Spinal disc herniation

Spinal disc herniation - Factbites
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Topic: Spinal disc herniation

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	Spine Care Disc Herniation Lumbar Disc Herniation
		The lumbar disc is the most frequent site of injury in several sports including gymnastics, weightlifting, swimming and golf, although athletes in general have a reduced risk of disc herniation and back problems.
		Although the lumbar vertebrae are the biggest and strongest of the spinal bones, risk of lumbar injury increases with each vertebrae down the spinal column because this part of the back has to support more weight and stress than the upper spinal bones.
		The lumbar spine consists of the five vertebrae in the lower part of the spine, each separated by a disc, also called a lumbar disc.
	www.ucsfhealth.org /adult/medical_services/spine/disc/conditions/lumbar/signs.html

	Herniated Lumbar Disc
		Unless a lumbar disc herniation is very large and threatens to crush the collection of nerves in the spinal canal, treatment depends entirely on the symptoms.
		The advantage of fusion is that, if it solidifies correctly, it will prevent further disc herniation and possibly eliminate pains due to irritable spinal structures at that spinal segment.
		Lumbar disc herniation is an extremely common problem.
	www.neurospinal.com /to03001.html

	Lumbar Disc Herniation by Globalspine.net
		As the weakest spot in a lumbar disc wall is directly under the nerve root, a herniation usually occurs back into the spinal canal and puts direct pressure on the nerve caused the spinal nerve inflammation and swelling.
		Most herniated discs occur in the lumbar section of the spine and about 90% of them will occur at its lower levels such as L4- L5 (lumbar segments 4 and 5) or L5- S1 (lumbar segment 5 and sacral segment 1).
		In most cases, the treatment of patients with a herniated lumbar disc does not include surgery.
	globalspine.net /lumbar_disc_herniation.html

	SpineSource Lumbar Disc Herniation (Herniated Disc)
		Lumbar disc herniation (herniated disc) and non-invasive treatments
		Most lumbar disc herniations occur in 30 to 50 year-old people – when we are physically active and busy, sometimes too busy to take care of ourselves.
		Transforamenal Lumbar Interbody Fusion (TLIF) is a surgical technique that involves removing an intervertebral disc and creating a spinal fusion in the lumbar spine through one incision in the back.
	www.spinesource.com /Back-Pain-Disorders/lumbar-disc-herniation.html

	Lumbar Disc Herniation - Medical Illustration
		Lumbar Disc Herniation with Injury to the Cauda Equina (Spinal Cord) - exh6060b
		C6-7 Disc Herniation with Spinal Cord Compression - exh38028c
		Lumbar Disc Herniation at L5-S1 with Film Print - exh5938b
	catalog.nucleusinc.com /generateexhibit.php?ID=8256

	Lumbar Disc Herniation
		Lumbar Disc Herniation with Injury to the Cauda Equina (Spinal Cord) - exh6060b
		L4-5 Disc Herniation with Surgical Discectomy - exh37326
		Herniated Disc - L4-5 Lumbar Discogram - exh5156b
	hdh.doereport.com /collection.php?CID=108&A=1070

	Lumbar herniated disc
		As a disc degenerates, it can herniate (the inner core extrudes) back into the spinal canal, which is known as a disc herniation.
		Approximately 90% of disc herniations will occur at L4- L5 (lumbar segments 4 and 5) or L5- S1 (lumbar segment 5 and sacral segment 1), which causes pain in the L5 nerve or S1 nerve, respectively.
		Using microsurgical techniques (a small operation using a microscope) to treat a lumbar herniated disc, a microdiscectomy can usually be done on an outpatient basis or with an overnight stay in the hospital, and most patients can return to work full duty in one to three weeks.
	www.spine-health.com /topics/cd/overview/lumbar/young/lum01.html

	Lumbar Disc Herniation
		Although disc herniations can occur at the other lumbar spinal levels (L1-L2, L2-L3 and L3-L4) they are much less common than the two lower levels.
		Other techniques for treatment of disc herniation include percutaneous disc removal (mechanical or laser).
		Herniated disc, ruptured disc, protruded disc, prolapsed disc and slipped disc generally all mean the same thing.
	www.cinn.org /isc/herniation-lumbar.html

	Lumbar Disc Herniation
		Lumbar Disc Herniation; What is it?, Non-operative Treatment, Surgery, Recovery, Long term results.
		If a large amount of disc is herniated into the spinal canal, it can pinch nerve roots and cause buttock and leg pain.
		Disc surgery should not be done with the expectation of improved back pain, though it does often occur.
	www.sonoranspine.com /discHerniation.htm

	CNY Orthopedic Sports Medicine, PC: Injury: Lumbar Disc Herniation
		A lumbar disc herniation can occur when normal degenerative changes (wear and tear arthritis) of the spine have weakened the ligament, which surround and support the discs within the spinal column, the lack of support results in collapse and compression of the disc.
		Lumbar Disc herniations are seen in all age groups, but are most prevalent in men between the ages of 35 and 45.
		The risk of disc herniation increases when the patient lifts heavy objects with poor posture, or participates in an occupation where excess strain and twisting are placed on the spine.
	www.drcarr.net /index.php?practiceId=10013&lib=Injury&dir=categories&categoryId=198

	Lumbar Disc Herniation Surgery: Dr. Jho's Endoscopic Lumbar Discectomy
		Lumbar Disc Herniation Surgery: Dr. Jho's Endoscopic Lumbar Discectomy
		Lumbar disc surgery has evolved from total laminectomy to microdiscectomy technique over a century.
		With a tiny skin incision made at a location 10 cm lateral from the posterior midline, the herniated disc is removed under the endoscopic visualization through a small trocar.
	www.drjho.com /id32.htm

	"Federico II" Univ - Dept of Neurosurgery: Cervical and Lumbar Disc Herniation
		cervical disc herniation: the decompression of the nerve roots and of the spinal cord is performed by removing the disc and/or the offending osteophytes; the surgical approaches are: anterior discectomy with (Cloward technique) or without fusion and posterior approach (decompressive laminectomy and foraminotomy; hemilaminectomy);
		Disc herniation is most frequent in men and the overall incidence is higher in youth or adult age.
		Disc herniations are classified, on the basis of the grade and modality of the coming out of the nucleus, as it follows:
	www.neurochirurgia.unina.it /english/ernia.htm

	Chemonucleolysis
		"Chemonucleolysis for Lumbar Disc Herniation: How Does it Stack up to Other Minimally Invasive Approaches?" Journal of Musculoskelatal Medicine 1995, 12 (2): 13-24.
		When the disk bulges or herniates, it can put pressure on nerves which originate in the spinal column, and go to other parts of the body.
		Herniated disks are the cause of only a small proportion of cases of lower back pain, and chemonucleolysis is appropriate for only some cases of HNP.
	www.chclibrary.org /micromed/00042280.html

	News - Epidural Steroids May Be Good First Treatment of Large Lumbar Disc Herniation Symptoms
		Epidural steroid injection (ESI) may be a good first-approach treatment before attempting discectomy in patients with large lumbar disc herniation, recent research suggests.
		One hundred sixty-nine patients with a herniation encompassing greater than 25% of the cross-sectional area of the spinal canal were recruited for this study.
		This led Glenn R. Buttermann MD, with the Midwest Spine Institute, Stillwater, Minnesota, United States, to undertake this prospective, non-blinded study comparing discectomy to ESI in relieving the symptoms of lumbar disc herniations in humans.
	www.docguide.com /news/content.nsf/news/8525697700573E1885256E710024CE47

	Client Information Brochures
		The spinal cord is compressed by a disc herniation (arrow).
		Herniation of the disc often occurs very explosively, causing significant injury to the spinal cord and pain to the animal.
		Animals with disc herniations in their neck may require a similar surgery called a ventral slot, which is done from the underside of the neck.
	www.vmth.ucdavis.edu /vmth/clientinfo/info/neuro/discdis.html (1641 words)

	Rockford Spine Center, Neck, Cervical Disc, Herniation, Slipped Disc, Discectomy, Northern Illinois
		When a herniated disc pinches the middle of the spinal cord (central disc herniation) it may cause symptoms in both arms.
		When a herniated disc puts enough pressure on the spinal cord, or one or more nerves exiting the spinal cord, symptoms usually occur.
		A herniated or slipped cervical disc refers to a bulging or displacement of the soft inner nucleus pulposis against or through the firm outer annulus fibrosis.
	rockfordspine.com /anatomy/spine/neck_cervicalspine/neck_disc.htm (478 words)

	AllRefer.com - slipped disc (Pathology) - Encyclopedia
		Material from the disc may press on spinal nerves and cause numbness or tingling, weakness, or paralysis in the area of the body enervated by those nerves.
		These discs separate and cushion the vertebrae, the segments of the spinal column.
		slipped disc, rupture or herniation of an intervertebral disc.
	reference.allrefer.com /encyclopedia/S/slippedd.html (478 words)

	Disc Herniation or Herniated Nucleus Pulposus-slipped disc
		Lumbar disc herniation occurs 15 times more often than cervical (neck) disc herniation, and it is one of the most common causes of lower back pain.
		The cervical discs are affected 8% of the time and the upper-to-mid-back (thoracic) discs only 1 to 2% of the time.
		A condition in which part or all of the soft, gelatinous central portion of an intervertebral disc (the nucleus pulposus) is forced through a weakened part of the disk, resulting in back pain and nerve root irritation.
	www.brispine.com.au /lumbar_disc_prolapse.html (441 words)

	AllRefer.com - slipped disc (Pathology) - Encyclopedia
		Material from the disc may press on spinal nerves and cause numbness or tingling, weakness, or paralysis in the area of the body enervated by those nerves.
		slipped disc, rupture or herniation of an intervertebral disc.
		These discs separate and cushion the vertebrae, the segments of the spinal column.
	reference.allrefer.com /encyclopedia/S/slippedd.html (269 words)

	What is a herniated disc, pinched nerve, bulging disc, etc...?
		There are many different terms to describe spinal disc pathology, and all are used differently by different healthcare practitioners.
		For more information and treatment options on a pinched nerve that causes radicular pain, see articles on disc herniation (the chosen terminology on Spine-health.com), such as:
		It should be kept in mind that all the terms – herniated disc, pinched nerve, bulging disc, slipped disc, ruptured disc, etc. – refer to radiographic findings seen on a CT scan or MRI scan (x-rays can indicate disc degeneration but cannot actually image the disc itself).
	www.spine-health.com /topics/cd/d_difference/diff01.html (269 words)

	Endoscopic Laser Spine Surgery
		We specialize in "Incurable" back pain, leg pain, cervical pain, failed back syndrome, failed spine surgery syndrome, headache, spinal stenosis, radiculopathy, spondylolisthesis, and disc herniation.
		From Spinal stenosis, scoliosis, spondylolisthesis, to herniated discs and discogenic pain with success rates that are similar to conventional surgery.
		We can remove scar tissue, bone and disc as easy as it is done with conventional surgery.
	www.microspine.com (1947 words)

	Herniated disc - Stockton Athletic Training: Common Injuries: Bulging/ Herniated Disc
		Lumbar Disc Herniation (Disc Bulge / Herniated Disc / Ruptured Disc / Slipped Disc The most common symptom of a lumbar disc herniation is pain.
		Find spinal conditions treatment information and locate doctors for Herniated Disc at the Spine Institute, your one stop treatment center for the spine.
		Inter vertebral discs function to cushion the spine A herniated disc is essentially a disc with a hole in it.
	brain-injury.allinfosites.com /q/brain-injury-herniated-disc.htm (637 words)

	SLIPPED DISC
		When some of the disc material pops out of place and bulges into the spinal canal, this is also known as a herniated or ruptured disc.
		When the disc is decompressed, the pressure on the nerve is released, and this may rapidly relieve pain and permit restoration of lost muscle function.
		However, disc material degenerates naturally as we age, and the ligaments that hold it in place begin to weaken.
	www.painpro.com /SLIPPEDDISC.html (637 words)

	Back pain and neck pain patient information: Spine-health.com
		Anterior cervical discectomy may be performed to alleviate pain and other symptoms due to spinal cord or nerve root pressure caused by a cervical disc herniation.
		Spinal cord stimulators are small devices implanted under a patient’s skin with the purpose of stopping pain signals from reaching the brain and thus alleviating chronic or neuropathic pain.
		DePuy Spine, Inc., a Johnson and Johnson company, is committed to advancing the knowledge of all health care professionals and their patients in addressing spinal pathologies.
	www.spine-health.com (497 words)

	Orthospine.com
		Treatment of a herniated disc must be individualized to each patient and is dependant upon the size and type of disc herniation as well as symptoms and degree of nerve irritation or dysfunction.
		If an actual piece of disc separates off from the remainder of the disc and sits freely in the spinal canal, this is called a disc extrusion or sequestered disc fragment.
		Most herniated discs will not cause severe problems and most symptoms will improve with time and do not require surgical treatment.
	www.orthospine.com /medical_conditions/herniated_disc.html (497 words)

	Lumbar Disc Herniation
		The disc (or intervetebral disc) is a structure that is found in between the spinal vertebral bodies from the neck to the sacrum (tailbone).
		A single disc and its two vertebral bodies does not have much ability to move, however, when put together along the length of the spine, the amount of movement provided is considerable.
		Each disc is composed of two parts, the nucleus pulposus (the central part) and the annulus fibrosis (the outer part).
	www.cinn.org /isc/herniation-lumbar.html (1311 words)

	Slipped Disc
		This is also known as a herniated disc which some of the disc material pops out of place and bulges into the spinal canal,.
		Major surgery is not the only option for many patients with disc herniation.
		Email from Patients who have had open back surgery elsewhere.
	www.spineonline.com /topics/slippeddisc.html (47 words)

	DEGENERATIVE DISC DISEASE - INFORMATION, FACTS, AND STATISTICS
		Conditions such as spinal stenosis, osteophytes (bone spurs), disc herniation, and "ruptured disc" which, inevitably, may involve therapy, prescription medication, or surgical intervention, typically refer to degenerative disc disease.
		Degenerative disc disease is exactly what its name implies: a deteriorating, or degenerative, condition involving the discs of either the cervical, thoracic, or lumbar spine.
		Essentially, the spongy discs that are interlaced throughout the spine, and which serve as shock absorbers for the vertebrae, begin to wear out, losing moisture and resilience.
	www.disabilitysecrets.com /medicine-medication-prescription-drugs-degenerative-disc-disease.html (211 words)

	Open Discectomy
		Possible complications from open discectomy include bleeding, infection, spinal fluid leak, injury to the veins and arteries near the spine, or injury to the nerve tissue of the spine or its surrounding protective layer (the dura mater).
		This is called disc herniation, disc prolapse, or a slipped or bulging disc.
		It is also possible for the same disc to be injured again after surgery, which is called recurrent disc herniation.
	www.spine.org /articles/discectomy.cfm (211 words)

	Magnetic Resonance Imaging (MRI scan)
		An MRI scan is particularly useful as an aid in the assessment of certain back conditions by providing detail of the spinal disc (such as for degenerative disc disease, isthmic spondylolisthesis) and nerve roots (such as for lumbar disc herniation, lumbar spinal stenosis).
		MRI scans are also useful to rule out tumors or spinal infections.
		Because most MRI scanners are fairly tight, certain patients may feel uncomfortable, or may not tolerate, lying in a tight tunnel for 45 to 60 minutes while the scan is being performed.
	www.spine-health.com /topics/diag/mri/mri02.html (371 words)

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In the News (Sat 26 Dec 09)