Herniated Disc
What is Herniated Disc?
A herniated disk refers to a problem with one of the rubbery cushions (disks) between the individual bones (vertebrae) that stack up to make your spine. A spinal disk has a soft, jellylike center (nucleus) encased in a tougher, rubbery exterior (annulus). Sometimes called a slipped disk or a ruptured disk, a herniated disk occurs when some of the nucleus pushes out through a tear in the annulus. This can irritate nearby nerves and result in pain, numbness, or weakness in an arm or leg.
Symptoms
Diagnosis
Diagnostic procedures include: • Physical exam to check reflexes, muscle strength, walking ability, and ability to feel light touches • Imaging tests including X-rays, CT scans, MRI scans • Myelogram to show pressure on spinal cord or nerves • Electromyogram (EMG) to determine which nerve root is affected • Nerve conduction studies
Treatment
Treatment approaches include: • Conservative treatment: rest, pain medications, physical therapy • Epidural steroid injections to reduce inflammation • Physical therapy exercises to strengthen back muscles • Pain medications including NSAIDs, nerve pain medications • Muscle relaxers • Surgery (discectomy, laminectomy, or spinal fusion) if conservative treatments fail • Weight management and lifestyle modifications
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