Lower back involvement
A lumbar disc problem can be associated with pain or altered sensation traveling into a leg.
Herniated and Bulging Discs · Shelton, Connecticut
More than words
on an MRI.
A report that says “disc bulge” or “herniation” can leave you with more questions than answers. Let’s connect the finding to your symptoms, your examination and your options.
Understand the condition
Bulging and herniated discs are not identical.
A bulging disc extends outward over a broader area. A herniation occurs when inner disc material pushes through a tear in the outer layer. Either can occur without symptoms. When nearby nerves become irritated, symptoms may extend into an arm or leg. The goal is to understand whether the finding actually explains what you feel.
Neck involvement
A cervical disc problem can be associated with shoulder, arm or hand symptoms.
A finding without symptoms
A disc change on imaging does not, by itself, prove that it is the source of pain.
Your evaluation
Make sense of the report, together.
Bring your MRI report, any available images, and the recommendations you have already received. Discuss the activities that have become difficult and what you want to return to. Dr. Dalfino can review these details alongside your examination and explain whether care at this center is appropriate or another opinion is needed.
Already have a recommendation? Explore a second opinion →Your care options
Understand the options before choosing one.
Conservative care may include activity adjustments, exercise or physical therapy, and medication managed by a prescribing clinician. Surgery is considered in some cases, including persistent disabling symptoms or worsening neurological problems. A disc diagnosis does not automatically mean surgery, and it does not automatically make someone a candidate for a particular non-surgical treatment.
When symptoms should not wait
New difficulty urinating, loss of bladder or bowel control, numbness around the groin or saddle area, or rapidly worsening leg weakness needs emergency medical assessment. Do not wait for a routine office appointment. New or worsening weakness also deserves prompt medical attention.
Common questions
A little more clarity.
Can a bulging disc be painless?
Yes. Disc changes may be found on imaging in people who have no related symptoms. The report needs to be considered alongside the history and examination.
Does a herniated disc always need surgery?
No. Many people are managed conservatively. Progressive weakness, other neurological changes or symptoms that remain disabling may require specialist assessment.
Can I bring a surgical recommendation for discussion?
Yes. Our second-opinion consultation provides an opportunity to discuss your records and non-surgical questions. It does not replace urgent care or the need for an indicated surgical evaluation.
Meet your doctor
Dr. James J. Dalfino →
Your next step
Start with a conversation.
Leave with a direction.
Schedule an individual consultation and examination at our Shelton center. Bring your questions, your records and the goals that matter to you.
$99 New Patient Special
Consultation, examination, report of findings and first treatment when appropriate.
Schedule My New Patient Visit2 Trap Falls Road, Suite 208 · Shelton, CT 06484
(203) 922-9277
Patient education sources
General educational resources. These organizations do not endorse this center or its treatments. Individual recommendations require an examination.