Disc Disorders
A bulging disc is often harmless — but when it presses on a nerve, it can cause real pain. At Desert Spine and Pain, Dr. David L. Greenwald, MD, FAANS, FACS, a dual board-certified spine surgeon and neurosurgeon, tells you whether your bulging disc is the problem and treats it, least-invasive-first.

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A bulging disc — where a disc extends evenly beyond its normal border — is extremely common and often causes no symptoms at all. But when a bulge presses on a nearby nerve, it can cause back, neck, or radiating limb pain. At Desert Spine and Pain in Phoenix, a dual board-certified spine surgeon and neurosurgeon determines whether your bulging disc is actually the source of your pain — and treats it accordingly.
Book a Consultation — (602) 566-9500Bulging Disc vs. Herniated Disc
A bulging disc occurs when a spinal disc flattens and extends evenly beyond its normal edge — like a tire that's lost some air. It's usually a normal part of aging and is often found incidentally on MRI in people with no pain at all. A bulge becomes a problem only when it presses on a spinal nerve or the spinal canal.
Because many bulging discs are painless, the most important step is determining whether yours is truly causing your symptoms — which is exactly what a specialist evaluation and the right imaging establish.
See a specialist when back or neck pain — or pain, numbness, or tingling in a limb — persists for weeks, especially if an MRI has shown a bulging disc. The key question is whether the bulge is the actual cause, and a specialist can answer it.
Go to an emergency room or call us immediately if you develop progressive leg or arm weakness, numbness around the groin, loss of bladder or bowel control, or symptoms following a significant accident or fall.
A symptomatic bulging disc is treated least-invasive-first, and surgery is rarely needed.
Physical therapy through our on-site partner BackFit Health + Spine and supportive bracing relieve most symptomatic bulging discs.
If the bulge is irritating a nerve, an epidural steroid injection calms the inflammation and relieves radiating pain.
In the uncommon case a bulging disc significantly compresses a nerve and conservative care fails, a minimally invasive microdiscectomy relieves the pressure.
Choosing the right bulging disc specialist in Phoenix matters. At Desert Spine and Pain, your care is led by Dr. David L. Greenwald, MD, FAANS, FACS — a physician who is both a board-certified spine surgeon and a neurosurgeon. That dual expertise is rare, and it means one expert can guide you across the full spectrum of care — from a simple injection to complex surgery — and recommend what is genuinely best for you, whether you need a bulging disc doctor for conservative care or a surgeon when surgery is truly the answer.
A rare dual credential — so the specialist who treats you can also perform surgery if it's ever needed.
Most patients get better without surgery. We only advance when your condition truly requires it.
No referral needed. We make it straightforward to see a top spine specialist, even out-of-network.
24/7 concierge response and close coordination with personal-injury attorneys.
Life Beyond the Pain

From your first visit, the goal is a clear diagnosis and a plan built around you — not a one-size-fits-all protocol.
We listen to your history, examine you, and review any prior imaging — no referral required.
If needed, we order or review MRI/X-ray imaging and may use diagnostic nerve testing or a diagnostic injection to confirm the exact source.
Dr. Greenwald explains your options in plain language and starts with the least invasive treatment likely to work.
We deliver your care — therapy, a procedure, or surgery at an affiliated accredited facility — and follow you closely until you're back to living.
Cost and coverage shouldn't stand between you and relief. Desert Spine and Pain welcomes out-of-network patients and will walk you through what your evaluation and treatment are likely to involve before anything is scheduled — so there are no surprises. We'll help you understand your benefits and options, whether you're using insurance, paying out-of-pocket, or being treated under a personal-injury claim.
If your pain started with a car accident, slip-and-fall, or work injury, we offer a dedicated pathway: prompt evaluation, thorough documentation and records for your case, and direct coordination with your personal-injury attorney. You focus on recovering; we handle the medical side.
Schedule Your ConsultationPatients travel to Desert Spine and Pain from across Arizona for specialist spine care — because the right spine surgeon is worth the drive. We welcome patients from Phoenix and communities throughout the Valley and beyond:
…and surrounding Arizona communities. Out-of-network patients are welcome, and no referral is required — schedule a consultation.
Age-related drying and thinning of the discs that can cause pain.
Learn MoreNot sure which applies? Start with the intervertebral disc disorders we treat.
See a dual board-certified spine surgeon and neurosurgeon in Phoenix for a clear answer and a least-invasive-first plan.
Book a Consultation — (602) 566-9500Is a bulging disc serious?
Often not. Bulging discs are common with age and frequently cause no symptoms. One becomes a concern only when it presses on a nerve or the spinal canal and produces pain, numbness, or weakness.
What's the difference between a bulging disc and a herniated disc?
A bulge is a broad, even, contained extension of the disc; a herniation is a focal rupture where inner material escapes through the wall. Herniations are more likely to compress a nerve.
Will I need surgery for a bulging disc?
Very rarely. Most symptomatic bulging discs respond to therapy and, if needed, an epidural injection. Surgery is reserved for the uncommon case of significant nerve compression.
Do I need a referral, and are you out-of-network?
No referral is required, and we welcome out-of-network patients.




Dr. David L. Greenwald, MD
Neuro-Spine Surgeon


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If you’re struggling with persistent pain, numbness, or weakness caused by a bulging disc, Dr. Greenwald and his dedicated team are here to help. We’ll identify the exact source of your symptoms and create a treatment plan designed to relieve pressure, reduce pain, and restore mobility. Every step you take toward better spine health brings you closer to lasting comfort and confidence. Schedule your consultation today and let Dr. Greenwald help you move freely and live without pain.



Dr. David L. Greenwald, MD, FAANS, FACS, is a board-certified spine surgeon and neurosurgeon with extensive experience diagnosing and treating bulging disc, which can cause pain, numbness, or weakness. He uses advanced imaging to pinpoint the true source of your symptoms and builds a personalized, least-invasive-first plan — from conservative care and targeted injections to minimally invasive surgery only when it is truly needed. His skill and patient-centered approach help patients throughout the greater Phoenix, Arizona area experience meaningful pain relief, reduced recovery time, and restored mobility.


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