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Disc herniation can occur in any disc in the spine, but the two most common forms are lumbar disc herniation and cervical disc herniation. The former is the most common, causing low back pain (lumbago) and often leg pain as well, in which case it is commonly referred to as sciatica .
Left: Illustration of herniated spinal disc, superior view. Right: MRI showing herniated L5-S1 disc (red arrow tip), sagittal view. Intraspinal, or discogenic sciatica refers to sciatica whose pathology involves the spine. In 90% of sciatica cases, this can occur as a result of a spinal disc bulge or herniation.
Lumbar disc disease is the drying out of the spongy interior matrix of an intervertebral disc in the spine. Many physicians and patients use the term lumbar disc disease to encompass several different causes of back pain or sciatica. In this article, the term is used to describe a lumbar herniated disc.
Weight loss, to relieve symptoms and slow the progression of the stenosis; Physical therapy to support self-care. [37] Also may give instructions on stretching and strength exercises that may lead to a decrease in pain and other symptoms. Lumbar epidural steroid or anesthetic injections have low quality evidence to support their use. [36] [38]
The most effective types of exercise to improve low back pain symptoms are core strengthening and mixed exercise types. An appropriate type of exercise recommended is an aerobic exercise program for 12 hours of exercise over a duration of 8 weeks.
As treatment, McKenzie recommended exercises and postural instructions which restore or maintain the lumbar lordosis. Although exercises involving lumbar spine extension are emphasized in this treatment protocol, particularly in the early stages, lumbar flexion exercises are usually added at a later time in order that the patient has full range ...
Imaging can assist in excluding other conditions with similar symptoms, such as lumbar disc herniation and spinal stenosis. [29] Diagnostic injections of anesthetic into the piriformis may be used to confirm the diagnosis. [29] Often piriformis syndrome is a diagnosis of exclusion. [29]
[2] [9] Although, for acute back pain exercises usually not recommended and physical activity should be slow, but it is critical to keep moving as much as possible, because inactivity leads to weakening back muscles and ligaments, and to gain more weight, which might exacerbate back pain. [2] [10] Sit Up Straight! The way you sit may either ...