Understanding Disc Herniation and Treatment Options in Paducah, KY

Many people tend to ignore back pain until it becomes severe enough to interfere with their daily activities. However, this approach can be detrimental, as early intervention is crucial in managing conditions like disc herniation. In Paducah, KY, residents have access to specialized care from spine experts like Dr. K. Brandon Strenge, who can provide timely and effective treatment for disc herniation and other spinal conditions.

Overview of Dr. Strenge at Strenge Spine Center:

Dr. K. Brandon Strenge is a highly respected and experienced orthopedic spine surgeon based in Paducah, KY. As the founder of the Strenge Spine Center, a comprehensive spinal care facility, Dr. Strenge has established himself as a leading expert in the diagnosis and treatment of various spinal conditions, including disc-related issues like herniated discs. With a fellowship-training in spine surgery, Dr. Strenge has dedicated his career to staying at the forefront of advancements in minimally invasive and motion-preserving techniques. He specializes in cutting-edge procedures such as artificial disc replacement, which can alleviate pain and restore mobility without the need for traditional spinal fusion surgery. At the Strenge Spine Center, Dr. Strenge leads a team of dedicated professionals focused on providing personalized, comprehensive care tailored to each patient's unique needs. His patient-centered approach, combined with his advanced surgical skills and expertise in diagnosing and treating disc-related issues like herniated discs, has earned him a reputation for delivering exceptional outcomes, even in complex cases. Residents of Paducah, KY, and the surrounding areas can trust Dr. Strenge and the Strenge Spine Center to provide the highest quality of care, leveraging the latest advancements in spinal surgery and treatment for conditions such as herniated discs.

What is Disc Herniation?

Disc herniation, also known as a herniated disc, slipped disc, or ruptured disc, is a condition that affects an intervertebral disc in the spine. Disc herniation occurs when the soft, jelly-like center (nucleus pulposus) protrudes or ruptures through the tough outer ring (annulus fibrosus) of an intervertebral disc. A herniated disc can compress nerves, nerve roots, or even the spinal cord itself.

Symptoms of Herniated Discs:

  • Back or neck pain: Pain is usually the first symptom; the pain is usually localized to the area near the herniated disc.

  • Radiating pain: The herniated disc can compress nearby nerves, causing pain to radiate along the path of that nerve. For example, sciatica (pain radiating down the leg) is common with a lumbar herniated disc.

  • Numbness or tingling: Nerve compression can also cause numbness, tingling, or a "pins and needles" sensation in the areas supplied by the affected nerve.

  • Muscle weakness: The compressed nerve may cause muscle weakness

The symptoms of herniated disc vary somewhat based on which disc is herniated.1,2 A cervical herniated disc causes pain in the neck and shoulders with pain radiating down one of the arms. A lumbar herniated disc causes pain in the lower back with pain radiating pain to buttocks, legs, calves or feet.

Causes of Disc Herniation:

Factors contributing to the development of herniated discs include:

  • Age-related disc degeneration: As we age, the discs in the spine naturally degenerate and become less flexible, making them more prone to herniation. The annulus fibrosus (outer ring) weakens, and the nucleus pulposus (inner gel-like material) can protrude through tears or cracks.

  • Excessive strain or injury: A single excessive strain or traumatic injury (e.g., from lifting heavy objects, sudden twisting, or a fall) can cause a disc to herniate.
    Repetitive strenuous activities that put excessive stress on the spine can also lead to disc herniation over time.

  • Genetics: Some individuals may inherit a genetic predisposition or increased susceptibility to developing herniated discs.
    Certain genetic factors can influence the strength and resilience of the discs, making them more vulnerable to degeneration and herniation.

  • Excess body weight: Excess body weight, especially obesity, puts additional strain and pressure on the discs in the spine, increasing the risk of herniation. Sadly, Paducah, KY has one of the highest obesity rates in the United States.

  • Sedentary lifestyle: Lack of regular exercise and a sedentary lifestyle can weaken the muscles that support the spine, increasing the risk of disc herniation.

  • Smoking: Smoking is believed to reduce the oxygen supply to the discs, causing them to degenerate more rapidly and increasing the risk of herniation. Roughly a quarter of Kentuc

Diagnosing Herniated Discs:

Dr. Strenge conducts a detailed evaluation, including medical history, physical examination, and advanced imaging studies, to accurately diagnose the condition and develop an individualized treatment plan. In certain situations, Dr. Strenge may recommend electrodiagnostic tests, such as electromyography (EMG) and nerve conduction studies (NCS), to evaluate the function of the nerves and muscles affected by the herniated disc. An accurate diagnosis is essential for determining the most appropriate treatment approach for herniated discs. By thoroughly evaluating the patient's symptoms, performing a comprehensive physical examination, and utilizing advanced imaging, Dr. Strenge can pinpoint the cause of the patient's pain and develop a personalized treatment plan.

Best Treatment Options for Herniated Discs in Paducah, KY:

Dr. Strenge's approach to herniated disc treatment is centered on providing personalized, comprehensive care to achieve the best possible outcomes. This includes:

  • Conservative Treatments First: Whenever possible, Dr. Strenge explores conservative treatment options, such as physical therapy, medications, and epidural injections, before recommending surgery.

  • Minimally Invasive Techniques: Dr. Strenge prioritizes minimally invasive surgical techniques, which involve smaller incisions, less tissue disruption, and faster recovery times compared to traditional open surgeries.

  • Comprehensive Recovery Plan: After surgery, Dr. Strenge and his team develop a structured recovery plan that includes physical therapy, pain management, and regular follow-up appointments to ensure optimal healing and rehabilitation.

  • Ongoing Support: Dr. Strenge and his staff provide ongoing support and guidance throughout the recovery process, addressing any concerns or complications that may arise.


At the Strenge Spine Center in Paducah, KY, patients can expect to receive the highest quality of care, utilizing the latest advancements in herniated disc treatment. Dr. Strenge's expertise, combined with his commitment to research and innovation, ensures that patients in the Paducah area have access to the most effective and cutting-edge treatment options available.


How do I know if I have a herniated disc, and when should I see a specialist like Dr. Strenge?

You may have a herniated disc if you have persistent back or neck pain that does not improve with rest and over-the-counter medication; pain that radiates down the arms, legs, hands, or feet; and/or numbness, tingling or weakness in the extremities. You should seek emergency medical care if you lose bowel or bladder control because of the herniated disc (or experience any other “red flag” signs or symptoms). Otherwise, you may be able to postpone or avoid seeing a spine specialist for 3-4 weeks. If the pain resolves during that time, you do not need to see a specialist. If the pain is severe, gets substantially worse during that time, or you cannot tolerate the pain, you should see Dr. Strenge as soon as possible.

What are the risks associated with delaying treatment for a herniated disc?

While many people with a herniated disc will improve in days to weeks, waiting for improvement much longer than that can result in several serious complications including irreversible nerve damage, chronic pain, decreased mobility, and even disability. Even if you may not never need surgery, it is wise to speak with a Dr. Strenge to review your case if you have herniated disc pain that has not gotten better within 3-4 weeks.

Are there any alternative treatments or therapies available for herniated disc pain relief?

Some patients may wish to try alternative therapies for herniated disc pain relief. Some of the more promising alternative therapies are myofascial release/massage, hydrotherapy, and inversion therapy.

Is it possible for a herniated disc to heal on its own without medical intervention?

Yes, it is possible for a herniated disc to heal on its own without medical intervention or surgery in many cases. It depends on the extent of the herniation. You should expect to see improvement within approximately 3-6 weeks without surgery.

Does insurance typically cover the costs of diagnosing and treating a herniated disc?

Yes, insurance typically covers the costs of diagnosing and treating a herniated disc, but the extent of coverage can vary depending on the specific insurance plan and policy details. It's important to check with the insurance provider regarding the specific coverage details in your plan, as well as obtain any necessary pre-approvals, to understand the out-of-pocket costs you may incur for diagnosing and treating a herniated disc.




IDEAL Symposium in Dallas

On May 17-18, Dr. Strenge participated in the IDEAL Symposium in Dallas, TX. Dr. Strenge discussed the Barricaid procedure to prevent re-herniation and re-operation after a disc herniation procedure.

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