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What causes a SLIPPED DISK?

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I recently went to see our family doctor after suffering severe back pain for about two weeks. After observation, he asked me whether I had lifted any heavy objects. I still can’t recall doing so. He diagnosed my problem as a slipped disk. I’m undergoing treatment but the pain still persists. What is slipped disc and is it curable?

Nancy W. Kogi

Nairobi

Slipped disk is a back problem involving the disks of elastic cartilage tissue located between the vertebrae – the bones of the spine. The bones are loosely stung together by bands of tissue called ligaments that allow body movement and flexibility. The function of each disk is to cushion any friction between the bones as the body moves.

When this intricate spinal structure experiences strain and over-exertion, the rim of the disc weakens and tears, rather than ‘slips,’ causing part of the gelatinous centre of the disc to be forced out of position. In it’s new position, the protruding material presses against an adjacent spinal nerve and causes pain along the path of the affected nerve.

WHAT CAUSES SLIPPED DISC?

A slipped disk most often occurs when bending and straightening the back to lift heavy objects resulting in strain or injury. However, one can go for months before realising there is disc damage. People with the problem frequently have a history of damage to the same area. Discs also disintegrate with age losing some of their fluidity and becoming more compressed. This form of degeneration usually results in only mild pain with intermittent backache and stiffness.

WHAT ARE THE SYMPTOMS?

Symptoms of slipped disc may vary with the location of the disc. The most common slipped disc is the lowest movable disc in the small of the back. Injury to this disc causes pain along the sciatic nerve, a condition called sciatica. Mild or disabling pain and tenderness may result. Any straining, such as coughing or moving, can aggravate the discomfort. Weakness, tingling, or numbness in parts of the arms, legs, or feet may also result from damage to a particular disc.

To determine the source of back pain, a doctor will ask you about your current medical history, observe you sitting, walking and bending and explore for sensitive areas by maneouvering your legs in different positions, checking ankle and knee reflexes, and testing muscle strength. He may also do an X-ray that will reveal any structural changes in bones, joints or discs.

Special tests may be necessary to locate particularly problematic discs and surgery may be recommended. The special tests may include a myelogram, which is an X-ray taken after a dye is injected into the space surrounding the spinal cord and nerve roots. The protruding disc is detected at the point where the flow of dye is interrupted or distorted. Discography is another type of X-ray that gives much the same information, but before this X-ray, the dye is injected directly into the discs. Special scans such as MRI (magnetic resonance imaging) enable the doctor to see a picture of the disc directly.

WHAT’S THE TREATMENT?

The first line of slipped disc treatment involves complete bed rest on a firm mattress. Rest relieves pressure of the disc on the nerve and may shrink the protruding material. For severe pain, a doctor may prescribe a pain reliever. As pain subsides, an exercise programme may be recommended to gradually strengthen muscles. Non-surgical therapy provides most slip disc sufferers with partial or complete relief. However, in some cases, removing the disc surgically provides the only remedy.

A process called discolysis often provides the same results eliminating or reducing the disc without major surgery. With this method, a drug called chymopapain is injected into the damaged disc and acts by slowly dissolving the part of the disc that is pressing on a nerve. Treatment is fast and relatively painless, but pain reduction occurs slowly, probably in a period covering several weeks.

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Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

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While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Elizabeth Nzisa: The Firstborn Who Became a Mother Overnight

Published

on

While most teenagers spend their days focused on school, friendships, and dreams for the future, Elizabeth Nzisa, fondly known as Shiku, was forced to grow up much faster than she ever imagined. At only 17 years old, she found herself taking on the role of a mother to her three younger siblings after her family was hit by tragedy not once, but twice.

Her story, shared in an emotional interview, is a powerful reflection of strength, sacrifice and the deep bond between siblings. Elizabeth recalls the moment her life changed completely. Her mother died while giving birth to their youngest sibling, a baby boy. In the middle of that painful loss, their father walked away from the family, leaving Elizabeth alone with a newborn and two other young children to care for.

Mama yetu alipass 2024, Feb. Alipass akipata haka katoto kadogo. Dad naye akatuacha akaenda

 

Becoming a Mother Too Soon

She explains that she had no choice but to step up and become the parent in the house. She raised her youngest brother from the day he was born, and to this day he calls her mum, not knowing she is actually his big sister. That detail alone shows how much responsibility she carried at such a young age. She became the provider, the protector, the caregiver, and the emotional support for her siblings while she was still trying to understand life herself. With little help from relatives, Elizabeth had to find ways to survive, balancing school when she could, doing small jobs and making sure her siblings were fed, safe and loved.

The journey was not easy. She faced financial struggles, emotional exhaustion, and the pressure of trying to stay strong even when she felt overwhelmed. There were moments when she doubted herself and wondered if she was doing enough. Still, her story is not about defeat. It is about endurance. Elizabeth talks about finding strength through faith, support from the people around her, and the determination to keep her family together no matter how hard things became.

Over the years, she made sure her siblings stayed in school, had food on the table, and grew up feeling loved despite everything they had lost. What could have been a completely broken home became a family held together by her sacrifice and commitment.

Many viewers reacted emotionally, saying the story moved them to tears. Some described firstborn daughters as second mothers, while others said her life shows the kind of courage people rarely see but should never forget.

 

Click here to read our March issue 2026

Continue Reading

Cover Story

Endometriosis and sex: How to make intimacy pain-free

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There is no doubt that endometriosis can affect a woman’s way of life. The condition slews a couple of conditions, painful sex being one of them. Penetration pulls and pushes any tissue growth behind the vagina and lower uterus.

Although symptoms may differ from woman to woman, here are some things you can do to lessen your pain and ensure you have some good time:

Take a dose of painkillers

Take an over the counter painkiller that sits well with your body before intercourse and incase pain persists, take another one as prescribed.

Track your cycle and try at certain times of the month

Most women with endometriosis experience excruciating pain during their period and ovulation. Keep track of your cycle so that you can know when you are ovulating. You can use apps like my calendar and flo period tracker to track your periods. This will help you know when best to engage in sexual intercourse.

READ ALSO: Crucial Facts About Endometriosis Everyone Should Know About

Use lube

Vaginal dryness is not something to be ashamed of and if you happen to have it, lube should be your best buddy. Make sure to use any silicon or water based lubricant anytime you feel like your vagina is dry. Ensure the application is of good amount to achieve a wet area.

Explore alternatives

Talk with your partner about things that turn you on and bring you pleasure. Just to mention a few; mutual masturbation, foreplay, kissing and mutual fondling. Sex does not have to mean intercourse.

Try different positions

Experimenting different positions can teach you and your partner which ones hurt and the ones that bring direct pleasure with no or less pain. Positions that are considered better vary from person to person so take the time to explore and learn yourself with your partner.

Find the right rhythm

Finding the right rhythm can help you experience less discomfort during sex. Quick thrusting or deep penetration can aggravate pain. Talk to your partner about that which you do not like and find ways that will satisfy the both of you like exchanging positions so that you can control the speed and rhythm.

Bottom line

Intimacy does not have to be boring, painful or make you hate the condition that you have. Talk openly about your feelings around sex and penetration and what would help to ease your concerns.

Our FREE  e-paper March Issue is here!
As we celebrate our women this month, we bring you the best stories and the most inspiring features to get you going.
Click HERE to read!

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