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A disc herniation or spinal disc herniation is an injury to the intervertebral disc between two vertebrae, usually caused by excessive strain or trauma to the spine. It may result in back pain , pain or sensation in different parts of the body, and physical disability .
It can lead to permanent paralysis, impaired bladder and/or bowel control, loss of sexual sensation, and other problems if left untreated. Even with immediate treatment, some patients may not recover complete function. [3] Cauda equina syndrome most commonly results from a massive disc herniation in the lumbar region. [5]
Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve, though this may also refer to nerve root compression (by a herniated disc, for example).
Grade C herniations are the most lateral and protrude into the intervertebral foramen (through which spinal nerves travel). Grade B herniated discs are those located between grade A and C, using the facet joint as the landmark for the lateral border. MSU Classification is primarily used for classifying herniated discs in the lumbar spine.
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.
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.
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