The vast majority of cases of herniated disks are managed conservatively and do not require surgical intervention, according to the Mayo Clinic. Conservative treatment may entail limited bed rest, physical therapy, patient education, cortisone injections and prescription or over-the-counter pain reducing and anti-inflammatory medications. Growing evidence indicates that fish oil supplements may reduce the inflammation and pain associated with herniated discs resulting from degenerative disk disease.
Degenerative Disk Disease
There are disks made of cartilage that cushion the individual bones between the vertebrae and keep them from rubbing together. These disks have a tough outside and an inside that is gel-like. Small traumas, daily stress and increasing age can contribute to the development of degenerative disc disease. Small tears in the exterior of the spinal disk can cause the gel-like center to dry up, resulting in a narrowing of the space between two vertebrae. This initial damage to the spinal disk can lead to other problems such as herniated disks and discogenic pain.
Herniated Disks
When a spinal disk is herniated, the gel-like material at the disk's center squeezes out of the tear and may press against the spinal cord or inflame the nerve endings it comes into contact with, resulting in numbness, muscle weakness or pain. Inflammatory cytokines and arachidonic acid are often present at the site of a herniated disk, contributing to discogenic pain, according to Dr. Joseph C. Maroon of the University of Pittsburgh School of Medicine.
Fish Oil
Conservative management of symptomatic disk herniation often includes treatment of the associated inflammation with non-steroidal anti-inflammatory drugs, however long-term use of these NSAIDs can have a negative effect on overall health. In a study published by Dr. Joseph C. Marron in Surgical Neurology titled, "Omega-3 Fatty Acids (Fish Oil) as an Anti-inflammatory: An Alternative to Nonsteroidal Anti-Inflamatory Drugs for Discogenic Pain," demonstrated that of patients suffering from neck and back pain as a result of disc degeneration or arthritis who took fish oil supplements, 59 percent reported a decrease in joint pain and 68 percent stopped taking NSAIDS.
Omega-3 Fatty Acids
Fish oil supplements contain docosahexaenoic acid, or DHA, and eicosapentauonic acid, or EPA, which are omega-3 fatty acids. These marine-derived omega-3 fatty acids inhibit arachidonic acid metabolism, thereby reducing the generation of pro-inflammatory prostaglandins, according to the University of Connecticut.
References
- Mayo Clinic; Herniated Disk; December 2010
- University of Maryland Medical Center; University of Maryland Spinal Program: A Patient's Guide to Degenerative Disc Disease; 2007
- University of Pittsburgh; Natural Alternatives to Non-Steroidal Anti-Inflammatory Drugs Relieve Disc and Arthritic Pain; 2011
- Surgical Neurology; Omega-3 Fatty Acids (Fish Oil) as an Anti-inflammatory: an Alternative to Nonsteroidal Anti-Inflamatory Drugs for Discogenic Pain; Maroon, JC st al.; April 2006
- University of Connecticut; Anti-inflammatory Actions of Marine-derived Omega-3 Fatty Acids; 2011



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