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If the herniated disc is in the lumbar region, the patient may also experience sciatica due to irritation of one of the nerve roots of the sciatic nerve. Unlike a pulsating pain or pain that comes and goes, which can be caused by muscle spasm, pain from a herniated disc is usually continuous or at least continuous in a specific position of the ...
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.
The presence of the Fajersztajn sign is a more specific finding for a herniated disc than Lasègue's sign. [15] Maneuvers that increase intraspinal pressure, such as coughing, flexion of the neck, and bilateral compression of the jugular veins , may transiently worsen sciatica pain.
The MSU Classification for herniated discs uses the proximity of the disc to the facet joint when measuring the size of a herniated disc. [7] Using the MSU Classification, a grade of 1, 2 or 3 can be used to describe the size of a herniated disc with 1 being the least severe and 3 being the most severe.
Location of piriformis syndrome within the body: Specialty: Orthopedics, sports medicine: Symptoms: Buttock pain that is worse with sitting [2] Duration: Long-term [3] Causes: Trauma, spasms, overuse injury [2] Diagnostic method: Based on symptoms [4] Differential diagnosis: Herniated disc, kidney stones, SI joint dysfunction [3] [2] Treatment
Surgery may be useful in those with a herniated disc that is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss of bowel control. [17] It may also be useful in those with spinal stenosis. [18] In the absence of these issues, there is no clear evidence of a benefit from surgery. [17]
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