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Get A Visual of what Disc Herniation is

by Todd Beartoes

Disc Herniation Picture - to an ordinary person the disc herniation picture will seem like Latin and Greek so let’s try to understand a written picture of what disc herniation is all about. In human anatomy the spine or vertebral column consists of 33 vertebrae (bones) that are running along the human back connecting the skull to the pelvis. The vertebrae shield the nerves that come out from the brain and then further pass through the back and into the entire body.

Spinal discs are like soft pads between hard bones (vertebrae) that make up the entire spinal column. Spinal disks are filled with gelatinous or jellylike substance which provides a cushioning or shock absorber effect to the spinal column. Cervical (neck - portion behind skull) spine, thoracic (part of the back behind chest) spine, lumbar (lower back) spine and sacral spine (part connected to the pelvis and does not move) spine are the main segments of spinal column. Discs in lumbar spine are composed of a thick outer ring of cartilage (annulus) and an inner gel like substance (nucleus).

Disc Herniation: Pinched nerves, bulging disc, ruptured disc, radiculopathy, (radiculopathy refers to any disease that affects spinal nerves) sciatica and slipped disc are few other terms for herniated disc. As the disc degenerates, it is likely to herniate i.e. to say that the inner core extrudes back into the spinal canal.

The spinal disc becomes less elastic due to degeneration and the probability of a rapture increases. Just as when a disk raptures a portion of it would push outside the normal boundary and start bulging out from between the vertebrae. Due to the spinal nerves that are situated pretty close to the edge of the spinal discs the herniated disc poses a risk.

Symptoms of disc herniation: Herniated disk is considered as the most common source of pain in the neck, lower back, arms and legs. Few other symptoms include electric shock like pain, tingling and numbness in the cervical and lumbar region, muscle weakness, loss of bowel or bladder control which is to be handled as medical emergency. Sciatica (a condition wherein a sharp and shooting pain extends from buttocks down the back of one leg) is also a major symptom of disc herniation.

Factors causing herniated discs: an accident or a repetitive strenuous activity of the back may cause a herniated disc condition, it can also be caused by a sudden strain on the back or it can also develop gradually due to ageing and degeneration of the discs. These past few years have seen more people incurring more sports related injuries and C-Spine (Cervical) injuries have caused disc herniation in both contact sports like football, hockey and wrestling and in non contact sports like skiing, diving, surfing and equestrian events.

Diagnosis and treatments of disc herniation: Depending on a patient’s condition and symptoms, patients may be asked to undergo spine x-ray, spine CT, spine MRI, and EMG in order to properly diagnose herniated disc. Non-Surgical method of treatment may include rest and activity modification, physical therapy and hot and cold therapy, epidural steroid injections, oral steroid medications and NSAIDs (Non steroidal Anti Inflammatory Drugs).

Surgical Treatments are recommended and needed at times of siginificant neurological damages that cause loss of function and in conditions where non surgical treatments would be unsuccessful. Depending on the size and the location of the disk herniation, treatment via surgical methods may include microdisketomy or laminectomy. Arthroscopic surgery is the least invasive surgery that involves the use of an arthroscope (a type of endoscope) for examination and treatment of herniated discs.

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