Episode 111 - Your MRI Reveals The Plan - Disc Bulge vs Herniation vs Extrusion

Episode 111 - Your MRI Reveals The Plan - Disc Bulge vs Herniation vs Extrusion

August 25, 2026 · 12 min · Season 6 · Episode 130

About this episode

Dr. JD Dudum explains the differences between disc bulge, herniation, and extrusion using real patient cases to illustrate treatment implications.

Two Patients. Two MRI reports. Two completely different problems — so why would they get handed the exact same treatment plan? In this episode, Dr. JD Dudum breaks down what your report is actually telling you: the real difference between a disc bulge, herniation, protrusion, and extrusion, and why that difference changes everything about how you should treat it. You'll hear real patient stories along the way — like Jeff, whose 12mm protrusion reduced 46%, and Dan, whose massive 1.8cm extrusion shrank 78%, both without surgery. If you've got a report in your hands and you're not sure what the words on it actually mean for your pain, start here. 00:34 — Dr. JD's own story: the L5-S1 herniation that changed his life 01:09 — Breaking down the research: bulge vs. herniation vs. extrusion 01:29 — What a "normal" disc bulge actually means (and why it's not always a problem) 02:16 — Herniation vs. protrusion: Jeff's 12mm protrusion and his 46% reduction 04:15 — What is a disc extrusion? Dan's massive 1.8cm cranial extrusion 06:13 — Can extrusions actually shrink? The research says yes — 78% reduction, case study 07:28 — The word on your report you can't ignore: nerve displacement 08:09…

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