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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 .
CT scan image of large herniated disc in the lumbar spine. Removal of a disc at one level can lead to disc herniation at a different level at a later time. Even the most complete surgical excision of the disc still leaves 30–40% of the disc, which cannot be safely removed. This retained disc can re-herniate sometime after surgery.
A modest reduction in pain is seen after 26 weeks, but not after one year (about 52 weeks). [47] If the cause is spondylolisthesis or spinal stenosis, surgery appears to provide pain relief for up to two years. [56] For non-discogenic sciatica, the surgical treatment is typically a nerve decompression. A decompression seeks to remove tissue ...
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.
[13] [14] [26] It is not a typical diagnosis, developing in only 4 to 7 out of every 10,000 to 100,000 patients, and is more likely to occur proximally. [12] [13] [14] Disc herniation is reportedly the most common cause of CES, and it is thought that 1 to 2% of all surgical disc herniation cases result in CES. [12] [13]
In 1988, at just 12 years old, Martin Pistorius' health started to decline. He soon went into a coma-like state for 12 years, but now he's awake and telling an amazing story. Pistorius says while ...
In most cases of herniated disks and stenosis, rest, injections or surgery have similar general pain-resolution outcomes on average after one year. In the United States , acute low back pain is the fifth most common reason for physician visits and causes 40% of missed work days. [ 8 ]
As a result of this work, in the 1940s, the vertebral disc model of low back pain took over, [134] dominating the literature through the 1980s, aiding further by the rise of new imaging technologies such as CT and MRI. [135] The discussion subsided as research showed disc problems to be a relatively uncommon cause of the pain.