - San Antonio area
Dominion
22211 W Interstate 10
San Antonio, TX 78257(210) 783-7333 (Dominion) - San Antonio area
Quarry Market
255 E Basse Rd, Suite 1505
San Antonio, TX 78209(210) 866-3131 (Quarry Market) - San Antonio area
Live Oak
8000 Pat Booker Rd, Suite 104
Live Oak, TX 78233(210) 940-1001 (Live Oak) - Seguin
Seguin
315 N Austin St
Seguin, TX 78155(830) 549-5005 (Seguin) - Corpus Christi
Corpus Christi
5702 S Staples St, Suite E1
Corpus Christi, TX 78413(361) 225-3457 (Corpus Christi)
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