Herniated disc is inappropriately and commonly called as slipped disc by a lot of people but known as ruptured disc in the sports writer’s world. This is likely to be symptomatic because of the proximity of the spinal nerve roots. The pain is usually acute from the pressure on the longitudinal ligaments and local inflammation. Chronic pain results from the compression of the spinal nerve roots by the herniated disc.
The most common is the lumbago acute middle and low back pain. Approximately 95% of lumbar disc protrusions occur at L4-L5 or L5S1 levels. Muscle spasm and tense or increasingly cramped lumbar region are associated with the low back pain a patient feels. Further ischemia may occur and cause painful movements.
This may be gradually replaced by sciatica which is a pain in the lower back and hip that radiates down the back of the thigh into the leg. L5 or S1 are components of the sciatic nerve causing shooting pain down the lower limbs. Back muscles go into spasm as a response to inflammation of back structures. Spasms are sudden involuntary contraction of one or more muscle groups attended by cramps and pain producing involuntary movement and distortion.
Only the removal of the extruded part of the disc or the free fragment is seen to be the most possible relief to the pain intensity one’s feel. However risks of surgery may be localized as dural tear, wrong level exploration, hemorrhage, infection and nerve deficit. This is the very reason I did not undergo surgery besides the high medical cost that I am going to injure. After my neck operation of lymphangioma I noticed some changes in me. I doubt if I undergo back operation I would still be the same. As much as possible we deny the knife if we can still make it. We just don’t know what we are going to lose during the operation.
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