Lumbar Interval Disc Degeneration

Herniated disc - the disc is the spongy cartridge that provides support and protection between the five vertebrae in the lower back and protects the spinal cord from injury. As the disc degenerates - any injury to the ligaments could cause pain to the affected area. Most herniated disc occurs between the fourth or fifth vertebrae in the lower back in efforts to support the upper back. This could cause major pain when standing and sitting throughout the day.

DOI: 09/12/2014. Patient is a 45-year-old male vacation relief route sales representative who sustained a work-related injury to his lumbar spine from bending and pulling a bread product. Per OMNI entry, he was initially diagnosed with disc herniation at L4 to L5 with radiculopathy. He is status post extraforaminal L4 to L5 discectomy on 04/09/2015. He has been off work for nearly 2 years.

The results of this study show that both treatment interventions are just as effective in pain reduction and increased spinal mobility following a single treatment. A post boc correlation (relationship between variables) analysis was performed in order to explore the relationship between changes in pain and lumbar extension motion. Researchers analyzed the relationship between an increase in motion and decrease in pain for this study.

Roughly, 80% of the population will experience lower back pain once in their lifespan, while two-thirds of the population will experience neck pain. As ludicrous as it might appear, the ugly truth about slipped disc complications is that they are increasing at an alarming rate. Back pain and neck pain are the most common reasons of immobility in individuals under 45 years old. It is now very ubiquitous and not only found in elderly, or after a traumatic happening. A slipped disc can happen throughout the entire spine but is most common in the cervical and lumbar area. Inappropriate posture, unwarranted or protracted axial weight-bearing activities are the culprits; in other words, extended sitting or lifting and carrying of hulking objects that cause uneven distribution of weight across your spinal joint or the spinal discs. Over the time, axial loading (sitting or carrying weighty loads) can dehydrate your spinal disc. Dehydration of the

Low back pain is one of the most common complaints with which patients go to a physician. Low back ache is so common that at least 80% of the population will get it at some point of their lives.(1) Sciatica (Radiating leg pain with or without low back pain) is a common symptom and occurs in approximately 40% of adult population at some point of time but clinically significant sciatica is only 4%-6%.(2) Intervertebral disc prolapse(IVDP) seems to be the most common cause of Sciatica but some patients with features suggesting sciatica won’t show any disc prolapse in MRI or CT scan while some people with no symptoms show disc prolapse making it a paradox.(3) This paradox led to thinking of alternate explanations that prolapsed intervertebral

Herein we literature reviewing the risk factors of herniation of intervertebral lumbar spine disc not only those who shows positive correlation with the disease, but also those who seems to are negatively related in order the disease to be easily prevented. It is critical to mention that the knowledge of the pathophysiology of disc herniation it is a valuable asset for spine

DOI: 12/14/1995. Patient is a 66 year-old male truck driver who sustained injury to his back while unloading a truck by hand. Per OMNI, patient is diagnosed with failed back syndrome. MRI of the lumbar spine dated 6/9/16 revealed postsurgical changes of the lumbar spine with resection of the posterior elements from L1-L2 to L5-S1 and mild to moderate disc degenerative disease of the lumbar spine at T12-L1, L2-L3 and L3-L4. Per progress report dated 5/03/2016, patient presents for follow up evaluation. He reports that he decided not to proceed with the pain pump trial as he does not want to add more medication to his regiment. He would prefer to start physical therapy for his pain instead of medication. He has been able to control his pain with regimen. He notes at least 40% improvement with

Lumbar Disc Herniation is one of the commonest problems in adults. At their productive age this problem is debilitating and if timely intervention is not made the outcome is quiet disabling. Lumbar disc herniation in the past have been treated successfully with both conservative and surgical modalities. Various studies in the past have proved both these modalities, conservative and surgical treatment to give a good relief of symptoms.

Osteoarthritis is an degenerative joint disorder characterised by loss of articular cartilage leading to severe pain and restricted mobility in patient. It affects mostly the joint such as hand, knees, spine, hips, and shoulder. Risk factors such as age, joint injury, excessive repetitive loading, joint dysplasia, gender, genetic predisposition, comorbidities these are some factors which are known to increase risk of osteoarthritis. At molecular level, OA results from an imbalance between the peptides that promote the synthesis of the components of extracellular matrix of articular cartilage and those that induce remodelling of these components. The articular cartilage degradation in OA is due to complex interaction and upregulation of various

Of note, MRI of the lumbar spine reveals right disc herniation at L4-5, left disc herniation at L5-S1.

Liuke M., Soloviena S., Lamminem A., Luoma K., Leino-Arjas P., Luukkonen R. and Riihimaki H. (2005) Disc degeneration of the lumbar spine in relation to overweight. International Journal of Obesity. 29 (5).p. 903-908.

DOI: 5/12/2015. Patient is a 57-year-old male crane operator who sustained injury when he felt pain in his lower back from moving multiple outrigger pads weighing approximately 80 pounds each. Per OMNI, he was diagnosed with lumbar strain. He is status post lumbar laminotomy at L3-L4 and L4-L5 on 03/01/2016

For the treatment of lumbar disc herniation or radicular pain various con¬servative, surgical or nonsurgical methods have been used. Conservative method such as rest, analgesics, traction, medication, physical therapy, structured exercise etc. are used which are effective only for mild to moderate cases, then the injections can be tried and may offer rapid relief from pain in acute patients and may be a good treatment alternative for patients and the last hope is surgery but surgery has its own limitations, as it is a costly procedure, and may have several post-operative complications, chronic pain, and persistent disability. However, surgery is not available for everyone who is symptomatic, and may lead to failure in near about 25% of patients

- Distinguished by associated paresthesias or radiation of pain into the posterior thigh, loss of motor strength to the extremities {e.g.,arm in cervical disc, leg in lumbar

DOI: 1/5/2007. Patient is a 51-year-old male supervisor who sustained a low back injury while lifting a platform scale with another employee. Per OMNI, he is status post lumbar surgery and right hip strain/pain. On the QME report by Dr. Raskin dated 2/3/2009, the IW was deemed to have reached P & S status with 16% partial disability. Future medical care includes: medications, physical therapy, MRI, and injection. MRI of the lumbar spine dated 10/16/2012 revealed possible partial left laminectomy at L4 and L5; L3-4. A 2.9 mm disc bulge which mildly impresses on the thecal sac and produces mild bilateral neural foraminal narrowing; L4-5, a 5.0 mm broad-based disc protrusion which moderately impresses on the thecal sac; and L5-S1, a 3.5 mm circumferential