61. Lumbar Disk Herniations spine. 1 lumbar herniated disks present as back pain or radicular legpain or weakness (which is commonly referred to as sciatica). http://www.ortho.hyperguides.com/tutorials/spine/lumbar_disk_herniations/tutoria

window.location="http://www.ortho.hyperguides.com/"; Lumbar Disk Herniations Rahul Shah, MD Jonathan N. Grauer, MD Todd J. Albert, MD Introduction Anatomy and Pathophysiology Presentation and Evaluation Treatment Options ... References Introduction Ninety-five percent of herniated disks are located in the lumbar spine. Lumbar herniated disks present as back pain or radicular leg pain or weakness (which is commonly referred to as sciatica). This pathologic condition was described as early as the 1930s by Mixter and Bar. Most people relate the discomfort associated with a herniated disk to an acute traumatic event, but there may be a history of intermittent back pain for many months, or even years, before the onset of leg pain. Overall, this degenerative process generally presents in healthy people in the third and fourth decades of life. Anatomy and Pathophysiology Intervertebral disks are located between the vertebral bodies and are primarily composed of three biochemical components: collagen, proteoglycans, and water. Together, these components constitute 90% to 95% of the disk. However, this composition varies between the two anatomic regions; the outer annulus fibrosus is predominantly a ring of laminated collagen and the inner nucleus pulposus is gelatinous in nature ( Slide 1 Slide 1 The nucleus, which is a remnant of the developmental notochord, is predominantly composed of type II collagen. Type II collagen, along with proteoglycans, helps maintain the hydration of the nucleus, allowing the nucleus to resist compression and act as a physiologic cushion. As an individual ages, proteoglycans diminish and the nucleus loses the ability to distribute axial loads.

62. LookSmart - Directory - Intervertebral Disc Displacement, Slipped Disk, Or Herni herniated disc. Uncover its symptoms, prevention, causes, and treatment,and compare lumbar and cervical herniated disk forms. Am. http://search.looksmart.com/p/browse/us1/us317837/us317920/us53948/us54701/us273

@import url(/css/us/style.css); @import url(/css/us/searchResult1.css); Home IN the directory this category YOU ARE HERE Home Personal Health Intervertebral Disc Displacement, Slipped Disk, or Herniated Disc - Resources cover symptoms, signs, diagnosis, and treatment of prolapsed disk. Directory Listings About About - Ruptured Disk Find information about a ruptured disk, a common cause of back and leg pain. Learn about what causes pain from a herniated disc. Back and leg pain mark complications of herniated disc. Uncover its symptoms, prevention, causes, and treatment, and compare lumbar and cervical herniated disk forms. Am. Family Physician - When You Have a Herniated Disc Review an article for the patient with a herniated disc. Find full explanations for the causes, symptoms, diagnosis, and treatment. American Family Physician - Herniated Lumbar Disc. Peruse an in-depth overview of clinical evaluation and treatment options for the herniated lumbar disc. Learn about imaging techniques. Gale Encyclopedia of Alternative Medicine - Herniated Disk Discusses causes, symptoms, and treatment of this condition in which the fibrocartilagenous material that surrounds the intervertebral disk ruptures. Gale Encyclopedia of Medicine - Herniated Disk Describes the condition in which the fibrocartilagenous material that surrounds the intervertebral disk ruptures. Also covers treatment.

63. Go Ask Alice!: Disk Is Slipped, Bulging, And Herniated... Help! disk IS SLIPPED, BULGING, AND herniated HELP! Dear Alice,. What is the differencebetween a slipped disk, a bulge in a lumbar disk, and a herniated disk? http://www.goaskalice.columbia.edu/2103.html

Mac users: please note that our site is optimized for the Safari browser General Health Disk is slipped, bulging, and herniated... Help! Originally Published: March 29, 2002 Dear Alice, What is the difference between a slipped disk, a bulge in a lumbar disk, and a herniated disk? I am (for the past two months) experiencing severe back pain which radiated down my left leg. My MRI results came back and the nurse from the office said I had "disk disease" and "degeneration" as well as a "slipped disk." The doctor called me later and told me I have a "bulge" and an "arthritic" spine condition. I am trying to understand what the various terms mean (slipped vs. bulge vs. herniated). Could you tell me what the distinctions are? Dear Reader, Let's start at the top, or rather the back. Your spine is a column of thirty-three small bones called vertebrae. These bones create a protective tunnel for your spinal cord, a bundle of nerves that relay messages between the brain and the body. In between each vertebra is a small piece of disk-shaped cartilage. These "disks" act as a cushion and prevent the vertebrae from grinding against each other when you "do the Twist" or anything else that involves moving your back. Degenerative disk disease is a form of arthritis. This statement might be controversial, according to some. There's degenerative disk disease and degenerative osteoarthritis, but they're not necessarily considered the same. Other forms of arthritis also affect the spine, such as osteoarthritis of the spine, rheumatoid arthritis, and ankylosing spondylitis.

64. Herniated Disk What It Is And What You Can Do Familydoctor.org herniated disks are most common in the lumbar spinethe part of yourbackbone between the bottom of your ribs and your hips. Disks http://familydoctor.org/x1514.xml

Advanced Search familydoctor.org Home Conditions A to Z Herniated Disk What is a herniated disk? Why does a disk get herniated? What are the signs of a herniated disk? How does my doctor know I have a herniated disk? ... What are my chances of getting better? Herniated Disk: What It Is and What You Can Do Printer-friendly version Email this article What is a herniated disk? When the soft part between bones in the spine presses on the nerves around the backbone, it's called a herniated disk. The word "herniate" (say: her-nee-ate) means to bulge or to stick out. Sometimes this is called a ruptured disk. Herniated disks are most common in the lumbar spinethe part of your backbone between the bottom of your ribs and your hips. Disks are soft "cushions" between the bones of the spine. The drawing to the left shows part of the spine. The spine holds up your body. It also protects your spinal cord and nerves. The disks in the spine let you move your backbone. Return to top Why does a disk get herniated? As you grow older, your disks become flatter less cushiony. If a disk becomes too weak, the outer part may tear. The inside part of the disk pushes through the tear and presses on the nerves beside it. The drawing to the right shows how a disk looks when it gets pushed through the tear and presses on a nerve. Herniated disks are most common in people in their 30s and 40s. Return to top What are the signs of a herniated disk?

65. Gale Encyclopedia Of Alternative Medicine: disk. A lumbar support can be helpful for a herniated disk at thislevel as a temporary measure to reduce pain and improve posture. http://www.findarticles.com/cf_dls/g2603/0004/2603000420/p4/article.jhtml?term=

66. ChiroFind.com | Tell Me About Herniated Discs Side posture manipulation for lumbar intervertebral disk herniation. Journal ofManipulative and Physiological Therapeutics, Mar.Apr. 1992; vol. 21, no. http://www.chiroweb.com/find/tellmeabout/disc.html

Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Tell me about... Herniated Discs What are herniated discs? The 24 vertebrae of your spine are separated from one another by pads of cartilage called discs. These discs have a fairly tough outer layer with a soft interior to cushion against the shocks and strains experienced as you move and put various stresses on your spine. The discs are subject to injury, disease, and degeneration with use over time. Certain activities and types of work increase the risk of discs being damaged or deteriorating. When the soft interior material of a disc pushes out through a tear or weakening in the outer covering, the disc is said to be herniated. Herniated discs are also called protruding, bulging, ruptured, prolapsed, slipped, or degenerated discs. There are fine distinctions between these terms, but all really refer to a disc that is no longer in its normal condition and/or position. Herniated discs cause pain by impinging on (intruding upon, irritating, and pinching) and even injuring nerves in the spinal column. What are some of the typical symptoms of herniated discs?

67. L4-5 Disc (Disk) Herniations Of The Lumbar Spine - Medical Illustration Low Back Pain L4-5 Disc (disk) Herniations of the lumbar Spine. YOU MAY ALSOWANT TO REVIEW THESE ITEMS lumbar Paracentral Right Sided herniated Disc. http://findlaw.doereport.com/generateexhibit.php?ID=7536

68. Herniated Disks- Healthcare Professional Verson- Pediatric The most frequent sites of herniated disk involvement are C56. C6-7, L4-5, andL5-S1. lumbar disk disease is more common in males than females, and most http://www.nursing.uiowa.edu/sites/PedsPain/GenePain/HDisktt.htm

Herniated disks Health Professional Version Deb Webster RN Edited by Ann Woodward RN, BSN Etiology/Epidemiology The most common cause of intervertebral disk disease is the normal aging process, which causes degeneration of the disk. Half of disk herniations are related to trauma from sudden movement or inappropriate movement. The most frequent sites of herniated disk involvement are: C5-6. C6-7, L4-5, and L5-S1. Lumbar disk disease is more common in males than females, and most frequently affects young and middle-aged adults. Anatomy, Pathophysiology : After 30 years of age the normal aging process causes degenerative changes to occur in the longitudinal ligaments that support the vertebral bodies posteriorly and the annulus fibrosis of the disk. The fraying and the tearing of the annulus fibrosis make the disk vulnerable to rupture. The nucleus polposa can herniate through the weakened cartilage laterally or centrally. When the disc ruptures through the annulus fibrosis and the posterior longitudinal ligament, a sequestered disc is produced, which may migrate into the spinal canal and cause compression of the nerve root that sets next to the posterolateral edge of the disc. Compression of the nerve root causes sciatic leg pain, numbness, tingling, tenderness and paresthesia. Diagnosis: A herniated disc is best confirmed by MRI. If MRI is not available, the myelogram with contrast dye, in conjunction with a CT scan, is useful.

69. Journals : Endoscopic Discectomy,disk, Laser Discectomy,herniated Disc, Sciatica Especially about herniated disc, herniated disk, spine, laminectomy, back, leg,knee, neck pain, lumbar, pinched nerve, sciatica, neurosurgery, arthroscopic http://www.spineonline.com/published.html

The leader in herniated disc treatment! Home Incoming Patients Post Surgery Area Questions to Ask Your Doctor ... Out of Town Patients Tell A Friend Tell a friend about SpineOnline Questions Major surgery is not the only option for many patients with disc herniation. Call 800-956-6724. Send us a question Title : Endoscopic Transforaminal Lumbar Discectomy and Reconfiguration : A Posterolateral Approach into the Spinal Canal Surgical Neurology [An International Journal : 1998 Jun;49(6):588-97;] This study represents cases of working channel, transforaminal spinal endoscopy performed using an endoscope which, because of its small size and flexibility, can bend up to 90 degrees, and pass completely through the foramen into the spinal canal, to directly remove free fragments and reconfigure disc, relieving root and dural displacement at a lumbar levels. The percutaneous transforaminal endoscopic technique can be effective, safe approach for disc removal through the foramen, especially in cases where the disc presents itself for direct removal. Read This Article Any questions about this site, mail to

70. ALS Vs Cervical Spondyliosis § Lumbar Herniated Disk Subject ALS vs Cervical Spondyliosis § lumbar herniated disk Topic Area AMYOTROPHICLATERAL SCLEROSIS ALS Forum The Neurology and Neurosurgery Forum http://www.medhelp.org/forums/neuro/messages/31953a.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: ALS vs Cervical Spondyliosis § Lumbar Herniated disk Topic Area: AMYOTROPHIC LATERAL SCLEROSIS - ALS Forum: The Neurology and Neurosurgery Forum Question Posted By: RPS50 on Wednesday, August 21, 2002 Answer Posted By: CCF-Neuro-M.D.-JT on Monday, August 26, 2002 Doesn't sound like a typical case of ALS. But in someone with sarcoids, you have to consider the possibility of neurological involvement. The neuro exam will be very important in picking up any objective signs of neurological disease. An MRI of the brain and spinal tap may be helpful, but it again depends on what the exam shows. A disk pushing up against a nerve root if severe enough can cause fasciculations in the appropriate area. So depending on where the disk disease is, the elbow twitching could be related. GOod luck The Neurology Forum Neurology Forum Archives Med Help Home If you would like to make an appointment at the Cleveland Clinic, please call 1-800-CCF-CARE or inquire online by using the Neurology Dept.

71. Lumbar Disk Problems Subject lumbar disk Problems Topic Area Neuromuscular Forum The Neurology andNeurosurgery of a personal nature concerning effects of a herniated L5S1 disk http://www.medhelp.org/forums/neuro/messages/30336a.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Lumbar Disk Problems Topic Area: Neuromuscular Forum: The Neurology and Neurosurgery Forum Question Posted By: Freddy on Wednesday, January 12, 2000 First of all, let me thank you for the wonderful service you provide. My question is somewhat of a personal nature concerning effects of a herniated L5-S1 disk. How common are erectile difficulties with this particular injury? I find that I have lost sensation in the penis. Will surgery to correct the disk restore full nerve function? As you can imagine, this has me quite concerned. All my neurosurgeon will say is 'Sometimes it does, sometimes it doesn't" Thank you again for your opinion. Answer Posted By: CCF Neuro[P] MD, RPS on Wednesday, January 12, 2000 Dear Freddy: Sorry to hear about your disc problem. What you are asking about is likely not due to L5/S1 herniation. The herniation would have to be pretty severe with compromise of the cord itself. The area in question is in S3/S4 if I remember correctly. The sensation and erection problem may be located somewhere else, either athroscleroisis, or sympathetic and parasympathetic derived nerves from the sacral plexus. If you have long term diabetes or use alcohol chronically these might feed into the problem. I would see a good neurologist or urologist. Sincerely

72. YourSurgery.Com®-Lumbar Discectomy lumbar disk surgery for a ruptured or herniated disk is the most commonly performedsurgical procedure for low back pain with pain radiating into a leg. http://www.yoursurgery.com/ProcedureDetails.cfm?BR=2&Proc=34

73. Spine Anatomical Model Vertebral Column,Cervical Lumbar Models Vertebrae.Anatomy Artery, all Spinal Nerves Branches, Femur Heads (18 spine only), Brain Stem, Cerebellum,and herniated lumbar Disc. herniated disk is interchangeable with http://www.buyamag.com/spine_models.php

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74. Wheeless' Textbook Of Orthopaedics associated with the symptomatic human intervertebral disk. changes in aging lumbarintervertebral discs. in patients with herniated lumbar intervertebral discs http://www.wheelessonline.com/o11/39.htm

Main Menu Home Page Disc Herniation: - See: - Herniated Disc in the Child Intervertebral Discs - Anatomy: - disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; - disc containment: - w/ a contained disc herniation, the disc material herniated through the inner annulus but not the outer annulus; - the material is therefore contained, but still can distort the path of the nerve; - w/ a non contained herniation, the disc material penetrates both the inner and out layers of the annulus; - the material may reside beneath the posterior longitudinal ligament or may penetrate through it, or can be sequestered as a free fragment; - posterolateral disc herniation: - protrusion is usually posterolateral into vertebral canal, where it may compress the roots of a spinal nerve; - in the case of a posterolateral herniation, the disc will not affect nerve corresponding in number to that intervertebral discs (that nerve emerges above the disc); - note that each nerve emerges thru upper part of foramen and lies against body of vertebra above; - protruded disc usually compresses next lower nerve as that nerve crosses level of disc in its path to its foramen; - hence, protrusion of fifth lumbar disc usually affects S1 instead of L5; - in this case, an L4-L5 disc herniation will protrude on the

75. Welcome To AJC! lumbar radiculopathy; Cervical radiculopathy; herniated intervertebral disk;Prolapsed intervertebral disk; Slipped disk; Ruptured disk. Definition http://www.ajc.com/search/healthfd/shared/health/adam/ency/article/000442.html

Main Contact us Edit profile Subscribe ... Register Now It's Free! Log in E-mail preferences Site Index Search: Site Yellow Pages Customer care ajc.com Nation/World Metro ... Personals ajc services Archives Advertise online Advertise in print Obituaries ... Sitemap Print edition Today This week A1 image E-mail News  Sign up for our  FREE newsletters: News Sports Business Travel Deals ... Logged in? ajc store Gifts Photos/pages Browser tip  Make ajc.com  your homepage: ajc guides Schools Visitors Illustrated Health Encyclopedia Important notice Ency. home Disease H Herniated nucleus pulposus (slipped disk) See images Overview Symptoms Treatment ... Prevention Alternative names: Lumbar radiculopathy; Cervical radiculopathy; Herniated intervertebral disk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk Definition: a condition in which part or all of the soft, gelatinous central portion of an intervertebral disk (the nucleus pulposus) is forced through a weakened part of the disk, resulting in back pain and nerve root irritation. Causes and Risks The bones of the spinal column, or vertebrae, run down the back connecting the skull to the pelvis. These bones protect nerves as they exit the brain and travel down the back throughout the entire body. The spinal column is divided into several segments; the cervical spine (the neck), the thoracic spine (the part of the back behind the chest), the lumbar spine (lower back) and sacral spine (the part connected to the pelvis that does not move). The spinal vertebrae are separated by cartilage disks, filled with a gelatinous substance, that provide cushioning to the spinal column. These disks may herniate or rupture from trauma or

76. The Bonati Institute - Spine And Spinal Surgery For Back Pain - About soon you ll cervical spine advanced arthroscopic surgery flew bluff lumbar DiscectomiesESI cervical spine eleven occasionally disk surgery herniated discs. http://www.bonati.com/info/index.pl?Back=lumbar&Herniated=Herniated&Surgical=Sur

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78. St.Francis Hospitals And Health Centers where they exit from the spinal column in close proximity to the disk and can causesevere pain. This is most common in the lower spine. herniated lumbar Disc. http://www.stfrancishospitals.org/DesktopDefault.aspx?ID=11794&tabindex=3&tabid=

79. A Novel Approach To The Management Of Acute Disk Herniation and leg pain due to herniated disks; however, it Automated percutaneous lumbar diskectomyand laser 7 found that percutaneous disk nucleoplasty successfully http://www.orthopedictechreview.com/issues/julaug02/case.htm

A Novel Approach to the Management of Acute Disk Herniation by Arra S. Reddy, MD, and Joshua A. Hirsch, MD The authors assert that percutaneous disk nucleoplasty lacks many of the drawbacks that limited the acceptance of older, similar procedures. The percutaneous decompression of herniated disks is a well-established clinical approach, with more than 500,000 procedures having been performed during the past 20 years. Several percutaneous techniques are in use, including chemonucleolysis, percutaneous lumbar diskectomy, laser diskectomy, and intradiscal electrothermal therapy (annuloplasty). These procedures have a reported success rate of 70% to 75%, but each procedure has its limitations. Use of chymopapain proved the concept of disk decompression for treating back and leg pain due to herniated disks; however, it resulted in an unacceptable level of complications and is no longer available in the United States. Automated percutaneous lumbar diskectomy and laser diskectomy are in limited use today due to a combination of unfavorable clinical, design, cost, and patient comfort factors. A recent peer-reviewed article found that percutaneous disk nucleoplasty successfully treated 79% of patients, based on up to a year of follow-up evaluation, and had a success rate of 82% when patients with prior surgery were excluded. These early success rates are comparable to, or slightly better than, those of previous percutaneous approaches. The procedure also seems to lack many of the drawbacks that limited the acceptance of older procedures.

80. BackPainOConnor.com lumbar Ligament Sprain, lumbar Disc Degeneration, (lumbar disk Degeneration),Low Spinal Disc Disease (or Spinal disk Disease), herniated Disc (or http://www.backache.md/bookorders.asp

THE BOOK CLICK HERE TO ORDER BOOK MEMBERS DISCOUNT ... BOOK OR REFERRAL TO FRIEND TITLE: MAKING YOUR BAD BACK BETTER WITH THE O'CONNOR TECHNIQUE SUBTITLE: HOW YOU CAN BECOME YOUR OWN CHIROPRACTOR AUTHOR'S LAST NAME: O'Connor AUTHOR'S FIRST NAME: William AUTHOR'S MIDDLE NAME: Thomas, Jr., M.D. SYNOPSIS: MAKING YOUR BAD BACK BETTER WITH THE O'CONNOR TECHNIQUE (tm), HOW YOU CAN BECOME YOUR OWN CHIROPRACTOR The book and especially the self-administered physical therapy aspect was written to be read from a back pain sufferer's perspective, in lay language; however it was also intentionally written with sufficient technical detail so that a physical therapist, massage therapist, Chiropractor, or physician can apply the identical principles to patients in order to diagnose back pain or neck pain, relieve backache or neck ache, and prevent their back pain or neck pain from re-occurring. No other existing back pain therapy, backache therapy, or neck pain therapy offered by the medical establishment, or available to the public through any media, approaches the successfulness of The O'Connor Technique in its ability to not only address immediate, acute back pain or chronic backache; but, over the life of the individual, it teaches how the painful biological process of degenerative disc disease can be avoided and, this previously believed to be relentless process, prevented from advancing at the rate it otherwise might.

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