Herniated Lumbar Disc, low back, ruptured disc, bulging disc ... | Herniated disc

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


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