Prolapsed Intervertebral Disc (PIVD): Causes, Symptoms & Treatment by Dr. Vivek Mittal
Published on November 25, 2025 By Dr. Vivek Mittal
Prolapsed Intervertebral Disc (PIVD), commonly known as slipped disc, herniated disc, or sciatica, is one of the most frequent causes of persistent low backache and neck pain. Our spine consists of multiple vertebral bodies stacked over one another, and between each vertebral body lies a soft, cushion-like disc that absorbs shock and allows flexibility.
When this disc becomes damaged or displaced, it can press on surrounding nerves. leading to pain, stiffness, and mobility issues.
What Happens in PIVD (Slipped Disc)?
Each spinal disc has two main parts:
- Annulus Fibrosus: A strong outer ring providing structure
- Nucleus Pulposus: A jelly-like inner core that enables flexibility
When the outer ring weakens, tears, or gets injured, the inner gel may slip out and compress nearby nerves. This condition is called
disc prolapse or slipped disc.
Causes of PIVD
Several factors contribute to disc herniation:
1. Age-Related Degeneration
With age, discs lose hydration and elasticity, making them prone to rupture.
2. Sudden Injury or Trauma
Accidents, falls, or lifting heavy weights incorrectly can trigger disc prolapse.
3. Poor Posture or Sedentary Lifestyle
Long hours of sitting, bending, or twisting put strain on the spine.
4. Genetic Factors
Some individuals naturally have weaker discs.
5. Repetitive Physical Strain
Jobs involving continuous lifting, pushing, or physical labor increase risk.
Common Symptoms of PIVD
Symptoms vary depending on which disc is affected:
- Localized back or neck pain
- Radiating pain down the legs (sciatica) or arms
- Numbness, tingling, or burning sensations
- Weakness in arms or legs
- Difficulty walking or bending
If the pain persists for more than 7 days or symptoms worsen, medical evaluation should be done immediately.
Diagnosis of PIVD by Dr. Vivek Mittal
1. Clinical Evaluation
Assessment of posture, muscle strength, reflexes, and nerve function.
2. MRI or Imaging Tests
MRI helps identify the exact disc level, nerve compression, and severity of damage. Accurate diagnosis enables a targeted treatment plan and faster recovery.
Treatment Options for PIVD (Slipped Disc)
1. Conservative / Non-Surgical Treatment
Most patients recover without surgery. Dr. Mittal focuses on:
● Medications
Painkillers, anti-inflammatory medicines, and muscle relaxants.
● Physiotherapy
Spine-strengthening exercises, posture training, and stretches.
● Lifestyle Modification
Avoid long sitting hours, heavy lifting, and poor posture.
● Epidural Steroid Injections
Helps reduce inflammation and provides long-term pain relief.
2. Surgical Treatment
Surgery is recommended only when symptoms do not improve or nerve compression
is severe.
Microdiscectomy/Discectomy
A minimally invasive procedure to remove the herniated portion of the disc, relieving nerve pressure.
Dr. Vivek Mittal is widely known for performing advanced orthopedi surgeries with minimal pain, smaller incisions, and faster recovery.
Recovery & Preventive Measures of PIVD
- Maintain correct posture while sitting, standing, and lifting
- Follow regular exercise, stretching, and physiotherapy
- Keep weight under control
- Avoid bending forward and lifting weights
- Strengthen back and core muscles
Proper rehabilitation prevents recurrence and promotes long-term spinal stability.
Conclusion
A Prolapsed Intervertebral Disc (PIVD) can significantly limit daily activity, but with timely diagnosis and the right treatment, most people recover fully.
Under the expert care of Dr. Vivek Mittal, patients receive personalized treatment, advanced care techniques, and long-term
guidance to restore mobility and improve spine health.
FAQs on PIVD
Q1: When should I see a doctor for PIVD?
If the pain lasts more than 5–7 days or worsens, consult a doctor immediately.
Q2: Can a slipped disc heal without surgery?
Yes, most people recover with non-surgical treatment, regular exercise, weight control, and posture correction.
Q3: Who is the best doctor for PIVD treatment in Delhi?
Dr. Vivek Mittal is highly regarded for minimally invasive spine treatments with faster recovery.
Q4: Is surgery necessary for a slipped disc?
Surgery is required only in severe cases or when conservative treatment fails.
