41. Lumbar Articles, Support Groups, And Resources Q A from our Ask The Doctor Forums ALS vs Cervical Spondyliosis §lumbar herniated disk (Neurology and Neurosurgery Forum); Annular http://www.medhelp.org/HealthTopics/Lumbar.html

[Health Topics A-Z] A B C D ... Z Lumbar Medical Glossary: LUMBAR LUMBAR DISK REMOVAL LUMBAR LAMINECTOMY LUMBAR PUNCTURE ... LUMBAR RADICULOPATHY Ask The Doctor Forums ALS vs Cervical Spondyliosis § Lumbar Herniated disk (Neurology and Neurosurgery Forum) Annular tear in lumbar disc (Neurology and Neurosurgery Forum) Anterior Lumbar Fusion? (Neurology and Neurosurgery Forum) back fusion complete lower lumbar (Neurology and Neurosurgery Forum) ... [Patient Network] Revised: 3/30/2003

42. Member Sign In the disk through cannulas up to 5.5 mm in diameter. In 1985, Onik et al 10 introduceda more refined approach to removing the nucleus from herniated lumbar http://www.medscape.com/viewarticle/410625

If you are having trouble logging in: In order to use Medscape, your browser must be set to accept "cookies." To find out how to adjust your browser settings, please click here Log In Username Password Forgot your password? Not a Member? Register Now for free access to: MEDLINE (Optimized for Physicians) 200+ Free CME Courses 25 Medical Specialty Sites 100+ Medical Journals Conference Coverage Daily Medical News About Medscape Help WebMD Health

43. Radiology Of Low Back Pain is a study in which a spinal tap is performed within the lumbar spine, and an outlineof the nerves, and any abnormality, such as a herniated disk, can be seen http://www.lowback-pain.com/radiology.htm

Search for: This site receives 60,000 visitors per month. They want information from an expert. If you do too, browse this site. Please continue to use the discussion board to post questions and help others with their problems. What helped you may help others. Let's build community. It's up to you!!! For on-line advice on weight loss and exercise Do you have a personal success story about weight loss, strength training, surgery, or low back pain? If so, please share it with others through the discussion board , and help to strengthen the low back community!! Q: Do YOU have pain? Do you want a brochure and a personal attention e mail consult addressing YOUR needs? Let us know!! Please wait several seconds for page to load last updated March 08, 2003 Radiology of low back pain After taking a thorough history, and performing a detailed physical examination, radiological confirmation is important. After all, this is a picture which tells the physician whether or not there is something mechanically present which may explain the symptoms. An AP (anterior to posterior ) film of the lumbar spine is looking through the body, from front to back. This type of view can spot fractures, and is often useful for early detection of tumors involving the bone.

44. EMedicine - Lumbar Disk Problems In The Athlete : Article By Annie Collier, MD Medline. Deyo RA, Loeser JD, Bigos SJ herniated lumbar intervertebraldisk. Ann Intern Med 1990 Apr 15; 112(8) 598603Medline. http://www.emedicine.com/sports/topic8.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Sports Medicine Spine Lumbar Disk Problems in the Athlete Last Updated: December 12, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: back pain, low back pain, strained back, back is out, herniated disk, slipped disk, herniated nucleus pulposus, ruptured disk, degenerative disk disease, lumbago, mechanical low back pain, LBP AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: Annie Collier, MD , Staff Physician, Department of Emergency Medicine, Lincoln Medical Center, Cornell University School of Medicine Coauthor(s): John Munyak, MD , Associate Program Director, Director of Sports Medicine, Clinical Instructor, Section of Emergency Medicine, Lincoln Medical and Mental Health Center, Cornell Medical School Annie Collier, MD, is a member of the following medical societies: American College of Emergency Physicians Editor(s): Andrew D Perron, MD

45. EMedicine - Lumbar Disk Problems In The Athlete : Article Excerpt By: Annie Coll is lifting and then twisting, has been associated with herniated disk(s). Flexion loadof many that caused failure of the lumbar spine to contain the disk. http://www.emedicine.com/sports/byname/lumbar-disk-problems-in-the-athlete.htm

(advertisement) Excerpt from Lumbar Disk Problems in the Athlete Synonyms, Key Words, and Related Terms: back pain, low back pain, strained back, back is out, herniated disk, slipped disk, herniated nucleus pulposus, ruptured disk, degenerative disk disease, lumbago, mechanical low back pain, LBP Please click here to view the full topic text: Lumbar Disk Problems in the Athlete Background: Back pain is a common complaint. Numerous causes of lumbar disk disease in athletes exist. Ninety percent of patients' symptoms from this condition resolve within 4 weeks, but it also can develop into a long-standing situation that can threaten or end a career. Even superstars, such as basketball player Larry Bird, have had their careers cut short due to this problem. Although the lumbar disk is the most frequent site of injury for several sports, sports participation itself does not increase the incidence of disk herniation. Frequency: In the US: Eleven percent of young athletes with back pain have disk problems. In adults, 48% of athletes with back pain have a disk problem. The lumbar disks are the most frequent sites of injury in the following sports: gymnastics, football, weightlifting, wrestling, dance, swimming, rowing, amateur golf, and ballet. They are the second most frequent sites of injury in professional golf and aerobic dance. They are less frequent, but statistically significant, in injuries incurred in general dance, skating, tennis, baseball, jogging, cycling, and basketball. Forty percent of men's tennis players missed at least one tournament because of back pain. Fifteen percent of basketball centers and 12% of football players missed playing time due to low back pain (LBP). Degenerative disk disease has been shown in athletes aged as young as 10 years. Risk factors for this condition include strenuous lifting, collision sports, and family history of disk problems.

46. Vertebra, Cervical, Lumbar, Sacrum, Disk, Annulus, Nucleus, lumbar Endoscopic Discectomy (LED) An outpatient, minimallyinvasive suctionand lazer endoscopic procedure to remove herniated lumbar discs. http://www.drschiffer.com/glossary.htm

47. Welcome To DrSchiffer.com Stanton Schiffer, MD Specialist in Providing minimally invasive outpatient cervical and lumbar Disc Category Health Medicine Neurosurgery Clinics and Practices...... the surgery, The vast majority of the herniated cervical disk patients are relievedof their neck and arm pain, and the lumbar herniated disk patients are http://www.drschiffer.com/

Located in the San Francisco Bay Area, Dr. Schiffer has over thirty years experience in all types of Spinal Surgeries and has specialized in minimally invasive Cervical and Lumbar disc Surgeries for over sixteen years... more Find out more about the procedures we offer and the testimonials of the patients we have helped. Cervical CED For neck and arm pain ACD For large bone spurs CED/ACD For multilevel disc protrusions and bone spurs ACF For an unstable cervical spine Lumbar LED/IDET For low back and leg pain (sciatica) IDET For chronic back pain only MD For free disc fragments and bone spurs LED/MD For multilevel disc protrusions and bone spurs For our New Patients with initial questions about Minimally Invasive Procedures we would appreciate it if you fill out the short patient questionnaire first. Many of your questions will be answered by our response. After reciving our response, if you have additional questions, you may call our office toll free 877.463.5942. For our Current Patients regarding medical or business matters call toll free 877.463.5942

48. Low Back Pain of conservative treatment before submitting to an operation on the herniated disk. equinasyndrome is the only complication of lumbar disk herniation that http://www.ncemi.org/cse/cse0906.htm

More Emergency Medicine Resources Back to table of contents 9.06 Acute Lumbar Strain ("Mechanical" Low Back Pain, Sacroiliac Dysfunction) Presentation What to do: Perform a complete history and physical examination of the abdomen, back, and legs, looking for alternative causes for the back pain. Consider plain x rays of the lumbosacral spine of those who have suffered injury sufficient to cause bony injury, patients under the age of 20 or over 50 who have had pain more than a month, and patients who are on long term corticosteroid medication or have a history of cancer. Order an erythrocyte sedimentation rate (ESR) on patients with a history of cancer or intravenous drug abuse or signs or symptoms of underlying systemic disease (e.g., unexplained weight loss, fatigue, night sweats, fever, lymphadenopathy, and back pain at night or unrelieved by bed rest). For point tenderness over a sacroiliac joint with no neurologic findings to suggest nerve root compression, try an intraarticular injection of a local anesthetic mixed with a corticosteroid. Improvement of pain is both diagnostic and therapeutic. Draw up 10 mL of 0.5% bupivacaine (Marcaine, Sensorcaine) mixed with 1 mL (40 mg) of methylprednisolone (DepoMedrol) or 1-2 mL (6-12 mg) of betamethasone (Celestone, Soluspan). Using a 1.5" 25 gauge needle and sterile technique, inject deeply into the sacroiliac joint at the point of maximal tenderness or into the dimple immediately lateral to the sacrum. When the needle is in the joint there should be a free flow of medication from the syringe without causing soft tissue swelling. During the injection, the patient may feel a brief increase of pain, followed by dramatic relief in 5-20 minutes which is usually permanent.

49. MicroSpine - The World Leader In Minimally Invasive Endoscopic Spine Surgery Res Performing arthroscopic and endoscopic spinal surgery for many spine disorders in Florida. Information Category Health Medicine Surgery Endoscopic...... slipped disk, spinal instability, herniated disk, nerve entrapment, pinched. stenosis,back, neck, back pain, neck pain, pain, sciatica, spine, lumbar,. http://www.doctorbuzz.com/

The World Leader In Minimally Invasive Spinal Surgery tm MicroSpine Center 100 Coy Burgess Loop, DeFuniak Springs, FL 32435 Toll Free: 1-888-MicroSpine (642-7677) Regional: 1-850-892-6001 Fax: 1-850-892-4212 MicroSpine represents the future of spine surgery. MicroSpine manufactures and develops new techniques and equipment to perform the most complex microscopic spinal surgeries through portals of 1/4 to 1/2 of an inch. The science of spine surgery is ever changing and MicroSpine is the one changing it. Unlike others, we don't claim to perform minimally invasive spinal surgery (Microspinoscopy) and then offer you a major fusion. All of our spinal surgeries are minimally invasive and no one has more advanced spinal surgical techniques than us. Our minimally invasive spine surgery techniques are so advanced that patients who have failed "minimally invasive spine surgery" from other professionals come to us for successful treatment. We are spinal specialists and nothing else. Unlike other spine centers who claim to perform minimally invasive spine surgery but also operate on shoulders and knees, we only work on the spine and we are the only center strictly dedicated to every aspect of minimally invasive spine surgery in the World. MicroSpine is the only spine center in the World who performs endoscopic spinal hardware removal or cervical arthritis surgery. No one else has treatment options as advanced as we do. We specialize in "Incurable" back pain, leg pain, cervical pain, failed back syndrome, failed spine surgery syndrome, headache, spinal stenosis, radiculopathy, spondylolisthesis, and disc herniation. We even solve pain due to prior surgeries and fusions! You don't need a 6 to 12 inch incision, and you probably don't need a fusion to cure your pain.

50. 1Up Health > Herniated Nucleus Pulposus (slipped Disk) > Causes, Incidence, And Comprehesive information on herniated nucleus pulposus (slipped disk) (Cervicalradiculopathy, herniated intervertebral disk, lumbar radiculopathy, Prolapsed http://www.1uphealth.com/health/herniated_nucleus_pulposus_slipped_disk_info.htm

1Up Health Herniated nucleus pulposus (slipped disk) Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Herniated nucleus pulposus (slipped disk) Information Herniated nucleus pulposus (slipped disk) Causes, Incidence, and Risk Factors Alternative names : Cervical radiculopathy, Herniated intervertebral disk, Lumbar radiculopathy, Prolapsed intervertebral disk, Ruptured disk, 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. 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

51. All About Back & Neck Pain: Herniated Disc A Patient's Guide to lumbar Spinal Stenosis. A Patient's Guide to Spondylolysis/Spondylolisthesis.A Patient's Guide to herniated Thoracic disk. http://www.allaboutbackpain.com/html/conditions.asp?cond=Herniated Disc

52. All About Back & Neck Pain: Articles Adult Kyphosis Adult Scoliosis herniated Thoracic disk Scheuermann's Kyphosis ThoracicCompression Fractures. Adult Scoliosis Anterior lumbar Interbody Fusion http://www.allaboutbackpain.com/html/articles.asp

Articles Back Pain Topic Centers Conditions Diagnosis Treatment Anatomy ... Contact Us and Legal Notice

53. Genesis Health System - Find Health Information by a variety of diseases and disorders that affect the lumbar spine herniated diskA herniated disk refers to the rupture of fibrocartilagenous material, called http://www.genesishealth.com/conditions/index.aspx?cid=342

54. AAOS Online Service Fact Sheet Sciatica of your lower (lumbar) spine. The gellike inside (nucleus) of a disk may protrudeinto or through the disk’s outer lining (annulus). This herniated disk may http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=167&topcategory=Spine

55. ChiroFind.com | Tell Me About Herniated Discs Chiropractic treatment of cervical radiculopathy caused by herniated cervical disc. Sideposture manipulation for lumbar intervertebral disk herniation. http://www.chiroweb.com/find/tellmeabout/disc.html

Other MPAmedia Alternative Health Site Links Acupuncture AcupunctureToday.com Massage Therapy MassageToday.com Tell me about... Herniated Discs What are herniated discs? The 24 vertebrae of your spine are separated from one another by pads of cartilage called discs. These discs have a fairly tough outer layer with a soft interior to cushion against the shocks and strains experienced as you move and put various stresses on your spine. The discs are subject to injury, disease, and degeneration with use over time. Certain activities and types of work increase the risk of discs being damaged or deteriorating. When the soft interior material of a disc pushes out through a tear or weakening in the outer covering, the disc is said to be herniated. Herniated discs are also called protruding, bulging, ruptured, prolapsed, slipped, or degenerated discs. There are fine distinctions between these terms, but all really refer to a disc that is no longer in its normal condition and/or position. Herniated discs cause pain by impinging on (intruding upon, irritating, and pinching) and even injuring nerves in the spinal column. What are some of the typical symptoms of herniated discs?

56. Musculoskeletal Diseases Intervertebral disk Displacement About herniated Disc Farcy Schwab HealthWise;Clinical Evaluation and Treatment Options for herniated lumbar Disc Humphreys http://www.mic.ki.se/Diseases/c5.html

search help staff Musculoskeletal Diseases Patients and laypersons looking for guidance among the target sources of this collection of links are strongly advised to review the information retrieved with their professional health care provider. Alphabetical List of Diseases Search PubMed at NCBI/NLM Textbook of Orthopaedics CR Wheeless Educational textbook syllabus Borrill et al. ] - Orthoteers (UK) The Belgian OrthoWeb - (BE) Site Map of the Orthopaedics and Sports Medicine resource at Univ of Washington, Seattle (US) The American Academy of Orthopaedic Surgeons A Musculoskeletal Atlas and a set of educational cases (radiol.) - U of Washington (US) OrthoLinx A collection of Case discussions at OrthoGate.org An orthopedic Encyclopedia - for patients - DynoMed.com Anatomy Links - KIB (SE) ChiroWeb .com [chiropractics] An Orthopedics hyperguide [userID + pswd required] - stryker/SLACK Inc. Orthopaedic Images from OrthoTrauma.Net Some PowerPoint presentation [note: IE Explorer only] from Dept of Orthopaedic Surgery, Edinburgh (UK) Radiographic Anatomy Modules , and about some Orthopaedic Hardware - Univ of Washington/School of Medicine/Radiology Orthopedic Institute of Southern California (US) Teaching Module on Anatomy using Joint Fluoroscopy - University of Iowa (US) Bone, Joint, and Necrotizing Soft Tissue Infections

57. Spine Center - Common Procedures remove bone spur formations (osteophytes) or disk material, and lumbar MicroforaminatomyWith the aid of a microscope, the in order to access a herniated disc http://www.spinecenteronline.com/sg_prcds/cm_srg.html

Common Surgical Procedures If you have a serious back or neck problem that may require surgery, you will want to become well informed about the type of surgery to be done, and what will be involved in recovery after surgery. The Spine Center has developed a comprehensive guide to the most common spine pain treatment procedures. There is a great deal of information provided here in this Internet site. But in addition, The Spine Center has a patient information booklet which goes into great depth on various surgeries. To request a copy of the patient booklet, contact us, or call the medical advice nurse at The Spine Center. Making choices about your health can often be difficult. This Internet site to help you make an educated decision about your health care. Please carefully read the material provided and visit with our staff regarding your questions or concerns. If you decide to have surgery, bring your patient handbook with you to surgery, as well as to your follow-up office visits. The spine physician will be able to illustrate the procedure involved. In the handbook, you will find information on the causes of spine pain, and information pertaining to each specific procedure performed, including how to

58. Outcomes/Effectiveness Research: Researchers Study The Causes Of Low Back Pain, plain xrays for the detection of early spinal infections, cancer, herniated disks,and Imaging of lumbar intervertebral disk degeneration and http://www.ahcpr.gov/research/apr01/401RA10.htm

Outcomes/Effectiveness Research Researchers study the causes of low back pain, use of imaging to identify herniated disks, and cancer in back pain patients About two-thirds of adults suffer from low back pain at some time. Doctors differ widely in how they care for patients with low back pain, with evidence of excessive imaging and surgery for the problem. In most cases of low back pain, patients recover within a few weeks of the onset of symptoms. Although the more worried among us may fear cancer with back pain, less than 1 percent of primary care patients with low back pain have spinal cancer. Three studies supported by the Agency for Healthcare Research and Quality recently examined approaches to the diagnosis and treatment of various causes of back pain, ranging from disk herniation to spinal cancer. The first study (AHRQ grant HS09804) provides a general overview of the causes, diagnosis, and treatment of low back pain. The second study (AHRQ grants HS08194 and HS09499) suggests imaging approaches that can distinguish age-related from more problematic intervertebral disk changes. In the third study (AHRQ grants HS06664, HS06344, and HS08194) the authors recommend a strategy for finding cancer in primary care outpatients with low back pain. Deyo, R.A., and Weinstein, J.N. (2001, February). "Low back pain."

59. Canine Intervertebral Disk Disease Extensive information about the physiology, causes, and treatments of this disease that primarily Category Health Animal Pets Dogs Conditions and Diseases...... the lumbar intervertebral disks are at highest risk for injury and possible herniationin humans. When disk herniation occurs, the herniated material presses http://www.dachshund-dca.org/diskbook.html

Canine Intervertebral Disk Disease Prepared for The Dachshund Club of America, Inc. by Patricia J. Luttgen, DVM, MS Diplomate, American College of Veterinary Internal Medicine, Specialty of Neurology Denver, Colorado (This is primarily a "text only" version. A few sketches have been included to aid in understanding.) Comparison of Canine and Human Intervertebral Disk Disease Intervertebral disk disease is a major neurologic problem affecting both canines and humans. Both species can be affected with cervical (neck) disk disease with similarities in the symptoms and outcome. However, in the thoracolumbar (mid-back) area, unique species differences alter the symptoms and outcome of canine versus human disk disease. The major neuroanatomic difference is in which vertebra the end of the spinal cord lies. In humans, the end of the spinal cord lies approximately inside the second lumbar (L2) vertebra (mid-back). Nerves exiting the spinal cord then descend inside the remaining lumbar and sacral (pelvis) vertebral segments. In comparison, the spinal cord in dogs ends at approximately the sixth lumbar (L6) vertebra (low-back area) and nerves descend through the last lumbar, sacral and coccygeal (tail) vertebral segments. Canine Anatomy The spinal column is made up of four major vertebral regions: cervical (neck), thoracic (chest), lumbar (low back) and sacral (pelvic). Dogs have seven cervical, thirteen thoracic, seven lumbar and three sacral vertebrae. There are also variable numbers of coccygeal or tail vertebrae. Intervertebral disks are located between the vertebral bodies starting at the second and third cervical vertebrae (C2-3) and extending to the seventh lumbar and first sacral vertebrae (L7-S1). The three sacral vertebrae are fused and therefore do not have disks. Intervertebral disks are present between the coccygeal vertebra as well, but are of little clinical significance.

60. THE MERCK MANUAL, Sec. 14, Ch. 183, Disorders Of The Peripheral Nervous System A herniated intervertebral disk (see below Bone changes in RA or osteoarthritis,especially in the cervical and lumbar regions, may compress http://www.merck.com/pubs/mmanual/section14/chapter183/183c.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 14. Neurologic Disorders Chapter 183. Disorders Of The Peripheral Nervous System Topics [General] Lower And Upper Motor Neuron Disorders Nerve Root Disorders Plexus Disorders ... Disorders Of Neuromuscular Transmission Nerve Root Disorders A herniated intervertebral disk (see below ), with or without degenerative spinal disease, is the most common cause of a root disorder. Bone changes in RA or osteoarthritis, especially in the cervical and lumbar regions, may compress isolated nerve roots. Less commonly, chronic meningitis, especially carcinomatous meningitis, produces patchy multiple root dysfunction. Epidural abscesses and tumors, spinal meningiomas, and neurofibromas may present with radicular symptoms (see Ch. 177 ). Diabetes mellitus can cause a painful thoracic or extremity radiculopathy. Herpes zoster infection usually causes a painful radiculopathy with a dermatomal sensory loss and characteristic rash; it may result in a motor radiculopathy with myotonal weakness and reflex loss. Symptoms and Signs Nerve root dysfunction, which is usually secondary to chronic pressure or invasion of the root, causes a characteristic radicular syndrome of pain and segmental neurologic deficit.

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