top of page

Overcoming PIVD for a Better Quality of Life

Updated: Oct 3, 2023

PIVD - Prolapsed Inter Vertebral Disc (PIVD) Understanding the Causes, Symptoms, and Treatment Options


The spinal column is a crucial part of our body's anatomy, and it is responsible for supporting our posture and allowing us to move with ease. Between each vertebra of the spine lies a soft, jelly-like substance called the intervertebral disc. These discs act as shock absorbers, providing mobility to the spinal column.

However, when the soft nucleus of the disc is exposed to sudden explosive force or repetitive overuse, it may start to push against its outer layer - a multilayered rim known as the annulus fibrosus. This entire process is called PIVD (Prolapsed Inter Vertebral Disc).


There are 4 stages in which it occurs.

1. Protrusion

2. Herniation

3. Extrusion

4. Sequestration


1. Birth defects

2. Injury

3. Rapid growth during adolescence

4. Heavy manual labor

5. Sports-related stress on the lower back

6. Repetitive lifting and twisting

7. Postural stress

8. Obesity

9. Poor trunk strength

10. Sitting for long hours

11. Aging


Symptoms of PIVD vary based on its location in the spine.

1. The Lower Back

A lower back or lumbar herniated disc may result in severe low-back pain, pain radiating to the buttocks, legs, and feet, walking difficulties, pain when coughing, straining, or laughing, muscle spasm, tingling or numbness in legs or feet, muscle weakness or atrophy, and loss of bladder or bowel control in severe cases.

2. The Neck

A neck or cervical herniated disc may result in arm muscle weakness, deep pain near or over the shoulder blades, increased pain when bending the neck or turning the head, neck pain and spasm, burning pain radiating to the shoulder, upper arm, forearm, and fingers, and tingling or numbness in one arm.


There are various treatment options available for PIVD, including conservative management, operative management, and home treatment.

1. Conservative management involves rest and anti-inflammatory medication, pain reduction through bed rest , traction, exercises and epidural injection of a corticosteroid and local anesthesia.

2. Operative management is indicated in cases of cauda equina compression syndrome, neurological deterioration, persistent pain, and sciatic tension.


Give relief to PIVD with home management techniques such as:

1. Heat to relax adjoining muscles

2. Cold packs to relieve inflammation

3. Mild walking

4. Avoid too much bed rest as it weakens muscles

5. Restrict workouts

If the pain still persists look out for pain management at Abhinav Bindra Targeting Performance (ABTP) Near You



At ABTP, various physiotherapeutic approaches are available, including traditional exercise prescription, advanced manual hands-on techniques, and state-of-the-art facilities such as Postural bench , Care Therapy, and expert physiotherapy through manual skills.


The objective of pain management for PIVD at ABTP is to reduce pain and inflammation, facilitate mobility, regain strength and conditioning, and optimize functional capability.


In conclusion, if you are experiencing symptoms of PIVD, it is essential to seek medical help and explore the various treatment options available. The team of expert physiotherapists at ABTP can help diagnose and treat your condition and get you back on track toward optimal health.

15 views0 comments

Recent Posts

See All


bottom of page