Lumbar Vertebrae Disk Herniation Quiz

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Low back pain

Nerve pain in the leg

Tingling

Walking causes legs to tingle but it gets better after rest

Loss of sensation

Both my back and legs hurt but the legs hurt more

Lower back pain that makes me want to sit down

Not seeing your symptoms? No worries!

What is Lumbar Vertebrae Disk Herniation?

Also known as a slipped disc, this condition is characterized by injury to the cushioning discs between the spinal bones in the lower back (lumbar vertabrae) that causes the disc to bulge outward or rupture. The disc bulge puts pressure on adjacent nerves, which causes pain, leg weakness, or numbness. Poor posture, exercising with incorrect form, or occasionally benign non-lifting movement are some possible causes of this disorder.

Typical Symptoms of Lumbar Vertebrae Disk Herniation

Diagnostic Questions for Lumbar Vertebrae Disk Herniation

Your doctor may ask these questions to check for this disease:

  • Do you have calf pain even when resting?
  • Did you have lower back pain on one side only when your symptoms started?
  • Do you have weakness or paralysis on one side of your body?
  • Does your back pain worsen after exercising?
  • Does lying on your back make the pain worse?

Treatment of Lumbar Vertebrae Disk Herniation

Slipped disc treatment often includes physical therapy and pain medications such as non-steroidal anti-inflammatory drugs to help with pain. In some advanced cases that do not respond to the above measures, an injection of anti-inflammatory drug, or in worse cases, surgery to remove the bulged disc may be necessary to alleviate nerve pain and restore function.

Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Tomohiro Hamahata, MD

Tomohiro Hamahata, MD (Orthopedics)

Dr. Hamahata graduated from the Jikei University of Medical Science. After working at Asanokawa General Hospital and Kosei Chuo Hospital, he joined the Department of Orthopedics at Asakusa Hospital in April 2021, specializing in general orthopedics and joint replacement surgery.

From our team of 50+ doctors

Content updated on Mar 31, 2024

Following the Medical Content Editorial Policy

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Symptoms Related to Lumbar Vertebrae Disk Herniation

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FAQs

Q.

Radiculopathy? Why Your Spine Is Pinched & Medically Approved Next Steps

A.

Radiculopathy is a pinched spinal nerve that can cause sharp, burning, or electric pain plus numbness or weakness traveling into an arm or leg; it is most often due to a herniated disc, arthritis, or spinal stenosis, and most people improve in 6 to 12 weeks with medically guided conservative care like activity changes, physical therapy, anti-inflammatories, and sometimes epidural steroids. There are several factors to consider for next steps, including when to seek urgent care for red flags like new bladder or bowel problems or progressive weakness, when to get imaging, and when surgery is appropriate if conservative care fails. See the complete guidance below to understand important details that could change your plan.

References:

* Eubanks JD. Radiculopathy: a practical approach. Am Fam Physician. 2020 Jul 15;102(2):104-110. PMID: 32669145.

* Siebert E, Jeanjean A, Haute FA, Masingue M, Blanquet M, Lacroix C, Maisonobe T. Lumbar Radiculopathy: Diagnosis and Management. Rev Neurol (Paris). 2021 Sep;177(7-8):884-897. doi: 10.1016/j.neurol.2021.05.003. Epub 2021 Jul 14. PMID: 34267425.

* Haute FA, Siebert E, Jeanjean A, Masingue M, Blanquet M, Lacroix C, Maisonobe T. Cervical Radiculopathy: Diagnosis and Management. Rev Neurol (Paris). 2020 Oct;176(8):627-635. doi: 10.1016/j.neurol.2020.06.002. Epub 2020 Jul 14. PMID: 32669144.

* Caridi JM, Pumberger W, Hughes AP. Cervical Radiculopathy: A Review. HSS J. 2018 Jul;14(2):124-127. doi: 10.1007/s11420-018-9614-y. Epub 2018 May 17. PMID: 29891001.

* Jensen RK, Kongsted A, Kjaer P, Koes BW. Lumbar radiculopathy. An updated perspective. Best Pract Res Clin Rheumatol. 2017 Dec;31(6):693-702. doi: 10.1016/j.berh.2018.01.002. Epub 2017 Dec 23. PMID: 29215017.

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Q.

Sharp Nerve Pain? Why Your Disc is Herniated & Medically Approved Next Steps

A.

Sharp, shooting pain that travels down a leg or into an arm is often from a herniated disc pressing on a nerve; most cases improve without surgery with activity modification, physical therapy, over the counter pain relief, heat or ice, and sometimes epidural steroid injections. There are several factors to consider, including symptom duration and red flags like bowel or bladder changes, severe or worsening weakness, or groin numbness that need urgent care. See the complete, medically approved guidance below to choose the safest next step.

References:

* Mahtab A, Farzana S, Hossain H. Lumbar Disc Herniation: A Review of Epidemiology, Diagnosis, and Treatment. Global Spine J. 2023 Aug;13(6):1790-1798. doi: 10.1177/21925682221111663. Epub 2022 Jul 1. PMID: 35773822; PMCID: PMC10410427.

* Klyce W, O'Connor R, Klyce K, Stover BD. Lumbar Radiculopathy: A Review of Pathophysiology and Evidence-Based Treatment. PM R. 2023 Jan;15(1):111-120. doi: 10.1002/pmrj.12879. Epub 2022 Sep 13. PMID: 36043133.

* Kreiner DS, Baisden J, Mazanec DJ, Patel RD, Pumberger M, Samartzis D, Sharan AD, Summa CD, Trost GR, Vaccaro AR. Conservative management of lumbar disc herniation with radiculopathy: A narrative review. J Am Acad Orthop Surg. 2023 May 15;31(10):e488-e497. doi: 10.5435/JAAOS-D-22-00518. Epub 2023 Mar 15. PMID: 36920800.

* Khan NR, Khan H, Zafar A, Butt AJ, Ali Shah S. Surgical Treatment of Lumbar Disc Herniation: A Narrative Review. World Neurosurg. 2023 Jan;169:349-354. doi: 10.1016/j.wneu.2022.10.024. Epub 2022 Oct 19. PMID: 36270420.

* Al-Khazali HM, Salih AM, Salih SA. Lumbar Radiculopathy: A Review of Diagnosis and Management. Adv Orthop. 2022 Oct 26;2022:1827441. doi: 10.1155/2022/1827441. PMID: 36329777; PMCID: PMC9627685.

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Maxwell J. Nanes, DO

Maxwell J. Nanes, DO

Emergency Medicine

Waukesha Memorial Hospital, Waukesha Wisconsin, USA

Caroline M. Doan, DO

Caroline M. Doan, DO

Internal Medicine

Signify Health

Benjamin Kummer, MD

Benjamin Kummer, MD

Neurology, Clinical Informatics

Icahn School of Medicine at Mount Sinai

Charles Carlson, DO, MS

Charles Carlson, DO, MS

Psychiatry

U.S. Department of Veterans Affairs

Dale Mueller, MD

Dale Mueller, MD

Cardiothoracic and Vascular Surgery

Cardiothoracic and Vascular Surgery Associates

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Ravi P. Chokshi, MD

Obstetrics and gynecology

Penn State Health

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Link to full study:

https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1

References