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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. Lumbar disc herniation occurs 15 times more often than ...
Jensen and colleagues, in an MRI study of the lumbar spine in 98 asymptomatic adults, found that in more than half, there was a symmetrical extension of a disc (or discs) beyond the margins of the interspace (bulging). In 27 percent, there was a focal or asymmetrical extension of the disc beyond the margin of the interspace (protrusion), and in ...
In 1934, the work of Mixter and Barr shifted all emphasis in research and treatment from the sacroiliac to the herniated intervertebral disc, namely lumbar discs. [30] Medical focus on herniated discs was further forwarded by the invention of the MRI in 1977. [31] Over-diagnosis and attention on herniated discs has led to the SI joint becoming ...
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.
An intervertebral disc has a gelatinous core surrounded by a fibrous ring. [39] When in its normal, uninjured state, most of the disc is not served by either the circulatory or nervous systems – blood and nerves only run to the outside of the disc. [39] Specialized cells that can survive without direct blood supply are in the inside of the ...
Since the diaphragm is in constant motion with respiration, and because it is under tension, lacerations will not heal on their own. [10] The injury usually becomes larger with time if not repaired. [2] The main goals of surgery are to repair any injuries to the diaphragm and to move any herniated abdominal organs back to their original place. [12]
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.
A herniated disc can cause mild to severe pain such as sciatica and treatment for herniated discs range from physical therapy to surgery. [ 13 ] (see also: Intervertebral disc arthroplasty ) Other degeneration of the vertebral column includes diffuse idiopathic skeletal hyperostosis (DISH) [ 14 ] which is the calcification or ossification of ...