Lumbar disc herniation

Definition

Very prevalent, even among those in their 20s and the 30s.

Disc are the tissue between the vertebral bodes, consist of nucleus pulposus at the center and annulus fibrous around them, and buffer impacts on the spinal column. Disc herniation means that the nucleus pulposus is pulled out through the damaged or ruptured annulus fibrous due toaging and external stimulation, compressing the spinal nerves and resulting in symptoms.

Symptoms

Radiating pain to the legs, worsening by bending the back

  • 1.Numbness and pain radiating to legs
  • 2.Pain on the back and buttocks
  • 3.Powerless or heavy feeling on legs
  • 4.Different sensation on one leg than the other one
  • 5.If severe, urinary disability may result

Cause

Degenerative change

  • Improper posture habits that burden the back
  • Extended sitting
  • Lack of exercise
  • Rapid gain of body weight

Trauma

  • Trauma such as falling or collision
  • Sudden postural change, bending or rotating back
  • Sudden lifting of heavy object

Treatment

Diagnosis : X-ray, myelography, CT, MRI

Non-surgical treatment

  • Medication
  • Physiotherapy
  • Injection
  • Neuroplasty
  • Balloon expansion
  • Endoscopic discectomy
  • Epidural endoscopic laser decompression