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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.
Extractions: 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
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
Extractions: 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.
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
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
Extractions: 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:
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
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
Extractions: 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 sacrummade up of five vertebrae fused togethersupports 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.
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
Extractions: 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?
"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
Extractions: 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.
Extractions: 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: 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, its 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 patients specific symptoms and the spine specialists findings on physical exam.
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/
Extractions: zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') zfs=0;zCMt='a67' About Orthopedics Herniated Disc Orthopedics Essentials Broken Bone Menu Knee Pain Causes ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); Sign Up Now for the Orthopedics newsletter! See Online Courses Search Orthopedics 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.
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
Extractions: Dr. Dean TV Specials Newsletters Home ... Health Tools Search Choose a Health Topic * All Health Topics * Acne Addictions AIDS/HIV Alcohol Abuse Allergies Alternative Medicine Alzheimer's Arthritis Asthma Attention Deficit Disorder (ADHD) Backache Bipolar Affective Disorder Birth Control Blood Blood Pressure Bone/Joint/Tendon Bowel Brain Breast cancer Cancer Cerebral Palsy Cholesterol Cramps Crohn's Disease Cysts Dental/Oral Depression Diabetes Diet, Fitness, Looks Disabled/Special Needs Drug Abuse Ear/Nose/Throat Eating/Appetite Eczema Encephalitis Eye/Vision Fatigue Fever Flu Food Poisoning Foot Gallbladder Gastrointestinal Genetic/Congenital GERD/Heartburn Hair Loss Hair/Scalp Headache Hearing Heart Disease, Stroke Heat/Sunstroke Hepatitis Hernia Herpes High Blood Pressure Hormonal Immune Disorders Immunizations/Vaccines Impotence Incontinence/Bladder Infections Injuries Kidney/Urinary Kids Learning Disabilities Liver Lung Cancer Men Menopause, Postmenopause Migraine Mobility/Balance Multiple Sclerosis Muscle Neural Nosebleeds Pain Parasites Pituitary PMS Pregnancy Prostate Cancer Prostate Disorders Psoriasis Psychological Raynaud's Disease Respiratory Reye Syndrome Rheumatoid Arthritis Schizophrenia Seniors Sensory Sexually Transmitted Disease Skin Sleep Speech Disorders Spinal Thyroid Trauma Weight Loss Women Yeast Infections Home Health Encyclopedia Herniated nucleus pulposus (slipped disk) Injury Disease Nutrition Poison ... Prevention 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
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
Extractions: 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
Lumbar Herniated Disc Treatments: Doctor Answers Patient Questions Question I have a ruptured disc in my low back and was wondering if this can Doctors response Yes, a ruptured disc (also called a herniated disc) can http://www.spine-health.com/backtalk/exquestions/lumbarherniateddisc02.html
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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
Extractions: 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?
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
Extractions: Bloomfield Hills, MI 48302 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. 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 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. 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. 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 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
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
Extractions: Ortho Patient Care - From Hips, Hands, Knees, Shoulders to Rehab Locations Bone and Joint Research Orthopaedics Residency Program ... 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.
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
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
