21. Bulging Lumbar Disk Thus a person with stenosis is more likely to be symptomatic from even milddisk herniations. Compare to the fully Ruptured or FreeFragmented Disk. http://www.neurosurgeon.com/conditions/bulging.htm

T H E B U L G I N G L U M B A R D I S K As can be seen in the above illustration, a bulging disc is a herniated disc which is still contained by it's annulus . This is an important distinction to make. If given enough time and appropriate therapy, these willmore often than notget better! This is attributed the the disc "going back in," or with time drying out and shrinking. If the nerve has enough space to exit the spinal canal, then there will be minimal or no pain, thus obviating the need for surgery. But what if the disc annulus is too weak to repair itself, despite time, medications, and therapy? This may result in continued pain, or intermittent pain which only interferes with specific activities. Often in this latter case, the disc moves in and out compressing the nerve and thus causing sciatica. This type of disc bulge is described as an incompetent disc . Often the only way to demonstrate this condition is with a dynamic or motion study of the spine with X-rays. The traditional test for this is the myelogram Osteoarthritis and Stenosis Often a disc bulge occurs in a patient with "degenerative arthritis" known as Osteoarthritis. (This is to be distinguished from Osteoporosis, which is the thinning of bones due to loss of calcium, and which usually occurs in genetically predisposed post-menopausal women.) In the illustration below, the facet joint has become large (hypertrophied) and developed bony spurs, i.e. it is osteoarthritic.

22. Lumbar Disk Problems Subject lumbar disk Problems Topic Area Neuromuscular Forum The Neurology andNeurosurgery Forum Question Posted By Freddy on Wednesday, January 12, 2000 http://www.medhelp.org/forums/neuro/messages/30336a.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Lumbar Disk Problems Topic Area: Neuromuscular Forum: The Neurology and Neurosurgery Forum Question Posted By: Freddy on Wednesday, January 12, 2000 First of all, let me thank you for the wonderful service you provide. My question is somewhat of a personal nature concerning effects of a herniated L5-S1 disk. How common are erectile difficulties with this particular injury? I find that I have lost sensation in the penis. Will surgery to correct the disk restore full nerve function? As you can imagine, this has me quite concerned. All my neurosurgeon will say is 'Sometimes it does, sometimes it doesn't" Thank you again for your opinion. Answer Posted By: CCF Neuro[P] MD, RPS on Wednesday, January 12, 2000 Dear Freddy: Sorry to hear about your disc problem. What you are asking about is likely not due to L5/S1 herniation. The herniation would have to be pretty severe with compromise of the cord itself. The area in question is in S3/S4 if I remember correctly. The sensation and erection problem may be located somewhere else, either athroscleroisis, or sympathetic and parasympathetic derived nerves from the sacral plexus. If you have long term diabetes or use alcohol chronically these might feed into the problem. I would see a good neurologist or urologist.

23. LUMBAR DISK REMOVAL lumbar disk REMOVAL A surgical procedure which is designed to relieve pressureon the spinal cord or nerve root that is being caused by a slipped or http://www.medhelp.org/glossary2/new/GLS_2960.HTM

LUMBAR DISK REMOVAL - A surgical procedure which is designed to relieve pressure on the spinal cord or nerve root that is being caused by a "slipped" or herniated disk in the lumbar spine. This procedure is also used in the treatment of spinal stenosis . This procedure includes removal of a portion of the bone comprising a vertebra . Recovery is generally 7-10 days. An alternative to this is a micro-disc surgery Med Help Home Search Ask the Doctor ... Patient Network The medical glossary has been made possible by a generous donation from:

24. 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

25. Summary: Lumbar Disk Geometry Movement Science listserver BIOMCHL@NIC.SURFNET.NL From Mehmet Atif Yardimci ayardi1@uic.edu Subject Summary lumbar disk geometry Comments cc nick@orl http://isb.ri.ccf.org/biomch-l/archives/biomch-l-1997-03/00143.html

This Month Other Months Search Biomch-L Home ... nick@orl-inc.com Mime-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Hi: Enclosed are the replies. Thanks for the very usefull information. Best Regards, Atif Yardimci Manufacturing Processes Laboratory +1-312-355-0478 [office] Mechanical Engineering Department +1-312-413-7408 [lab] University of Illinois at Chicago +1-312-413-0447 [fax] 842 W. Taylor, 2039 ERF(m/c 251) e-mail: ayardi1@uic.edu Chicago IL, 60607-7022 USA http://guceri1.me.uic.edu/kok/atif S.Acar@lboro.ac.uk kburton@cix.compulink.co.uk rstreb@EPO.HSC.SUNYSB.Edu ... Biomch-L Home

26. Bulging Disk and the options for treatment........ Healthlink Herniated Disk - Links to information on herniated disks.Herniated lumbar disk - http://www.ability.org.uk/Ruptured_Disk.html

Our Aims Services Stats ... Z Bulging Disk Clinical Evaluation and Treatment Options for Herniated Lumbar Disc - Illustrated discussion of causes of disc herniation, assessment, imaging procedures and both surgical and non-surgical treatment. - Disc disease in the cervical, thoracic, or lumbar spine can cause neck pain, back pain, arm pain, leg pain or any combination of the above. Healthlink - Herniated Disk - Links to information on herniated disks. Herniated Lumbar Disk - Description and the options for treatment.. Ruptured Disk - Definition, symptoms, tests, treatment. Ruptured Lumbar Disk - Surgery, laminectomy, discectomy for a herniated or ruptured lumbar disk is a common procedure for low back pain that involves pain radiating into the leg. Anatomy and other forms of rupture disk surgery. SpineOnline - Especially about herniated disc, ruptured disk, slipped disk, spine, laminectomy. Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

27. Lumbar Disk Disease Patient Education. Long term management of lumbar disk disease. It is stability.The same is true with the annulus of the lumbar disk. This http://www.nwneurosurgery.com/blueback.htm

801 Broadway, Suite 617/ Seattle, Washington, 98122 /(206-623-0922) Patient Education Long term management of lumbar disk disease It is important to remember that no surgery can ever restore a herniated disk to it's original strength. The hole or weakness in the annulus will repair itself, but it will never achieve the original strength of the annulus prior to the disk herniation. It is similar to the analogy of an ankle sprain. Once sprained, it heals, but only to some fraction of the original strength. In fact, with each successive sprain, the ligaments heal, but are less and less able to maintain ankle stability. The same is true with the annulus of the lumbar disk. This is why it is imperative that patients take an active role in trying to reduce their risk of future disk herniation. This preventative care revolves around 3 important principles all designed to try and reduce the daily stress on the disk annulus.Remember and practice these faithfully, and you will be doing all you can do to reduce your risk of a recurrent disk herniation. A recurrence will not only further weaken the disk, but could mean ADDITIONAL SURGERY! 1. Avoid Heavy Lifting

28. Approximate Forces On 3rd Lumbar Disk First Previous Next Last Index Text. Slide 14 of 33. http://www.qualitysafetyedge.com/approach/QSE-Burns-Ergonomics/sld014.htm

29. Approximate Forces On 3rd Lumbar Disk Approximate Forces on 3rd lumbar disk. Tom Burns, PE, CSP Quality Safety Edge. http://www.qualitysafetyedge.com/approach/QSE-Burns-Ergonomics/tsld014.htm

Approximate Forces on 3rd Lumbar Disk Tom Burns, PE, CSP Quality Safety Edge Previous slide Next slide Back to first slide View graphic version

30. ORTHOPEDICS: Cauda Equina Syndrome Caused By Intervertebral Lumbar Disk Prolapse abstract). Cauda Equina Syndrome Caused by Intervertebral lumbar diskProlapse MidTerm Results of 22 Patients and Literature Review. http://www.orthobluejournal.com/0702/7buc.asp

Volume 25 (7) * July 2002 * Feature Article (abstract) Cauda Equina Syndrome Caused by Intervertebral Lumbar Disk Prolapse: Mid-Term Results of 22 Patients and Literature Review Matthias Buchner, MD; Marcus Schiltenwolf, MD ABSTRACT AUTHORS From the Orthopedic Clinic, University of Heidelberg, Heidelberg, Germany. The authors thank C. Thompson, MD, Hahnemann University, Philadelphia, Pa, for translating, and Dario R.C. Brocai for statistical analysis. Reprint requests: Matthias Buchner, MD, Orthopedic Clinic at the University of Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany. Orthopedics Homepage CME Articles Current Issue Back Issues ... Subscribe to the Journal e-mail: ortho@slackinc.com Revised 19 February 2003.

31. ORTHOPEDICS ORTHOPEDICS ®. Volume 24 (1) * January 2001 * Basic Science (abstract).Anatomic Considerations of the Posterolateral lumbar disk Region. http://www.orthobluejournal.com/0101/1ebr.asp

Volume 24 (1) * January 2001 * Basic Science (abstract) Anatomic Considerations of the Posterolateral Lumbar Disk Region ABSTRACT Sixteen embalmed cadavers were dissected to determine the location of the lumbar nerve root and sympathetic trunk with reference to the superior border of transverse process. In the posterolateral lumbar disk region, a safe zone was found between the anterior limit of the lumbar nerve and the posterior limit of the sympathetic trunk. It has a transverse dimension of 22 mm at the T12-L1 disk region and 25 mm at the L4-L5 disk region. The only exception to this was the genitofemoral nerve running close to the lateral margin of the L2-L3 disk. The study provides an understanding of the posterolateral orientation of the lumbar nerves and sympathetic trunk. AUTHORS Reprint request: Nabil A. Ebraheim, MD, Dept of Orthopedic Surgery, Medical College of Ohio, 3000 Arlington Ave, Toledo, OH 43614. Orthopedics Homepage CME Articles Current Issue Back Issues ... Subscribe to the Journal e-mail: ortho@slackinc.com

32. MEDLINEplus Medical Encyclopedia: Herniated Lumbar Disk Medical Encyclopedia. Herniated lumbar disk. Herniated lumbar disk isa condition in which part or all of the soft, gelatinous central http://www.nlm.nih.gov/medlineplus/ency/imagepages/9540.htm

Skip navigation Medical Encyclopedia Herniated lumbar disk Herniated lumbar disk is 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 nerve root irritation. Health Topics Drug Information Encyclopedia Dictionary ... National Institutes of Health Page last updated: 10 January 2003

33. Ruptured, Disk and the optionsfor treatment. Dr. Humberto Trejos, Costa Rica. Ruptured Disk...... herniated disks. Herniated lumbar disk http://www.foundhealth.com/Health/Conditions_and_Diseases/R/Ruptured_Disk/

Advertisement Foundhealth.com Search All Terms Any Term Tips Browse foundhealth.com Health calculators Fast Food Database Speakers Bureau How to evaluate sites Submit a site Contact us Home - main directory Top Health Conditions and Diseases R : Ruptured Disk Back and Spine Disorders See also: Health: Conditions and Diseases: C: Chronic Pain Health: Medicine: Medical Specialties: Pain Management Health: Medicine: Surgery: Orthopedic California Center For Minimally Invasive Spine Surgery - Patient information on minimally invasive disc surgery procedures and pain management techniques. Clinical Evaluation and Treatment Options for Herniated Lumbar Disc - Illustrated discussion of causes of disc herniation, assessment, imaging procedures and both surgical and non-surgical treatment. - Disc disease in the cervical, thoracic, or lumbar spine can cause neck pain, back pain, arm pain, leg pain or any combination of the above. Weakness in an extremity, difficulty with gait, incoordination, or loss of bowel/bladder control is rare. Southwest Georgia Regional Spine Center Healthlink - Herniated Disk - Links to information on herniated disks.

34. BioMed Central | Abstract | Does A Herniated Lumbar Disk With Nerve Root Entrapm Report Does a Herniated lumbar disk with Nerve Root Entrapment RequireSurgical Intervention Are Alternative Treatments as Effective? http://www.biomedcentral.com/1531-3433/2/115/abstract

Welcome guest user home journals A-Z journals by subject advanced search ... Issue 2 Viewing options Abstract Full text PDF Other links: E-mail to a friend Download references Post a comment Search PubMed For Zeidman SM Long DM Report Does a Herniated Lumbar Disk with Nerve Root Entrapment Require Surgical Intervention: Are Alternative Treatments as Effective? Seth M Zeidman MD and Donlin M Long MD Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, DC, USA. Department of Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Current Pain and Headache Reports Abstract The usefulness of surgery versus nonoperative measures in managing the patient with a herniated lumbar disk presenting with sciatica is somewhat controversial. Although most patients improve with nonoperative measures and time, some continue to have symptoms that impact on their ability to work and perform daily activities. Lumbar diskectomy, although widely used, remains problematic for surgeons due to uncertainties regarding its risks, benefits, indications, and optimal technique. The purpose of this article is to assess the outcome of conventional diskectomy techniques and compare them with nonoperative therapies. Terms and Conditions Privacy statement Information for advertisers Contact us

35. BioMed Central | Abstract | Surgery For The Herniated Lumbar Disk With Nerve Roo Report Surgery for the Herniated lumbar disk with Nerve Root EntrapmentAre Alternative Treatments to Surgical Intervention Effective? http://www.biomedcentral.com/1531-3433/2/121/abstract

Welcome guest user home journals A-Z journals by subject advanced search ... Issue 2 Viewing options Abstract Full text PDF Other links: E-mail to a friend Download references Post a comment Search PubMed For Rosomoff HL Rosomoff RS Report Surgery for the Herniated Lumbar Disk with Nerve Root Entrapment: Are Alternative Treatments to Surgical Intervention Effective? Hubert L Rosomoff MD, DMedSc and 600 Alton Road, The University of Miami Comprehensive Pain and Rehabilitation Center, FL 33139, USA. Current Pain and Headache Reports Abstract The concept that compressive lesions of the nerve root, as with a herniated disk, is the mechanism by which pain is produced may not be tenable. Overlooked and untreated are the myofascial syndromes that produce symptoms and signs that mimic the traditional description of nerve-root syndromes. Because the two entities may coexist, which is causative? Alternative treatments that focus on pain management, myofascial syndromes, and behavioral modification-especially when carried out in a multidisciplinary center-do produce functional restoration and control or relief of pain. Such treatment may not only yield superior outcome results as opposed to surgery, but also be cost effective while saving human suffering. Terms and Conditions Privacy statement Information for advertisers Contact us

36. Disk Herniation lumbar disk Herniation. Last Updated; 1997.11.03 lumbar disk herniationis a very famous name of disease causing low back pain or sciatica. http://www.asahi-net.or.jp/~xf6s-med/eherniation.html

Lumbar Disk Herniation Last Updated; 1997.11.03 lumbar disk herniation is a very famous name of disease causing low back pain or sciatica. But very few people know the actual situation of this disease. The explanation below will help your understanding for lumbar disk herniation. A. The structure of the intervertebral disk *Annular Ligament: is a fibrous tissuue composing outer layer of intervertebral disk. This has many layers having its fibrous tissue crossing by X shape. this maltiple layers allow annular ligament for stronger structure and grater ability as a shock absorber . *Nucleus Pulposus: is made of much glutinous liquid composing central part of intervertebral disk. This acts as a ball bearing and is balancing of the body. B. Various Types of Disk Herniation *Protoruded Type Nucleus pulposus is shifted posterior tearing annular ligaments partially. Then the disk protrude backward as a whole without extrusion of the nuleus pulposus from annular ligament. The nucleus pulposus is remaining just inside of the annular ligament in this case. When the protoruded disk suppress nerve root running through in that intervertebral foramina, severe sciatica will occur. *Ruptured Type Nucleus Pulposus has gone out or extrude from the collapsed annular ligament. In almost all case, direction of the extrusion is posterior, and right or left. Also extruded nucleus pulposus will surppress the nerve root running near it in the intervertebral foramina, this will cause sciatica as above type.

37. Herniated Lumbar Disk Herniated lumbar disk is a condition in which part or all of the soft, gelatinouscentral portion of an intervertebral disk (the nucleus pulposus) is forced http://www.pennhealth.com/imagepages/9540.htm

Herniated lumbar disk is 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 nerve root irritation. Review Date: 1/31/2002 12:00:00 AM Reviewed By:A.D.A.M. Medical Illustration Team

38. Tulane 3663 http//www.som.tulane.edu/pr/. Genetic Risk Factor Identified forlumbar disk Disease. Link to the Journal of the American Medical http://www.som.tulane.edu/pr/releases/04-11Lumbar.htm

Tulane HEALTH SCIENCES CENTER Office of Public Relations 1430 Tulane Avenue New Orleans, Louisiana 70112-2699 FAX (504) 585-6019 FOR IMMEDIATE RELEASE: April 10, 2001 CONTACT: Fran Simon PHONE NUMBER: (504) 584-3663 http://www.som.tulane.edu/pr/ Genetic Risk Factor Identified for Lumbar Disk Disease Link to the Journal of the American Medical Association news release: http://www.ama-assn.org/sci-pubs/sci-news/2001/pres_rel.htm#lumbar Link to the journal article: http://jama.ama-assn.org/issues/current/rfull/joc01517.html A variation in a certain gene sequence has been identified as a common genetic risk factor for lumbar disk disease, which pains about 5 percent of the population. A study confirms genetic risk factors likely play an important role in this disease according to an article in the April 11 issue of The Journal of the American Medical Association. Dr. Leena Ala-Kokko of the Tulane Center for Gene Therapy and colleagues conducted a study at university hospitals in Finland, focusing on the potential role of collagen IX (a certain type of collagen) gene sequence variations in lumbar disk disease. Collagen is a tough, fibrous protein that is the single most common protein in the body. It is the body's major structural protein, forming an important part of tendons, bones and other connective tissues. Lumbar disk disease, one of the most common musculoskeletal diseases, can generate sciatic pain that radiates along the sciatic nerve (formed from several lumbar nerves). This pain sometimes extends from the buttock, down the back of the leg to the foot. Lumbar disk disease often results in physical impairment, may require surgery, and contributes significantly to health care costs and work disability.

39. Spinal Problems Spinal Problems Archives. Herinated lumbar disk. Herinated lumbar disk. ReHerinated lumbar disk. Posted by prolo on April 30, 2001 at 215016 http://askwaltstollmd.com/archives/spinal/67151.html

Spinal Problems Archives Herinated Lumbar Disk Spinal Problems Archive Main Archives Page Glossary/Index FAQ ... Search this site! Match ANY Match ALL Herinated Lumbar Disk Posted by Alee on April 30, 2001 at 14:56:49: Follow Ups Re: Herinated Lumbar Disk Walt Stoll Herinated Lumbar Disk Sean Re: Herniated Lumbar Disk (Surgery or not?) Archive Walt Stoll Re: Herinated Lumbar Disk prolo Re: Herinated Lumbar Disk Posted by prolo on April 30, 2001 at 21:50:16: In Reply to: Herinated Lumbar Disk posted by Alee on April 30, 2001 at 14:56:49: There is a treatment that regenerates the disk and strenghtens the ligaments that hold the disk together to begin with. It is called prolotherapy. www.prolotherapy.com is the link. Follow Ups Herinated Lumbar Disk Posted by Sean on May 02, 2001 at 05:29:53: In Reply to: Herinated Lumbar Disk posted by Alee on April 30, 2001 at 14:56:49: Alee, Not sure how long your husband can hold out; but along with physical therapy chiropractic is another conservative approach. There are many cases where a patient wont need surgery after getting treated by a chiro for disc herniations. That doesnt mean your husband should go skiing in the future but it might be better then surgery. Again its your choice what you do and I'm not sure how much pain your husband is in etc (or the lack of function etc...)

40. Low Back (Lumbar) Herniated Disk--MRI And Model Model and MRI of Normal and Herniated lumbar disk. Normal lumbar disk Model.Red = Disk Material. Herniated lumbar disk Model. Red = Disk Material. http://www.emedx.com/emedx/diagnosis_information/back-neck_disorders/low_back_sl

Model and MRI of Normal and Herniated Lumbar Disk Normal Lumbar Disk Model Red = Disk Material Yellow = Nerve Roots Herniated Lumbar Disk Model Red = Disk Material Yellow = Nerve Roots Herniated Lumbar Spine MRI Gray = Disk Material Black = Spinal Cord/Nerve Roots

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