81. Lumbar Herniated Disc - Animated Presentation Illustration of herniated disc and how it causes back pain and leg pain, by SpineHealth Related information lumbar disc herniation What is a herniated disc, pinched nerve, bulging disc ? http://www.spine-health.com/dir/hern.html

Interactive Spine Animations Search Related information Lumbar disc herniation What you need to know about sciatica What is a herniated disc, pinched nerve, bulging disc...? Lumbar herniated disc Please be patient while page is loading The information in Spine-health.com is not intended as a substitute for medical professional help or advice but is to be used only as an aid in understanding back pain and neck pain. A physician should always be consulted for back pain or any health problem. Spine-health.com provides links to other organizations as a service to our readers and is not responsible for the information, services, or products provided by these web sites, health professionals, or companies. See Terms and Conditions and Privacy Policy Home Newsletter About Us ... Clinical Trials

82. Clinical Evaluation And Treatment Options For Herniated Lumbar Disc - February 1 Evaluation and Treatment Options for herniated lumbar Disc information handout on herniated lumbar disc, written by the can differentiate a herniated lumbar disc from low back http://www.aafp.org/afp/990201ap/575.html

Advanced Search Clinical Evaluation and Treatment Options for Herniated Lumbar Disc S. CRAIG HUMPHREYS, M.D., and JASON C. ECK, M.S. Chattanooga, Tennessee A patient information handout on herniated lumbar disc, written by the authors, is provided on page 587. Degeneration of the intervertebral disc from a combination of factors can result in herniation, particularly at the L4-5 and L5-S1 levels. The presence of pain, radiculopathy and other symptoms depends on the site and degree of herniation. A detailed history and careful physical examination, supplemented if necessary by magnetic resonance imaging, can differentiate a herniated lumbar disc from low back strain and other possible causes of similar symptoms. Most patients recover within four weeks of symptom onset. Many treatment modalities have been suggested for lumbar disc herniation, but studies often provide conflicting results. Initial screening for serious pathology and monitoring for the development of significant complications (such as neurologic defects, cauda equina syndrome or refractory pain) are essential in the management of lumbar disc herniation. T he intervertebral disc is responsible for the attachment of vertebral bodies to each other, providing flexibility and absorbing and distributing the loads applied to the spinal column. With aging, the disc undergoes significant changes in volume and shape as well as in biochemical composition and biomechanical properties. Lumbar disc herniations are believed to result from anular degeneration that leads to a weakening of the anulus fibrosus, leaving the disc susceptible to anular fissuring and tearing.

83. NEUROSURGERY://ON-CALL® Feel free to consult your physical therapist for more specific recommendations regardingpostoperative or postherniated disc lumbar spine reconditioning and http://www.neurosurgery.org/pubpages/patres/herniatedbroch.html

84. Ozone Discolysis - Ozone Treatment Of Herniated Intervertebral Its injection in the disk speeds up the polyglucosids degradation in the and dehydrationand thus reducing the volume of the herniated material which has been http://www.diagnostico.com/trejos/Discolysis.stm

85. Backaches May Be In Your Genes lumbar disk disease affects about 5% of the population. It often causes a herniateddisk to stick into the spine resulting in sciatica, a severe pain in the http://my.webmd.com/content/article/34/1728_77093.htm

WebMD Today Home WebMD News Center Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Quizzes, Calculators Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map Medical News Archive Backaches May Be in Your Genes By Jeanie Lerche Davis WebMD Medical News Archive Reviewed By Dr. Tonja Wynn Hampton April 11, 2001 "Oh! My aching back!" It's one complaint that nearly all of humankind has in common. Many people just live with it, putting up with bouts of pain. But for a few select people, back problems are so severe they become chronic and debilitating, often requiring surgery. Now a group of researchers has identified a genetic abnormality that dramatically increases the risk of one of the most common back disorders lumbar disk disease. They hope this genetic defect may eventually be a target for gene therapy. "This is a breakthrough," study author Leena Ala-Kokko, MD, PhD, associate professor in the Center for Gene Therapy at Tulane University Health Sciences Center in New Orleans, tells WebMD. "It's quite possible that genetic defects may be the major cause of this disease." The research findings appear in the April 11 issue of The Journal of the American Medical Association.

86. Gale Encyclopedia Of Medicine Herniated Disk This strongly suggests that many patients with herniated disks at thelumbar level respond well to conservative treatment. For those http://www.findarticles.com/cf_dls/g2601/0006/2601000668/p4/article.jhtml?term=

87. MedPix™ Radiology Teaching Files, Cases, And Medical Image disk herniations may occur in the cervical, thoracic, or lumbar spine. Lowerlumbar disk herniation is a particularly common clinical problem. http://rad.usuhs.mil/medpix/medpix.html?mode=tf_case&pt_id=6884¬hing=

88. Journal Of Biology | Search Results Dudek_H In Author Longterm results of surgical treatment of lumbar disk herniation in adults DudekH, Michno T, ebkowski WJ, Koz owski A Chir Narzadow Ruchu Ortop Pol 2001, 66 http://jbiol.com/search/results.asp?db=pm&terms=Dudek_H&field=AU

89. ESpine.com--Back To Basics--Herniated Disc For example, a herniation between the fourth and fifth lumbar vertebrae will betweena natural healthy clumsiness and the signs of a diseased disk.). http://www.espine.com/herniateddisc.html

General description Discs are the relatively soft, gelatinous cushions that surround the spinal cord and act as shock absorbers between the hard, bony vertebrae. A herniated disc is a protrusion of the disk material, usually through small openings in the vertebrae where nerves enter the spinal column. Disks herniate most commonly in the lower back, although they also occur frequently in the lower neck and more uncommonly may occur anywhere. Causes A disk may herniate because of sudden trauma, anything from a fall on an icy sidewalk to an athletic injury to simply lifting the wrong bag of groceries in the wrong way at the wrong time. They may also be caused simply by the cumulative long term effects of what doctors like to call poor body mechanics - a lifetime of too much bending and twisting too many awkward positions. Although the majority of lumbar lower back herniations occur in people 40-55 , most cervical neck herniations occur in older people, whose disks loose elasticity and become brittle because of normal aging processes. Signs and symptoms Depending on where the herniation occurs, and the degree to which nerves entering the spine, or the spine itself, are affected, a wide range of symptoms are possible. In addition to pain around the site of the herniation, many disk patients also experience significant pain somewhere other than where the disk is. This is because when disks ooze and bulge, they ooze and bulge into spaces occupied by nerves. Because these nerves are carrying impulses from different parts of he body to the spine and then to the brain, the pain is experienced as if it were occurring in the area from where the nerve originates.

90. 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 ALSO WANT TO REVIEW THESE ITEMS lumbar Disc Herniation. http://catalog.nucleusinc.com/generateexhibit.php?ID=7536&ExhibitKeywordsRaw=&TL

91. James V. Gainer, Jr., M.D. 8, pp 974977, 1974. Gainer, JV, Jr., and Nugent, GR The herniated LumbarDisk, American Family Physician, Vol 10, No. 3, pp 127131, 1974. http://www.neurosurgery.ufl.edu/FacultyPage/Gainer.html

James V. Gainer, Jr., M.D Professor James V. Gainer, Jr. M.D. received his B.S. degree from West Virginia University, Morgantown, West Virginia. In 1959 he received his medical degree from Jefferson Medical College in Philadelphia, PA. Dr. Gainer completed his medical internship at the US Naval Hospital in Philadelphia in 1960 and his neurosurgical residency at West Virginia School of Medicine in Morgantown in 1975. Dr. Gainer is a graduate of the US Naval School of Aviation Medicine and has served as Naval Flight Surgeon in Pensacola, FL. (1961-64). He retired with the rank of Captain, MC, USNR in 1990. Dr. Gainer has over 3 decades of medical experience in private practices in West Virginia and Gainesville, FL. His academic practice started with his appointment in 1999 as Professor, Department of Neurosurgery, University of Florida. Dr. Gainer is a Diplomat of the American Board of Neurological Surgery, a Fellow of the American College of Surgeons, and has served as Chief of Surgery at Alachua General Hospital, Gainesville, FL. Special Interests: Spinal Neurosurgery, Peripheral Nerve Surgery, Rehabilitation

92. Spinal Surgery - Lumbar- Medcohealth.com Definition. lumbar spinal surgery is used to correct problems with the spinalbones (vertebrae), disks, or nerves of the lower back (lumbar spine). http://www.medcohealth.com/medco/consumer/ehealth/ehsarticle.jsp?topicID=HE:Surg

93. ORTHOPEDICS: Interpositional Arthroplasty (Jones Technique) For The Treatment Of Interpositional Arthroplasty (Jones Technique) for the Treatment of Herniatedlumbar Disks A Modification of the Soft Posterior lumbar Interbody Fusion. http://www.orthobluejournal.com/supp/0503/jones.asp

* May 2003 Supplement * [Back to Table of Contents] Interpositional Arthroplasty (Jones Technique) for the Treatment of Herniated Lumbar Disks: A Modification of the Soft Posterior Lumbar Interbody Fusion Stanley C. Jones, MD; Ronald C. Fernau, PA-C; Bonnie Lane Woeltjen, PA-C Sixty-six patients underwent posterior lumbar interpositional arthroplasty using a combination of calcium sulfate pellets, decompression bone, and autologous growth factors. Patients who underwent this modification of the soft posterior lumbar interbody fusion (PLIF) (Jones technique) were evaluated using clinical and radiographic ratings. The Jones technique produced significantly improved clinical pain scores in all patients, reducing back pain by 71% and leg pain by 90%. Furthermore, 93% of patients achieved at least 50% opacity of the disk space area. The Jones technique for the soft PLIF provided reduction of pain and stabilized the disk space height in addition to decreasing morbidity and cost. Back and leg pain due to a lumbar herniated nucleus pulposus creates a desperate, anxious patient. Such patients have been medically treated with analgesics, physical therapy, and, occasionally, epidural steroids. Medical treatment alone is not always effective for treating large herniations, and surgical excision of the affected disk alone frequently results in vertebral instability, disk space collapse, and facet arthroplasty.

94. NeurosurgeryToday.org | Find A Board-Certified Neurosurgeon What is Neurosurgery. About Us. Corporate Involvement. Find a BoardCertified. Neurosurgeon. Legislative Activities. Library. Media Center. Research. Professional Information AANS.ORG. Site Map. Home Find a Board-Certified Neurosurgeon http://www.neurosurgery.org/health/patient/answers.asp?DisorderID=37

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