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  1. Relief for a Herniated Disc: NOW!

81. YourSurgery.Com®-Lumbar Discectomy
surgery. A patient whose symptoms, examination and tests do not point to a specific ruptured disk may not improve with surgery. Anatomy.
http://www.yoursurgery.com/ProcedureDetails.cfm?BR=2&Proc=34

82. HealthCentral - General Encyclopedia - Herniated Nucleus Pulposus (slipped Disk)
names lumbar radiculopathy; cervical radiculopathy; herniated intervertebral disk; prolapsed intervertebral disk; slipped disk; radiculopathy; ruptured disk
http://www.healthcentral.com/mhc/top/000442.cfm
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83. The Spine
Osteoporosis see Osteoporosis Paget s disease of bone see Stenosis Prevention see Prevention Reiter s syndrome see Arthritis ruptured disk see Ruptured or
http://www.stayinginshape.com/3osfcorp/libv/r09.shtml
HEART CANCER WOMEN MEN ... SEARCH ALL TOPICS
The Spine
Our spine is the main support of our upper bodies. It lets us stand up straight, bend or twist. It also encases and protects the spinal cord. The nerves branch out from our spine to the rest of our bodies. The spine is made up of vertebrae. At the top are the cervical vertebrae. There are 7 of them and they are referred to as C1-C7, starting at the top. The seventh one joins to the first of the thoracic vertebrae. These are the 12 that run down the back and provide a place for our ribs to attach. They are referred to as T1-T12, again from the top down. The lower inward curve of our back is made up of the five lumbar vertebrae. They are called L1-L5. Below that comes a set of 5 fused vertebrae called the sacrum that lies between the hip bones. Lastly comes the coccyx or the tailbone, another set of fused vertebrae. The vertebrae join together at what are called the facet joints. Between each of the vertebrae are the disks, which provide cushioning and act as shock absorbers. Traveling down the center of the spine is the spinal cord and at each of the vertebrae, nerves branch out through what are called the foramen to the rest of the body.

84. Intervetebral Disk Disease
The surgical procedure is called a disk fenestration and simply put, the surgeon will go in and remove all the protruding or ruptured disk material so that it
http://clubs.akc.org/NBC/intervertebral_disc_disease.htm
Intervertebral Disk Disease written by Ellen Parr for the Columbia Willamette Beagle Club Newsletter "The Beagler", and printed here with persmission of the author. Ellen is a certified veterinary technician (graduated 1997) with experience working in emergency and general practice hospitals, and has been in practice for 3 years full time. She shares her life with 2 Beagles, 3 Harriers, 2 cats, and a husband. Much of her experience on this particular subject unfortunately comes from direct experience, with both of her Beagles suffering from disk disease; Pippi has been controlled without surgery, and Beau, of course, had to have surgery.
Intervertebral disk disease is a process that affects many Beagles. It is generally an age-related problem, occurring anywhere from 3 years and up. In Beagles, it generally occurs in the neck vertebrae, but may also occur in the thoracic (chest) or lumbar (lower back) vertebrae. Intervertebral disks are cushions that lie between each vertebra and under the spinal cord. They allow the spine to flex and they help to dissipate forces that are placed on the spinal column. They have two parts, a firm, rubbery outer portion and a soft, jelly-like inner portion. To help with understanding, you can visualize a disk to be similar to a vitamin E capsule.
When the disease occurs, the disks begin to dehydrate. This causes the outer portion to become brittle and the inner portion to become dried out and mineralized. The disks lose their flexibility and are not able to withstand the movement of the spine. Because they can no longer flex with movement, they can begin to protrude out from between the vertebrae. In more severe instances a disk can actually rupture, spilling out the inner portion. Because the disk's outer covering is thinnest at the top of the

85. Poor Mike!
He just found out the other day that he has to have back surgery soon because he has a ruptured disk. Then today, he broke out in hives ALL OVER HIS BODY!
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Edit Profile Utilities Contact Administration Documentation Getting Started Formatting Troubleshooting Program Credits Coupons Shopping Deals Poor Mike! Moms View Message Board General Discussion : Poor Mike! By Amy~moderator on Friday, April 2, 2004 - 02:33 am: I feel so bad for my dh. He just found out the other day that he has to have back surgery soon because he has a ruptured disk. He is taking Benadryl and Prednisone right now for it. He was also excused from work for 24 hours or until it clears up. He is so itchy and miserable! By Ladypeacek on Friday, April 2, 2004 - 04:58 am: By Ginny~moderator on Friday, April 2, 2004 - 05:33 am: Amy, I would think twice about surgery for the ruptured disk and get a second opinion. Like any other medication, Welbutrin can cause allergic reactions. Mike was right to go to the ER, as one should any time there is a sudden attack of hives or other symptoms of allergy. By Marg on Friday, April 2, 2004 - 06:30 am:

86. Disk Disease
It is important to note that the speed at which a ruptured disk extrudes its material into the spinal cord is equally as important as how compressed the spinal
http://www.lbah.com/Canine/ivd.htm
Intervertebral Disk Disease Introduction Vertebral Anatomy Spinal Anatomy Classification ...
Prognosis
Introduction
Breeders have bred dogs over many years to obtain a certain look or to enhance specific qualities. One of the more significant tradeoffs with this breeding is the propensity for some breeds to have problems with their bone structure. In some dogs this affects the spinal cord. At the least it causes discomfort, but unfortunately, it can cause more severe problems, including complete paralysis. When it occurs it is called intervertebral disk disease (IVD). It is one of the most common diseases causing paralysis of the rear legs in dogs. It is not a common disease in cats. Neuroanatomy and physiology is a world all by itself, and is far too complex to cover completely in this page. It will be summarized and generalized for much easier understanding. One of the most significant treatment modalities for IVD is called VOM . We will talk about it more in the treatment section. It is helpful to be aware of some of the medical terms involved with IVD: analgesia- lack of feeling or pain hemi paresis or paralysis problem with the front and back limb on the same side.

87. Ruptured Disk From Linkspider UK Health Directory
ruptured disk by Linkspider UK, ruptured disk links and ruptured disk topics from our Health directory. Directory Topic ruptured disk assoicated to Health.
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Directory Tree: Top Health Conditions and Diseases Musculoskeletal Disorders ... Back and Spine : Ruptured Disk (
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88. 97-7134 -- Neil V. Apfel -- 09/01/1998
His alleged impairments include a ruptured disk in his neck, neck pain, severe headaches, numbness in his arms and hands, and limited ability to sit, stand, or
http://www.kscourts.org/ca10/cases/1998/09/97-7134.htm
Keyword Case Docket Filed ... Added (26697 bytes) (23525 bytes) UNITED STATES COURT OF APPEALS FOR THE TENTH CIRCUIT DONALD R. NEIL, Plaintiff-Appellant, v. KENNETH S. APFEL, Commissioner, Social Security Administration, Defendant-Appellee.
No. (D.C. No. 96-CV-229-B E.D. Okla. ORDER AND JUDGMENT Before KELLY BARRETT , and HENRY , Circuit Judges. After examining the briefs and appellate record, this panel has determined unanimously to grant the parties' request for a decision on the briefs without oral argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1.9. The case is therefore ordered submitted without oral argument. Disability Claim Summary of the Medical Evidence After his motor vehicle accident in 1989, plaintiff initially sought treatment from an unnamed doctor whose notes are not in the record. See Appellant's App., Vol. II at 151, 161. Plaintiff reported that he was treated weekly with medication and therapy and wore a neck brace, but that the pain, while relieved at first, increased until it was constant. See id.

89. Encyclopedia
A surgical procedure to remove a portion of a vertebra, called the lamina, under which one finds the ruptured disk that is pushing on nerves and causing pain
http://www.womenandinfants.com/body.cfm?id=388&chunkiid=14831

90. Wauu.DE: Health: Conditions And Diseases: Musculoskeletal Disorders: Back And Sp
Wauu.DE Health Conditions and Diseases Musculoskeletal Disorders Back and Spine ruptured disk.
http://www.wauu.de/Health/Conditions_and_Diseases/Musculoskeletal_Disorders/Back
Home Health Conditions and Diseases Musculoskeletal Disorders ... Back and Spine : Ruptured Disk Search DMOZ-Verzeichnis:
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Links:
  • California Center For Minimally Invasive Spine Surgery
    Patient information on minimally invasive disc surgery procedures and pain management techniques.
    http://www.spinecenter.com/
  • 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.
    http://www.aafp.org/afp/990201ap/575.html
  • 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. Weakness in an extremity, difficulty with gait, incoordination, or loss of bowel/bladder control is rare. Southwest Georgia Regional Spine Center
    http://swgspine.com/prod03.htm
  • DISCS
    Diagnotic Investigation of Spinal Conditions and Sciatica. A UK-based chairty to searching for ways to prevent and eliminate disc-related pain, disability and the trauma of surgery. Includes solutions, background, projects, and training. http://www.discsfoundation.org/

91. Cryogen Safety Training
liquid. Disk Rupture Safety Procedures In the event that a dewar releases cryogenic liquids to the atmosphere via a ruptured disk
http://www.magnet.fsu.edu/users/safety/cryogenics/cryogenics5.html

Home
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NMR ICR EMR MRI/Spectroscopy Geochemistry Annual Reporting NHMFL - LANL Funding Opportunities NHMFL Personnel NHMFL Publications NHMFL Web Site Quick Search: NHMFL Intranet Course Objectives Safety Procedures Emergency Procedures Summary Test Safety Programs SECTION 5 Emergency Procedures The release of cryogen's from their containers may require emergency procedures. Recognizing signs of problems with the containment system can prevent emergencies or let people solve the problems quickly. Workers who handle cryogenic fluids must be aware of conditions, or danger signs, that may indicate the buildup of excess pressure in cryogenic systems. These conditions may include:
  • Elevated pressures indicated on gauges.
  • Unexpected frost formation on containment systems.
  • Poor or abnormal venting in the containment system.
  • Warning alarms indicating low levels of oxygen in the work area.
  • Unusual noise or absence of usual venting noises.

92. Nationwide Medical Malpractice Experts, All Specialties, Free Consultations
Ninety percent of patients who have back pain caused by a ruptured disk improve spontaneously with time, or bed rest, or chiropractic care, or physical therapy
http://www.malpracticeinvestigations.com/chiropractic.php
Cardiology Chiropractic Critical Care Dentistry ... Vascular Surgery Sample Case Evaluation Reports
Please, click on any PDF link below for easy printing:
Chiropractic Sample Case 1.pdf
Chiropractic Sample Case 2.pdf Please select sample report from the left menu. Over the next few months we will be adding more sample cases, covering all topics of Medical Malpractice. Please check back very soon! Chiropractic Patient complains that spinal manipulation caused or worsened a ruptured disc resulting in urinary incontinence and urgent surgery. Ninety percent of patients who have back pain caused by a ruptured disk improve spontaneously with time, or bed rest, or chiropractic care, or physical therapy. Ten percent require surgery because of intractable pain and/or leg muscle weakness and/or bladder, bowel, or sexual dysfunction from progressive nerve pressure damage. The goal of surgery is to stop the progression of any nerve damage, and to relieve the pain. It is successful in eighty percent of the cases, and it may take days, weeks, or months to improve, depending upon the length of time it persisted, and the amount of damage. Pain is subjective, and there is much less urgency than when leg muscle nerve damage is apparent, and much more urgent with bladder, bowel or sexual dysfunction.

93. Safeworker
of Philadelphia and the University of Oulu in Finland studied 180 Finnish patients with sciatica, a chronic back pain often caused by a ruptured disk.
http://www.nsc.org/pubs/sw/health.htm
Safeworker Health Talk
By Elizabeth Agnvall Avoid the Burn More than one-third of adults in the United States suffer from heartburn. But a study published in The Archives of Internal Medicine finds that most sufferers don't know what causes it. Researchers called 2,000 Americans who say they've had heartburn and found that most didn't know the risk factors for heartburn. The causes include certain foods and drinks, body position (reclining and bending over), stress, cigarette smoking, alcohol consumption, obesity and medication. If people don't know what causes their heartburn, they're unlikely to make lifestyle changes to avoid the problem. Instead, the survey found that 45 percent of the respondents rely on medication. Interestingly, women were much more likely than men to know the causes of heartburn and to do something about it. Bad Back or Bad Gene? Scientists have found a new cause for that aching back. A study published in the Journal Science shows that a mutated gene may be responsible for some bad backs. Researchers at the University of Philadelphia and the University of Oulu in Finland studied 180 Finnish patients with sciatica, a chronic back pain often caused by a ruptured disk. They found that nine patients with sciatica were found to have a mutant gene, while none of the 230 pain-free patients in a control group had the gene. When the researchers looked into the relatives of the patients with the mutant gene, they found 23 relatives had the mutation and all suffered from slipped or ruptured disks. The researchers speculate that the gene prevents disks from forming into the correct shape. Eventually, the disk begins pinching the spine's sciatic nerve and causes pain.

94. HealthyNJ--Information For Healthy Living--Spinal Cord Diseases
These tests may show a fracture, collapse, or dislocation of a vertebra; a ruptured disk; a bone growth; a pool of blood; an abscess; or a tumor. ruptured disk.
http://www.healthynj.org/dis-con/spinald/main.htm
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Spinal Cord Disorders
The spinal cord, the main pathway of communication between the brain and the rest of the body, is a soft tubelike structure of nerves that extends downward from the base of the brain. The cord is protected by the bones of the spinal column (vertebrae). Nerves enter and exit from the spinal cord throughout its length, passing through small openings between each vertebra. The spinal cord is highly organized; rather than being grouped haphazardly, nerves are bundled so that related types run together. The side of the spinal cord that faces the front of the body contains motor nerves that transmit information to muscles and stimulate movement. The side of the spinal cord that faces the back and sides contains sensory nerves that transmit information to the brain about sensations such as touch, position, pain, heat, and cold. The spinal cord can be damaged in many ways, producing various symptom patterns; these patterns enable a doctor to determine the location (level) of spinal cord damage. The spinal cord can be cut in an accident, compressed, destroyed by infection, damaged when its blood supply is cut off, or affected by diseases (such as spinal cord cysts, cervical spondylosis, or multiple sclerosis) that alter its nerve function.

95. AAOS Online Service Fact Sheet Herniated Disk
Herniated disk. You’ve probably heard people say they have a slipped or ruptured disk in the back. What they’re actually
http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=185&topcategory=Spine

96. BladeForums.com: The Leading Edge Of Knife Discussion - Ruptured Disk Realities
I was diagnosed with a ruptured disc and arthritis and bulging discs and so on and so on, they gave Just make sure your lower back and hip pain is not a disk.
http://www.bladeforums.com/forums/showthread.php?goto=lastpost&t=294549

97. Oseco
How do you size a rupture disk? The disk can also act as a seal, preventing any leakage through the valve unless the disk is ruptured.
http://www.oseco.com/pages/faq.html
How do you size a rupture disk?
Rupture disks and other pressure relieving devices must be of an adequate size if they are to prevent system overpressure. The conditions for which over-pressure protection may be required must be carefully considered. During relief operations, the maximum flow rates necessary to prevent a pressure increase beyond specified limits must be determined.
The ASME Code requires that when a rupture disk is used as the primary relief device, it must be sized to prevent the pressure from rising above 110% of the MAWP (UG-125(c)). If used as a secondary relief device or as multiple relief devices, the size must prevent the pressure from rising above 116% of the MAWP (UG-125(c)(1)). If used as a supplementary relief device for hazards external to the protected vessel or system, the size must prevent the pressure from rising above 121% of the MAWP (UG-125(c)(2)).
The general procedure that should be followed when sizing a rupture disk is as follows:
2) Determine the applicable properties and physical state of the fluid media that will be vented.

98. Thoracolumbar Intervertebral Disc Disease
A myelogram involves injection of a contrast material around the spinal cord to document the exact site of the ruptured disc material, location of compression
http://members.aol.com/pxlbarrel/dachcirc/discdis.htm
Provided courtesy of:
Michael Wolf, DVM; Diplomate ACVIM (Neurology) Specialist in Neurology and Neurosurgery
at the Oakland Veterinary Referral Services, P.C.
1940 S. Telegraph Rd.
Bloomfield Hills, MI 48302
Intervertebral Disc Disease
Intervertebral disc disease (IVDD) is one of the most common neurologic syndromes seen in dogs. Disc degeneration occurs in almost any breed, but small breed dogs are overrepresented with the condition (Dachshunds, Beagles, Basset Hounds, Pekingese, Cocker Spaniels, Poodles, etc.). The aging process of the disc (degeneration) in these breeds leads to mineralization (calcification) of the disc early in life, which predisposes them to "rupture" a disc. The thoracolumbar spine (back) is the location of a disc rupture in about 80% and the cervical spine (or neck) in about 20% of the patients seen. This paper will concentrate on the more common thoracolumbar intervertebral disc disease.
Anatomy of the Disc
Intervertebral discs act as elastic cushions between the vertebral bodies and extend from the neck region to the tail. They absorb shock and facilitate movement of the vertebral column. The intervertebral disc consists of two portions: an outer ring or annulus fibrosis made up of firm fibrous tissue and an inner part, the nucleus pulposus, which is filled with jelly-like material. When the disc degenerates it loses its elasticity when the jelly-like center calcifies and takes on a gritty, hardened consistency. The disc is no longer able to act as a cushion between the vertebrae and the center part of the disc is predisposed to bulge and rupture through the outer ring into the spinal canal resulting in pain, compression of the spinal cord, and neurological deficits (paralysis).
Clinical Signs
Clinical signs depend on how much, how fast, and with what velocity the disc material has compressed the spinal cord. A mild rupture may cause "just" back pain, while a more moderate rupture causes a wobbly gait and weakness to the hindlegs. If a large amount of disc material ruptures, or if it ruptures very quickly and enters the spinal canal with high velocity, it will cause severe compression and swelling of the spinal cord. These events can lead to complete paralysis of the hindlegs and sometimes even life threatening bleeding inside the spinal cord. There is a very important anatomical difference between dogs and humans. In dogs the spinal cord extends all the way down to the pelvis. In humans the spinal cord ends in the middle of the back and the spinal canal contains then "only" nerves rather than spinal cord. This is the reason why disc disease in humans usually leads "only" to a "pinched nerve." In small breed dogs however, a disc rupture will, with very few exceptions, always lead to compression of the spinal cord. This anatomical difference is so important because the spinal cord is a much more delicate organ than a nerve and is much more susceptible to potential permanent injury. In addition to various degrees of weakness to the hindlegs, dogs that cannot walk also suffer from impaired urinary bladder control. In these cases, the bladder must be manually emptied to prevent retention of urine and bladder infections.
Diagnosis
A presumptive diagnosis of IVDD is based on the dog's breed, age, history, and neurological examination. Radiographs (x-rays) can show the presence of degenerative, calcified discs. However there can be multiple degenerative discs and calcification does not indicate actual disc rupture. A definitive diagnosis therefore always requires a special radiographic procedure. A myelogram involves injection of a contrast material around the spinal cord to document the exact site of the ruptured disc material, location of compression, and swelling of the spinal cord. Exact localization of the ruptured disc material through myelography is imperative for surgical treatments.
Treatment and Prognosis
There re basically two treatment options for a dog suffering from disc disease. Conservative treatment consists of strict immobilization (cage rest) and sometimes additional medical treatment for inflammation and pain (corticosteriods). Surgical treatment provides decompression of the spinal cord. The ruptured disc material is actually removed from the spinal canal. Dogs experiencing their first episode of back pain with no neurological deficits may be treated conservatively. Recurrence of back pain, however, occurs frequently and a patient with recurrent painful episodes should therefore be treated surgically. (80% of these dogs have spinal cord compression!) Dogs with significant neurological deficits ( weakness to the hindlegs or inability to walk ) are not good candidates for conservative treatment. Without surgery, neurological improvement is frequently delayed and often incomplete. Furthermore these patients suffer from significant pain during confinement. Moreover, there is a risk of sudden neurological deterioration resulting in complete paralysis and possible irreversible spinal cord damage. Therefore these dogs should be treated by surgical decompression. By removing the slipped disc material the surgical procedure (hemilaminectomy) provides immediate pain relief and also provides the conditions needed for fast and complete neurological improvement. There is also a much smaller chance for recurrence of clinical signs with surgery in comparison to conservative treatment. The success rate for these patients treated by decompressive surgery is over 95%. Finally, dogs which are completely paralyzed and have lost all their feeling to the hindlegs (deep pain) only have a chance to recover when treated with decompressive surgery. Removal of disc material within the first 48 hours after onset of paralysis can still have a success rate of 50%. However, left without surgery, or if surgery is delayed, 99% of these patients stay permanently paralyzed. The overall prognosis depends on many factors:
  • severity of neurological dysfunction
  • the length of time the disc has ruptured and is compressing the spinal cord
  • the degree of spinal cord swelling
  • how quickly the disc ruptured (minutes to over several days)
  • the amount of disc material that has ruptured
  • the number of previous episodes of back pain
  • the overall physical condition of the patient
    Post Operative Care
    A very important part of post surgical treatment is nursing care . Generally patients are confined to a cage or small area for two weeks after surgery. Nursing care consists of manual urinary bladder expression if needed, providing soft and clean bedding, and keeping the patient clean and dry to prevent urine scalding and pressure sores. Recovery can take anywhere from a few weeks to several months. Dogs which can still feel their hindlegs prior to surgery usually can walk or start walking two weeks after surgery. For dogs without deep pain the recovery time is significantly longer and can take up to several months. For some dogs which stay permanently paralyzed, a cart may be an option to provide them with a better quality of life. The cart is a wheelchair of sorts for dogs that allows the back legs to sit in a sling and is propelled by the front legs. Physical therapy is particularly helpful to maintain joint flexibility and blood circulation to the hindlegs in patients with longer recovery periods after surgery. Physical therapy should be started as soon as the patient can tolerate it. Range of motion exercises, tailwalking, swimming, and whirlpool baths are excellent physical therapy. Last modified on 03-May-97 05:30 PM
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