21. MedlinePlus Medical Encyclopedia: Herniated Nucleus Pulposus (slipped Disk) Most herniation takes place in the lumbar area of the spine. lumbar disk herniation occurs 15 times more often than cervical (neck) disk herniation, http://www.nlm.nih.gov/medlineplus/ency/article/000442.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Herniated nucleus pulposus (slipped disk) Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Skeletal spine Sciatic nerve Herniated nucleus pulposis Herniated disk repair ... Lumbar spinal surgery - series Alternative names Return to top Lumbar radiculopathy; Cervical radiculopathy; Herniated intervertebral disk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk Definition Return to top Herniated nucleus pulposus, or slipped 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. This results in back pain and leg pain (lumbar herniation) or neck pain and arm pain (cervical herniation) due to nerve root irritation. Causes, incidence, and risk factors Return to top 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).

22. AllRefer Health - Herniated Lumbar Disk (Pictures, Images, Photos, Diagrams, & I 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 http://health.allrefer.com/pictures-images/herniated-lumbar-disk.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health 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. Related Images Lumbar Spinal Surgery - Series Vertebra, Lumbar (Low Back) Vertebra, Thoracic (Mid Back) Related Articles Spinal Surgery - Lumbar Review Date : 1/31/2002 Reviewed By : A.D.A.M. Medical Illustration Team From Our Sponsors: A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial reviewers . A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch). Par Web Solutions Health Topics: A-Al Am-Az B C-Cj ... Healthopedia.com

23. AllRefer Health - Herniated Lumbar Disk - Lumbar Spinal Surgery: Pictures & Imag Herniated lumbar disk Spinal Surgery - Lumbar (Lumbar Spinal Surgery) pictures and images. http://health.allrefer.com/health/spinal-surgery-lumbar-herniated-lumbar-disk.ht

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump Abdominal Exploration Abdominoplasty (Tummy Tuck) Abortion ACL Reconstruction Adenoid Removal Angioplasty Appendectomy Bone Fracture Repair Breast Lump Removal Bunion Removal C-Section Carotid Artery Surgery Cataract Surgery Cosmetic Breast Surgery D and C Facelift Gallbladder Removal Gastric Bypass Heart Bypass Surgery Hemorrhoid Surgery Hernia Repair Hip Joint Replacement Kidney Transplant Knee Arthroscopy Knee Joint Replacement LASIK Eye Surgery Liposuction Mastectomy Prostate Removal Tonsillectomy Vasectomy 100+ More Surgery Topics Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Lumbar Spinal Surgery : Herniated Lumbar Disk Spinal Surgery - Lumbar Alternate Names : Lumbar Spinal Surgery 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. Previous Image Next Image Jump to another image Vertebra, Lumbar (Low Back)

24. Herniated Disk Any direct, forceful, and vertical pressure on the lumbar disks can cause the A lumbar support can be helpful for a herniated disk at this level as a http://www.chclibrary.org/micromed/00051060.html

Main Search Index Definition Description Causes ... Resources Herniated disk A herniated disk refers to the rupture of fibrocartilagenous material, called the annulus fibrosis, that surrounds the intervertebral disk. When this occurs, pressure from the vertebrae above and below may force the disk's center portion, a gel-like substance, outward, placing additional pressure on the spinal nerve and causing pain and damage. (Illustration by Electronic Illustrators Group.) 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.

25. Virtual Hospital: Radiology Resident Case Of The Week: Lumbar Disk Herniation An lumbar disk herniation and conjoined nerve root sleeve (lumbar). Eric Fitzcharles, MD Peer Review Status Not Internally Reviewed http://www.vh.org/adult/provider/radiology/RCW/051597/051597.html

Radiology Resident Case of the Week, May 15, 1997 Lumbar disk herniation and conjoined nerve root sleeve (lumbar) Eric Fitzcharles, M.D. Peer Review Status: Not Internally Reviewed Clinical Sx: 53-year-old male with several-month history of increasing right lower extremity weakness and numbness. Etiology/Pathophysiology: Disk degeneration is noticeable by the age of 20. The process consists of desiccation, or water loss in the nucleus pulposus and decreased tissue resiliency with decrease in the height of the disk space. With age, the initially soft and gelatinous nucleus pulposus is replaced by fibrocartilage and the distinction between nucleus pulposus and annulus fibrosis becomes less distance. The annulus becomes fissured and negative pressures bring nitrogen out of solution causing vacuum phenomenon. Disk height loss leads to malalignment and all of these processes permit disk material to bulge and subsequently herniate. The second finding in this patient was a conjoined nerve root sleeve. This is a congenital anomaly that is considered a normal variant and is found in 1-3% of the population. Pathology: The terminology of disk disease is at times muddy, however the following definitions are helpful: bulge: concentric smooth circumferential expansion of softened disk material beyond the confines of endplates. Protrusion = herniation: focal protrusion of disk material maintaining broad base with parent disk due to weakened or ruptured annulus fibrosus but intact posterior longitudinal ligament (herniation implies ruptured annulus fibrosus but protrusion doesn't necessarily). Extrusion: prominent focal extrusion of disk material with only an isthmus of connection with the parent disk due to ruptured annulus and intact or ruptured posterior longitudinal ligament. Free fragment: frank separation of disk material from parent disk (may migrate). There was no resected pathologic specimen from this patient.

26. The Physician And Sportsmedicine: Acute Lumbar Disk Injuries In Active Patients In Brief Managing acute lumbar disk herniations in active patients can be challenging The prognosis for lumbar disk herniations is generally favorable, http://www.physsportsmed.com/issues/2005/0405/lively.htm

Acute Lumbar Disk Injuries in Active Patients Making Optimal Management Decisions Mathew W. Lively, DO; Julian E. Bailes, Jr, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 33 - NO. 4 - APRIL 2005 For CME accreditation information, instructions and learning objectives, click here In Brief: Managing acute lumbar disk herniations in active patients can be challenging for physicians, especially when controversies surrounding treatment options make choosing the right care more difficult. The prognosis for lumbar disk herniations is generally favorable, and most patients will improve with conservative measures, such as early activity and avoiding bed rest. Minimally invasive techniques, such as percutaneous diskectomy, laser diskectomy, and epidural corticosteroid injection, may help control sciatic pain. Athletes who sustain late-season disk injuries should receive conservative treatment before considering surgery. Those who have early-season injuries may be able to return to competition sooner by having a microdiskectomy before a full course of conservative therapy is completed, but data supporting this approach are currently lacking. T he incidence of low-back pain in college athletes ranges from 6.9% to 64.8%

27. The Physician And Sportsmedicine: Degenerative Lumbar Spinal Stenosis As a result, spinal stenosis may mimic symptomatic lumbar disk herniation.13 The rapid onset is more characteristic of an acute lumbar disk herniation http://www.physsportsmed.com/issues/2003/0803/chen.htm

Degenerative Lumbar Spinal Stenosis Options for Aging Backs Andrew L. Chen, MD, MS; Jeffrey M. Spivak, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 31 - NO. 8 - AUGUST 2003 In Brief: Degenerative lumbar spinal stenosis commonly disables and functionally limits the aging population. Degenerative changes may constrict the spinal canal, lateral recesses, and neural foramina, compressing the neural elements. Clinicians can make an earlier, more accurate diagnosis by using advanced imaging techniques. Nonoperative management is the mainstay of treatment, although surgery is indicated in patients who have progressive neurologic decline or when nonoperative measures have failed to adequately address symptoms. I n the 1980s, the median age of the US population increased by 1.4 years, with an additional 2 million people age 65 or older. More people are maintaining active lifestyles as they age; consequently, symptomatic degenerative disease of the spine is often clinically significant and may result in functional debilitation. Lumbar spinal stenosis is characterized by narrowing of the spinal canal and/or the intervertebral foramina that decreases space for the neural elements. The condition may be secondary to congenital (developmental) or degenerative (acquired) causes.

28. Riken Discovers One Of Herniated Lumbar Disk-Causing Genes Tokyo (JCNN) Riken has announced that its SNP Research Center has discovered one of the genes that cause a herniated lumbar disk. http://www.medicalnewstoday.com/medicalnews.php?newsid=24047

29. YourSurgery.Com®-Lumbar Discectomy For lumbar ruptured disk, Internet Informed Consent ™. lumbar disk surgery for a ruptured or herniated disk is the most commonly performed surgical http://www.yoursurgery.com/ProcedureDetails.cfm?BR=2&Proc=34

30. Herniated Disk A lumbar support can be helpful for a herniated disk at this level as a temporary For those patients who do require surgery for lumbar disk herniation, http://www.healthatoz.com/healthatoz/Atoz/ency/herniated_disk.jsp

31. Bulging Disk and the options for treatment. Ruptured lumbar disk - Surgery, laminectomy, discectomy for a herniated or ruptured......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

32. American Family Physician: Lumbar Disk Disease: Pathophysiology, Management And Full text of the article, lumbar disk disease pathophysiology, management and prevention from American Family Physician, a publication in the field of http://www.findarticles.com/p/articles/mi_m3225/is_n5_v47/ai_13781707

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles American Family Physician April 1993 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Related Searches Spinal diseases / Care and treatment Backache / Care and treatment Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Lumbar disk disease: pathophysiology, management and prevention American Family Physician April, 1993 by Holly S. Gilmer Stephen M. Papadopoulos Gerald F. Tuite Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Back pain is one of the leading reasons for office visits to primary care physicians and one of the most common diagnoses for nonsurgical hospital admissions in adults under 65 years of age. More than 75 percent of persons at some time in their lives have severe low back pain that requires medical attention, with an annual incidence of 7 to 15 percent. Medical expenses directly related to back pain total more than $8 billion per year. Disability payments and indirect expenses are more than double that amount. Although lumbar disk disease accounts for a small percentage of patients with back pain, it has been estimated that the annual medical cost for treatment of lumbar disk disease alone is nearly $5 billion.[1,2]

33. American Family Physician: The Family Physician And Lumbar Disk Disease - Editor Full text of the article, The family physician and lumbar disk disease Editorial from American Family Physician, a publication in the field of Health http://www.findarticles.com/p/articles/mi_m3225/is_n5_v47/ai_13781701

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles American Family Physician April 1993 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Related Searches Spinal diseases / Care and treatment Backache / Care and treatment Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports The family physician and lumbar disk disease - Editorial American Family Physician April, 1993 by David C. Lanier Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Heightened awareness of lumbar disk disease among family physicians will likely result in better care for patients with low back pain. However, the focused attention on this condition also increases the possibility that lumbar disk disease (or "suspected" lumbar disk disease) will be overdiagnosed, resulting in needless patient anxiety and unnecessary and costly interventions, including inappropriate surgery. Although patients with low back pain are commonly seen in family practice, only a small percentage present with a herniated intervertebral disk. More than 90 percent of all episodes of back pain can probably be attributed to mechanical causes, although the precise pathoanatomic lesion may not be identifiable.[1]

34. RIKEN Discovers One Of Herniated Lumbar Disk-Causing Genes RIKEN has announced that its SNP Research Center has discovered one of the genes that cause a herniated lumbar disk. The Center has confirmed a high http://www.japancorp.net/Article.Asp?Art_ID=9988

35. Lumbar Disc Surgery Outcome Prediction Program factors that could be used to predict the outcome of lumbar disk surgery. to likelihood of a good outcome (at one year) from lumbar disk surgery. http://www.neurosurgery-neff.com/x.html

This page contains a working JAVA applet that simplifies the use of the results of the Prospective Lumbar Discectomy Study. The Prospective Lumbar Discectomy Study was jointed sponsored by the American Association of Neurological Surgeons and the Congress of Neurological Surgeons, to try to identify factors that could be used to predict the outcome of lumbar disk surgery. In that study I performed a multivariate (stepwise logistic regression) analysis of eighteen factors, and found that six independently influenced to likelihood of a good outcome (at one year) from lumbar disk surgery. Since logistic regression results are odds ratios that are not easy to intuitively combine, I have created this calculator application to allow you to "plug in" various values for criitical patient factors to see their effect on the likelihood of a good outcome in the Prospective Lumbar Discectomy Study group of patients. NOT a substitute for medical consultation and is NOT a clinical tool. It just illustrates the results of the study in a more intuitive way. NOTE: If your browser gives an error message and the space below is blank, try downloading the

36. Disc Herniation - Wheeless' Textbook Of Orthopaedics Foraminal and extraforaminal lumbar disk herniations. Far lateral lumbar disc herniation. The key to the intertransverse approach. http://www.wheelessonline.com/ortho/disc_herniation

Duke Orthopaedics presents Wheeless' Textbook of Orthopaedics Site Index A - Z Search Site by Word Home Contact Us My Account Disc Herniation - See: Herniated Disc in the Child Intervertebral Discs - Anatomy: - disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; disc containment: - w/ a contained disc herniation, the disc material herniated through the inner annulus but not the outer annulus; - the material is therefore contained, but still can distort the path of the nerve; - w/ a non contained herniation, the disc material penetrates both the inner and out layers of the annulus; - the material may reside beneath the posterior longitudinal ligament or may penetrate through it, or can be sequestered as a free fragment; posterolateral disc herniation: - protrusion is usually posterolateral into vertebral canal, where it may compress the roots of a spinal nerve; - in the case of a posterolateral herniation, the disc will not affect nerve corresponding in number to that

37. Foraminal And Extraforaminal Lumbar Disk Herniations - Wheeless' Textbook Of Ort Thirteen patients with foraminal or extraforaminal lumbar disk herniation were treated during a 32month period. Myelography and magnetic resonance imaging http://www.wheelessonline.com/ortho/foraminal_and_extraforaminal_lumbar_disk_her

Duke Orthopaedics presents Wheeless' Textbook of Orthopaedics Site Index A - Z Search Site by Word Home Contact Us My Account Foraminal and extraforaminal lumbar disk herniations Broom-M-J. Department of Orthopaedic Surgery, Orlando Regional Medical Center, Clin-Orthop. 1993 Apr. (289). P 118-26. Thirteen patients with foraminal or extraforaminal lumbar disk herniation were treated during a 32-month period. Myelography and magnetic resonance imaging proved to be ineffective in identifying the lesion in most patients. High-resolution computed tomography demonstrated the lesions in all patients, and the findings were subsequently confirmed at surgery. Surgical treatment consisting of disk fragment removal and nerve root decompression was effective in relieving radicular pain. Steve Rowlands website graphic design at www.steverowlands.com http://www.DiamondSea.com

38. Log In Problems Transcutaneous lumbar diskectomy for Internal Disk Derangement A New Indication Percutaneous diskectomy has been used effectively to treat lumbar disk http://www.medscape.com/viewarticle/410625

Unable to Deliver Requested Page In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site. To find out how to adjust your browser settings to accept cookies, please click here Medscape uses cookies to customize the site based on the information we collect at registration. The cookies contain no personally identifiable information and have no effect once you leave the Medscape site. You can read more about our use of cookies in our About Medscape Help WebMD Health

39. Acute Lumbar Disk Herniation I want to tell you about a review article on lumbar disk injuries that appeared in the April 2005 issue of The Physician and Sports Medicine. http://www.prolonews.com/acute_lumbar_disk_herniation.htm

PROLOTHERAPY A Non-Surgical Alternative to Chronic Pain and Sports Injury Sports Medical Center Oak Park, Illinois - Chicago area 708-848-7789 Ross Hauser, M.D. Robert Filice, M.D. Read About Our "Ironman" Doctor Learn about who we are and our about our doctors ... PROLOTHERAPY APPOINTMENT INFO (Local or Flying In) GET OUR FREE WEEKLY PROLOTHERAPY NEWSLETTER 4,960 SUBSCRIBERS DO Rest is an Ineffective Treatment for Acute Lumbar Disc Herniation Robert Filice, M.D. Here at CMRS we often find ourselves going against conventional wisdom in our therapeutic recommendations. Our explanation for this is that we really care for patients and dig diligently for the right answers, and we are not bound by establishment blinders and the need for conformity to an established but arbitrary and often ineffective standard of orthodox care. One example of this difference is our long standing recommendation that acute injured limbs NOT be immobilized. I wrote an article in this e-newsletter some months ago that informed our readers that an establishment study had validated our view and had found that immobilization was counter-productive. I want to tell you about a review article on lumbar disk injuries that appeared in the April 2005 issue of

40. AAOS Educational Resources Catalog Product Details Lumbar Disk Surgery lumbar disk Surgery. Print a Copy Email to a Friend. A credit card number is required for payment. Price, $42.00. AAOS Member Price, $32.00 http://www4.aaos.org/product/productpage.cfm?code=22060

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