HERNIATED DISC

HERNIATED DISC

A herniated disc, also known as a slipped disk or ruptured disk, is the common cause of leg and back pain. It happens when pressure from the vertebrae pushes the nucleus pulposus through a weakened and ripped portion of the annulus. Additionally, It occurs in any spine segment but most commonly in the lower back of the range and the cervical spine. 

The cause of herniated disc is an uncontrolled strain or injury. However, as one gets older, the disc material degrades, and the ligaments weaken. Furthermore, a twisting movement and slight pressure cause the disc to rupture.

SYMPTOMS

A herniated disc’s symptoms vary depending on the location and the size of the herniation. In most cases, herniated discs have no visible signs.

Lower back symptoms:

  • Discomfort that extends to the buttocks, legs, and feet
  • Stinging and numbness in the leg or feet
  • Muscle weakness

Neck Symptoms:

  • Discomfort nearby and over the shoulder blade
  • Ache in the arm, back, and sometimes in hand and fingers
  • Neck pain
  • Cramps on the neck muscles

DIAGNOSIS

These methods are done for diagnosis:

  • X-ray. It is done to check the spine and inspect the source of discomfort, fractures, tumors, infections, etc.
  • Computed tomography scan (CT or CAT scan). It is done to reveal the size, shape, contents, and structures of the spinal canal.
  • Magnetic resonance imaging (MRI). It is a diagnostic test that shows the spinal cord, nerve roots, enlargement of the area, and tumors.
  • Myelogram. It reveals pressure on the spinal cord or nerves due to tumors, bone spurs, and herniated discs.
  • Electromyogram and Nerve Conduction Studies (EMG/NCS). It measures the muscle tissues, peripheral nerves, and electrical impulses along with nerve roots.

TREATMENT

The doctor may require either of these surgeries if medications and therapies do not work:

Lumbar Spine Surgery. This surgery is done through a small incision down the center of the back over the herniated disc area. During the procedure, a part of the lamina is removed. The muscles are pushed to the side after incision so that the surgeon can see the vertebrae’s back. 

In the case of artificial disc surgery, the affected disc is removed and replaced.

Cervical Spine Surgery. Posterior surgery does not require surgical fusion. Meanwhile, in cases of interior surgery, the spine is stabilized after removing the disc. 

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