A true herniated disc (also called a ruptured or slipped disc) occurs when the disc annulus cracks or ruptures, allowing the gel-filled center to squeeze out.HerniatedlumbardiscOverviewAherniateddiscoccurswhenthegel-likecenterofadiscrupturesthroughaweakareainthetoughouterwall,similartothefillingbeingsqueezedoutofajellydoughnut.Backorlegpain,numbnessortinglingmayresultwhenthediscmaterialtouchesorcompressesaspinalnerve.Treatmentwithrest,painmedication,spinalinjections,andphysicaltherapyisthefirststeptorecovery.Mostpeopleimprovein6weeksandreturntonormalactivity.Ifsymptomscontinue,surgerymayberecommended.AnatomyofthediscsYourspineismadeof24moveablebonescalledvertebrae.Thelumbar(lowerback)sectionofthespinebearsmostoftheweightofthebody.Thereare5lumbarvertebraenumberedL1toL5.Thevertebraeareseparatedbycushionydiscs,whichactasshockabsorberspreventingthevertebraefromrubbingtogether.Theouterringofthedisciscalledtheannulus.Ithasfibrousbandsthatattachbetweenthebodiesofeachvertebra.Eachdischasagel-filledcentercalledthenucleus.Ateachdisclevel,apairofspinalnervesexitfromthespinalcordandbranchouttoyourbody.Yourspinalcordandthespinalnervesactasa"telephone,"allowingmessages,orimpulses,totravelbackandforthbetweenyourbrainandbodytorelaysensationandcontrolmovement(seeAnatomyoftheSpine).Whatisaherniatedlumbardisc?Aherniateddiscoccurswhenthegel-likecenterofyourdiscrupturesoutthroughatearinthetoughdiscwall(annulus)(Fig.1).Thegelmaterialisirritatingtoyourspinalnerves,causingsomethinglikeachemicalirritation.Thepainisaresultofspinalnerveinflammationandswellingcausedbythepressureoftheherniateddisc.Overtime,theherniationtendstoshrinkandyoumayexperiencepartialorcompletepainrelief.Inmostcases,iflowbackand/orlegpainisgoingtoresolveitwilldosoinabout6weeks.Figure1.Normalandherniateddisc.Thegel-fillednucleusmaterialescapesthroughatearinthediscannulusandcompressesthespinalnerve.Differenttermsmaybeusedtodescribeaherniateddisc.Abulgingdisc(protrusion)occurswhenthediscannulusremainsintact,butformsanoutpou

Injury or weakness can cause the inner portion of the disc to protrude through the outer ring. This is known as a slipped, herniated, or prolapsed disc. This causes ...Slipped(Herniated)DiscMedicallyreviewedbyWilliamMorrison,M.D.—WrittenbyRachelNall,MSN,CRNA—UpdatedonAugust27,2020SymptomsCausesDiagnosisComplicationsTreatmentOutlookPreventionWeincludeproductswethinkareusefulforourreaders.Ifyoubuythroughlinksonthispage,wemayearnasmallcommission.Here’sourprocess.Whatisaslippeddisc?Yourspinalcolumnismadeupofaseriesofbones(vertebrae)stackedontoeachother.Fromtoptobottom,thecolumnincludessevenbonesinthecervicalspine,12inthethoracicspine,andfiveinthelumbarspine,followedbythesacrumandthecoccyxatthebase.Thesebonesarecushionedbydiscs.Thediscsprotectthebonesbyabsorbingtheshocksfromdailyactivitieslikewalking,lifting,andtwisting.Needhelpcoveringthecostofyourautoimmunetreatment?Crowdfundmoneyhere»Eachdischastwoparts:asoft,gelatinousinnerportionandatoughouterring.Injuryorweaknesscancausetheinnerportionofthedisctoprotrudethroughtheouterring.Thisisknownasaslipped,herniated,orprolapseddisc.Thiscausespainanddiscomfort.Iftheslippeddisccompressesoneofyourspinalnerves,youmayalsoexperiencenumbnessandpainalongtheaffectednerve.Insevereinstances,youmayrequiresurgerytoremoveorrepairtheslippeddisc.Findadoctornearyou:Neurologist»OrthopedicSurgeon»Whatarethesymptomsofaslippeddisc?Youcanhaveaslippeddiscinanypartofyourspine,fromyournecktoyourlowerback.Thelowerbackisoneofthemorecommonareasforslippeddiscs.Yourspinalcolumnisanintricatenetworkofnervesandbloodvessels.Aslippeddisccanplaceextrapressureonthenervesandmusclesaroundit.Symptomsofaslippeddiscinclude:painandnumbness,mostcommonlyononesideofthebodypainthatextendstoyourarmsorlegspainthatworsensatnightorwithcertainmovementspainthatworsensafterstandingorsittingpainwhenwalkingshortdistancesunexplainedmuscleweaknesstingling,aching,orburningsensationsintheaffectedareaThetypesofpaincanvaryfrompersontoperson.Seeyourdoctorifyourpainresultsinnumbnessortingl

A herniated disc may be referred to by many names, such as a slipped disc, or a ruptured or bulging disc. The term slipped disc can cause confusion since spinal ...SkiptomaincontentYouarehereConditionsHerniatedDiscLumbarHerniatedDisc:WhatYouShouldKnow  share  pinit  NewslettersByRogerHärtl,MD | PeerReviewedSpinaldiscsplayacrucialroleinthelowerback,servingasshockabsorbersbetweenthevertebrae,supportingtheupperbody,andallowingawiderangeofmovementinalldirections.Ifadischerniatesandleakssomeofitsinnermaterial,though,thedisccanquicklygofromeasingdailylifetoaggravatinganerve,triggeringbackpainandpossiblypainandnervesymptomsdowntheleg.SeeWhat'saHerniatedDisc,PinchedNerve,BulgingDisc...?LumbarHerniatedDiscVideoSaveLumbarherniateddiscmostoftenaffectspeopleaged35to50.Watch:LumbarHerniatedDiscVideoDischerniationsymptomsusuallystartfornoapparentreason.Ortheymayoccurwhenapersonliftssomethingheavyand/ortwiststhelowerback,motionsthatputaddedstressonthediscs.Lumbarherniateddiscsareawidespreadmedicalproblem,mostoftenaffectingpeopleage35to50.Thisarticlecovershowalumbarherniateddiscdevelops,howitisdiagnosed,andtheavailablesurgicalandnon-surgicaltreatmentoptions.WatchLumbarHerniatedDiscTreatmentVideoadvertisementHowaLumbarDiscHerniatesAtoughouterringcalledtheannulusprotectsthegel-likeinteriorofeachdisc,knownasthenucleuspulposus.Duetoagingandgeneralwearandtear,thediscslosesomeofthefluidthatmakesthempliableandspongy.Asaresult,thediscstendtobecomeflatterandharder.Thisprocess—knownasdiscdegeneration—startsfairlyearlyinlife,oftenshowingupinimagingtestsinearlyadulthood.SeeThe"DegenerativeCascade"ofaDegeneratingDiscWhenpressureorstressisplacedonthespine,thedisc’souterringmaybulge,crack,ortear.Ifthisoccursinthelowerback(thelumbarspine),thediscprotrusionmaypushagainstthenearbyspinalnerveroot.Ortheinflammatorymaterialfromtheinteriormayirritatethenerve.Theresultisshootingpainsintothebuttockanddowntheleg.SeeLumbarRadiculopathyApersonwithaherniateddiscmaybetoldbythedoctorthatdegenerativediscdiseasel

SkiptoMainContentThesitenavigationutilizesarrow,enter,escape,andspacebarkeycommands.Leftandrightarrowsmoveacrosstoplevellinksandexpand/closemenusinsublevels.UpandDownarrowswillopenmainlevelmenusandtogglethroughsubtierlinks.Enterandspaceopenmenusandescapeclosesthemaswell.Tabwillmoveontothenextpartofthesiteratherthangothroughmenuitems.MENUMembershipJointheAANSMemberBenefitsMemberDirectoryMyAANSInternationalActivitiesAANS/CNSSectionsAANSCareerCenterbackground-image-awomanlookingatascreenAnnualMeeting2021AANSAnnualScientificMeeting-RegisterOnline-OnlineProgram-BookHousing-AbstractCenterMeetingDates&LocationsExhibitingbackground-image-awomanlookingatascreenEducationNeuroU–OnlineCMEFrontRowSeriesLiveCoursesSNAPAdvancedPractitionerCoursesSubspecialtyCMEMeetingsCalendarTheRhotonCollectionTheNeurosurgicalAtlasJointProvidershipbackground-image-awomanlookingatascreenPublicationsTheJournalofNeurosurgeryAANS360MobileAppAANSNeurosurgeonAANSUpdatesNeurosurgeryBlogAANSBookstore2021AANSGuidetoCodingEducationCatalogbackground-image-awomanlookingatascreenPatientsFindaBoard-certifiedNeurosurgeonNeurosurgicalConditionsandTreatmentsNeurosurgeryAwarenessMonthPatientEducationVideosbackground-image-awomanlookingatascreenAdvocacyAbouttheWashingtonOfficeAdvocacyNewsDCPressRoomNeurosurgeryBlogNeurosurgeryPACPositionStatementsWashingtonE-newsletterbackground-image-awomanlookingatascreenTraineesResidents/FellowsMedicalStudents-NeurosurgeryMatchYoungNeurosurgeonsCommitteeVolunteerCorpsGrantsandFellowshipsResidencyDirectoryAcademicFellowshipDirectorybackground-image-awomanlookingatascreenAANSPatientsNeurosurgicalConditionsandTreatmentsHerniatedDiscHerniatedDiscThebones(vertebrae)thatformthespineinthebackarecushionedbydiscs.Thesediscsareround,likesmallpillows,withatough,outerlayer(annulus)thatsurroundsthenucleus.Locatedbetweeneachofthevertebrainthespinalcolumn,discsactasshockabsorbersforthespinalbones.Aherniateddisc(alsocalledbulged,slippedorruptured)isafragmentofthediscnucleusthatispushedoutofthea

Herniated discs (slipped discs or ruptured discs) occur when cushion-like pads between vertebrae move out of position and, for some, press on ...ConnectwithOthers:LogInorSignUpNow!ConditionsAllSpineConditionsAnkylosingSpondylitisBackPainChronicPainDegenerativeDiscDiseaseFibromyalgiaHerniatedDiscsJuvenileIdiopathicArthritisKyphosisLowerBackPainNeckPainOsteoporosisRheumatoidArthritisSacroiliacJointPainSciaticaScoliosisSpinalCordInjurySpinalFracturesSpinalStenosisSpinalTumorsSpondylolisthesisSpondylosis(Osteoarthritis)SprainsandStrainsUpperBackPainWhiplashTreatmentsAlternativeTreatmentsChiropracticDrugsandMedicationsMental&EmotionalTherapyMISSurgeryPainManagementPhysicalTherapySpinalBracingSurgeryWellnessErgonomicsExerciseWeightLossPainCommunityFindaDoctorResourcesClinicalTrialsExamsandTestsPatientGuidesSpinalAnatomySpineUniverseenEspañolVideoDirectoryExpertBlogsRecommendedBooksSpineSpecialistCenterVisitOurClinicianSiteJoinOurBackPainCommunityShareyourstory.Askquestions.Gethelp!SIGNUPNOW!Conditions›HerniatedDisc:Symptoms,Causes,Diagnosis,andTreatmentEmailPrintHerniatedDisc:Symptoms,Causes,Diagnosis,andTreatmentWrittenbyHowardS.An,MDandElizabethMillard;ReviewedbyNeelAnand,MDPeerReviewedTheUniversalGuidetoHerniatedDiscs:Everythingyoueverwantedtoknow,straightfromtheexperts.InThisArticle:WhatAreHerniatedDiscs?  |  Causes  |  Symptoms  |  Diagnosis  |  NonsurgicalTreatments |  SurgeryOptions  |  FAQs  |  SourcesYoumightthinkof "thespine"asonesolid-but-flexiblepiecebutitactuallyconsistsof small,movingpartsthatallhavetoworkinconcertforpropermobility.Sometimes,though,thatharmonyhasafewplayerswhoarewayoutoftune—namelyyourdiscs,thecushion-likepadsbetweenyourvertebrae.Whentheybecomedamagedandencroachonnerverootsbranchingoffthespinalcord,that’swhentheycanstrikethewrongnote—maybeevenapainfulone.Alsoknownasslippeddiscsorruptureddiscs,thisisarelativelycommonconditionthatcanoccuranywherealongthespine,butismostlikelytoaffectthelowerbackorneck.Spinaldiscsarecushion-likepadslocatedbetwee

A herniated disk is a condition that can occur anywhere along the spine, but most often occurs in the lower back. It is sometimes called a bulging, protruding, ...PrintEmailFacebookTwitterEnglishespañolDiseases&ConditionsHerniatedDiskintheLowerBackRelatedMediaDiseases&ConditionsHerniatedDiskAnimationvideoTreatmentTreatmentOptionsforLowBackPainvideoInmanyareas,nonessentialorthopaedicproceduresthatwerepostponedduetoCOVID-19haveresumed.Forinformation:  QuestionsandAnswersforPatientsRegardingElectiveSurgeryandCOVID-19.Forpatientswhoseprocedureshavenotyetbeenrescheduled:  WhattoDoIfYourOrthopaedicSurgeryIsPostponed.Aherniateddiskisaconditionthatcanoccuranywherealongthespine,butmostoftenoccursinthelowerback.Itissometimescalledabulging,protruding,orruptureddisk.Itisoneofthemostcommoncausesoflowerbackpain,aswellaslegpainor“sciatica.”Between60%and80%ofpeoplewillexperiencelowbackpainatsomepointtheirlives.Someofthesepeoplewillhavelowbackpainandlegpaincausedbyaherniateddisk.Althoughaherniateddiskcanbeverypainful,mostpeoplefeelmuchbetterwithjustafewweeksormonthsofnonsurgicaltreatment. AnatomyYourspineismadeupof24bones,calledvertebrae,thatarestackedontopofoneanother.Thesebonesconnecttocreateacanalthatprotectsthespinalcord.Fivevertebraemakeupthelowerback.Thisareaiscalledyourlumbarspine.Partsofthelumbar(lower)spine.Otherpartsofyourspineinclude:Spinalcordandnerves.These"electricalcables"travelthroughthespinalcanalcarryingmessagesbetweenyourbrainandmuscles.Nerverootsbranchoutfromthespinalcordthroughopeningsinthevertebrae.Intervertebraldisks.Inbetweenyourvertebraeareflexibleintervertebraldisks.Thesedisksareflatandround,andaboutahalfinchthick.Intervertebraldisksactasshockabsorberswhenyouwalkorrun.Theyaremadeupoftwocomponents:Annulusfibrosus.Thisisthetough,flexibleouterringofthedisk.Nucleuspulposus.Thisisthesoft,jelly-likecenterofthedisk.Healthyintervertebraldisk(cross-sectionview).DescriptionAdiskbeginstoherniatewhenitsjelly-likenucleuspushesagainstitsouterringduetowearandtearorasudden

But if a disk between two vertebrae starts slipping out of place, it can irritate the surrounding nerves and cause extreme pain. The condition is ...MenuNewsReferenceSlideshowsQuizzesVideosQuestions&AnswersMedicationsFindanOrthopaedistWebMDRxSavingsCardOverview&FactsSymptoms&ComplicationsDiagnosis&TestsTreatments&CareLiving&ManagingWhatIsaHerniatedDisk?DiagnosisTreatmentSpinalDiskProblemsAnkylosingSpondylitisDrugInteractionCheckerOsteoporosisPainManagementPillIdentifierSecondOpinionsSIJointPainMoreRelatedTopicsPainManagementReferenceMenuReviewedbyBrunildaNazario, MDonSeptember22,2020ArticlesOnHerniatedDiskWhatIsaHerniatedDisk?DiagnosisTreatmentSpinalDiskProblemsCouldIHaveaHerniatedDisk?Backpaincansneakuponyouwhenyouleastexpectit.Oneminuteyou'resittingcomfortablyinfrontoftheTV,andthenextyoutrytostandup,and--ouch!--asharppainradiatesthroughyourlowerback.Couldyouhaveaslippedorherniateddisk?Youmight.Theadultspineismadeupof24bonescalledvertebrae.Someofthevertebraearecushionedbysoftdisksmadeofajellylikesubstance.Thesedisksallowyoutomoveyourspinearoundandbendover.Butifadiskbetweentwovertebraestartsslippingoutofplace,itcanirritatethesurroundingnervesandcauseextremepain.Theconditioniscalledaslipped,ruptured,orherniateddisk.SignsofaHerniatedDiskOnesignmaybewherethepainis.Althoughherniateddiskscanhappeninanypartofyourspine,theyaremostcommoninthelowerpartofyourbackbone(thelumbarspine),justaboveyourhips.Thepainmayspreadfromyourbacktoyourbuttocks,thighs,andeventoyourcalves.ContinuedDiscomfortfromaherniateddiskusuallygetsworsewhenyou'rebeingactiveandlessenswhenyou'reresting.Evencoughing,sneezing,andsittingcanworsenyoursymptomsbecausetheyputpressureonpinchednerves.Aherniateddiskalsocangiveyouafeelingoftinglingornumbness.Theaffectedpartofyourbackmayalsofeelweak.Agealsoplaysarole.Asyougetolder,yourdiskstendtobreakdownandlosetheircushioning.Thatmakesaherniateddiskmorelikely.HerniatedDiskDiagnosisThebestwaytotellifyouhaveaherniateddiskistoseeyourdoctor.They’lllikelydoaphysicalexamtofin

Disc herniation is normally a further development of a previously existing disc protrusion, in which the outermost layers of the annulus fibrosus are still intact, but ...SpinaldischerniationFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchDisease"Slippeddisc"redirectshere.Forotheruses,seeSlippeddisc(disambiguation).MedicalconditionSpinaldischerniationOthernamesSlippeddisc,bulgingdisc,ruptureddisc,herniateddisc,prolapseddisc,herniatednucleuspulposusSpecialtyOrthopedics,neurosurgeryRiskfactorsConnectivetissuediseaseSpinaldischerniationisaninjurytothecushioningandconnectivetissuebetweenvertebrae,usuallycausedbyexcessivestrainortraumatothespine.Itmayresultinbackpain,painorsensationindifferentpartsofthebody,andphysicaldisability.ThemostconclusivediagnostictoolfordischerniationisMRI,andtreatmentmayrangefrompainkillerstosurgery.Protectionfromdischerniationisbestprovidedbycorestrengthandanawarenessofbodymechanicsincludingposture.[medicalcitationneeded]Whenatearintheouter,fibrousringofanintervertebraldiscallowsthesoft,centralportiontobulgeoutbeyondthedamagedouterrings,thediscissaidtobeherniated.Discherniationisfrequentlyassociatedwithage-relateddegenerationoftheouterring,knownastheannulusfibrosus,butisnormallytriggeredbytraumaorstrainingbyliftingortwisting.[1]Tearsarealmostalwaysposterolateral(onthebacksides)owingtorelativenarrownessoftheposteriorlongitudinalligamentrelativetotheanteriorlongitudinalligament.[2]Atearinthediscringmayresultinthereleaseofchemicalscausinginflammation,whichcanresultinseverepainevenintheabsenceofnerverootcompression.Discherniationisnormallyafurtherdevelopmentofapreviouslyexistingdiscprotrusion,inwhichtheoutermostlayersoftheannulusfibrosusarestillintact,butcanbulgewhenthediscisunderpressure.Incontrasttoaherniation,noneofthecentralportionescapesbeyondtheouterlayers.Mostminorherniationshealwithinseveralweeks.Anti-inflammatorytreatmentsforpainassociatedwithdischerniation,protrusion,bulge,ordiscteararegenerallyeffective.Severeherniationsmay

Disc herniation occurs when part or all the nucleus pulposus protrudes through the annulus fibrous. · The most common cause of disc herniation is a degenerative ...SearchSearchSearchTogglenavigationpPhysiopediapPhysiopediaAboutNewsContributeCoursesShopContactDonateLoginpPhysiopediaAboutNewsContributeCoursesShopContactDonatepo+ContentsEditorsCategoriesShareCiteContentsloading...Editorsloading...Categoriesloading...Whenreferingtoevidenceinacademicwriting,youshouldalwaystrytoreferencetheprimary(original)source.Thatisusuallythejournalarticlewheretheinformationwasfirststated.InmostcasesPhysiopediaarticlesareasecondarysourceandsoshouldnotbeusedasreferences.Physiopediaarticlesarebestusedtofindtheoriginalsourcesofinformation(seethereferenceslistatthebottomofthearticle).IfyoubelievethatthisPhysiopediaarticleistheprimarysourcefortheinformationyouarereferingto,youcanusethebuttonbelowtoaccessarelatedcitationstatement.CitearticleDiscHerniationJumpto:navigation,searchOriginalEditor-FauvesimoensTopContributors-KimJacksonContents1Definition/Description2ClinicallyRelevantAnatomy3Etiology4Pathophysiology5TypesOfHerniations6StagesOfHerniation7Epidemiology8HistoryAndExamination8.1CervicalSpine8.1.1History8.1.2PhysicalExamination8.2LumbarSpine8.2.1History8.2.2PhysicalExamination9SignsAndSymptoms10SpecialTests11DifferentialDiagnosis12Complications13Imaging14OutcomeMeasures15Management15.1MedicalManagement15.2SurgicalTreatment15.3PhysicalTherapyManagement15.3.1Activeexercisetherapy15.3.2MCEs(stabilisation/corestabilityexercises)15.3.3Generalrulesforexercise/DoandDonts15.3.4PhysiotherapyModalitiesandtheevidencefortheiruseindischerniation15.3.5ExampleofProtocolforRehabilitationFollowingaLumbarMicrodiscectomy15.3.6PostSurgicalIntervention16ClinicalBottomline17FurtherReading18ReferencesDefinition/Description[edit|editsource]Lumbardischerniation(LDH)isacommonlowbackdisorder.Itisoneofthemostcommondiseasesthatproduceslowbackpainand/orlegpaininadults[1].,Aherniateddiscisadisplacementofdiscmateria

A spinal disk has a soft, jellylike center (nucleus) encased in a tougher, rubbery exterior (annulus). Sometimes called a slipped disk or a ruptured ...Scheduleyourappointmentnowforsafein-personcare.Learnmore:MayoClinicfactsaboutcoronavirusdisease2019(COVID-19)Our COVID-19patient andvisitorguidelines,plustrustedhealthinformationLateston COVID-19vaccination bysite:ArizonapatientvaccinationupdatesArizona,FloridapatientvaccinationupdatesFlorida,RochesterpatientvaccinationupdatesRochesterandMayoClinicHealthSystempatientvaccinationupdatesMCHSSkiptositenavigationSkiptoContentThiscontentdoesnothaveanEnglishversion.ThiscontentdoesnothaveanArabicversion.SectionsforHerniateddiskSymptoms&causesDiagnosis&treatmentDoctors&departmentsCareatMayoClinicPrintWe'rewelcomingpatientsatMayoClinicSeeoursafetyprecautionsinresponsetoCOVID-19.Requestanappointment.OverviewHerniateddiskOpenpop-updialogboxCloseHerniateddiskHerniateddiskTherubberydisksthatliebetweenthevertebraeinyourspineconsistofasoftcenter(nucleus)surroundedbyatougherexterior(annulus).Aherniateddiskoccurswhenaportionofthenucleuspushesthroughacrackintheannulus.Symptomsmayoccuriftheherniationcompressesanerve.Aherniateddiskreferstoaproblemwithoneoftherubberycushions(disks)thatsitbetweentheindividualbones(vertebrae)thatstacktomakeyourspine.Aspinaldiskhasasoft,jellylikecenter(nucleus)encasedinatougher,rubberyexterior(annulus).Sometimescalledaslippeddiskoraruptureddisk,aherniateddiskoccurswhensomeofthenucleuspushesoutthroughatearintheannulus.Aherniateddisk,whichcanoccurinanypartofthespine,canirritateanearbynerve.Dependingonwheretheherniateddiskis,itcanresultinpain,numbnessorweaknessinanarmorleg.Manypeoplehavenosymptomsfromaherniateddisk.Surgeryisusuallynotnecessarytorelievetheproblem.Products&ServicesBook:BackandNeckHealthBook:MayoClinicGuidetoPainReliefShowmoreproductsfromMayoClinicSymptomsMostherniateddisksoccurinthelowerback,althoughtheycanalsooccurintheneck.Signsandsymptomsdependonwherethediskissituatedandwhetherthediskispressin