
A herniated disc happens when one of the cushioning discs between the vertebrae becomes damaged and pushes outward. These discs normally act as shock absorbers for the spine, allowing you to bend, twist, and move comfortably. Each disc has a tough outer layer and a soft, gel-like center. When the outer layer weakens or tears, the inner material can bulge or leak out.
When this occurs, the disc may press on nearby spinal nerves. That pressure often triggers pain, inflammation, and nerve irritation. The symptoms can vary depending on where the disc is located in the spine. A lumbar herniated disc in the lower back is the most common type. It often causes:
Lower back pain
Shooting pain down the leg (sciatica)
Numbness or tingling in the leg or foot
Muscle weakness in the leg
A cervical herniated disc in the neck can lead to:
Pain radiating into the shoulder or arm
Tingling or numbness in the hand or fingers
Weakness in the arm
Many people are surprised to learn that some herniated discs cause little or no symptoms. However, when a nerve becomes compressed, the pain can be intense and disruptive to everyday life.
Herniated discs can develop for several different reasons. In many cases, the problem builds slowly over time as the spinal discs lose flexibility and strength.
The most common cause is age-related disc degeneration. As we get older, discs gradually lose water content. This makes them less flexible and more prone to tearing or bulging. However, a disc may herniate suddenly after a triggering event, such as:
Lifting heavy objects with poor posture
Sudden twisting movements
Sports injuries
Car accidents or trauma
Repetitive strain on the spine
People between the ages of 30 and 50 are particularly prone to this condition because the discs begin to weaken while the body is still physically active.
Even something as simple as a forceful cough or sneeze can sometimes trigger a disc herniation if the disc has already weakened.
When the damaged disc presses against nearby nerves, it can cause inflammation and pain signals to travel along the nerve pathway. This is why someone with a lumbar disc problem may feel pain running down the leg rather than only in the back.
Symptoms depend on the location of the affected disc and the nerve involved. Some people feel only mild discomfort, while others experience sharp, radiating pain that interferes with daily activities. Common signs of a herniated disc include:
Lower Back Disc Herniation (Lumbar Spine)
Sharp or burning pain that travels down one leg
Pain in the buttock, hip, or thigh
Tingling or numbness in the leg or foot
Muscle weakness in the leg
Pain that worsens when sitting, bending, or coughing
This radiating leg pain is commonly known as sciatica. The sciatic nerve runs from the lower spine through the buttocks and down the legs. When compressed, it can create intense shooting pain.
Neck Disc Herniation (Cervical Spine)
Neck pain and stiffness
Pain that radiates into the shoulder or arm
Electric shock-like sensations in the arm or hand
Weakness in the shoulder, arm, or fingers
In more severe cases, nerve compression may affect coordination or cause difficulty lifting the front part of the foot while walking, a condition known as foot drop.
Acupuncture is a non-drug therapy that has been used for centuries to treat pain conditions, including spinal disorders. The treatment involves inserting extremely thin needles into specific points on the body.
Although acupuncture originates from Traditional Chinese Medicine, modern research suggests several physiological mechanisms behind its effects. When the needles stimulate targeted points, they may help:
Increase local blood circulation
Reduce inflammation around irritated nerves
Release endorphins, the body’s natural painkillers
Relax tight spinal muscles
Improve communication between nerves and muscles
These effects can help decrease pain while supporting the body’s natural healing process.
Research also suggests that acupuncture may influence the muscles that support the spine. Imaging studies have shown improvements in the multifidus, erector spinae, and psoas major muscles, which play an important role in spinal stability. Strengthening these muscles can help reduce stress on injured discs and improve long-term function.
Because acupuncture does not rely on medication, many patients choose it as part of a conservative treatment plan for disc-related pain. It can also be combined with physical therapy and rehabilitation exercises for better overall results.
Many patients feel nervous before their first acupuncture session because they are unsure what the experience will be like. In reality, the treatment is gentle and usually very relaxing.
A typical acupuncture visit begins with a brief evaluation. The practitioner reviews your symptoms, medical history, and the location of your pain. This helps determine which acupuncture points may be most helpful for relieving nerve irritation and muscle tension.
During treatment, very thin sterile needles are inserted into specific points on the body. These points may be located near the spine, but they can also be placed in areas such as the arms or legs. While this may seem unusual, these points are connected through nerve pathways that influence pain signals and muscle function.
Most people feel little to no discomfort when the needles are inserted. Some patients describe a mild tingling, warmth, or heaviness around the treatment area. These sensations are normal and often indicate that the body is responding to the stimulation.
The needles usually remain in place for about 10 to 20 minutes. During this time, patients typically lie comfortably on a treatment table. Many people report feeling calm or deeply relaxed during the session.
Some treatments may include additional techniques such as gentle needle stimulation, heat therapy, or electrical stimulation to enhance the effects. The goal is to reduce inflammation, calm irritated nerves, and encourage the body’s natural healing response.
A growing body of research suggests that acupuncture can help reduce pain and improve function in people with herniated discs.
Clinical studies have shown that acupuncture may help improve the condition of important spinal support muscles such as the multifidus, erector spinae, and psoas major. These muscles play a key role in stabilizing the spine. Weakness or fatty degeneration in these muscles is often linked to chronic back pain. In some research, patients who received acupuncture showed:
Increased muscle cross-sectional area in spinal stabilizing muscles
Reduced fatty infiltration in paraspinal muscles
Improved spinal function scores
Lower pain levels over time
Short-term results may be similar to conventional rehabilitation therapies. However, some studies suggest that acupuncture can provide better long-term improvements in pain and function after several months of treatment.
Other systematic reviews have also found that acupuncture can be effective for relieving symptoms of sciatica, neck pain, and lower back pain related to disc herniation.
One reason acupuncture may be helpful is that it targets multiple aspects of the condition. It can reduce inflammation around compressed nerves, relax surrounding muscles, and improve blood flow to injured tissues.
Acupuncture often works best when combined with other conservative therapies that support spinal recovery. A comprehensive treatment plan may include several approaches designed to reduce pressure on the injured disc and restore normal movement. Common treatments include:
Stretching and Mobility Work
Manual Therapy
Posture and Movement Education
Heat or Ice Therapy
Combining these therapies with acupuncture can address both the source of nerve irritation and the surrounding muscular imbalance, which often leads to better long-term results.
While acupuncture cannot reverse structural damage inside a disc, it may play a role in improving the health of the surrounding tissues.
Research suggests that acupuncture may help activate spinal stabilizing muscles and improve circulation in the lower back. These changes can support better spinal function and reduce stress on injured areas.
When acupuncture is paired with strengthening exercises and proper body mechanics, it may help reduce the likelihood of recurring pain episodes. Maintaining a healthy spine also involves lifestyle habits such as:
Regular physical activity
Proper lifting technique
Maintaining a healthy body weight
Avoiding prolonged sitting
Strengthening core and back muscles
These strategies help protect the spine and reduce the risk of future disc injuries.
Some mild disc injuries improve on their own within a few weeks. However, certain symptoms should not be ignored.
You may benefit from professional treatment if you experience:
Persistent back or neck pain lasting more than a few weeks
Pain that radiates into the arm or leg
Numbness or tingling in the extremities
Muscle weakness
Pain that worsens when sitting, bending, or turning
If back or neck pain from a herniated disc is interfering with your daily life, professional treatment can help you recover faster and move comfortably again. The team at Manhattan Physical Therapy offers personalized care plans that may include acupuncture and targeted rehabilitation to reduce pain and restore function.
Call (212)-213-3480 today to schedule your appointment and start your path toward lasting relief.
Alexander Liu
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Henry Myerberg
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"Everyone is so kind and helpful! my knee and hip pain have improved massively since starting Manhattan PT, highly recommend to anyone. special thanks to Bianca, Lidia, Joe, and John!"
Manhattan Physical Therapy
✆ Phone (appointments):
(212) 213-3480
Address: 385 5th Ave, Suite 503, New York, NY 10016