How to Read a MRI of a Lumbar Herniated Disc Lower Back Pain Colorado Spine Surgeon
We're going to look now at a lumbar spine mri of a patient that has a disc herniation and again we see the side view spinal cord ending here nerve roots coming out and the white being cerebral spinal fluid the water these are the vertebra these are the discs the l one two two three and three four discs are normal the white on the inside the jelly is full of water the dark plies in the tire normal here at the four five level there is a degenerative disk you don't see the.
Normal white of a normal disc and you see a small tear in the back of the disc right there at the five one level it looks somewhat like the four five level as it's dark in the disc but you can see a complete rupture at the back of the disc and a disc herniation here which is filling up the spinal canal this is a typical disc herniation you can look at it now from the topdown view and will come down to the five one level no better yet.
We will start at three four here and here is that jelly filled donut the normal jelly on the inside the donut on the outside the sack of nerves here all of these black dots are the nerve roots the back of the disc is flat to concave this is normal we come down from that level to the four five level and here is a small tear in the back of the disc this is called an annular tear but the nerves behind that tear are not compressed therefore this patient shouldn't have any nerve pain from this tear.
Sciatica or sciatic neuralgia is a common condition in which one of the spinal nerve roots of the sciatic nerve is compressed resulting in lower back, buttock and leg pain.Sciatic nerve is a large nerve derived from 5 spinal nerve roots l4, l5, s1, s2 and s3.It runs from the lumbar spine through the buttock down the leg and the foot on the posterior aspect.There is one sciatic nerve on each side of the body.Typically, only one side of the body is affected.A typical sciatica pain is described as a.
Sharp shooting pain in the lower back, down the buttock, thigh and leg on one side of the body.There may also be numbness, burning and tingling sensations.The pain can get worse with sitting, moving, sneezing, or coughing.The patterns of pain depend on which nerve root is compressed, and follow the dermatome distribution.The most common cause of sciatica is a herniated spinal disc.The spinal disc is a soft elastic cushion that sits in between the vertebrae of the spine.With age, the discs become rigid and may crack, the gellike center of the disc may protrude out and become a herniation.
Outside the normal boundaries of the disc.Disc herniation presses on the nerve root as it exits the spine.In majority of the cases the condition resolves by itself after a few weeks of rest and conservative treatment.Pain relief, nonsteroidal antiinflammatory drugs and muscle relaxants may be prescribed.Stretching exercises and physical therapy may be recommended.Surgery may be needed if the pain doesn't go away after 3 months or more of conservative treatments.The herniated disc may be removed in a procedure called discectomy.Or, in another procedure called laminotomy, part of the bone.
Top 3 Exercises For Herniated Discs
A great exercise for disc herniation especially if the person has symptoms down the leg is a prone prop.A prone prop is laying on your stomach propped up on the elbows.We hold this position in the clinic for 2 minutes.Pretty simple.If this is too difficult and it is too much extension, too much bending backward, here is what we can do.Same idea here.We are propping up on a pillow.We are not neutral.We are slightly beyond that.Same idea.What we are doing is we are compressing the disc moving it forward away.
From the nerve relieving the symptoms down the leg.Normally what will happen is if the person has symptoms into their lower leg and it moves forward in this direction, that is called centralization.That is exactly what we are looking for.The next exercise is the prone press up.It is a press up from the stomach position.You are going to start right here.Keep your waist and legs flat on the table.You are going to press up here, becca.Hold that for a second or two and them back down.In.
Our clinic, we hold it at the top for 5 seconds and go up to 20 repetitions.We do it 20 times.The modification for somebody who can't go back that far.Start right here and press up halfway then back down.You can do it like that or you can put your hands forward and press up.Same idea just limiting the range of motion.But as you are doing this, if it is the right exercise for you and you have symptoms in your leg, you should feel it moving towards your back.When you don't have symptoms in your leg.
And they are only your back, you are doing the right thing.For people who work all day long and they have a disc herniation, this is a great exercise that they can do throughout the day.What you are going to do is you are going to stand like this with your hands on the low back, bend back and back up.The modification is you can put your hands on the wall and do the same exact thing.Your hands would be on the wall like this, doing the same exact thing.Take your belly button.
Tutorial Of L5S1 Surgery Lumbar Microdiscectomy Low Back Pain Surgery Colorado Spine Surgeon
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Day 10 Back Surgery Recovery From Herniated Disc L5S1 Microdiscectomy Perfromed July 3 2012
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Severe Back Pain Spinal Stenosis Sciatica Herniated Disc Treatment
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