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         Ruptured Disk:     more detail
  1. Relief for a Herniated Disc: NOW!

61. George Clooney Sidelined By Ruptured Disk Celebrity News & Rumors At The Movie I
Actor George Clooney is suffering from a ruptured disk.
http://www.themovieinsider.com/gossip/gid/102/George_Clooney_Sidelined_by_Ruptur
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Monday, November 29, 2004, 8:11 PM EST.
George Clooney Sidelined by Ruptured Disk
George Clooney is suffering from a ruptured disk that kept him from promoting his new film, Ocean's Twelve , this week.
Clooney had been scheduled to travel to New York Sunday for appearances on shows including " Good Morning America ," "The Daily Show" and "Charlie Rose," his spokesman, Stan Rosenfield, said Monday.
But Clooney told Rosenfield on Saturday that his condition had worsened and he would be unable to travel. Rosenfield said he didn't have information on how or when the injury occurred.

62. Ruptured Disk - L1
ruptured disk L1. This article submitted by Jan Bennett on 12/5/96. The doctor has told him that he has a ruptured disk between L1 and L2 vertebrate
http://neuro-www.mgh.harvard.edu/neurowebforum/SpinalDisordersArticles/12.5.965.
Ruptured disk - L1
This article submitted by Jan Bennett on 12/5/96.
Author's Email: Timlin@ionet.net
My husband has had severe back pain for about 2 weeks. He is unable to sit at all. All he can do is lay or stand. He also has numbness in his left leg with some strength loss.
The doctor has told him that he has a ruptured disk between L1 and L2 vertebrate (I'm not sure where that is) He is to keep on pain medication for another week to see if the pain subsides. If the pain remains as it is, he couldn't live with it - he could not drive a car, much less go to work. Being only 36 he is very anxious about the thought of having surgery. He has heard too many horror stories about never being the same again after surgery. At what point do we give in to the pain and opt for surgery. Not having any experience with this, we don't know what a reasonable
"waiting period" would be. Months sounds out of the question. Also, how critical is this area of the back. Next Article
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63. DISK, RUPTERED
2 weeks in bed should be tried before considering other therapy unless complications occur. When necessary, a ruptured disk is curable with surgery.
http://www.rxmed.com/b.main/b1.illness/b1.1.illnesses/DISK, RUPTURED.htm
General Illness Information
Medical Term:

Disk, Ruptured Common Name: Herniated disk, Slipped Disk Description: A herniated disk is a spinal disk which has collapsed and is bulging into the spinal cord, pressing on the spinal cord or the nerves emanating from it. This occurs as a result of degeneration of the ligaments and tissues surrounding a spinal disk (i.e.. the cushion separating bony spinal vertebrae). The disks of the lower back (lumbar) or neck (cervical) are the most common sites. 80% of cases of lumbar disk protrusion occur at the L5-S1 level. In the neck the commonest site affected is at the C6-C7 level. When it affects the cervical spine, it is called cervical spondylosis. This condition usually affects middle-aged and older adults. Causes: Degeneration of ligaments with or without back injury (acute or chronic) leads to slipped disk. Prevention: Prevent back injury by p racticing proper posture when lifting. Also, exercise regularly to maintain good muscle tone.

64. THE MERCK MANUAL, Sec. 5, Ch. 59, Nonarticular Rheumatism
ruptured disk, ligamentous sprain, and muscle tear are suggested by sudden onset. CSF examination does not always differentiate ruptured disk from tumor
http://www.merck.com/mrkshared/mmanual/section5/chapter59/59b.jsp

65. ThirdAge: Laminectomy
The ruptured disk is then removed. In other instances the lamina is removed because of pressure caused by bony spurs or other pathology.
http://www.thirdage.com/healthgate/files/14831.html
Laminectomy Definition Parts of the Body Involved Reasons for Procedure Risk Factors for Complications during the Procedure ... Call Your Doctor If Any of the Following Occurs To see an animated version of this procedure, click Procedure InMotion Definition A surgical procedure to remove a portion of a vertebra, called the lamina, under which one finds the ruptured disk that is pushing on nerves and causing pain and dysfunction. The ruptured disk is then removed. In other instances the lamina is removed because of pressure caused by bony spurs or other pathology. Lumbar Laminectomy www.nucleusinc.com Parts of the Body Involved Back, spinal column, intervertebral disk Click or Scroll for More Content
Reasons for Procedure Laminectomy is a surgical method of treating severe pain and disability resulting from compression of spinal nerves by a ruptured intervertebral disk or bony compression. Surgery becomes an option when persistent pain and disability have not been relieved by other means, such as rest, medications, or physical therapy. The procedure is most often performed to treat progressive neurological problems, such as weakness, numbness, or pain in an arm or leg, or loss of bowel or bladder control, due to nerve compression caused by:

66. What Is A Herniated Disc, Pinched Nerve, Bulging Disc, Etc...?
Herniated disc (or herniated disk). Bulging disc. ruptured disc. Slipped disc. Disc protrusion. Disc degeneration. Degenerative disc disease. Disc disease
http://www.spine-health.com/topics/cd/d_difference/diff01.html
Introduction Common causes Conservative care Surgery ... Anatomy Search Newsletter Read educational newsletters on our most popular topics
Sign up for our free educational newsletter. Spine animations Lumbar herniated disc Spine anatomy illustrations
Related information Spinal discs Insights and advice about herniated discs Multi-specialty case on lumbar disc herniation Cervical herniated disc symptoms and treatment options ... Understanding the clinical diagnosis of a herniated disc Disc Decompression
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What's a herniated disc, pinched nerve, bulging disc...?
Spinal disc pain terminology varies
herniated disc pinched nerve bulging disc Some examples of terms used to describe spinal disc abnormalities include:
  • Pinched nerve Sciatica Herniated disc (or herniated disk) Bulging disc Ruptured disc Slipped disc Disc protrusion Disc degeneration Degenerative disc disease Disc disease Black disc
Rather than focus on the terminology referring to spinal anatomy, it's most helpful for patients to focus on understanding the

67. WebMD - Herniated Cervical Spine Disk
My husband had surgery for a ruptured disc around 5 weeks ago. During the surgery the surgeon discovered that when the disc ruptured it sent shards of
http://boards.webmd.com/webx?THD@1008.kPC4aBtZg5X.0@.59ac9664/0!thdchild=.59ac96

68. Lumbar Radiculopathy - DynoMed.com
This is often the result of herniated, or ruptured, disk material Most frequently a slipped or herniated (ruptured) disk is the cause of lumbar
http://www.dynomed.com/encyclopedia/encyclopedia/spine/Lumbar_Radiculopathy.html
Return Records
Lumbar Radiculopathy
Causes
Symptoms Treatment A Quick Overview of the Spine:
The cervical vertebrae are the seven vertebrae that form the upper part of your spine, between the skull and the chest. The thoracic vertebrae are the 12 bones between your neck and your lower back.  Thoracic vertebrae have cup-shaped surfaces called facets, in which the ribs rest and connect to the spine.  These ‘joints’ help the ribs to move up and down during breathing. The lumbar vertebrae are the five largest and strongest of all vertebrae.  They are found in your lower back between the chest and hips.  The strong muscles of the back are attached to the lumbar vertebrae. Your sacrum and coccyx are the bones found at the base of your spine.  The triangular sacrum—made up of five vertebrae fused together—supports the spine and connects it to the pelvis.  Your coccyx, or tailbone, is formed from four fused vertebrae and has little function. The vertebral foramen is the hollow part of the vertebrae where the spinal chord (nerve tissues) attaches to your brain and sends signals all over your body.

69. University Orthopaedics -- Back Problems
What is a slipped or ruptured disk? What is Sciatica? What are the available treatments for back pain? My doctor tells me there is nothing he can do
http://www.uortho.com/back.html
Back Problems Answers to Frequently Asked Questions About the Back. Q: What is the spine? A: The spine is the basic body structure which separates higher-order animals (vertebrates) from more primitive animals. It performs three important functions. First, it provides protection for the spinal cord, the central bundle of nerves which connects the brain with the rest of the nervous system. Second, it gives structural support to the entire upper body. Finally, it affords flexibility, allowing us to bend, twist and stretch. Although commonly referred to as the "backbone", rhe spine is actually made up of 33 separate bones, called vertebrae, arranged in a hollow column. This column is based at the hip bone (pelvis) and ends at the skull. The individual vertebrae are separated by thin, round layers of cartilage, called disks. These disks provide cushioning and prevent the vertebrae from rubbing together. The spinal cord runs through the hollow center of the spine. Q: What causes back pain?

70. "Doc, Do Something--fast!"
But disks can also be ruptured by a sudden traumayanking on a stubborn Much less straightforward than ruptured, or herniated, disk problems are cases
http://www.prolotherapy.com/articles/wandycz.htm
STAYING HEALTHY Surgery to relieve back pain is often unnecessary and unsuccessful.
Below, some questions to ask and some alternatives to the surgeon's knife.
"Doc, do somethingfast!" By Katarzyna Wandycz SOME 200 million Americans suffer from back pain at some point in their lives; every year almost half a million of them undergo surgery to relieve the pain. Yet several recent medical studies have concluded that many patients who elect back surgeries don't need them. For example, an article in the medical journal Spine stated that as many as 70% of those who underwent back surgery still suffered from back pain for up to 17 years after the surgery. How does one know if one needs surgery? If you are in such excruciating pain that you cannot tolerate it, then you probably need surgery. This is especially true if the pain extends from your back down into your legs. This means there is pressure on the root of the nerve going out of your spine into the legs. There are drugs to alleviate such pain; Upjohn's Ansaid helps reduce inflammation and pain in the spine. Exercise, too, often helps. But if so-called conservative caredrugs or physical therapyhasn't brought relief within six weeks, doctors will usually recommend surgery. How successful the surgery will be depends on what's causing the pain. The most frequent reason for back surgery is a ruptured, or herniated, disk. A disk is an oval-shaped shock absorber that's situated between the bones that make up the vertebrae. The disk has a nucleus made of a thick, jelly-like substance; ligaments wrap around and contain the nucleus. But when these ligaments tear, part of the nucleus bursts out and flows into the spine, putting pressure on the nerves in the spinal column and causing pain.

71. Center For Neurological Disorders - The Spine - Herniated Disc
Herniated disc (or herniated disk); Bulging disc; ruptured disc; Slipped disc; Disc protrusion; Disc degeneration (or degenerative disc disease)
http://www.cndpa.com/spine_condition_A.asp
Conditions and
Treatments of the SPINE HERNIATED DISC There are many different terms to describe spinal disc pathology, and all are used differently by different healthcare practitioners. Some examples of terms used to describe spinal disc abnormalities include:
  • Herniated disc (or herniated disk)
  • Bulging disc
  • Ruptured disc
  • Slipped disc
  • Disc protrusion
  • Disc degeneration (or degenerative disc disease)
  • Disc disease
There is no agreement in the medical field as to the precise definition of any of these terms. Often the patient hears his or her diagnosis referred to in different terms by different practitioners and is left wondering if there is any consensus on what is wrong. Rather than focus on the terminology referring to spinal anatomy, it’s most helpful for patients to focus on understanding the clinical diagnosis . It should be kept in mind that all the terms – herniated disc, bulging disk, slipped disk, ruptured disc, etc. – refer to radiographic findings seen on a CT scan or MRI scan (x-rays can indicate disc degeneration but cannot actually image the disc itself). While radiographic findings are important, they are not as meaningful in determining the source of the pain (the clinical diagnosis) as the patient’s specific symptoms and the spine specialist’s findings on physical exam.

72. Herniated Disc - Information About Spinal Disc Herniations
A ruptured disc is a common problem that leads to back pain and spinal nerve root Treatment of back and leg pain caused by a ruptured disc may include
http://orthopedics.about.com/od/herniateddisc/
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Information About Herniated Discs
Information about disc herniation or 'herniated nucleus pulposis' (HNP). The intervertebral disc is the shock absorber of the spine and is commonly injured causing pain and nerve symptoms.
Alphabetical
Recent Up a category Herniated Disc A ruptured disc is a common problem that leads to back pain and spinal nerve root irritation. Treatment of back and leg pain caused by a ruptured disc may include therapy, steroid injections, anti-inflammatory medications, or surgery. A discectomy is performed to remove a fragment of herniated disc from the spinal canal. A herniated disc can cause pressure on the spinal nerves, the discectomy relieves that pressure. Endoscopic microdiscectomy is a similar procedure done through small incisions. Ruptured Disk Normally, disks act as shock absorbers to cushion your vertebrae from each other as you move. A herniated disk is a disk that has bulged out from its proper place.

73. Herniated Nucleus Pulposus (slipped Disk)
These disks may herniate (move out of place) or rupture from trauma or strain, especially if degenerative changes have occurred in the disk.
http://www.healthcentral.com/ency/408/000442.html
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Health Encyclopedia Herniated nucleus pulposus (slipped disk)
Herniated nucleus pulposus (slipped disk)
Injury Disease Nutrition Poison ... Prevention
Herniated nucleus pulposus (slipped disk)
Definition: 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

74. Herniated Or Ruptured Disc
When discs are healthy, they act as shock absorbers for the spine, keeping the spine flexible. When discs are damaged by injury, disease or normal wear and
http://www.csmc.edu/pf_5274.html
Herniated or Ruptured Disc
Herniated Disc The bones of the spine are cushioned by small discs, which are round and flat with a tough, outer shell (capsule) that surrounds a jelly-like material (nucleus). When discs are healthy, they act as shock absorbers for the spine, keeping the spine flexible. When discs are damaged by injury, disease or normal wear and tear, they may bulge or rupture, becoming a herniated disc (sometimes called a slipped or ruptured disc). Although injury to the outer covering of a disc can cause pain, often a herniated disc by itself does not cause any discomfort. Pain occurs when pressure from the herniated disc is put on the nerve roots or spinal cord. Pain or numbness may occur in the area of the body affected by the nerve. For example, a herniated disc that presses on one of the nerve roots of the large nerve that extends from the lower back down the back of the leg may cause pain and numbness in the leg (a condition called sciatica). Herniated Disc Symptoms Many people who have a herniated disc are not aware of it because they have no symptoms of leg or back pain. Symptoms that do appear vary greatly, depending on the position of the herniated disc. If the herniated disc is:
  • Not pressing on a nerve, there may be a low backache or no symptoms at all

75. Lumbar Herniated Disc Treatments: Doctor Answers Patient Questions
Question I have a ruptured disc in my low back and was wondering if this can Doctor’s response Yes, a ruptured disc (also called a herniated disc) can
http://www.spine-health.com/backtalk/exquestions/lumbarherniateddisc02.html
Back-to-Back Newsletters Spine Forum Back Pain Radio ... Links Search The doctor is in! Physician responses to patients' e-mail questions Cervical herniated disc diagnosis Cervical herniated disc treatments Chronic pain and pain management ... Lumbar herniated disc surgery (Part II) Lumbar herniated disc treatments Osteoarthritis and facet joint problems Sciatica diagnosis Sciatica treatments Spinal stenosis ... Vertebral and spinal fractures Newsletter Sign up for our free educational newsletter.
Spine animations title Related information Lumbar herniated disc Treatment options for a herniated disc Treatment options for a lumbar herniated disk Surgical treatments for a lumbar herniated disk ... Back pain exercises and physical therapy Peter Ullrich, Jr., MD

76. Ruptured
As can be seen in the above illustration, a ruptured disc is a herniated disc which has This latter phenomena is almost diagnostic of a ruptured disc.
http://neurosurgeon.com/conditions/ruptured.htm
T H E F R E E - F R A G E M E N T E D D I S K The "Ruptured" Herniated Disc As can be seen in the above illustration, a ruptured disc is a herniated disc which has broken through it's annulus Clinical presentation:
Frequently patients will initially present with back pain/spasm . As the injured disc begins to tear and/or bulge, the pain will begin to travel into the buttock and leg. This pain in the leg is referred to as Sciatica . When the disc ruptures through its annulus, the back pain often subsides significantly. This can be compared to an abscess or boil, which when popped, feels much better. However, now the nucleus of the disk often compresses an adjacent nerve, resulting in more leg pain, despite improved back pain. This latter phenomena is almost diagnostic of a ruptured disc. What happens next?

77. Thoracolumbar Intervertebral Disc Disease
Exact localization of the ruptured disc material through myelography is imperative The ruptured disc material is actually removed from the spinal canal.
http://members.aol.com/pxlbarrel/dachcirc/discdis.htm
Provided courtesy of:
Michael Wolf, DVM; Diplomate ACVIM (Neurology) Specialist in Neurology and Neurosurgery
at the Oakland Veterinary Referral Services, P.C.
1940 S. Telegraph Rd.
Bloomfield Hills, MI 48302
Intervertebral Disc Disease
Intervertebral disc disease (IVDD) is one of the most common neurologic syndromes seen in dogs. Disc degeneration occurs in almost any breed, but small breed dogs are overrepresented with the condition (Dachshunds, Beagles, Basset Hounds, Pekingese, Cocker Spaniels, Poodles, etc.). The aging process of the disc (degeneration) in these breeds leads to mineralization (calcification) of the disc early in life, which predisposes them to "rupture" a disc. The thoracolumbar spine (back) is the location of a disc rupture in about 80% and the cervical spine (or neck) in about 20% of the patients seen. This paper will concentrate on the more common thoracolumbar intervertebral disc disease.
Anatomy of the Disc
Intervertebral discs act as elastic cushions between the vertebral bodies and extend from the neck region to the tail. They absorb shock and facilitate movement of the vertebral column. The intervertebral disc consists of two portions: an outer ring or annulus fibrosis made up of firm fibrous tissue and an inner part, the nucleus pulposus, which is filled with jelly-like material. When the disc degenerates it loses its elasticity when the jelly-like center calcifies and takes on a gritty, hardened consistency. The disc is no longer able to act as a cushion between the vertebrae and the center part of the disc is predisposed to bulge and rupture through the outer ring into the spinal canal resulting in pain, compression of the spinal cord, and neurological deficits (paralysis).
Clinical Signs
Clinical signs depend on how much, how fast, and with what velocity the disc material has compressed the spinal cord. A mild rupture may cause "just" back pain, while a more moderate rupture causes a wobbly gait and weakness to the hindlegs. If a large amount of disc material ruptures, or if it ruptures very quickly and enters the spinal canal with high velocity, it will cause severe compression and swelling of the spinal cord. These events can lead to complete paralysis of the hindlegs and sometimes even life threatening bleeding inside the spinal cord. There is a very important anatomical difference between dogs and humans. In dogs the spinal cord extends all the way down to the pelvis. In humans the spinal cord ends in the middle of the back and the spinal canal contains then "only" nerves rather than spinal cord. This is the reason why disc disease in humans usually leads "only" to a "pinched nerve." In small breed dogs however, a disc rupture will, with very few exceptions, always lead to compression of the spinal cord. This anatomical difference is so important because the spinal cord is a much more delicate organ than a nerve and is much more susceptible to potential permanent injury. In addition to various degrees of weakness to the hindlegs, dogs that cannot walk also suffer from impaired urinary bladder control. In these cases, the bladder must be manually emptied to prevent retention of urine and bladder infections.
Diagnosis
A presumptive diagnosis of IVDD is based on the dog's breed, age, history, and neurological examination. Radiographs (x-rays) can show the presence of degenerative, calcified discs. However there can be multiple degenerative discs and calcification does not indicate actual disc rupture. A definitive diagnosis therefore always requires a special radiographic procedure. A myelogram involves injection of a contrast material around the spinal cord to document the exact site of the ruptured disc material, location of compression, and swelling of the spinal cord. Exact localization of the ruptured disc material through myelography is imperative for surgical treatments.
Treatment and Prognosis
There re basically two treatment options for a dog suffering from disc disease. Conservative treatment consists of strict immobilization (cage rest) and sometimes additional medical treatment for inflammation and pain (corticosteriods). Surgical treatment provides decompression of the spinal cord. The ruptured disc material is actually removed from the spinal canal. Dogs experiencing their first episode of back pain with no neurological deficits may be treated conservatively. Recurrence of back pain, however, occurs frequently and a patient with recurrent painful episodes should therefore be treated surgically. (80% of these dogs have spinal cord compression!) Dogs with significant neurological deficits ( weakness to the hindlegs or inability to walk ) are not good candidates for conservative treatment. Without surgery, neurological improvement is frequently delayed and often incomplete. Furthermore these patients suffer from significant pain during confinement. Moreover, there is a risk of sudden neurological deterioration resulting in complete paralysis and possible irreversible spinal cord damage. Therefore these dogs should be treated by surgical decompression. By removing the slipped disc material the surgical procedure (hemilaminectomy) provides immediate pain relief and also provides the conditions needed for fast and complete neurological improvement. There is also a much smaller chance for recurrence of clinical signs with surgery in comparison to conservative treatment. The success rate for these patients treated by decompressive surgery is over 95%. Finally, dogs which are completely paralyzed and have lost all their feeling to the hindlegs (deep pain) only have a chance to recover when treated with decompressive surgery. Removal of disc material within the first 48 hours after onset of paralysis can still have a success rate of 50%. However, left without surgery, or if surgery is delayed, 99% of these patients stay permanently paralyzed. The overall prognosis depends on many factors:
  • severity of neurological dysfunction
  • the length of time the disc has ruptured and is compressing the spinal cord
  • the degree of spinal cord swelling
  • how quickly the disc ruptured (minutes to over several days)
  • the amount of disc material that has ruptured
  • the number of previous episodes of back pain
  • the overall physical condition of the patient
    Post Operative Care
    A very important part of post surgical treatment is nursing care . Generally patients are confined to a cage or small area for two weeks after surgery. Nursing care consists of manual urinary bladder expression if needed, providing soft and clean bedding, and keeping the patient clean and dry to prevent urine scalding and pressure sores. Recovery can take anywhere from a few weeks to several months. Dogs which can still feel their hindlegs prior to surgery usually can walk or start walking two weeks after surgery. For dogs without deep pain the recovery time is significantly longer and can take up to several months. For some dogs which stay permanently paralyzed, a cart may be an option to provide them with a better quality of life. The cart is a wheelchair of sorts for dogs that allows the back legs to sit in a sling and is propelled by the front legs. Physical therapy is particularly helpful to maintain joint flexibility and blood circulation to the hindlegs in patients with longer recovery periods after surgery. Physical therapy should be started as soon as the patient can tolerate it. Range of motion exercises, tailwalking, swimming, and whirlpool baths are excellent physical therapy. Last modified on 03-May-97 05:30 PM
  • 78. Disc Problems - Detroit, Michigan, Henry Ford Health System
    The pain of a ruptured disc is usually sharp and sudden. Commonly, the pain will be passed along the course of the nerve compressed by the ruptured disc.
    http://www.henryfordhealth.org/11766.cfm
    Ortho Patient Care - From Hips, Hands, Knees, Shoulders to Rehab Locations Bone and Joint Research Orthopaedics Residency Program ... Disc Problems
    Disc Problems
    At least once in their lives, about 80 percent of all Americans will experience lower back pain that can range from a dull, annoying ache to absolute agony. Lower back pain is one of the most common ailments in the U.S. On any given day, over 6.5 million Americans are under some sort of treatment for lower back pain. Because many people are familiar with the term "slipped" disc, this problem is mistakenly believed to be the chief cause of lower back pain. In fact, protruding discs are responsible for only 5-10 percent of the cases. Actually, the term itself is inaccurate, because the disc does not slip at all; it bulges, ruptures or herniates. In some cases, the tough tissues that contain the disc are weakened by injuries that allow the soft gel-like center to protrude. If the protrusion presses on a nerve root, pinching it against the bone, the result is pain in the area of the body served by that nerve. The pain of a ruptured disc is usually sharp and sudden. Commonly, the pain will be passed along the course of the nerve compressed by the ruptured disc. A disc pressing on the sciatic nerve root causes sciatica, sending pain from the buttock down the leg and into the foot.

    79. Sacred Heart Health System - News & Upcoming Events
    New Approach Available for ruptured Disc in Spine. Posted 6/22/2001. Surgeons at Sacred Heart Hospital are now treating herniated or ruptured disc in the
    http://www.sacred-heart.org/WhatsNew_Tree/article.asp?NID=8

    80. Shoppers Drug Mart - Health & Wellness
    A herniated, prolapsed, or ruptured disc happens when the inner material Surgery to remove the ruptured disc is done through a very small incision.
    http://www.mediresource.com/sdm/sdm/english/disease_detail.asp?disease_id=164

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