Living with lumbar disk diseaseĬonservative therapy requires patience but sticking with your treatment plan can reduce back pain and minimize the chance of worsening pain or damage to the disk. Maintaining a healthy weight, participating in regular exercise, and using good posture can lessen your risk for lumbar disk disease. It can lead to leg weakness or numbness and trouble with bowel and bladder control. Lumbar disk disease can cause back and leg pain that interferes with daily activities. What are the complications of lumbar disk disease? Your surgeon will discuss any restrictions with you. Your surgeon will remove the herniated part of the disc and any extra loose pieces from the disc space.Īfter surgery, you may be restricted from activity for several weeks while you heal to prevent another disc herniation. Some bone from the back of the spine may be removed to gain access to the disc. Your surgeon will make an incision in your lower back over the area where the disc is herniated. Surgery is done under general anesthesia. If these measures fail, you may need surgery to remove the herniated disc. Medicine to control pain and relax muscles Physical therapy, which may include ultrasound, massage, conditioning, and exercise programs This may include a mix of the following:Įducation on proper body mechanics (to help decrease the chance of worsening pain or damage to the disk) Typically, conservative therapy is the first line of treatment to manage lumbar disk disease. CT scans are more detailed than general X-rays.Įlectromyography (EMG). A test that measures muscle response or electrical activity in response to a nerve’s stimulation of the muscle. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. Myelogram. A procedure that uses dye injected into the spinal canal to make the structure clearly visible on X-rays.Ĭomputed tomography scan (also called a CT or CAT scan). An imaging procedure that uses X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. Magnetic resonance imaging (MRI). A procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body. X-ray. A test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film. In addition to a complete medical history and physical exam, you may have one or more of the following tests: Always see your healthcare provider for a diagnosis. The symptoms of lumbar disc disease may look like other conditions or medical problems. Sciatica – pain that starts near the back or buttock and travels down the leg to the calf or into the foot This may be made worse by movement, coughing, sneezing, or standing for long periods of time These are the most common symptoms of lumbar disk disease: The symptoms of lumbar disk disease vary depending on where the disk has herniated, and what nerve root it is pushing on. What are the symptoms of lumbar disk disease? Jobs that require heavy lifting and twisting of the spine can also cause back injuries. Back injuries also increase when people who are normally not physically active participate in overly strenuous activities. What are the risks for lumbar disk disease?Īlthough age is the most common risk, physical inactivity can cause weak back and abdominal muscles, which may not support the spine properly. Most disk herniations happen in the lower lumbar spine, especially between the fourth and fifth lumbar vertebrae and between the fifth lumbar vertebra and the first sacral vertebra (the L4-5 and L5-S1 levels). This can cause pain, weakness, numbness, or changes in sensation. The fragments of disc material can then press on the nerve roots located just behind the disk space. As the disk continues to break down, or with continued stress on the spine, the inner nucleus pulposus may actually rupture out from the annulus. This lets the nucleus, or the inside of the ring, to bulge out. This may lead to the breakdown of the tough outer ring. As this happens, the spongy disk (which is located between the bony parts of the spine and acts as a “shock absorber”) becomes compressed. With age, the intervertebral disk may lose fluid and become dried out. The lumbar spine consists of 5 bony segments in the lower back area, which is where lumbar disk disease occurs.īulging disk. Sacral spine: The lowest 5 vertebrae, located below the waist, also includes the 4 vertebrae that make up the tailbone (coccyx) Lumbar spine: The next 5 vertebrae, located in the lower back Thoracic spine: The next 12 vertebrae, located in the chest area The spine is divided into 4 areas:Ĭervical spine: The first 7 vertebrae, located in the neck The vertebral column, or backbone, is made up of 33 vertebrae that are separated by spongy disks.
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