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         Herniated Lumbar Disk:     more detail

61. Spine Anatomical Models. Vertebral Columns Medical Schools, Legal Presentations.
Artery, all Spinal Nerves Branches, Femur Heads (18 spine only), Brain Stem, Cerebellum,and herniated lumbar Disc. herniated disk is interchangeable with
http://www.buyamag.com/spine_models.htm
Anatomic Spine Models Anatomic Spine Models ALL SPINES INCLUDE A STAND Chrome Suspension Stand
(Included With Every Spine)
This Spine Stand is included with every Spine Model we sell. And is included in the price of every Spine Model purchased. Made from no rust Stainless Steel material , easy to demonstrate and view every part of the the Spine Model. The Spine Stand can be purchased separately for $39.00 ALL SPINES INCLUDE A STAND "A" 18" & 29" Life Sized Adult Spine Model 29" 18" Quantity Select Size 18 inch 29 inch Highly detailed, bendable, superb quality, life-size. Ideal for Anatomy teaching Model for students, patients, education by chiropractors, orthopedic surgeons, Medical Schools. Flexible, model shows all significant features for each vertebra including: vertebral body, spinous and traverse processes, vertebral notch, and spinal canal. Made with perfection details for easy understand and learn Anatomy. Shows all significant features Also includes: complete Pelvis, Sacrum, Occipital Bone, and Vertebral Artery, all Spinal Nerves Branches, Femur Heads (18" spine only), Brain Stem, Cerebellum, and Herniated Lumbar Disc. Herniated disk is interchangeable with normal disk.

62. Torso Anatomical Models.Pelvic,Skeleton,Spine,Skull,Uterus,Colon,Rectum. 800-686
Bone, and Vertebral Artery, all Spinal Nerve Branches, Femur Heads, Brain Stem, Cerebellum,and herniated lumbar Disc (herniated disk are interchangeable with
http://www.buyamag.com/torso_models.htm
Anatomic Torso Models Anatomic Torso Models
Click For Larger Photo INCLUDES STAND Deluxe Life-sized Adult Skeletal Torso With Muscles Best Skeletal Torso Model ever made! Highly Detailed, articulated, Durable, bendable, Superb Quality. This Skeletal Torso will make the "Complex Bone Muscle Relationship" easy to understand and learn. Popular Torso Model for medical school student's education, for demonstrations to patients, professional offices, legal presentations. Significant features:
  • Flexible Spine with Rib Cage and Shoulder Girdles showing the Cervical Plexus and the Branchial Plexus, also showing Suboccipital Triangle, and Greater Occipital Nerve, Interior, Medius and Posterior Scalenus. Longus Capitis and Longus Colli muscles. Great for showing Thoracic Outlet Syndrome. Also in (Thoracic region) Intertransverse long and short Rotators. The right shoulder is fully articulated featuring the trapezoid Ligament, Conoid Ligament, Superior Transverse Scapular Ligament, Coracoacromial Ligament, Cracohumerial Ligament, Transversal Humerial Ligament, Middle Glenohumerial Ligament, Capsule of Shoulder Joint and Tendon of Bicep Longhead. Also muscles of Rotator Cuff, Supraspinatus, Infraspinatus, Ters Minor, Teres Major and Suscapularias. Lumbar Region has Quadratus Lumborium, Piriformis, Psoas Major, Iliacus, Lumbar Section of Multidfidus

63. Health Ency.: Disease: Herniated Nucleus Pulposus (slipped Disk)
lumbar radiculopathy; Cervical radiculopathy; herniated intervertebral disk;Prolapsed intervertebral disk; Slipped disk; Ruptured disk. Definition
http://www.accessatlanta.com/shared/health/adam/ency/article/000442.html
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Ency. home Disease H Herniated nucleus pulposus (slipped disk) See images Overview Symptoms Treatment ... Prevention Alternative names: Lumbar radiculopathy; Cervical radiculopathy; Herniated intervertebral disk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk Definition: 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, resulting in back pain and nerve root irritation. Causes and Risks The bones of the spinal column, or vertebrae, run down the back connecting the skull to the pelvis. These bones protect nerves as they exit the brain and travel down the back throughout the entire body. The spinal column is divided into several segments; the cervical spine (the neck), the thoracic spine (the part of the back behind the chest), the lumbar spine (lower back) and sacral spine (the part connected to the pelvis that does not move). The spinal vertebrae are separated by cartilage disks, filled with a gelatinous substance, that provide cushioning to the spinal column. These disks may herniate or rupture from trauma or strain , especially if degenerative changes have occurred in the disk.

64. HealthlinkUSA Herniated Disk Links
neck pain, sciatica, herniated disc/disk, physical therapy, pain management, spinesurgery, minimally invasive, micro discectomy, laminectomy, lumbar/cervical
http://www.healthlinkusa.com/341ent.htm

65. Herniated Disk; Treatment, Prevention, Cure
What is lumbar Endoscopic Discectomy? lumbar Disc Herniation. BuffaloNeurosurgery Group Information about herniated Cervical disk.
http://www.healthlinkusa.com/content/341.html
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66. Sciatica / Herniated Disk - Body Bridge
morning. I'm 82 years old and have a herniated disk (lumbar vertebrae4 and 5) which puts pressure on my sciatic nerve. The pain
http://www.bodybridge.com/sciatica-bodybridge.html
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Sciatica / Herniated Disk and the BodyBridge
Testimonials Sciatic Neuritis is when the sciatic nerve becomes inflamed from metabolic, toxic or infectious disease. Sciatic Neuralgia is what most people experience, either from the buttocks down the leg to the foot or just the buttocks and thigh. In severe cases, the pain may be accompanied by numbness or weakness in the affected area. The most common cause of sciatica neuralgia is misalignment of the lumbar spine or a prolapsed intervertebral disk (this is commonly known as a herniated disk). A herniated disk is a painful disorder of the spine in which an intervertebral disk ruptures and part of its pulpy core protrudes. About 95% of herniated disks occur in the low back. Both of these structural problems can be corrected with daily use of the BodyBridge The BodyBridge is a curved topped passive traction table which decompresses the spine. Each disk can gently separate through passive traction. Once decompression takes place, pressure is taken off the muscle groups in the low, mid and upper back. For those suffering from sciatic pain or a herniated disk, the following is the correct way to use the BodyBridge. Note: since most people are accustomed to bending forward and not backward, there is a transition period which may take place. The BodyBridge teaches your body, over time, to bend backward and release the compression of the intervertebral disk safely. Step 1 . With feet on the floor just lean back on the curved surface of the BodyBridge. The hands may be on your stomach or if it feels right, over your head. This is the "Semi Extension Position" and is easy to do. What you are doing is placing the back in an arched posture in order for your body to become accustomed to a gradual backbend. Note: in this position you are not in passive traction since your feet are on the floor. Let your head rest back on the pad or place a small pillow underneath your head for comfort. Use this position for 3 to 5 minutes.

67. Bonati Institute, Spine, Back, Minimally Invasive Surgery For Spinal Stenosis, S
The Institute in Orlando and Tampa Bay, specializes in minimallyinvasive, laser-assisted, arthroscopic Category Health Medicine United States Florida...... disk bulging disk ruptured disk back surgery institute laser surgery lumbar cerviclethorasic spinal, stenosis, spondylothesis, herniated, disk, bulging, disk
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The Bonati Institute, Spine, Bonati, Spinal, Back surgery, Dr. Bonati Specializes in Minimally Invasive Spinal and Back Surgery, spinal, spinal stenosis spondylothesis herniated disk bulging disk ruptured disk back surgery minimally invasive arthroscopic endoscopic bonati bonati institute laser surgery lumbar cervicle thorasic discectomy neck pain joint pain spinal, stenosis, spondylothesis, herniated, disk, bulging, disk, ruptured,disk, back, surgery, minimally, invasive, arthroscopic, endoscopic, bonati, institute, laser, surgery,lumbar, cervicle, thorasic, discectomy, neck, pain, joint, pain The Bonati Institute.
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68. L 4/5 Disk Herniation
side effects and is only used infrequently for the treatment of herniated disks recommendedand may be especially helpful for the person with lumbar disk disease
http://www.nursingceu.com/NCEU/courses/disc/
L 4/5 Disk Herniation
Author: Lauren Robertson, MPT
2 contact hours
Course posted July 30, 2001 Course expires July 30, 2003
Course Objectives
Upon completion of this 2-unit course the learner will be able to:
  • State the incidence of low back pain in the United States.
  • List 3 causes of low back dysfunction and disk herniation.
  • Describe the functional significance of the intervertebral disk.
  • Describe the 3 stages of disk degeneration.
  • Describe 3 clinical interventions that have been shown to be effective in the person with disk disease.
    Introduction
    Low back pain is a major health problem in all industrialized countries. In 1986 in Sweden, the cost of retirement and sick leave due to low back disorders amounted to $777 million dollars. (1) In the United States, approximately 500,000 workers sustain back injuries each year with the annual associated costs estimated at between $40 and 50 billion. (2,3) Eight million people in the United States are estimated to suffer from chronic low back pain. In 80 to 90% of cases the cause of the low back pain is unknown (4), though the clinician often feels compelled to give a diagnosis. (5) Dagi and Beary report that 80% of all back problems can be attributed to soft tissue lesions and just 10% to disk disease. (6) Disk prolapse most often occurs in the lumbar spine at the L4-S1 levels and in the cervical spine at the C5 to C7 levels. (2) Disk disease is most commonly found in the 20 to 50 year age group and is more common in men than women. (2,5)
  • 69. Lumbar Spinal Canal Stenosis: A Common Cause Of Back And Leg Pain
    lumbar canal stenosis is not the same thing as a ruptured disk. A ruptured(or herniated) disk usually pinches 1 or 2 nerves at a time.
    http://www.familydoctor.org/handouts/256.html
    Information
    from Your Family Doctor
    Lumbar Spinal Canal Stenosis: A Common Cause of Back and Leg Pain What is lumbar spinal canal stenosis?
    Lumbar spinal canal stenosis is a narrowing in the space in the lower spine that carries nerves to your legs. This space is very small. It gets even smaller if the bone and tissue around it grow. It takes many years for this bone and tissue to grow. Arthritis, falls, accidents and wear and tear on the bones and joints in the spine also play a part in stenosis. As the lumbar spinal canal shrinks, the nerves that go through it are squeezed. This squeezing may cause back pain, leg pain and leg weakness. Many adults have this kind of stenosis. How does my doctor know I have stenosis in my spine? Your doctor will ask you questions about your symptoms. People with stenosis usually have back pain most of the time. They also may have leg pain, numbness or weakness. The leg pain and numbness usually start when you stand up and begin to walk or exercise. The leg pain has been described as a burning or prickly feeling that may start in the buttocks and spread down to the feet when you start walking. Your legs might also feel cramped, tired or weak. These are symptoms of a condition called neural claudication of the legs. If you have lumbar canal stenosis, the neural leg claudication starts when you stand up, gets worse when you walk and gets better when you stop walking. Often, the leg pain gets better if you crouch or lie in a fetal position (on your sides with your knees tucked up to your chest). It's thought that these positions "open" the lumbar canal and take the pressure off the nerves that go to the legs.

    70. ESpine.com--Back To Basics--Herniated Disc
    A herniated disc is a protrusion of the disk Causes, A disk may herniate becauseof sudden trauma Although the majority of lumbar lower back herniations
    http://www.espine.com/herniateddisc.html
    General description Discs are the relatively soft, gelatinous cushions that surround the spinal cord and act as shock absorbers between the hard, bony vertebrae. A herniated disc is a protrusion of the disk material, usually through small openings in the vertebrae where nerves enter the spinal column. Disks herniate most commonly in the lower back, although they also occur frequently in the lower neck and more uncommonly may occur anywhere.
    Causes A disk may herniate because of sudden trauma, anything from a fall on an icy sidewalk to an athletic injury to simply lifting the wrong bag of groceries in the wrong way at the wrong time. They may also be caused simply by the cumulative long term effects of what doctors like to call poor body mechanics - a lifetime of too much bending and twisting too many awkward positions. Although the majority of lumbar lower back herniations occur in people 40-55 , most cervical neck herniations occur in older people, whose disks loose elasticity and become brittle because of normal aging processes.
    Signs and symptoms Depending on where the herniation occurs, and the degree to which nerves entering the spine, or the spine itself, are affected, a wide range of symptoms are possible. In addition to pain around the site of the herniation, many disk patients also experience significant pain somewhere other than where the disk is. This is because when disks ooze and bulge, they ooze and bulge into spaces occupied by nerves. Because these nerves are carrying impulses from different parts of he body to the spine and then to the brain, the pain is experienced as if it were occurring in the area from where the nerve originates.

    71. Permanente Abstracts - Fall 02
    From Colorado Treatment decisions about lumbar herniated disk in a shared decisionmakingprogram Barrett PH, Beck A, Schmid K, Fireman B, Brown JB.
    http://www.kaiserpermanente.org/medicine/permjournal/fall02/abTOC.html
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    Permanente Abstracts
    Abstracts of articles authored or coauthored by Permanente clinicians
    From Colorado:
    Treatment decisions about lumbar herniated disk in a shared decision-making program
    Barrett PH, Beck A, Schmid K, Fireman B, Brown JB. Jt Comm J Qual Improv 2002 May;28(5):211-9 background: An explicit process of collaborative (shared) decision making involving the patient and physician has been recommended for discretionary surgical procedures in which small-area analysis demonstrates high variation not attributable to differences in the patient population in the area. One such example is laminectomy for lumbar herniated disk (HD). An observational study was undertaken to evaluate the impact of an HD videodisk program on patient satisfaction, decision making, and treatment preferences.
    methods:
    Enrollment occurred in the outpatient offices of surgeons treating Kaiser Permanente (Colorado Region) patients with HD who had indications for surgery. Enrollment took place from May 1993 to December 1995, and follow-up surveys of patients were completed by January 1997.

    72. Herniated Disk Treated By IDET
    and its accompanying recuperation time have been significantly reduced by the adventof a new technique developed to help treat the herniated lumbar disc and
    http://www.laredopain.com/HerniatedDisk.htm
    A New Advance for Back Pain
    AUTHOR: Judson J. Somerville, M.D.,
    The Pain Management Clinic of Laredo
    Each year millions of Americans suffer from back pain. As a result, they miss many hours of work and cost industry millions of dollars. Multiple studies have shown that back pain is second only to the common cold in causing health problems. Approximately one million suffer from a painful lumbar disc either as a result of a herniated disc or degenerative disc disease. Improper lifting, automobile accidents and contact sports are some of the activities that can cause injuries to the lumbar disc. Symptoms of these disorders include low back pain during sitting or bending forward as well as pain shooting down the legs. Until very recently, the most effective treatment option for a painful lumbar disc that did not respond to medications and other conservative treatments was a surgical procedure called spinal fusion. This requires a two to three day hospital stay, surgery on the spine, and a six to eight week recovery period. It is also a very expensive option even for those with private insurance. Although spinal fusion has helped many patients, there are those who's herniated disc pain was not resolved after surgery. Additionally, spinal fusion prevents movement in the region of the operated spine and thus puts more pressure on the other discs in the lumbar spine. This pressure can cause those other discs to wear out more quickly. Fortunately, the risks of surgery and its accompanying recuperation time have been significantly reduced by the advent of a new technique developed to help treat the herniated lumbar disc and degenerative disc disease. It's called Intradiscal Electrothermal Annuloplasty (IDET). Brothers and physicians Jeffrey and Joel Saal developed the IDET at Stanford University. They had become frustrated by the limited options for patients with herniated discs and it's accompanying pain. With the help of an MIT engineer they developed the IDET which uses heat to help heal the disc.

    73. AAOS Online Service Patient Education Brochures Low Back Pain
    lose bone strength over time and the lumbar vertebrae, particularly of the disk, materialfrom the disk may push often is referred to as a herniated or slipped
    http://www.aaos.org/wordhtml/pat_educ/lowback.htm

    74. Back Pain Library—Herniated Disk
    A herniated disk may then rupture. The intervertebral disks in the neck and especiallythe lumbar spine are the most likely to rupture. What Causes It?
    http://www.hopkinsafter50.com/html/silos/backpain/libHerniated.php
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    Herniated Intervertebral Disk What Is It? A herniated disk, also known as a slipped disk, is a protrusion of the central portion of one of the flat, circular pads found in the joints between the bones of the spine (vertebrae). A slipped disk can cause symptoms by pressing either on a nerve leaving the spinal cord or on the spinal cord itself.
    Each disk has a soft and gelatinous inner portion surrounded by a tough outer ring that allows it to act as a shock absorber between the bones of the spine. Weakness or trauma may allow the inner portion to push through the outer ring (in some cases compressing one of the spinal nerves and causing pain and numbness in the neck or along an arm or leg). A herniated disk may then rupture. In a rupture, the soft gel squeezes through the outer shell and may press on the nerves. The intervertebral disks in the neck and especially the lumbar spine are the most likely to rupture.
    What Causes It?

    75. Herniated Disks- Healthcare Professional Verson- Pediatric
    The most frequent sites of herniated disk involvement are C56. C6-7, L4-5, andL5-S1. lumbar disk disease is more common in males than females, and most
    http://www.nursing.uiowa.edu/sites/PedsPain/GenePain/HDisktt.htm
    Herniated disks Health Professional Version Deb Webster RN Edited by Ann Woodward RN, BSN Etiology/Epidemiology The most common cause of intervertebral disk disease is the normal aging process, which causes degeneration of the disk. Half of disk herniations are related to trauma from sudden movement or inappropriate movement. The most frequent sites of herniated disk involvement are: C5-6. C6-7, L4-5, and L5-S1. Lumbar disk disease is more common in males than females, and most frequently affects young and middle-aged adults. Anatomy, Pathophysiology : After 30 years of age the normal aging process causes degenerative changes to occur in the longitudinal ligaments that support the vertebral bodies posteriorly and the annulus fibrosis of the disk. The fraying and the tearing of the annulus fibrosis make the disk vulnerable to rupture. The nucleus polposa can herniate through the weakened cartilage laterally or centrally. When the disc ruptures through the annulus fibrosis and the posterior longitudinal ligament, a sequestered disc is produced, which may migrate into the spinal canal and cause compression of the nerve root that sets next to the posterolateral edge of the disc. Compression of the nerve root causes sciatic leg pain, numbness, tingling, tenderness and paresthesia. Diagnosis: A herniated disc is best confirmed by MRI. If MRI is not available, the myelogram with contrast dye, in conjunction with a CT scan, is useful.

    76. What Is Sciatica?
    Q. What if I don't have a herniated disk? A. As I mentioned before, there are othercauses of Sciatica such as 1. Sacroiliitis; 2. lumbar Facet Joint Syndrome; 3
    http://www.spineuniverse.com/displayarticle.php/article104.html
    search patient>conditions>sciatica>
    What is Sciatica?
    Albert I. Rodriguez, M.D., F.A.B.A., F.A.P.M.
    Q. My doctor recently diagnosed me with "Sciatica." What is Sciatica? A. Sciatica is a general term for pain along the sciatic nerve. It is usually a sharp pain is sometimes described as an electrical-like shock starting in the buttock that travels down the back of thigh and leg. The most common cause is a herniated disk in your back, although there are other causes as well. An MRI Scan of your lower back may help in making the diagnosis. Q. What if the MRI Scan shows a herniated disk? What do I do then? A. You should get a referral to an spine specialist, preferably one who operates on the spine. He will evaluate you and look over your x-rays to determine the proper course of treatment. Q. What if I don't have a herniated disk? A. As I mentioned before, there are other causes of Sciatica such as:
    • 1. Sacroiliitis

    77. Sciatica And Herniated Discs
    herniated disk. Each vertebral disk is composed of a tough outer layer of cartilageand a more elastic central area. herniated disks in the lumbar or sacral
    http://www.spineuniverse.com/displayarticle.php/article172.html
    search patient>conditions>sciatica>
    Sciatica and Herniated Discs
    Sciatica is characterised by pain in the lower back and gluteal region. This pain can radiate down one or both legs into the thigh, calf, ankle and foot. Genuine sciatica occurs when pain travels below the knee. Sciatic pain results when the base of the spine is compressed or when injury or pressure have compressed the spinal roots of the sciatic nerve. The sciatic nerve systems are located in in the lumbar and the sacral regions of the spine. Sciatic pain can be described as sharp, dull, burning, tingly, numb, continuous or intermittant and usually only affects one side of the body. It can radiate the entire length of the nerve, in some cases all the way down to the toes. Sciatic pain is most often the result of a herniated disk, spinal stenosis (an overgrowth of bone in the spinal canal) or in extremely rare cases, infection or tumor. Herniated Disk Each vertebral disk is composed of a tough outer layer of cartilage and a more elastic central area. As we age, these disks degenerate, becoming thinner and weaker. Extra pressure from a fall or from heavy lifting can cause cracks in the outer layers of the disks, allowing the central mass to squeeze out. This kind of rupture can put pressure on the spinal cord or the nerves that branch from it. Herniated disks in the lumbar or sacral regions can put pressure on the sciatic nerve causing pain and discomfort.

    78. Pain - Internet Handbook Of Neurology
    Evaluation and Treatment Options for herniated lumbar Disc American FamilyPhysician, February 1999; lumbar (Intervertebral) disk Disorders - eMedicine
    http://www.neuropat.dote.hu/pain.htm
    Internet Handbook of Neurology Compiled by
    K atalin H
    Department of Neurology
    University of Debrecen, Hungary Pain Chapters: A Collection of High Quality Online Resources for Health Professionals Overview

    79. Spine School Table Of Contents
    Spine (MidBack) Scheuermann's Kyphosis herniated Thoracic disk Adult Kyphosis SpineSurgery Rehabilitation for Low Back Pain lumbar herniated Disc Posterior
    http://www.spineuniversity.com/public/spineschool_toc.asp

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    80. Herniated Nucleus Pulposus (slipped Disk)
    Alternative Names lumbar radiculopathy; Cervical radiculopathy; herniated intervertebraldisk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk.
    http://www.pennhealth.com/ency/article/000442.htm
    Disease Injury Nutrition Poison ... Prevention
    Herniated nucleus pulposus (slipped disk)
    Definition: 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, resulting in back pain and leg pain caused by nerve root irritation.
    Alternative Names: Lumbar radiculopathy; Cervical radiculopathy; Herniated intervertebral disk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk
    Causes, incidence, and risk factors: The bones of the spinal column, or vertebrae, run down the back connecting the skull to the pelvis. These bones protect nerves as they exit the brain and travel down the back and then to the entire body. The spinal column is divided into several segments the cervical spine (the neck), the thoracic spine (the part of the back behind the chest), the lumbar spine (lower back), and sacral spine (the part connected to the pelvis that does not move). The spinal vertebrae are separated by cartilage disks filled with a gelatinous substance, that provide cushioning to the spinal column. These disks may herniate (move out of place) or rupture from trauma or strain , especially if degenerative changes have occurred in the disk.

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