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         Lumbar Disk:     more books (31)
  1. Disorders of the Lumbar Spine
  2. Automated percutaneous lumbar discectomy\ by Gary Onik, 1988
  3. CT and MRI of Disk Herniations by Denis Krause, Jean L. Drape, et all 1990-12-03
  4. Refresher course for general practitioners: The treatment of lumbar disk lesions by James Henry Cyriax, 1950
  5. The lumbar spine: Mechanical diagnosis and therapy by Robin McKenzie, 1997
  6. Lumbar Spine and Back Pain
  7. Arthroscopic Microdiscectomy: Minimal Intervention in Spinal Surgery
  8. Lumbar discography by John Stanley Collis, 1963
  9. Lumbar Diskography and its Clinical Evaluation by L Walk, 1962
  10. Arthroscopic Microdiscectomy
  11. The preoperative clinical diagnosis of lumbar disc prolapse;: Its relability and practical applicability. A clinical study based on a series of 100 cases ... (Norwegian monographs on medical science) by Nicolay Wiig, 1963
  12. Mechanism, diagnosis and treatment of lumbar disc protrusion and prolapse by James M Cox, 1974
  13. Diagnosis, classification and treatment of lumbar disc protrusion and prolapse by James M Cox, 1975
  14. Tensile properties of the human lumbar annulus fibrosus, by Jorge O Galante, 1967

21. Virtual Hospital: Radiology Resident Case Of The Week: Lumbar Disk Herniation An
lumbar disk herniation and conjoined nerve root sleeve (lumbar). Eric Fitzcharles, MD Peer Review Status Not Internally Reviewed.
http://www.vh.org/adult/provider/radiology/RCW/051597/051597.html
For Providers Radiology Resident Case of the Week, May 15, 1997
Lumbar disk herniation and conjoined nerve root sleeve (lumbar)
Eric Fitzcharles, M.D.
Peer Review Status: Not Internally Reviewed Clinical Sx:
53-year-old male with several-month history of increasing right lower extremity weakness and numbness. Etiology/Pathophysiology:
Disk degeneration is noticeable by the age of 20. The process consists of desiccation, or water loss in the nucleus pulposus and decreased tissue resiliency with decrease in the height of the disk space. With age, the initially soft and gelatinous nucleus pulposus is replaced by fibrocartilage and the distinction between nucleus pulposus and annulus fibrosis becomes less distance. The annulus becomes fissured and negative pressures bring nitrogen out of solution causing vacuum phenomenon. Disk height loss leads to malalignment and all of these processes permit disk material to bulge and subsequently herniate. The second finding in this patient was a conjoined nerve root sleeve. This is a congenital anomaly that is considered a normal variant and is found in 1-3% of the population. Pathology:
The terminology of disk disease is at times muddy, however the following definitions are helpful: bulge: concentric smooth circumferential expansion of softened disk material beyond the confines of endplates. Protrusion = herniation: focal protrusion of disk material maintaining broad base with parent disk due to weakened or ruptured annulus fibrosus but intact posterior longitudinal ligament (herniation implies ruptured annulus fibrosus but protrusion doesn't necessarily). Extrusion: prominent focal extrusion of disk material with only an isthmus of connection with the parent disk due to ruptured annulus and intact or ruptured posterior longitudinal ligament. Free fragment: frank separation of disk material from parent disk (may migrate). There was no resected pathologic specimen from this patient.

22. Virtual Hospital: Atlas Of Human Anatomy In Cross Section: Topography Of The Tho
Superior Portion of Duodenum. The highest part of the duodenum varies from about the lower third of the tenth thoracic vertebra to the first lumbar disk.
http://www.vh.org/adult/provider/anatomy/HumanAnatomy/Topography/Duodenum.html
For Providers Atlas of Human Anatomy in Cross Section: Appendix: Topography of the Thorax and Abdomen
Duodenum, Jejunum, and Ileum
Ronald A. Bergman, Ph.D., Adel K. Afifi, M.D., Jean J. Jew, M.D., and Paul C. Reimann, B.S.
Peer Review Status: Externally Peer Reviewed Superior Portion of Duodenum The highest part of the duodenum varies from about the lower third of the tenth thoracic vertebra to the first lumbar disk. The average position is at a level between the twelfth thoracic disk and the upper third of the first lumbar vertebra, according to Eycleshymer and Schoemaker. Merkel, Cunningham, and Piersol place it at the level of the first lumbar vertebra, and Joessel places it at the same level but states that this is the position when empty. The present study places the highest level at the lower third of the tenth thoracic vertebra. Transverse Part Eycleshymer and Schoemaker reported that the lower margin of the transverse part of the duodenum varies in location from the middle of the third lumbar vertebra to the fourth lumbar disk. The average position is opposite the middle of the fourth lumbar vertebra.

23. Lumbar Disk Herniations
lumbar disk Herniations. Rahul Shah, MD Department of Orthopaedics and Rehabilitation Yale University School of Medicine New Haven, Connecticut.
http://www.ortho.hyperguides.com/tutorials/spine/lumbar_disk_herniations/default
window.location="http://www.ortho.hyperguides.com/"; Lumbar Disk Herniations
Rahul Shah, MD

Department of Orthopaedics and Rehabilitation
Yale University School of Medicine
New Haven, Connecticut Jonathan N. Grauer, MD
Orthopedic Surgeon
Rothman Institute at Jefferson University
Philadelphia, Pennsylvania Todd J. Albert, MD
Orthopedic Surgeon
Rothman Institute at Jefferson University
Philadelphia, Pennsylvania

24. Lumbar Disk Herniations
lumbar disk Herniations. 1 Lumbar herniated disks present as back pain or radicular leg pain or weakness (which is commonly referred to as sciatica).
http://www.ortho.hyperguides.com/tutorials/spine/lumbar_disk_herniations/tutoria
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Lumbar Disk Herniations Rahul Shah, MD
Jonathan N. Grauer, MD
Todd J. Albert, MD

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.

25. Lumbar Disk Replacement
lumbar disk replacement surgery is a new treatment option for some types of low back pain. The future of spine surgery may include
http://orthopedics.about.com/cs/backpain/a/discreplacement_2.htm
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The Future: Is It Lumbar Disc Replacement?
From Jonathan Cluett, M.D.

26. Herniated Lumbar Disk Is A... Hartford, Connecticut , Saint Francis Care - Hartf
Herniated lumbar disk is a Hartford, Connecticut , Saint Francis Care courtesy of Saint Francis Care of Hartford, Connecticut, contemporary medicine with
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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.
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27. HERNIATED LUMBAR DISK
HERNIATED lumbar disk. Back pain may or may not be a presenting complaint with any herniated lumbar disk. II. DIAGNOSTIC CRITERIA
http://www.hcawv.org/quaginfo/Panel/lbComplete/herndisk083001.htm
HERNIATED LUMBAR DISK
Patients under treatment by their own physician who fail to improve after two to four weeks - refer to an Orthopedic Surgeon or Neurosurgeon for consultation and/or treatment.
I. BACKGROUND Herniations occur most commonly through a posterolateral defect, but midline herniations may occur. Resulting compression of the spinal nerve root causes inflammation and pain, usually along the anatomic course of the nerve, In the lumbar spine, this most often occurs at the L4 and L5 disk levels, causing pressure on the corresponding L5 and S1 nerve roots. As a result of both mechanical and biochemical changes around the nerve root, the patient will experience pain, paresthesia, and possibly weakness in the leg or legs, usually below the knee. The rare herniations at the L1, L2 and L3 levels are usually associated with pain, paresthesia and weakness above the knee. Back pain may or may not be a presenting complaint with any herniated lumbar disk.
II. DIAGNOSTIC CRITERIA
A. Pertinent historical and Physical findings

28. LUMBAR DISK REMOVAL
lumbar disk REMOVAL A surgical procedure which is designed to relieve pressure on the spinal cord or nerve root that is being caused by a slipped or
http://www.medhelp.org/glossary2/new/GLS_2960.HTM
LUMBAR DISK REMOVAL - A surgical procedure which is designed to relieve pressure on the spinal cord or nerve root that is being caused by a "slipped" or herniated disk in the lumbar spine. This procedure is also used in the treatment of spinal stenosis . This procedure includes removal of a portion of the bone comprising a vertebra . Recovery is generally 7-10 days. An alternative to this is a micro-disc surgery
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29. Lumbar Disk Problems
Subject lumbar disk Problems Topic Area Neuromuscular Forum The Neurology and Neurosurgery Forum Question Posted By Freddy on Wednesday, January 12, 2000
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

30. Herniated Lumbar Disk - Herniated Lumbar Disc
Herniated lumbar disk. Excessive weight The first steps to deal with a herniated or prolapsed lumbar disk are conservative. These include
http://www.diagnostico.com/trejos/herniate.stm
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Herniated Lumbar Disk
Excessive weight, bad postures, undue movements, improper weight lifting and other kind of traumas may weaken the inter vertebral disks. When this occurs the pulpous nucleus (spongy center) will bulge against the annulus (outer ring), or even be squeezed through it (extruded disk). If this bulged, or herniated disk, presses one of the nerves, it will produce pain going down the leg, in the distribution of the nerve, and maybe in the lower back. Sciatic pain occurs when the disk presses one of the nerves that form the sciatic nerve. Other symptoms could be weakness, tingling or numbness on the areas corresponding to the affected nerve. Sometimes bladder compromise is also present, which is made evident for urine retention and this need to be taken care as an emergency. The first steps to deal with a herniated or prolapsed lumbar disk are conservative. These include rest, analgesic and anti-inflammatory medication and in some cases physical therapy. At this point it is convenient to have some plain X-rays done, in search of some indirect evidence of the disk problem, as well as of degenerative changes on the spine.

31. Lumbar Disk - Lumbar Disc
lumbar disks. The lumbar disks the legs. Top view. What is a Herniated lumbar disk ? Click here to write to Dr. Trejos Email @Address. PO
http://www.diagnostico.com/trejos/Lumbardi.stm
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Lumbar Disks
The lumbar disks are the shock absorbers of the spine, they are located between the vertebral bodies and allow soft movements, flexion and extension of the spine. They are composed by a spongy center and a a stronger outer fibrous ring or annulus that contains it.
Lateral view of the spine A foramen is formed behind the inter vertebral disks and between the vertebrae above and below. Through these foramina exit the nerve roots that form the peripheral nerves on each side, like the sciatic nerves that run down to the legs.
Top view
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32. Bulging Disk
and the options for treatment........ Healthlink Herniated Disk - Links to information on herniated disks. Herniated lumbar disk -
http://www.ability.org.uk/Ruptured_Disk.html
Our Aims Services Stats ... Z Bulging Disk Clinical Evaluation and Treatment Options for Herniated Lumbar Disc - Illustrated discussion of causes of disc herniation, assessment, imaging procedures and both surgical and non-surgical treatment. - Disc disease in the cervical, thoracic, or lumbar spine can cause neck pain, back pain, arm pain, leg pain or any combination of the above. Healthlink - Herniated Disk - Links to information on herniated disks. Herniated Lumbar Disk - Description and the options for treatment.. Ruptured Disk - Definition, symptoms, tests, treatment. Ruptured Lumbar Disk - Surgery, laminectomy, discectomy for a herniated or ruptured lumbar disk is a common procedure for low back pain that involves pain radiating into the leg. Anatomy and other forms of rupture disk surgery. SpineOnline - Especially about herniated disc, ruptured disk, slipped disk, spine, laminectomy. Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

33. Temple University Neurosurgery Department: Lumbar Disk
Almost all lumbar disk herniations affect only the nerve roots because the spinal cord actually ends near the level of the first lumbar disk and upper lumbar
http://www.neurosurgery.temple.edu/html/lumbar_disk_herniation.html
To reach staff, make an appointment, get directions. Learn more about our
residency program. Related sites Intervertebral Disk Disease What is a disk herniation? The spine is a column of bones, called vertebrae, that are separated by shock absorbing disks with elastic properties. Each vertebra has a large, central opening. All of these aligned openings form the spinal canal. The spinal cord resides in the spinal canal. At the level of each vertebra, nerves that branch from the spinal cord exit the spine through other openings called foramen. The seven uppermost vertebrae are called cervical vertebrae. Collectively, they comprise the cervical spine. The lumbar spine is composed of five vertebrae in the lower spine. The intervertebral disks (denoted as cervical disks in the cervical spine and lumbar disks in the lumbar spine) are composed of a tough outer ring and a soft center. Sometimes the soft center extrudes through weaknesses in the tough outer ring – much the same way that jelly can be squeezed from a jelly doughnut. This material can impinge on a nerve root as it branches from the spinal cord (called a radiculopathy when symptoms are present) or it can impinge on the spinal cord (called a myelopathy when symptoms are present).

34. ORTHOPEDICS: Cauda Equina Syndrome Caused By Intervertebral Lumbar Disk Prolapse
abstract). Cauda Equina Syndrome Caused by Intervertebral lumbar disk Prolapse MidTerm Results of 22 Patients and Literature Review.
http://www.orthobluejournal.com/0702/7buc.asp
Volume 25 (7) * July 2002 * Feature Article (abstract)
Cauda Equina Syndrome Caused by Intervertebral Lumbar Disk Prolapse: Mid-Term Results of 22 Patients and Literature Review
Matthias Buchner, MD; Marcus Schiltenwolf, MD
ABSTRACT
AUTHORS
From the Orthopedic Clinic, University of Heidelberg, Heidelberg, Germany. The authors thank C. Thompson, MD, Hahnemann University, Philadelphia, Pa, for translating, and Dario R.C. Brocai for statistical analysis. Reprint requests: Matthias Buchner, MD, Orthopedic Clinic at the University of Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany.

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35. ORTHOPEDICS
Volume 24 (1) * January 2001 * Basic Science (abstract). Anatomic Considerations of the Posterolateral lumbar disk Region. Yaoming
http://www.orthobluejournal.com/0101/1ebr.asp
Volume 24 (1) * January 2001 * Basic Science (abstract)
Anatomic Considerations of the Posterolateral Lumbar Disk Region
ABSTRACT
Sixteen embalmed cadavers were dissected to determine the location of the lumbar nerve root and sympathetic trunk with reference to the superior border of transverse process. In the posterolateral lumbar disk region, a safe zone was found between the anterior limit of the lumbar nerve and the posterior limit of the sympathetic trunk. It has a transverse dimension of 22 mm at the T12-L1 disk region and 25 mm at the L4-L5 disk region. The only exception to this was the genitofemoral nerve running close to the lateral margin of the L2-L3 disk. The study provides an understanding of the posterolateral orientation of the lumbar nerves and sympathetic trunk.
AUTHORS
Reprint request: Nabil A. Ebraheim, MD, Dept of Orthopedic Surgery, Medical College of Ohio, 3000 Arlington Ave, Toledo, OH 43614.

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36. LUMBAR DISK DISEASE
lumbar disk DISEASE. Your lumbar spine (low back) is made of five vertebrae separated by cartilaginous disks that serve as the shock absorbers of the spine.
http://apma-nc.com/PatientEducation/lumbar_disk_disease.htm

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LUMBAR DISK DISEASE
About Your Diagnosis
Your lumbar spine (low back) is made of five vertebrae separated by cartilaginous disks that serve as the "shock absorbers" of the spine. They act as a cushion between the bones and allow some flexibility of the lower back. Degenerative changes or trauma may rupture the annulus fibrosus, the tough band of cartilage surrounding each disk, and disk material may bulge or herniate into the spinal canal or nerve root canal. The herniated or bulging piece of the disk or degenerative bone spur may compress the spinal cord or nerve root, causing pain in the back or "tingling and numbness" that may radiate to the buttocks, hips, groin, or legs. The pain from a bulging or herniated disk is worse on movement and may be worsened by coughing, laughing, or straining while having a bowel movement. Some patients also have weakness, clumsiness, drop foot, or walking intolerance.

37. Management Of Acute Lumbar Disk Herniation Initially Presenting As Mechanical Lo
management of acute lumbar disk herniation initially presenting as mechanical low back pain. Source journal of manipulative physiological therapeutics.
http://www.chiroclinic.com.au/conditions/s1_1.shtml
management of acute lumbar disk herniation initially presenting as mechanical low back pain Volume: 22 Number: 4 Page Number: 235 Comments: Extract: Objective: To describe the clinical management with spinal manipulation of a male patient with risk factors for lumbar disk herniation initially suffering from what appeared to be mechanical low back pain that evolved into radiculopathy; also to review issues pertinent to chiropractic/manipulative management of disk herniation. Clinical Features: The patient initially suffered from unilateral low back pain and nonradicular/non-lancinating referral to the ipsilateral lower extremity. Intervention and Outcome: Disk herniation-in-evolution was included in the differential diagnosis, which was discussed with the patient, who then gave verbal informed consent for manipulative management. A day or so after the initial manipulation the presentation evolved to include S1 radiculopathy. Computed tomography, just after onset of radiculopathy, confirmed the clinical diagnosis of lumbosacral disk herniation. The patient continued with manipulative management and repeat computed tomography examination after clinical resolution about 2 months later revealed reduction in size of the apparently clinically significant herniation. Conclusion: Risk factors for the development of disk herniation should be considered when assessing patients suffering from what appears to be mechanical low back pain. The role played by manipulation in the development of disk herniation in this case was believed to be circumstantial rather than causal. Manipulation was used in the treatment of this patient over a period of approximately 2 months; after this time, clinical and partial computed tomography imaging resolution was evident. Ongoing clinical (neurologic) evaluation of patients with manifest or suspected disk hemiation is an important aspect of management. Good-quality trials of manipulation for patients with disk herniation are imperative for the chiropractic profession.

38. Dictionary Definition Of LUMBAR DISK REMOVAL
and the options for treatment. Dr. Humberto Trejos, Costa Rica. Disc Disorders Of The Cervical...... Ruptured Disk Herniated lumbar disk
http://www.dictionarybarn.com/LUMBAR-DISK-REMOVAL.php
Dictionary definition of LUMBAR DISK REMOVAL
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A surgical procedure which is designed to relieve pressure on the spinal cord or nerve root that is being caused by a slipped or herniated disk in the lumbar spine. This procedure is also used in the treatment of spinal stenosis. This procedure includes removal of a portion of the bone comprising a vertebra. Recovery is generally 7-10 days. An alternative to this is a micro-disc surgery.
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39. HerbChina2000.com - Herbal Remedies - Lumbar Spine Osteoarthritis
MLD Herbal Combination for Lumbar spine osteoarthritis, Degenerative lumbar disc disease, Hypertrophic osteoarthropathy of lumbar disk, Osteoarthritis of
http://www.herbchina2000.com/therapies/MLD.shtml
Home Lumbar spine osteoarthritis DESCRIPTION Osteoarthritis is a type of arthritis that is caused by the breakdown and eventual loss of the cartilage of one or more joints. Cartilage is a protein substance that serves as a "cushion" between the bones of the joints. Osteoarthritis is also known as degenerative arthritis. Among the over 100 different types of arthritis conditions, osteoarthritis is the most common. Osteoarthritis occurs more frequently as we age. Before age 45, osteoarthritis occurs more frequently in males. After age 55 years, it occurs more frequently in females. Osteoarthritis commonly affects the hands, feet, spine, and large weight-bearing joints, such as the hips and knees. Most cases of osteoarthritis have no known cause and are referred to as primary osteoarthritis. When the cause of the osteoarthritis is known, the condition is referred to as secondary osteoarthritis. Spinal osteoarthritis is fairly common. Osteoarthritis can develop in the joints that connect the upper part of the spine as well as in the joints of the spine itself. The bony outgrowths, or osteophytes, can be detected by X ray but usually don't change a person's appearance. Many researchers believe that lifestyle habits, including prolonged sitting, cigarette smoking, consumption of alcohol, and weight gain, contribute to the onset of spinal osteoarthritis. However, for the most part the primary cause is not known.

40. HerbChina2000.com - Herbal Remedies - Herniated Nucleus Pulposus
Cervical radiculopathy, Herniated intervertebral disk, Prolapsed intervertebral disk, Slipped disk, Ruptured disk, Herniated lumbar disk, Herniated cervical
http://www.herbchina2000.com/therapies/MLH.shtml
Home Herniated nucleus pulposus DESCRIPTION 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. The spinal vertebrae are separated by cartilage disks filled with a gelatinous substance, that provide cushioning to the spinal column. These disks may herniate (move out of place) or rupture from trauma or strain, especially if degenerative changes have occurred in the disk. Radiculopathy refers to any disease affecting the spinal nerve roots. A herniated disk is one cause (but not the only cause) of radiculopathy (sciatica). Most herniation takes place in the lumbar area of the spine. 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. The cervical disks are affected 8% of the time and the upper-to-mid-back (thoracic) disks only 1 to 2% of the time. Nerve roots (large nerves that branch out from the spinal cord) may become compressed resulting in neurological symptoms, such as sensory or motor changes.

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