1. Herniated Lumbar Disk - Herniated Lumbar Disc Herniated Lumbar Disc. What is it, how it is produced and treatment alternatives http://www.trejos.com/trejos/herniate.htm

2. Lumbar Disk Disease LUMBAR (LOWER BACK) DISK DISORDERS. by Carl Butterfield, M.D., assistant to Dr. Reid. Definition The lumbar region of the back, goes from the lower part of the chest (ribs) down to the pelvis (hips). The incidence of lumbar disk disorder increases the lower down the back one looks http://www.brainsurgeon.com/LUMBAR.HTM

LUMBAR (LOWER BACK) DISK DISORDERS by Carl Butterfield, M.D., assistant to Dr. Reid Definition: The lumbar region of the back, goes from the lower part of the chest (ribs) down to the pelvis (hips). Most people have five lumbar vertebrae with disks between each and between the first lumbar vertebrae and the last thoracic vertebrae above, and the last lumbar vertebrae and the sacrum (back part of the pelvis) below. The incidence of lumbar disk disorder increases the lower down the back one looks. This is because the lower vertebrae have to support more weight and stress, and are less mobile. When ruptures in the disks occur, they are associated with flowing out of the disk material, most often in a postero-lateral direction. Symptoms: Diagnosis: To make a correct diagnosis, the physician uses a combination of information. This information may be from the patient in the form of a history and physical, from diagnostic studies (ex: MRI, nerve conduction studies) or from a combination of the above (myelogram with a post myelogram CT). The physician tries to tie together information from the above sources and to see if they correlate and support the findings of each other (ex: a disk herniation at a particular level may manifest itself in a particular pattern of pain distribution). Treatment: Risks involved with low back surgery: Any time a patient is considering a surgical option for a back/disk problem, they need to understand the risks associated with the procedure, and weigh them against the potential benefits. The surgeon will explain what are the risks, their frequency of occurrence, and compare them to the desired benefits. The risks include, but are not limited to: infection, bleeding, loss of life, loss of control of the bowels or bladder, sexual disfunction, recurrence, paralysis, weakness, numbness, epidural fibrosis, cerebral spinal fluid leak, nonrelief pain, meningitis, lumbar instability, poor wound healing and other serious complications. An example where a patient can influence the risk of bleeding, is to inform the surgeon what medications they are on, because some medications such as aspirin can increase the possibility of bleeding.

3. Treatment Options For Lumbar Herniated Disk, By Spine-Health Full range of treatments for a lumbar herniated disk. The care of a patient with a lumbar herniated disk is far from standardized and, to a certain for each patient. A lumbar disk herniation http://www.spine-health.com/topics/conserv/lumbar/lumb01.html

Introduction Common causes Conservative care Surgery ... Anatomy Search Treatment options for a lumbar herniated disk Introduction Conservative treatments Treatment considerations Surgical treatments Spine animations Lumbar microdiscectomy Related information Lumbar disk herniation What you need to know about sciatica Types of low back pain Multispecialty case-herniated disk ... What's a herniated disk... Treatment options for a lumbar herniated disk The care of a patient with a lumbar herniated disk is far from standardized and, to a certain extent, needs to be individualized for each patient. A lumbar disk herniation usually causes leg pain (sciatica or a radiculopathy) and is often referred to as a pinched nerve, bulging disk, ruptured disk, or a slipped disk. The treatment will largely depend on the length of time the patient has had his or her symptoms and the severity of the pain. Generally, patients will be advised to start with 6 to 12 weeks of conservative treatment (such as physical therapy).

4. MayoClinic.com - Herniated Disk Health Decision Guide with a herniated lumbar disk, not a herniated cervical disk. lumbar disk herniation occurs in http://www.mayoclinic.com/takecharge/healthdecisionguides/herniateddisk/index.cf

Herniated Disk FORMAT TO PRINT: This section All sections June 2, 2004 In This Decision Guide Welcome About herniated disks How your back works How herniated disk occurs ... Related links Welcome By Mayo Clinic staff A herniated disk can affect how you're able to perform everyday tasks and can cause severe pain that influences most everything you do. You and your doctor will make decisions about how to best treat your herniated disk, sometimes called ruptured disk or slipped disk. No single treatment choice is right for everyone. Your decisions will be based on a number of factors, including the nature of your condition, the degree to which it's affecting your lifestyle and the level of pain you're experiencing. Think of your doctor and you as partners in making decisions about how to treat your herniated disk. You'll want to carefully consider all your options and the risks and benefits of each in relation to your lifestyle and what's important to you. The information in this decision guide is intended to help you understand the various treatment options and help decide which treatment is best for you. You can see and hear directly from people who made different treatment choices, as well as from the director of the Mayo Clinic Spine Center, Rochester, Minn. This guide also frames key questions to help you in this important decision-making process.

5. Low Back (Lumbar) Slipped (Herniated) Disk Homepage Diagnosis. LOW BACK SLIPPED DISK ( Herniated lumbar disk) Check out EMEDx.com. Definition. Abnormal movement of the material (disk) that helps support the bones of the lower back. Details http://www.emedx.com/emedx/diagnosis_information/back-neck_disorders/low_back_sl

Diagnosis LOW BACK SLIPPED DISK (Herniated Lumbar Disk) For more Sports Medicine and Orthopedic Information Check out EMEDx.com Definition Abnormal movement of the material (disk) that helps support the bones of the lower back. Details Disks are found between the bones of the back (vertebrae). They can at times push out of their normal position (herniate) and then cause symptoms. Causes A slipped disk or herniation usually results from an twisting injury to the low back or may be due to several small sprains. Diagnosis Typically, pain and spasm begin either immediately after an injury or develop within the 24 hours. The pain is made worse by activity and usually improves with rest. The pain may start in the lower back but also can radiate to the legs. This can be felt as a sharp or shooting pain down the leg into the knee, ankle or foot. It may be accompanied by either numbness or weakness. Initially x-rays may be taken to evalute the back. An MRI Scan or CT scan may also be ordered depending on the symptoms and physical examination. Model and MRI of Normal and Slipped (Herniated) Disk Model and MRI of Normal and Slipped (Herniated) Disk, Example 2

6. Classic Disquectomy - Lumbar Disc home. Ozone Discolysis. Laser Surgery. Herniated lumbar disk. Back to Home Page. Click here to write to Dr. Trejos Email @Address. PO http://www.trejos.com/trejos/ConvSurg.stm

Search keywords: Main Menu By Disease By System Pediatrics FAQ ... Other links Dr. Trejos Dr. Humberto Trejos Lumbar Disk Herniated Lumbar Disk Surgery for Herniated Lumbar Disk ... Surgery for Parkinson Classic Diskectomy and Microdiskectomy The most used type of surgery for a herniated disk is the "classical" diskectomy. This is done under general anesthesia. An incision on the skin is performed, the muscles of the spine are separated from the vertebra and retracted laterally to allow the passage of the surgical instruments. Then a "window" in the vertebra is done, removing a variable amount of bone; through this opening the nerve root is identified and retracted aside, the annulus is incised and the nucleus is removed in fragments with forceps. Microdiskectomy is the same procedure, but done under the operating microscope, this allows the surgeon to do it through a minimal incision and that the amount of bone, if needed to be removed, be insignificant. It also allows more gentle manipulation of the tissues and nerve, giving more security to the procedure. The post operative discomfort is much less than that of the classical diskectomy. Under typical conditions, after a classical diskectomy the patient is put on analgesic medication and taken out of bed to start walking on the day after surgery and discharged from hospital in a couple of days. Return to work, depending on the job, usually is in 4 to 8 weeks.

7. San Antonio Spine Surgery - South Texas Spinal Clinic Surgical and nonsurgical treatment of spine and spinal disorders, including micro endoscopic surgery, back and neck injury, cervical thoracic and lumbar disk herniation. http://spinaldoc.com/

South Texas Spinal Clinic A Leader in the Innovation of Spinal Surgery and Medicine "Comprehensive Treatment with Compassion and Understanding" Welcome To spinaldoc.com Click Below to Meet Our Doctors General Information Appointments, Emergencies, Prescription ... Sponsors Dr. Gilbert Meadows Dr. David Dennis Dr. Charles Pipkin Dr. Gregg Gurwitz Dr. Jerjis Denno Dr. Paul Geibel Dr. David Hirsch South Texas Spinal Clinic - 7614 Louis Pasteur Suite 300 - San Antonio, TX 78229 210-614-6432 - Fax 210-614-7327 - Email info@spinaldoc.com (c) 1999- 2000 South Texas Spinal Clinic Part of the JMAN5 Family of Web Sites Teftec Mobility Wheelchairs Stinson Air Center South Texas Spinal ... Hyacinth Macaw document.write('<');document.write('! ');

8. Herniated Lumbar Disk The lumbar intervertebral disk is made up of a fibrous outer ring called the annulus and a gelatinous inner portion called the nucleus (fig. http://buffaloneuro.com/lumdisk/hernlum.htm

Click Here for Animated Demonstration of Disk Herniation Fig. 1: Artists rendering of herniated disk Fig. 2: CT scan showing herniated dis k Fig. 3: MRI showing herniated disk The lumbar intervertebral disk is made up of a fibrous outer ring called the annulus and a gelatinous inner portion called the nucleus (fig. 1). The disk acts as a cushion between the vertebral bodies. When herniation occurs, the nucleus pushes through the annulus of the disk producing pressure on the nerve root and/or cauda equina. This is demonstrated on the CT scan (fig. 2), the MRI (fig. 3) and the myelogram (fig. 4). Nearly all patients complain of leg pain (sciatica) in the distribution of one or more nerve roots. Some have back pain as well. Frequently, patients can be treated conservatively with success. However, when their ability to perform normal day to day functions is degraded for a substantial period of time (4-6 weeks), or in the presence of progressing neurological deficit (i.e. foot drop, loss of control of bowel and bladder, cauda equina syndrome), lumbar microdiskectomy is the most effective treatment. During microdiskectomy, the offending disk fragment and much of the loose nucleus are removed through a small, one to two inch incision (figs. 5-8). With success rates of around 90%, patients are able to return to work and full activity in an average of about 10 weeks. Our group has the most extensive experience in Western New York performing outpatient microdiskectomy. In the past 3 years, we have performed more than 1000 of these procedures successfully. Patients prefer this to overnight stay in the hospital.

9. Herniated Lumbar Disk-DynoMed.com Browse Categories, Return 5 Records. Herniated lumbar disk, What is a lumbar disk Herniation? The vertebrae in the lower http://www.dynomed.com/encyclopedia/encyclopedia/spine/Herniated_Lumbar_Disk.htm

Return Records Herniated Lumbar Disk Causes Symptoms Treatment A Quick Overview of the Spine: The cervical vertebrae are the seven vertebrae that form the upper part of your spine, between the skull and the chest. The thoracic vertebrae are the 12 bones between your neck and your lower back.  Thoracic vertebrae have cup-shaped surfaces called facets, in which the ribs rest and connect to the spine.  These ‘joints’ help the ribs to move up and down during breathing. The lumbar vertebrae are the five largest and strongest of all vertebrae.  They are found in your lower back between the chest and hips.  The strong muscles of the back are attached to the lumbar vertebrae. Your sacrum and coccyx are the bones found at the base of your spine.  The triangular sacrum—made up of five vertebrae fused together—supports the spine and connects it to the pelvis.  Your coccyx, or tailbone, is formed from four fused vertebrae and has little function. The vertebral foramen is the hollow part of the vertebrae where the spinal chord (nerve tissues) attaches to your brain and sends signals all over your body.

10. EMedicine - Lumbar (Intervertebral) Disk Disorders : Article By Jeffrey Horwitz, Lumbar (Intervertebral) Disk Disorders lumbar disk disease is a frequent source of low back pain.Sciatica is defined as neuralgia along the course of the sciatic et al Magnetic resonance imaging for lumbar disk pathology. incidence of false negatives (editorial H Diagnosis and management of lumbar disk disease. Mayo Clin Proc 1996 http://www.emedicine.com/emerg/topic303.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Trauma And Orthopedics Lumbar (Intervertebral) Disk Disorders Last Updated: July 13, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Jeffrey Horwitz, DO , Director, Assistant Clinical Professor, Department of Emergency Medicine, North Shore University Hospital at Forest Hills Coauthor(s): Jere Baldwin, MD , Chief, Department of Emergency and Occupational Medicine, Mercy Hospital Jeffrey Horwitz, DO, is a member of the following medical societies: Society for Academic Emergency Medicine Editor(s): Mark S Slabinski, MD , Director, Emergency Services, Southeastern Ohio Regional Medical Center; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; David Levy, DO , Program Director, Associate Professor, Department of Emergency Medicine, Temple University Hospital; John Halamka, MD

11. Lumbar (intervertebral) Disk Disorders Lumbar (intervertebral) disk disorders. DESCRIPTION Many patients with low back pain have lumbar disk disease and involvement of surrounding spinal ligaments, muscles and skeleton. http://www.5mcc.com/Assets/SUMMARY/TP0545.html

Lumbar (intervertebral) disk disorders DESCRIPTION: Many patients with low back pain have lumbar disk disease and involvement of surrounding spinal ligaments, muscles and skeleton. Over time may progress to disk degeneration, disk herniation, spinal narrowing and arthritic proliferation of the facet joint. Management is based on symptoms and disability, because the distinction between the normal aging of the spine and pathological findings are hard to distinguish. Non-radicular low back pain (acute and chronic) - low back pain remaining near belt-line caused by soft tissue or disk injury Radicular low back pain (acute and chronic) - neuropathic pain is to a greater degree in the buttocks, hips or legs rather than the back. There may or may not be signs of weakness, numbness, or loss of reflex. In younger patients, the source of the pain is likely to be mechanical compression or chemical irritation of a nerve root. Spinal stenosis is more likely to be the etiology of radicular pain in patients over 55 years System(s) affected: Musculoskeletal, Nervous

12. EMedicine - Lumbar Disk Problems In The Athlete : Article By Annie Collier, MD lumbar disk Problems in the Athlete Back pain is a common complaint. Numerous causes of lumbar disk disease in athletes exist. http://www.emedicine.com/sports/topic8.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Sports Medicine Spine Lumbar Disk Problems in the Athlete Last Updated: December 12, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: back pain, low back pain, strained back, back is out, herniated disk, slipped disk, herniated nucleus pulposus, ruptured disk, degenerative disk disease, lumbago, mechanical low back pain, LBP AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Annie Collier, MD , Staff Physician, Department of Emergency Medicine, Lincoln Medical Center, Cornell University School of Medicine Coauthor(s): John Munyak, MD , Associate Program Director, Director of Sports Medicine Education, Department of Emergency Medicine, Lincoln Medical and Mental Health Center Annie Collier, MD, is a member of the following medical societies: American College of Emergency Physicians Editor(s): Andrew D Perron, MD

13. Herniated Lumbar Disk of Disk Herniation. Fig. 1 Artists rendering of herniated disk. Fig. 2 CT scan showing herniated disk. Fig. 3 MRI showing herniated disk 3 MRI showing herniated disk. The lumbar intervertebral disk is made up of a fibrous outer ring called the 1). The disk acts as a cushion between the vertebral bodies http://www.buffaloneuro.com/lumdisk/hernlum.htm

Click Here for Animated Demonstration of Disk Herniation Fig. 1: Artists rendering of herniated disk Fig. 2: CT scan showing herniated dis k Fig. 3: MRI showing herniated disk The lumbar intervertebral disk is made up of a fibrous outer ring called the annulus and a gelatinous inner portion called the nucleus (fig. 1). The disk acts as a cushion between the vertebral bodies. When herniation occurs, the nucleus pushes through the annulus of the disk producing pressure on the nerve root and/or cauda equina. This is demonstrated on the CT scan (fig. 2), the MRI (fig. 3) and the myelogram (fig. 4). Nearly all patients complain of leg pain (sciatica) in the distribution of one or more nerve roots. Some have back pain as well. Frequently, patients can be treated conservatively with success. However, when their ability to perform normal day to day functions is degraded for a substantial period of time (4-6 weeks), or in the presence of progressing neurological deficit (i.e. foot drop, loss of control of bowel and bladder, cauda equina syndrome), lumbar microdiskectomy is the most effective treatment. During microdiskectomy, the offending disk fragment and much of the loose nucleus are removed through a small, one to two inch incision (figs. 5-8). With success rates of around 90%, patients are able to return to work and full activity in an average of about 10 weeks. Our group has the most extensive experience in Western New York performing outpatient microdiskectomy. In the past 3 years, we have performed more than 1000 of these procedures successfully. Patients prefer this to overnight stay in the hospital.

14. EMedicine - Lumbar (Intervertebral) Disk Disorders : Article By Jeffrey Horwitz, Lumbar (Intervertebral) Disk Disorders lumbar disk disease is a frequent source of low back pain.Sciatica is defined as neuralgia along the course of the http://www.emedicine.com/EMERG/topic303.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Trauma And Orthopedics Lumbar (Intervertebral) Disk Disorders Last Updated: July 13, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Jeffrey Horwitz, DO , Director, Assistant Clinical Professor, Department of Emergency Medicine, North Shore University Hospital at Forest Hills Coauthor(s): Jere Baldwin, MD , Chief, Department of Emergency and Occupational Medicine, Mercy Hospital Jeffrey Horwitz, DO, is a member of the following medical societies: Society for Academic Emergency Medicine Editor(s): Mark S Slabinski, MD , Director, Emergency Services, Southeastern Ohio Regional Medical Center; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; David Levy, DO , Program Director, Associate Professor, Department of Emergency Medicine, Temple University Hospital; John Halamka, MD

15. MedlinePlus Medical Encyclopedia: Herniated Nucleus Pulposus (slipped Disk) lumbar disk herniation occurs 15 times more often than cervical (neck) disk herniation, and it is one of the most common causes of lower back pain. http://www.nlm.nih.gov/medlineplus/ency/article/000442.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Herniated nucleus pulposus (slipped disk) Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Skeletal spine Sciatic nerve Herniated nucleus pulposis Herniated disk repair ... Lumbar spinal surgery - series Alternative names Return to top Lumbar radiculopathy; Cervical radiculopathy; Herniated intervertebral disk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk Definition Return to top 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 leg pain caused by nerve root irritation. Causes, incidence, and risk factors Return to top 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 and then to 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).

16. MedlinePlus Medical Encyclopedia: Herniated Lumbar Disk Medical Encyclopedia. Herniated lumbar disk. Herniated lumbar disk is a condition in which part or all of the soft, gelatinous central http://www.nlm.nih.gov/medlineplus/ency/imagepages/9540.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Herniated lumbar disk Herniated lumbar disk is 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. Update Date: 1/31/2002 Updated by: A.D.A.M. Medical Illustration Team Health Topics Drug Information Encyclopedia Dictionary ... National Institutes of Health Page last updated: 11 May 2004

17. EMedicine - Lumbar (Intervertebral) Disk Disorders : Article Excerpt By: Jeffrey Lumbar (Intervertebral) Disk Disorders lumbar disk disease is a frequent source of low back pain.Sciatica is defined as neuralgia along the course of the sciatic Excerpt from Lumbar (Intervertebral) Disk Disorders. Please click here to view the http://www.emedicine.com/emerg/byname/lumbar-(intervertebral)-disk-disorders.htm

(advertisement) Excerpt from Lumbar (Intervertebral) Disk Disorders Please click here to view the full topic text: Lumbar (Intervertebral) Disk Disorders Background: Lumbar disk disease is a frequent source of low back pain. Sciatica is defined as neuralgia along the course of the sciatic nerve. Pathophysiology: The intervertebral disks act as shock absorbers and are found between the bodies of the vertebrae. They have a central area composed of a colloidal gel, called the nucleus pulposus, which is surrounded by a fibrous capsule, the annulus fibrosis. This structure is held together by the anterior longitudinal ligament, which is anterior to the vertebral bodies, and the posterior longitudinal ligament, which is posterior to the vertebral bodies and anterior to the spinal cord. The muscles of the trunk provide additional support. The most common site of disk herniation is at the L5-S1 interspace in the lumbosacral region. This is believed to be due to the thinning of the posterior longitudinal ligament as it extends caudally. Nomenclature specific to lumbar disk disease Disk bulge - Annular fibers intact Disk protrusion - Localized bulging with damage of some annular fibers Disk extrusion - Extended bulge with loss of annular fibers, but disk remains intact

18. Ruptured Disk - Information / Diagnosis / Treatment / Prevention and the options for treatment. Dr. Humberto Trejos, Costa Rica....... Frequently asked Questions. ? Herniated lumbar disk http://www.healthcyclopedia.com/musculoskeletal-disorders/back-and-spine/rupture

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... back and spine > ruptured disk Ruptured Disk Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Related Topics Medical Definition Health News Web Directory: Related Topics: Medicine/Medical Specialties/Pain Management Medicine/Medical Specialties/Pain Management/Chronic Pain Medicine/Surgery/Orthopedics Neurological Disorders/Peripheral Nervous System/Neuralgias/Sciatica Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "ruptured disk" Health News: Search millions of published articles for news on Ruptured Disk Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: California Center For Minimally Invasive Spine Surgery Patient information on minimally invasive disc surgery procedures and pain management techniques.

19. Herniated Lumbar Disk Is A,,, North Carolina Herniated lumbar disk is a,,, Online Medical Encyclopedia courtesy of University Health Systems of Eastern Carolina serving 29 counties in eastern North http://www.uhseast.com/111195.cfm

Back Email Us Search Centers of Excellence ... Disease Management Herniated lumbar disk is 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. Back

20. SPINE-HEALTH | Surgical Treatments Search. Treatment options for a lumbar disk herniation. There are many different options for surgery for lumbar disks. Whichever procedure http://www.spine-health.com/topics/conserv/lumbar/lumb04.html

Introduction Common causes Conservative care Surgery ... Anatomy Search Treatment options for a lumbar disk herniation Introduction Conservative treatments Treatment considerations Surgical treatments Spine animations Lumbar microdecompression Related information Lumbar disk herniation Do I need an MRI? Microdiscectomy Lumbar decompression ... Epidural steroid injections Surgical treatments The goal of surgery is to remove the portion of the disk that is impinging on the nerve root (usually about 5% to 10% of the disk). There are many different options for surgery for lumbar disks. Whichever procedure the surgeon uses probably does not matter as much as their comfort level with the procedure, and with their experience. The gold standard for surgery is an open or microsurgical discectomy.

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