Disc Herniation (Slipped Disc)

Pediatric disc herniation, often referred to as a slipped disc, is a relatively rare but significant condition where the intervertebral disc (soft cushion between spinal bones) protrudes or ruptures, causing pressure on the spinal cord or nerve roots. While more common in adults, disc herniation in children and adolescents is being diagnosed more frequently in Bangladesh due to increased sports injuries, heavy school bags, trauma, and genetic predispositions. Unlike adult cases, pediatric disc herniation often presents suddenly and may lead to acute neurological symptoms requiring early surgical attention. Rising Incidence in Bangladesh With growing awareness and better access to MRI scanning facilities in urban areas like Dhaka, Chittagong, and Sylhet, more cases of pediatric slipped disc are being identified. However, in many rural parts of Bangladesh, children may be misdiagnosed with back pain or hip issues and left untreated until the condition worsens. Dr. Md. Nafaur Rahman has led the way in identifying and surgically managing pediatric disc disorders through early imaging, accurate neurological evaluation, and minimally invasive pediatric spine surgery techniques. Common Causes of Pediatric Disc Herniation Sudden spinal trauma or fall from height Heavy lifting or carrying overloaded school bags Sports injuries (e.g., gymnastics, wrestling, cricket, martial arts) Repetitive bending or twisting activities Congenital spinal abnormalities Genetic factors or connective tissue disorders Previous spinal surgery or underlying disc degeneration Symptoms of Pediatric Disc Herniation Children and adolescents may present with a variety of signs depending on the disc level and severity of nerve compression: Low back pain or neck pain Shooting leg pain (sciatica) or arm pain Tingling or numbness in limbs Weakness in legs or feet Difficulty walking or imbalance Bowel or bladder disturbances in severe cases Postural changes (e.g., leaning forward to reduce nerve pressure) Many children are unable to clearly express their symptoms, making early evaluation by a pediatric neurosurgeon essential. Diagnostic Evaluation Accurate diagnosis requires a combination of clinical assessment and imaging: MRI of the spine – Gold standard for detecting herniated discs and nerve root compression X-ray spine – Useful for postural assessment and to rule out bony deformities CT Scan – May be used in selected trauma cases Neurological examination – Muscle strength, reflexes, sensation Electromyography (EMG) – For chronic nerve involvement Treatment Options by Dr. Md. Nafaur Rahman Management depends on the severity of symptoms and neurological involvement. Dr. Nafaur Rahman offers both conservative and surgical options, tailored to each child. Conservative Management (in mild cases) Activity modification and spinal rest Physiotherapy and core strengthening exercises Anti-inflammatory medications and muscle relaxants Epidural steroid injections (in selected cases) Conservative treatment is typically continued for 4–6 weeks if no neurological deficit is present. Surgical Management (when needed) If the child has severe pain, neurological weakness, or bowel/bladder symptoms, surgery becomes essential. Surgical options include: Microdiscectomy (Minimally Invasive): Removal of herniated disc through a small incision Endoscopic Discectomy: Scarless technique in suitable cases Spinal decompression and stabilization (in complex or recurrent cases) Correction of spinal alignment if there’s associated scoliosis or kyphosis Dr. Nafaur Rahman performs pediatric spinal surgeries using child-specific, minimally invasive techniques, ensuring faster recovery and minimal postoperative complications. Recovery and Rehabilitation Post-surgery or conservative treatment, children undergo: Physiotherapy to strengthen back muscles and improve flexibility Postural training and lifestyle modifications School reintegration guidance Regular neurological follow-up to monitor any recurrence Most children return to normal life, school, and sports within weeks to a few months, depending on the severity of the case. Why Choose Dr. Md. Nafaur Rahman for Pediatric Disc Herniation in Bangladesh? Nationally recognized pediatric spine specialist Over a decade of experience in child spinal surgery Pioneer in minimally invasive pediatric neurosurgical techniques Dedicated child-friendly setup at Bangladesh Paediatric Neurocare Centre Compassionate care with family counseling and rehabilitation services Contact for Consultation 📌 Dr. Md. Nafaur Rahman Assistant Professor, Pediatric Neurosurgery, NINS Chief Consultant, Bangladesh Paediatric Neurocare Centre 📞 For Appointment or Emergency: 📱 +8801912988182 | +8801607033535 🌐 www.neurosurgeonnafaur.com