21. Discs discectomy explained. Herniated Lumbar Discs Diagram, MRI, CT scan, andsymptoms of a herniated lumbar disk. Laminectomy/Microdiscetomy http://backandneck.about.com/cs/discs/

zfp=-1 About Back and Neck Injury/Chronic Pain Search in this topic on About on the Web in Products Web Hosting Back and Neck Injury/Chronic Pain with Apply Now Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS Sports Safety Depression and Pain How to make life better ... All articles on this topic Stay up-to-date! Subscribe to our newsletter. Advertising Free Credit Report Free Psychics Advertisement Discs Guide picks Explanation of injuries, prevention of injury, and treatment. Breakthrough Treatment for Discs? Vanderbilt University and Japanese doctor are working on new treatment for herniated discs. Vanderbilt Research Study on why some discs repair themselves and others don't. Bulging Disc Extensive spinal information site. Degenerative Discs Mechanical instability of the lumbar spine associated with degenerative disc disease, symptoms, and treatments. Disc Surgeries Microdiscectomy and percutaneous automated discectomy explained. Herniated Lumbar Discs Diagram, MRI, CT scan, and symptoms of a herniated lumbar disk Laminectomy/Microdiscetomy Two-step procedure to repair discs Excellent graphics, too.

22. HERNIATED LUMBAR DISK herniated lumbar disk. Patients under the knee. Back pain may or maynot be a presenting complaint with any herniated lumbar disk. II. http://www.hcawv.org/quaginfo/Panel/lbComplete/herndisk083001.htm

HERNIATED LUMBAR DISK Patients under treatment by their own physician who fail to improve after two to four weeks - refer to an Orthopedic Surgeon or Neurosurgeon for consultation and/or treatment. I. BACKGROUND Herniations occur most commonly through a posterolateral defect, but midline herniations may occur. Resulting compression of the spinal nerve root causes inflammation and pain, usually along the anatomic course of the nerve, In the lumbar spine, this most often occurs at the L4 and L5 disk levels, causing pressure on the corresponding L5 and S1 nerve roots. As a result of both mechanical and biochemical changes around the nerve root, the patient will experience pain, paresthesia, and possibly weakness in the leg or legs, usually below the knee. The rare herniations at the L1, L2 and L3 levels are usually associated with pain, paresthesia and weakness above the knee. Back pain may or may not be a presenting complaint with any herniated lumbar disk. II. DIAGNOSTIC CRITERIA A. Pertinent historical and Physical findings

23. Hermiated Disk - Signs, Symptoms, What It Is, Learn About It A herniated lumbar disk causes leg and back pain, in addition to weakness.Here you can get information, learn more about a disc http://www.jointhealing.com/pages/back/herniated_disk.html

JointHealing.Com what hurts? ankle arthritis back foot knee shoulder specific problems: ACL tear Knee Arthritis MCL tear/sprain Knee tendonitis Meniscus tear Impingement syndrome Rotator Cuff Tear Shoulder dislocation Shoulder arthritis Low back pain Herniated disk Sciatica Ankle sprain Foot pain products: Glucosamine Knee Braces Rehabilitation kits Orthotics/Shoe inserts Cryotherapy units Back products Ankle products Shoulder products Home Back Anatomy Symptoms ... Discussion Groups Herniated Lumbar Disc: Occurs when the soft gel-like material between your vertebrae (spinal bones) ruptures through the covering and pushes onto the nerve roots coming off your spinal cord. A herniated disk usually occurs from chronic stress to the disk's outer covering called the annulus fibrosis. Activities such as repetitive lifting, smoking and working with tools that vibrate cause faster degeneration of the covering of your disk and can increase your risk for having a disk herniation. Some people with disk problems do not have any history of these problems or injury. This is because natural aging can also cause disks to weaken and rupture. The pain is usually described as beginning in the buttock and traveling into the back part of the thigh and into the foot. The pain is sharp and sometimes causes someone to collapse the leg. In fact, most people with a true herniated disk have more leg pain than back pain. Lying on your side with your knees flexed up sometimes relieves the pain. Sitting with all of the pressure on your tailbone worsens the pain. It is also worse with any sudden movements of your back.

24. EMOL: Health Resource Links Back Aches herniated lumbar disk. Guide to Low Back Problems The US Health ServiceConsumers Guide. Laser Disc Surgery. Sciatic Nerve Dysfunction. Diet/Nutrition http://emol.org/media/health.html

EntertainmentMagazine.net Health Resources MEDLINEplus Healthfinder WebMD The National Cancer Institute ... The Richard Grand Society with links for legal, journalism, health and more MedicineNet information on treatment, prescriptions, etc. Other On Line Resources The Virtual Hospital from University of Iowa Mediconsult Medscape: (Medline) online resource for patient care New England Journal of Medicine Online Health ... In-depth Health Links Hardin Meta Directory of Internet Health Sources, University of Iowa Medicare Info from govt., Medicare Consumer Information The Merk Manual Wellness Experts - University of Cincinnati, Ohio Alternative Botanical.com A modern herbal, by Mrs. Grieve DHEA Home Page Acupuncture.com MSNBC's interactive guide to alternative medicine Q10 Away Your Gum Disease from ABCNews.com Gingko Biloba A Stronger Ginkgo Biloba: 27/7 (TM) Ginkgo Biloba description from University of Delaware Back Aches: Herniated Lumbar Disk Guide to Low Back Problems The US Health Service Consumers Guide Laser Disc Surgery Sciatic Nerve Dysfunction Diet/Nutrition: Nutrition Healthletter Tuft's University Center on Nutrition Communication Tufts University Health Science Library and Nutrition Links FDA Food and Drug Administration Index of Food and Nutrition Internet Resources from the USDA US Dept of Agriculture's Center for Nutritional Policy and Promotion Cyberdiet.com

25. WorkersCompensation.com; The #1 Online Information Source For The Workers Compen SPRAIN). ACUTE HERNIATED CERVICAL DISK. LOW BACK MUSCULOLIGAMENTOUSINJURY (STRAIN\SPRAIN). herniated lumbar disk. LUMBAR FUSION. Return http://www.workerscompensation.com/west_virginia/reference/mtg/

Welcome To The Most Comprehensive Workers Compensation Resource Online! Home About This Site Recommend This Site! Have an injured co-worker? Send them a card here! ... West Virginia Home All Rights Reserved webmaster@workerscompensation.com

26. Index | The Medical Follow-up Agency: The First Fifty Years, 1946‹1996 | Edward Liver injuries, studying, 50, 70. Lou Gehrig's disease, 40. Lowenstein, Regina,13. Lucke, Nona Murray, 13. Lumbar disk lesions. See herniated lumbar disks. M. http://www.nap.edu/html/mfua_first50/bk_index.html

Index A AIDS, studying, 69 Alzheimer's disease, studying, 69 American Academy of Neurology, 40 American Cancer Society, 23 American College of Physicians, 47 American Journal of Epidemiology, American Journal of Public Health, American Psychiatric Association, 33 Anticholinesterase agents, studying, 34, 66 Armed Forces Entrance Examination Station (AFEES) operation, 58 Armed Forces Institute of Pathology, 26 Arthur, Ransom J., 62 Atkinson, Glenn, 35 Atomic Energy Commission (AEC), 29, 48 B Baylor University, 16 Braceland, Francis, 11 Brill, Norman, 30 Bureau of the Budget, 10, 15 C Carnegie Institution, 62 Center for Epidemiologic Studies Depression scale (CES-D), 42 Centers for Disease Control and Prevention (CDC), 74 Cerebrovascular disease, studying, 46, 56 Chalmers, Thomas C., 61 Chemical agents, studying, 34, 66 Chemotherapy, studying, 31 Coding, 13 Columbia University, 2 Coronary heart disease, studying, 31, 40, 48 Cushing, E.H., 11, 13, 16 D Davison, Wilbert C., 16 Defense Nuclear Agency (DNA), 74 Disease, understanding course of, 9

27. Avera Health - Herniated Nucleus Pulposus (slipped Disk) lumbar spinal canal. Symptoms SYMPTOMS OF herniated lumbar disk severelow back pain; pain radiating to the buttocks, legs, and feet; http://www.avera.org/adam/ency/article/000442.htm

Disease Injury Nutrition Poison ... Herniated disk repair Herniated nucleus pulposus (slipped disk) Definition: A condition in which part or all of the soft, gelatinous central portion of an intervertebral disk (the nucleus pulposus) is forced through a weakened part of the disk, resulting in back pain and leg pain caused by nerve root irritation. Alternative Names: Lumbar radiculopathy; Cervical radiculopathy; Herniated intervertebral disk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk Causes, incidence, and risk factors: The bones of the spinal column, or vertebrae, run down the back connecting the skull to the pelvis. These bones protect nerves as they exit the brain and travel down the back and then to the entire body. The spinal column is divided into several segments the cervical spine (the neck), the thoracic spine (the part of the back behind the chest), the lumbar spine (lower back), and sacral spine (the part connected to the pelvis that does not move). The spinal vertebrae are separated by cartilage disks filled with a gelatinous substance, that provide cushioning to the spinal column. These disks may herniate (move out of place) or rupture from trauma or strain , especially if degenerative changes have occurred in the disk.

28. NEUROSURGERY://ON-CALL® Cauda Equina Syndrome But, unlike with a herniated disk alone, cauda equina syndrome can be a medical to2 percent of patients undergoing surgery for a herniated lumbar disc, cauda http://www.neurosurgery.org/health/patient/detail.asp?DisorderID=56

29. MEDLINEplus: Slipped Disk Clinical Trials ClinicalTrials.gov Intervertebral disk Displacement (National Institutesof Treatment Options for a lumbar herniated Disc (Spinehealth.com). http://www.nlm.nih.gov/medlineplus/slippeddisk.html

Skip navigation Other health topics: A B C D ... List of All Topics Slipped Disk Contents of this page: General/Overviews Anatomy/Physiology Diagnosis/Symptoms Pictures/Diagrams ... Organizations Search MEDLINE for recent research articles on Slipped Disk You may also be interested in these MEDLINEplus related pages: Bones, Joints and Muscles General/Overviews Herniated Disk (American Academy of Orthopaedic Surgeons) If You Have a Herniated Disk... (Mayo Foundation for Medical Education and Research) What is a Slipped Disc? (American Association of Neurological Surgeons, Congress of Neurological Surgeons) Anatomy/Physiology Anatomy of the Spine (American Association of Neurological Surgeons) Clinical Trials ClinicalTrials.gov: Intervertebral Disk Displacement (National Institutes of Health) Diagnosis/Symptoms Back Pain: Tests Help With Diagnosis (Mayo Foundation for Medical Education and Research) Do I Need an MRI? (Spine-health.com) MR Imaging (MRI)-Musculoskeletal (American College of Radiology, Radiological Society of North America) Pictures/Diagrams Interactive Spine Animations (Spine-health.com) - "requires shockwave plugin"

30. Advanced Search Illustrated discussion of causes of disc herniation, assessment, imaging procedures and both surgical Category Health Conditions and Diseases Ruptured disk......Clinical Evaluation and Treatment Options for herniated lumbar Disc. The gold standardfor imaging of the herniated lumbar disc is magnetic resonance imaging. http://www.aafp.org/afp/990201ap/575.html

Advanced Search Clinical Evaluation and Treatment Options for Herniated Lumbar Disc S. CRAIG HUMPHREYS, M.D., and JASON C. ECK, M.S. Chattanooga, Tennessee A patient information handout on herniated lumbar disc, written by the authors, is provided on page 587. Degeneration of the intervertebral disc from a combination of factors can result in herniation, particularly at the L4-5 and L5-S1 levels. The presence of pain, radiculopathy and other symptoms depends on the site and degree of herniation. A detailed history and careful physical examination, supplemented if necessary by magnetic resonance imaging, can differentiate a herniated lumbar disc from low back strain and other possible causes of similar symptoms. Most patients recover within four weeks of symptom onset. Many treatment modalities have been suggested for lumbar disc herniation, but studies often provide conflicting results. Initial screening for serious pathology and monitoring for the development of significant complications (such as neurologic defects, cauda equina syndrome or refractory pain) are essential in the management of lumbar disc herniation. T he intervertebral disc is responsible for the attachment of vertebral bodies to each other, providing flexibility and absorbing and distributing the loads applied to the spinal column. With aging, the disc undergoes significant changes in volume and shape as well as in biochemical composition and biomechanical properties. Lumbar disc herniations are believed to result from anular degeneration that leads to a weakening of the anulus fibrosus, leaving the disc susceptible to anular fissuring and tearing.

31. Low Back And Leg Pain In our practice, the most frequently encountered causes of nerve impingement inthe lumbar spine are herniated disk, spinal stenosis and painful mechanical http://buffaloneuro.com/bklegpn/bklegpn.html

Low Back and Leg Pain Conservative Treatment Herniated Disk spinal stenosis Painful Mechanical Instability With Degenerated Disk Five percent of the United States population experiences back pain each year . Over your lifetime, you have a 60-80% chance of experiencing at least one episode of back pain. Most episodes are not severe and resolve without medical care. Some, however, are severe and disabling. But even the more severe cases which cause patients to seek medical or chiropractic care are usually transient. It has been estimated that 90% of patients who seek professional treatment for back pain will be pain free within 1-3 months . In this group of patients, after ruling out an underlying systemic cause such as a malignancy or infection, appropriate care consists of providing conservative treatment. The gold standard of conservative treatment consists of management with NSAIDS (Non Steroidal Anti Inflammatory Drugs) and exercise therapy (chiropractic or physical therapy). If these modalities fail after a 3-6 week trial, referral to a specialist (neurosurgeon or orthopedic surgeon) is appropriate. Often, we as specialists will continue conservative measures. When this fails, surgery can be extremely effective. Surgery is only performed when conservative measures fail and diagnostic tests demonstrate abnormalities. In our practice, the most frequently encountered causes of nerve impingement in the lumbar spine are

32. Herniated Disc Information And Illustrations pain by removing a portion of the lumbar disc that impinges on the nerve root.View surgery What’s a herniated disc, pinched nerve, bulging disk ? http://www.spine-health.com/search/disc01.html

Disc herniation View articles listed by subject: Click here for menu... Anatomy Auto accidents Degenerative disc disease Diagnostic tests Disc herniation Failed back surgery Fibromyalgia Injections Kids and teens Lower back pain Medications Misc conditions Misc treatments Muscle strain Neck pain Osteoarthritis Osteoporosis Pain management Physical therapy Piriformis syndrome Pregnancy Psychological factors Sacroiliac joint Sciatica Spinal stenosis Spine specialists Spondylolisthesis Sports injuries Surgery Upper back pain Animation of: Disc herniation Microdiscectomy Search results Disc herniation Cervical Herniated Disc Symptoms and Treatment Options June 17, 2002 The arm pain from a cervical herniated disc results because the herniated disc material "pinches" or presses on a cervical nerve, causing pain to radiate along the nerve pathway down the arm. Along with the pain, numbness, tingling and/or muscle weakness may also be present down the arm and into the fingertips. Read more...

33. Herniated Disk A lumbar support can be helpful for a herniated disk at this level asa temporary measure to reduce pain and improve posture. Surgery. http://www.healthatoz.com/healthatoz/Atoz/ency/herniated_disk.html

Encyclopedia Index H Home Encyclopedia Encyclopedia Index H Herniated disk Definition Disk herniation is a rupture of fibrocartilagenous material (annulus fibrosis) that surrounds the intervertebral disk. This rupture involves the release of the disk's center portion containing a gelatinous substance called the nucleus pulposus. Pressure from the vertebrae above and below may cause the nucleus pulposus to be forced outward, placing pressure on a spinal nerve and causing considerable pain and damage to the nerve. This condition most frequently occurs in the lumbar region and is also commonly called herniated nucleus pulposus, prolapsed disk, ruptured intervertebral disk, or slipped disk. Description The spinal column is made up of 26 vertebrae that are joined together and permit forward and backward bending, side bending, and rotation of the spine. Five distinct regions comprise the spinal column, including the cervical (neck) region, thoracic (chest) region, lumbar (low back) region, sacral and coccygeal (tailbone) region. The cervical region consists of seven vertebrae, the thoracic region includes 12 vertebrae, and the lumbar region contains five vertebrae. The sacrum is composed of five fused vertebrae, which are connected to four fused vertebrae forming the coccyx . Intervertebral disks lie between each adjacent vertebra. Each disk is composed of a gelatinous material in the center, called the nucleus pulposus, surrounded by rings of a fiberous tissue (annulus fibrosus). In disk herniation, an intervertebral disk's central portion herniates or slips through the surrounding annulus fibrosus into the spinal canal, putting pressure on a nerve root. Disk herniation most commonly affects the lumbar region between the fifth lumbar vertebra and the first sacral vertebra. However, disk herniation can also occur in the cervical spine. The incidence of cervical disk herniation is most common between the fifth and sixth cervical vertebrae. The second most common area for cervical disk herniation occurs between the sixth and seventh cervical vertebrae. Disk herniation is less common in the thoracic region.

34. Chemonucleolysis and extruded disks, but not on sequestered disk injuries approved only for use inthe lumbar (lower) spine The spot where the herniated disk presses on the nerve http://www.healthatoz.com/healthatoz/Atoz/ency/chemonucleolysis.html

Encyclopedia Index C Home Encyclopedia Encyclopedia Index C Chemonucleolysis Definition Chemonucleolysis is a medical procedure that involves the dissolving of the gelatinous cushioning material in an intervertebral disk by the injection of an enzyme such as chymopapain. Purpose Between each vertebra lies a disk of cushioning material that keeps the spinal bones from rubbing together and absorbs some of the shock to the spine from body movements. In the center of the disk is soft, gelatinous material called the nucleus pulposus (NP). The NP is surrounded by a tough fibrous coating. Sometimes when the back is injured, this coating can weaken and bulge or tear to allow the NP to ooze out. When this happens, it is called a herniated nucleus pulposus (HNP), orin common languagea herniated disk When the disk bulges or herniates, it can put pressure on nerves which originate in the spinal column, and go to other parts of the body. This causes lower back pain , and/or pain to the hips, legs, arms, shoulders, and neck, depending on the location of the herniated disk. Chemonucleolysis uses chymopapain, an enzyme derived from papyrus, to dissolve the disk material that has been displaced because of injury. Herniated disks are the cause of only a small proportion of cases of lower back pain, and chemonucleolysis is appropriate for only some cases of HNP. Chemonucleolysis is a conservative alternative to disk surgery. There are three types of disk injuries. A protruded disk is one that is intact but bulging. In an extruded disk, the fibrous wrapper has torn and the NP has oozed out, but is still connected to the disk. In a sequestered disk, a fragment of the NP has broken loose from the disk and is free in the spinal canal. Chemonucleolysis is effective on protruded and extruded disks, but not on sequestered disk injuries. In the United States, chymopapain chemonucleolysis is approved only for use in the lumbar (lower) spine. In other countries, it has also been used successfully to treat cervical (upper spine) hernias.

35. Medical Encyclopedia - Search Form - DynoMed.com Degenerative Spondylolisthesis; herniated Cervical disk; herniated lumbardisk; Low Back Sprain; lumbar Degenerative disk Disease; lumbar http://www.dynomed.com/encyclopedia/encyclopedia.cfm?directory2open=12

36. InteliHealth: herniated disk in the lumbar region — Many people with herniated disks suffer fromyears of intermittent and mild lower back pain before a single triggering http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/31349/308996.html?d=dmtHealth

37. YourSurgery.Com®-Lumbar Discectomy lumbar disk surgery for a ruptured or herniated disk is the most commonly performedsurgical procedure for low back pain with pain radiating into a leg. http://www.yoursurgery.com/ProcedureDetails.cfm?BR=2&Proc=34

38. BackPainOConnor.com lumbar Ligament Sprain, lumbar Disc Degeneration, (lumbar disk Degeneration),Low Spinal Disc Disease (or Spinal disk Disease), herniated Disc (or http://www.backache.md/bookorders.asp

THE BOOK CLICK HERE TO ORDER BOOK ... BOOK OR REFERRAL TO FRIEND TITLE: MAKING YOUR BAD BACK BETTER WITH THE O'CONNOR TECHNIQUE SUBTITLE: HOW YOU CAN BECOME YOUR OWN CHIROPRACTOR AUTHOR'S LAST NAME: O'Connor AUTHOR'S FIRST NAME: William AUTHOR'S MIDDLE NAME: Thomas, Jr., M.D. SYNOPSIS: MAKING YOUR BAD BACK BETTER WITH THE O'CONNOR TECHNIQUE (tm), HOW YOU CAN BECOME YOUR OWN CHIROPRACTOR The book and especially the self-administered physical therapy aspect was written to be read from a back pain sufferer's perspective, in lay language; however it was also intentionally written with sufficient technical detail so that a physical therapist, massage therapist, Chiropractor, or physician can apply the identical principles to patients in order to diagnose back pain or neck pain, relieve backache or neck ache, and prevent their back pain or neck pain from re-occurring. No other existing back pain therapy, backache therapy, or neck pain therapy offered by the medical establishment, or available to the public through any media, approaches the successfulness of The O'Connor Technique in its ability to not only address immediate, acute back pain or chronic backache; but, over the life of the individual, it teaches how the painful biological process of degenerative disc disease can be avoided and, this previously believed to be relentless process, prevented from advancing at the rate it otherwise might.

39. BackPainOConnor.com herniated Intervertebral Disc, herniated Intervertebral disk, SpinalPain. Acute Back Pain, Chronic Back Pain, lumbar Ligament Strain. http://www.backache.md/demoman.asp

SPINAL PAIN RELIEF MANEUVERS DISCUSSIONWHAT ARE MANEUVERS? SELECTING THE IDEAL MANEUVERS DISCUSSIONWHAT ARE MANEUVERS? REPRESENTATIVE EXAMPLE OF MANEUVER INSTRUCTIONS S PINAL PAIN MANEUVERS are a series of specific, sequential, body movements and self-directed mechancial adjustments in posture and changes in the spine's position designed to manipulate, alter the forces acting upon, and physically move the effected spinal disc units (the bones and joints which make up the spine's Intervertebral Discs) so as to eliminate the pain caused by displaced pieces of the cartilage-like material pressing against the ligaments and restricting normal range of motion in spinal disease. The above example was selected just to give the reader an opportunity to see the manner in which the website displays directions. Taken out of context, without explanation, it is largely meaningless. Were a complete maneuver to have been provided free of charge, the beneficial components will have been given away for free because the concepts are so ultimately simple. Such a policy certainly would not result in sufficient revenue to maintain the expense of the site. Considering how inexpensive this information already is, the provision of it for any lessor cost would be economically untenable.

40. Journals : Endoscopic Discectomy,disk, Laser Discectomy,herniated Disc, Sciatica Especially about herniated disc, herniated disk, spine, laminectomy, back, leg,knee, neck pain, lumbar, pinched nerve, sciatica, neurosurgery, arthroscopic http://www.spineonline.com/published.html

The leader in herniated disc treatment! Home Incoming Patients Post Surgery Area Questions to Ask Your Doctor ... Out of Town Patients Tell A Friend Tell a friend about SpineOnline Questions Major surgery is not the only option for many patients with disc herniation. Call 800-956-6724. Send us a question Title : Endoscopic Transforaminal Lumbar Discectomy and Reconfiguration : A Posterolateral Approach into the Spinal Canal Surgical Neurology [An International Journal : 1998 Jun;49(6):588-97;] This study represents cases of working channel, transforaminal spinal endoscopy performed using an endoscope which, because of its small size and flexibility, can bend up to 90 degrees, and pass completely through the foramen into the spinal canal, to directly remove free fragments and reconfigure disc, relieving root and dural displacement at a lumbar levels. The percutaneous transforaminal endoscopic technique can be effective, safe approach for disc removal through the foramen, especially in cases where the disc presents itself for direct removal. Read This Article Any questions about this site, mail to

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