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Mark J. Downey, MD & Alex Cotter, MD
10 Old Montgomery Hwy #200. Homewood, AL 35209
Appointments & Referrals: (205) 271-6511 - Schedule Now
Bulging Disc
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While herniated discs are often referred to as “slipped discs,” this really isn’t accurate because discs don’t ever slip out of position. They are actually attached by connective tissue to vertebrae above and below. A disc herniation can be “contained” or “uncontained.” With a bulge, for example, the jelly center remains within the disc wall. "Uncontained" means the jelly center has broken through the annulus wall but stays connected to the nucleus pulposus. Or the herniation can be “sequestered,” when it breaks free from the nucleus and travels away from the disc.
A bulging disc forms when the wall of the disc is deformed but not necessarily herniated. The nucleus is still contained in the wall. You NEVER need surgery to treat a bulging disc.
Mark Downey, MD
As a physiatrist, Dr. Downey specializes in diagnosis and non-surgical treatment of pain-related spinal disorders. He is board certified in Physical Medicine and Rehabilitation (PM&R) since 2007 and uses his comprehensive spine and musculoskeletal training to determine the appropriate line of treatment for a variety of spinal conditions.
Alex Cotter, MD
Dr. Alex Cotter uses his background in Physical Medicine and Rehabilitation as well as Pain Medicine to provide comprehensive non-surgical treatment for a variety of spinal conditions. Specializing in interventional spine, he offers fluoroscopic spinal injection procedures to relieve spine-related pain and restore patients’ normal activities and function.
Testimonials
Home Remedy Book
As a community service, Spine Group Alabama mails out a free 36-page Home Remedy Book with customized stretches that can relieve some back and neck pain symptoms. Enter your name and address and we will mail you a copy.
Symptoms Chart
Some symptoms can become permanent if you don’t see the physician with in 24 hours. Find out when you can use “watchful waiting” and when you have an emergency symptom.
Need an Appointment?
Spine Group Alabama specializes in the treatment of back pain, neck pain, herniated discs, and all types of ligament strain related to the neck and low back. Spine Group Alabama is referred back and neck pain patients from across Alabama, including Birmingham, Tuscaloosa, Auburn, Huntsville and Montgomery.
Office Hours:
Monday - Thursday: 8am - 4:30pm
Friday: 8am - 2:30pm
Saturday/Sunday: Closed
(205) 271-6511
