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[1] A disc protrusion is a medical condition that can occur in some vertebrates, including humans, in which the outermost layers of the anulus fibrosus of the intervertebral discs of the spine are intact but bulge when one or more of the discs are under pressure. Many disk abnormalities seen on MRI that are loosely referred to as "herniation" are
Disc herniation is normally a further development of a previously existing disc protrusion, in which the outermost layers of the annulus fibrosus are still intact, but can bulge when the disc is under pressure. In contrast to a herniation, none of the central portion escapes beyond the outer layers.
[55] [56] A 2011 Cochrane review found strong evidence that suggests there is no clinically meaningful difference between spinal manipulation therapy and other treatments for reducing pain and improving function for chronic low back pain. [57] A 2008 review found that with the possible exception of lower back pain, chiropractic manipulation has ...
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A degenerated disc in the lower back can result in lower back pain, sometimes radiating to the hips, and pain in the buttocks, thighs, or legs. If pressure is being placed on the nerves by exposed nucleus pulposus, sporadic tingling or weakness through the knees and legs can occur. A degenerated disc in the upper neck will often result in pain ...
Modic changes is a descriptive term used by radiologists in MRI evaluations. Conventional treatment including physiotherapy, chiropractic, acupuncture, and exercise for back pain, are not effective in treating Modic changes. Conversely, long term antibiotic treatment has been shown to be an effective treatment if done effectively.
Williams specified that in most cases the 5th lumbar disc ruptures and the nuclear material of the disc moves into the spinal canal causing pressure on the spinal nerves. In addition to the ruptured disc, irritation of the nerve at the intervertebral foramen where the nerve exits from the spinal canal may result.
A discectomy is a common procedure used to alleviate the radiating pain and neurological symptoms associated with a herniated disc. [23] There are multiple variations of a discectomy with differing approaches to access the herniated disc, but the goal of the procedure is to remove the portion of the intervertebral disc that is protruding into ...