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Primary spinal tumors begin in either the spinal cord or spinal column, whereas secondary spinal tumors begin elsewhere and spread to the spinal region. [25] Symptoms for spinal tumors may vary due to factors such as the type of tumor, the region of the spine, and the health of the patient.
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.
Surgery may be recommended if the conservative treatment options do not provide relief within two to three months for cervical or 6 months for lumbar symptoms. If leg or back pain limits normal activity, if there is weakness or numbness in the legs, if it is difficult to walk or stand, or if medication or physical therapy are ineffective ...
MRI of the lumbar spine showing spinal stenosis. Neurogenic claudication is one subtype of the clinical syndrome of lumbar spinal stenosis (LSS). [9] No gold standard diagnostic criteria currently exist, but evaluation and diagnosis is generally based on the patient history, physical exam, and medical imaging. [1]
Spinal stenosis began to be recognized as an impairing condition in the 1950s and 1970s. Individuals who experience back pain and other symptoms are likely to have bigger spinal canals than those who are asymptomatic. [45] A normal-sized lumbar canal is rarely encountered in persons with either disc disease or those requiring a laminectomy. [31]
Low back pain is the greatest contributor to lost productivity, absenteeism, disability and early retirement worldwide. [26] Difficulty with low back pain most often begins between 20 and 40 years of age. [1] Women and older people have higher estimated rates of lower back pain and also higher disability estimates. [13]