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
- Calf pain even when resting
- Symptoms started with lower back pain on one side only
- Weakness or paralysis on one side of your body
- Back pain worse with exercise
- Unable to lie on the back due to pain
- Pain deep below the skin surface
- Tingling or pricking numbness in the legs even when keeping still
- Thigh pain
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 (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 (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.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
BROWN HA, PONT ME. DISEASE OF LUMBAR DISCS. TEN YEARS OF SURGICAL TREATMENT. J Neurosurg. 1963 May;20:410-7. doi: 10.3171/jns.1963.20.5.0410. PMID: 14186059.
https://thejns.org/view/journals/j-neurosurg/20/5/article-p410.xmlKreiner DS, Hwang SW, Easa JE, Resnick DK, Baisden JL, Bess S, Cho CH, DePalma MJ, Dougherty P 2nd, Fernand R, Ghiselli G, Hanna AS, Lamer T, Lisi AJ, Mazanec DJ, Meagher RJ, Nucci RC, Patel RD, Sembrano JN, Sharma AK, Summers JT, Taleghani CK, Tontz WL Jr, Toton JF; North American Spine Society. An evidence-based clinical guideline for the diagnosis and treatment of lumbar disc herniation with radiculopathy. Spine J. 2014 Jan;14(1):180-91. doi: 10.1016/j.spinee.2013.08.003. Epub 2013 Nov 14. PMID: 24239490.
http://thespinejournalonline.com/retrieve/pii/S1529943013014502Chen BL, Guo JB, Zhang HW, Zhang YJ, Zhu Y, Zhang J, Hu HY, Zheng YL, Wang XQ. Surgical versus non-operative treatment for lumbar disc herniation: a systematic review and meta-analysis. Clin Rehabil. 2018 Feb;32(2):146-160. doi: 10.1177/0269215517719952. Epub 2017 Jul 17. PMID: 28715939.
https://journals.sagepub.com/doi/10.1177/0269215517719952Zhang AS, Xu A, Ansari K, Hardacker K, Anderson G, Alsoof D, Daniels AH. Lumbar Disc Herniation: Diagnosis and Management. Am J Med. 2023 Jul;136(7):645-651. doi: 10.1016/j.amjmed.2023.03.024. Epub 2023 Apr 17. PMID: 37072094.
https://www.amjmed.com/article/S0002-9343(23)00252-8/fulltext