41. Low Back (Lumbar) Slipped (Herniated) Disk Homepage Diagnosis, LOW BACK SLIPPED DISK. (Herniated lumbar disk). Definition, Abnormalmovement of the material (disk) that helps support the bones of the lower back. http://www.emedx.com/emedx/diagnosis_information/back-neck_disorders/low_back_sl

Diagnosis LOW BACK SLIPPED DISK (Herniated Lumbar Disk) Definition Abnormal movement of the material (disk) that helps support the bones of the lower back. Details Disks are found between the bones of the back (vertebrae). They can at times push out of their normal position (herniate) and then cause symptoms. Causes A slipped disk or herniation usually results from an twisting injury to the low back or may be due to several small sprains. Diagnosis Typically, pain and spasm begin either immediately after an injury or develop within the 24 hours. The pain is made worse by activity and usually improves with rest. The pain may start in the lower back but also can radiate to the legs. This can be felt as a sharp or shooting pain down the leg into the knee, ankle or foot. It may be accompanied by either numbness or weakness. Initially x-rays may be taken to evalute the back. An MRI Scan or CT scan may also be ordered depending on the symptoms and physical examination. Model and MRI of Normal and Slipped (Herniated) Disk Model and MRI of Normal and Slipped (Herniated) Disk, Example 2 Treatment Nonoperative: Initially, icing and rest coupled with anti-inflammatory medication are important to relieve pain and spasm. Other medications may also be needed. This phase should be followed by education about proper lifting techniques and a back rehabilitation program. Stretching and strengthening of back, leg and abdominal muscles are important components of this rehabilitation program.

42. Tulane University Magazine - News Genetic Risk Factor Identified for lumbar disk Disease. Fran Simon.fsimon@tulane.edu. A variation in a certain gene sequence has been http://www2.tulane.edu/hsc/article_news_details.cfm?ArticleID=3112

43. Herniated Lumbar Disk herniated lumbar disk Herniated lumbar disk. (Please click on pictures for amore detailed view) Fig. 1 Artists rendering of herniated disk. Fig. http://www.childplacementhelp.com/21st-birthday-gift-idea.htm

44. The Herniated Lumbar Disk The Herniated lumbar disk. Jamie Leaver. Rehabilitation Techniques. ATHT4960. 4/4/02. Introduction. Mechanism of Injury of the Herniated lumbar disk. http://www.mtsu.edu/~wwhitehi/atep/496/projects/lumbardisk.html

The Herniated Lumbar Disk Jamie Leaver Rehabilitation Techniques ATHT 4960 Introduction During a lifetime, few individuals escape back pain.  The most common cause of limited activity in persons 45 years of age and younger is low back pain (Andrews, 1998) Approximately 10% of injuries associated with sports are related to the spine.  The importance of the mechanical and structural properties of the intravertebral disk are of considerable interest in the relationship of injury to sports activity.  At the time of injury it is important to understand the role of modified and supervised activity in trying to avoid deconditioning (Hochschuler, 1990). Anatomy of the Lumbar Spine and Intravertebral Disks                 The human spine consists of 24 vertebrae and 23 intervertebral disks.  The last five vertebrae are known as the lumbar spine and contain five intervertebral disks.  Each vertebrae contain a superior articular process, inferior articular process and a spinous process.  The superior articular process of one vertebrae connects with the inferior articular process of the vertebrae directly above it.  These processes are also called facets. Accordingly, this joint is the facet joint. The disk is responsible for the attachment of vertebral bodies to each other.  The disks increase in size from the superior to the inferior spine. The lumbosacral disk is the exception. It is one third smaller than the L5 (Lumbar) disk and lies between the lumbar spine and the sacrum.  The concave curving of the spine is known as lordosis.  Because of this curvature, the lumbar disks are higher anteriorly than posteriorly (Kramer 1981).

45. YourSurgery.Com®-Lumbar Discectomy lumbar disk surgery for a ruptured or herniated disk is the most commonly performedsurgical procedure for low back pain with pain radiating into a leg. http://www.yoursurgery.com/ProcedureDetails.cfm?BR=2&Proc=34

46. Low Back Pain Background The levels of pressure on the nerve root of lumbar diskherniation is unknown. The contact pressure between the nerve http://www.iao.be/E/lumbar_spine.htm

Lumbar Spine Home Up Cervical Spine Cranio Sacral ... Knee [ Lumbar Spine ] Manipulation Neurology Professional Issues Shoulder ... Seven- to 20-year Outcome of Lumbar Dissectomy A Comparison of Osteopathic Spinal Manipulation with Standard Care for Patients with Low Back P ain Gunnar B.J. Andersson, M.D., Ph.D., Tracy Lucente, M.P.H., Andrew M. Davis, M.D., M.P.H., Robert E. Kappler, D.O., James A. Lipton, D.O., and Sue Leurgans, Ph.D. The New England Journal Of Medicine 1999, 341:1426-31 Background The effect of osteopathic manual therapy (i.e., spinal manipulation) in patients with chronic and subchronic back pain is largely unknown, and its use in such patients is controversial. Nevertheless, manual therapy is a frequently used method of treatment in this group of patients. Methods - We performed a randomized, controlled trial that involved patients who had had back pain for at least three weeks but less than six months. We screened 1193 patients; 178 were found to be eligible and were randomly assigned to treatment groups; 23 of these patients subsequently dropped out of the study. The patients were treated either with one or more standard medical therapies (72 patients) or with osteopathic manual therapy (83 patients). We used a variety of outcome measures, including scores on the Roland-Morris and Oswestry questionnaires, a visual-analogue pain scale, and measurments of range of motion and straight-leg raising, to assess the results of treatment over a 12-week period. Results

47. Hospital Practice: Capsule & Comment Vol. 25 No. 6 Genetics of lumbar disk Disease (return to ) lumbar disk disease (LDD), definedas disk herniation, sciatica, and disk degeneration, may cluster in families http://www.hosppract.com/cc/2001/cc0106.htm

A MONTHLY CRITICAL OVERVIEW OF CURRENT MEDICINE VOL. 25 NO. 6 June 15, 2001 Editor GENE H. STOLLERMAN, M.D. Associate Editor ALAN L. BISNO, M.D. IN THIS ISSUE A Molecular Attack on Myeloid Leukemia Genetics of Lumbar Disk Disease Folic Acid Supplementation: How Much Is Enough? Lymphangiogenesis Promotes Cancer Aggressiveness ... for Allergy: Calling Dr. Metchnikoff A Molecular Attack on Myeloid Leukemia (return to Chronic myeloid leukemia (CML) results from a mutation that disrupts two genes, ABL and BCR, on chromosomes 9 and 22, respectively. The mutationa reciprocal translocation of DNAcreates the fusion genes BCR-ABL (on a cytogenetically abnormal Philadelphia chromosome) and ABL-BCR. The former encodes BCR-ABL, a deregulated tyrosine kinase present in virtually all CML patients and required for oncogenicity. BCR-ABL induces leukemia in mice. With all of this in mind, investigators at centers including the Oregon Health Sciences University and Novartis Pharmaceuticals designed imatinib mesylate (previously designated STI 571, or signal transducing inhibitor 571), a drug that prevents the kinase from phosphorylating its substrate. In a phase 1, dose-escalating trial, imatinib was administered orally to 83 CML patients unresponsive to conventional alpha-interferon therapy. During a median of 310 days, imatinib was generally well tolerated. Complete hematologic responses were obtained in 53 of the 54 patients treated daily with doses of 300 mg or more. Cytogenetic responses occurred in 54% of these subjects. In seven, the response was a complete cytogenetic remission.

48. Herniated Lumbar Disk Herniated lumbar disk. Follow Ups therapist. I recently herniateda lumbar disk while pulling my portable table from my trunk. My http://www.yogatherapy.com/cgi-local/messages/481.html

Herniated lumbar disk Follow Ups Post Followup Yoga Therapy Message Board FAQ Posted by Gwyn Reece (152.163.189.68) on November 14, 2002 at 11:58:53: I practice Bikram yoga regularly and I am a massage therapist. I recently herniated a lumbar disk while pulling my portable table from my trunk. My chiropractor says the supporting muscles in my lower back are in very good shape, so I am not in a great deal of pain. He did tell me to avoid the deep forward bending, which will cut out quite of a few of the poses in my Bikram practice. Do you have any suggestions on asanas to help improve the flexibility in my hamstrings without straining the disk? Do you know if this means I'll never be able to do forward bending in my yoga? :( Follow Ups: Re: Herniated lumbar disk Timothy Burgin Re: Herniated lumbar disk Hunter Post a Followup Name: E-Mail: Subject: Comments: : I practice Bikram yoga regularly and I am a massage therapist. I recently herniated a lumbar disk while pulling my portable table from my trunk. My chiropractor says the supporting muscles in my lower back are in very good shape, so I am not in a great deal of pain. He did tell me to avoid the deep forward bending, which will cut out quite of a few of the poses in my Bikram practice. Do you have any suggestions on asanas to help improve the flexibility in my hamstrings without straining the disk? Do you know if this means I'll never be able to do forward bending in my yoga? :( Optional Link URL: Link Title: Optional Image URL:

49. Re: Herniated Lumbar Disk Re Herniated lumbar disk. In Reply to Herniated lumbar disk posted by Gwyn Reeceon November 14, 2002 at 115853 The classic answer is supta padaushtasana. http://www.yogatherapy.com/cgi-local/messages/491.html

Re: Herniated lumbar disk Follow Ups Post Followup Yoga Therapy Message Board FAQ Posted by Hunter (199.106.52.16) on November 19, 2002 at 17:58:18: In Reply to: Herniated lumbar disk posted by Gwyn Reece on November 14, 2002 at 11:58:53: The classic answer is supta padaushtasana. A good answer is that forward bends should not be the result of spinal flexion. Tersely yours :-) hunter : I practice Bikram yoga regularly and I am a massage therapist. I recently herniated a lumbar disk while pulling my portable table from my trunk. My chiropractor says the supporting muscles in my lower back are in very good shape, so I am not in a great deal of pain. He did tell me to avoid the deep forward bending, which will cut out quite of a few of the poses in my Bikram practice. Do you have any suggestions on asanas to help improve the flexibility in my hamstrings without straining the disk? Do you know if this means I'll never be able to do forward bending in my yoga? :( Follow Ups: Post a Followup Name: E-Mail: Subject: Comments: : The classic answer is supta padaushtasana. A good answer is : that forward bends should not be the result of : spinal flexion. : Tersely yours :-) : hunter : : I practice Bikram yoga regularly and I am a massage therapist. I recently herniated a lumbar disk while pulling my portable table from my trunk. My chiropractor says the supporting muscles in my lower back are in very good shape, so I am not in a great deal of pain. He did tell me to avoid the deep forward bending, which will cut out quite of a few of the poses in my Bikram practice. Do you have any suggestions on asanas to help improve the flexibility in my hamstrings without straining the disk? Do you know if this means I'll never be able to do forward bending in my yoga? :(

50. SamX...Herniated Lumbar Disk Excessive weight, bad postures, undue movements, improper weight liftingand other kind of traumas may weaken the inter vertebral disks. http://biznet.maximizer.com/samx/msg6.html

HOME COMPANY PRODUCTS CONTACT US ... INQUIRIES COMPANY Herniated Lumbar Disk Excessive weight, bad postures, undue movements, improper weight lifting and other kind of traumas may weaken the inter vertebral disks. When this occurs the nucleus (spongy center) will bulge against the annulus (outer ring), or even be squeezed through it. Next: Surgery HOME COMPANY PRODUCTS ... INQUIRIES SamX Frohbuelstrase 2 Zurich, CH 8052, Switzerland Tel:+41 763321167 Fax: +41 1 3006812

51. Science News Update April 11, 2001 ARCHIVES REPORT. COMMON GENETIC RISK FACTOR IDENTIFIED FOR lumbar disk DISEASEFinnish Study Identifies Gene Variation That Increases Risk of Disk Disease. http://www.ama-assn.org/sci-pubs/sci-news/2001/snr0411.htm

Week of April 11, 2001 American Medical Association Science News Updates are made available to the public after 3 pm Central time (US) on the first 4 Tuesdays of each month. We also provide a list of previous news releases THIS WEEK'S CONTENTS JAMA REPORTS COMMON GENETIC RISK FACTOR IDENTIFIED FOR LUMBAR DISK DISEASE COGNITIVE BEHAVIORAL THERAPY EFFECTIVE FOR TREATING INSOMNIA SOME HOSPITALS HAVE NOT RESUMED ROUTINE HEPATITIS B IMMUNIZATION FOR NEWBORNS ARCHIVES REPORT ARCHIVES REPORT COMMON GENETIC RISK FACTOR IDENTIFIED FOR LUMBAR DISK DISEASE Finnish Study Identifies Gene Variation That Increases Risk of Disk Disease Journal of the American Medical Association JAMA Petteri Paassilta, MD, PhD, of the University of Oulu, Oulu, Finland, and Leena Ala-Kokko, MD, PhD, of Tulane University Health Sciences Center, New Orleans, La, and colleagues conducted a case-control study from February 1997 to May 1998 at university hospitals in Finland, focusing on the potential role of collagen IX (a certain type of collagen) gene-sequence variations in LDD. Collagen is a tough, fibrous protein that is the single most common protein in the body. It is the body's major structural protein, forming an important part of tendons, bones, and other connective tissues. Because of its tough, insoluble nature, collagen helps hold together the cells and tissues of some parts of the body. According to background information cited in the article, lumbar disk disease is one of the most common musculoskeletal diseases, with a prevalence of about 5%. Different surveys performed in the United States indicate that the prevalence of sciatic pain (pain that radiates along the sciatic nerve [which is formed from several lumbar nerves], sometimes extending from the buttock, down the back of the leg to the foot) in the adult population is between 1% and 40%. Clinically significant sciatica occurs in 4% to 6% of the US population. Lumbar disk disease often results in physical impairment, may require surgery, and contributes significantly to health care costs and work disability. A number of risk factors such as driving, torsional back stress, smoking, and height have been implicated in the pathogenesis of LDD.

52. Health Ency.: Spinal Surgery - Lumbar : Herniated Lumbar Disk Herniated lumbar disk. Herniated lumbar disk is a condition in which partor all of the soft, gelatinous central portion of an intervertebral http://www.accessatlanta.com/shared/health/adam/ency/imagepage/9540.002973.html

SEARCH: The Web Yellow Pages HOME AJC.COM Illustrated Health Encyclopedia Important notice Ency. home Surgery S ... Image index Herniated lumbar disk Herniated lumbar 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, resulting in back pain and nerve root irritation. Ency. home Surgery S Spinal surgery - lumbar ... Image index Please read this Important notice Also Check Out Subscribe to The Atlanta Journal-Constitution Home Autos Classifieds ... Our Sponsors By using AccessAtlanta.com you accept the terms of our Visitor Agreement . Please read it. Privacy statement Registered site users: edit your profile

53. 1Up Health > Health Links Directory > Conditions And Diseases: Musculoskeletal D and the options for treatment. Dr. Humberto Trejos, Costa Rica....... MRI. Frequently asked Questions. Herniated lumbar disk http://www.1uphealth.com/links/back-and-spine-ruptured-disk.html

Home Contact Us Privacy Caring For Your Well Being Alternative Medicine Clinical Trials Health News Poisons ... Health Topics A-Z Search 1Up Health Health Directory Addictions Alternative Animal ... Weight Loss By Demography Child Health Teen Health Men's Health Women's Health ... Back and Spine : Ruptured Disk See Related Categories Health: Conditions and Diseases: Neurological Disorders: Peripheral Nervous System: Neuralgias: Sciatica Health: Medicine: Medical Specialties: Pain Management Health: Medicine: Medical Specialties: Pain Management: Chronic Pain Health: Medicine: Surgery: Orthopedics Sites California Center For Minimally Invasive Spine Surgery Patient information on minimally invasive disc surgery procedures and pain management techniques. Clinical Evaluation and Treatment Options for Herniated Lumbar Disc Illustrated discussion of causes of disc herniation, assessment, imaging procedures and both surgical and non-surgical treatment. Disc disease in the cervical, thoracic, or lumbar spine can cause neck pain, back pain, arm pain, leg pain or any combination of the above. Weakness in an extremity, difficulty with gait, incoordination, or loss of bowel/bladder control is rare. Southwest Georgia Regional Spine Center DISCS Diagnotic Investigation of Spinal Conditions and Sciatica. A UK-based chairty to searching for ways to prevent and eliminate disc-related pain, disability and the trauma of surgery. Includes solutions, background, projects, and training.

54. Member Sign In Abstract and Introduction. Abstract. Background. Percutaneous diskectomyhas been used effectively to treat lumbar disk herniation. http://www.medscape.com/viewarticle/410625

If you are having trouble logging in: In order to use Medscape, your browser must be set to accept "cookies." To find out how to adjust your browser settings, please click here Log In Username Password Forgot your password? Not a Member? Register Now for free access to: MEDLINE (Optimized for Physicians) 200+ Free CME Courses 25 Medical Specialty Sites 100+ Medical Journals Conference Coverage Daily Medical News About Medscape Help WebMD Health

55. Member Sign In with radiculopathy is common in adults but is uncommon in children and adolescents,accounting for less than 2% of the reported cases of lumbar disk herniation http://www.medscape.com/viewarticle/444338

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56. Lumbar Disc lumbar disk herniation is a wellknown cause of back pain, but it'snot as common as most people think. In fact, only about 5% of http://www.drgrisanti.com/DJD.htm

Dr.Grisanti.com Home Search this site Low Back: Lumbar Disc Herniation Click Picture for Animated View Fig 1: Lumbar Disc Herniation A: Exiting nerve root. B: Disc. C: Torn outer annulus. Almost everyone experiences low back pain. To alleviate it, the key is identifying which of the many conditions that affect the back is responsible. Lumbar disk herniation is a well-known cause of back pain, but it's not as common as most people think. In fact, only about 5% of those who go to the doctor for low back pain have a disk herniation. These people usually experience back and leg pain, as well as muscle spasms in their low back and leg. They also commonly report muscle weakness, numbness and pins and needles in the thigh, leg and foot. As herniations usually occur on one side of a disk, the pain is generally worse on the corresponding side of the back. The pain can worsen with coughing, straining or sneezing, as well as slouching and bending, which compresses irritated disks in the spine. It often gets better with bending backward or leaning to one side (the one opposite to the pain), which takes pressure off irritated disks. Because of this, people with lumbar disk herniation often adopt a particular posture or walking stance to ease discomfort bent sideways and forward, or with their knees slightly bent to relieve pain in the legs.

57. WorkersCompensation.com; The #1 Online Information Source For The Workers Compen WORKERS’ COMPENSATION TREATMENT GUIDELINES. HERNIATED lumbar disk. Back painmay or may not be a presenting complaint with any herniated lumbar disk. II. http://www.workerscompensation.com/west_virginia/reference/mtg/disk.htm

Welcome To The Most Comprehensive Workers Compensation Resource Online! Home About This Site Recommend This Site! Have an injured co-worker? Send them a card here! ... webmaster@workerscompensation.com HERNIATED LUMBAR DISK Patients under treatment by their own physician who fail to improve after two to four weeks - refer to an Orthopedic Surgeon or Neurosurgeon for consultation and/or treatment. I. BACKGROUND Herniations occur most commonly through a posterolateral defect, but midline herniations may occur. Resulting compression of the spinal nerve root causes inflammation and pain, usually along the anatomic course of the nerve, In the lumbar spine, this most often occurs at the L4 and L5 disk levels, causing pressure on the corresponding L5 and S1 nerve roots. As a result of both mechanical and biochemical changes around the nerve root, the patient will experience pain, paresthesia, and possibly weakness in the leg or legs, usually below the knee. The rare herniations at the L1, L2 and L3 levels are usually associated with pain, paresthesia and weakness above the knee. Back pain may or may not be a presenting complaint with any herniated lumbar disk. II. DIAGNOSTIC CRITERIA

58. Back Pain May Be Genetic group of researchers has identified a genetic abnormality that dramatically increasesthe risk of one of the most common back disorders — lumbar disk disease http://www.drumhellercoop.com/featr12.htm

What Can We Help You With? Back Pain May Be Genetic Lumbar disk disease affects about 5% of the population. It often causes a herniated disk to stick into the spine resulting in sciatica, a severe pain in the lower back radiating down the back of the thigh and knee to the foot. The disease also causes the disks to wear down, or degenerate. Though the genetic variation does not cause lumbar disk disease, people with this genetic change may be more susceptible to the degenerative forces that lead to the disease. Her research group is already hard at work on a gene therapy for lumbar disk disease, which she says should be available in less than 10 years. But if unrelenting back pain is already part of your life, what can you do right now? The spine is complicated because the muscles, bones, ligaments, spinal cord, and nerves all are a very intimate part of the anatomy in that area, explains Biscup. The two most commonly treated conditions that cause back pain are herniated disk and spinal stenosis, which occurs when the lower end of the spinal column becomes narrowed and compressed, squeezing the spinal cord or spinal nerves.

59. WebMD - Backaches May Be In Your Genes a group of researchers has identified a genetic abnormality that dramatically increasesthe risk of one of the most common back disorders lumbar disk disease http://my.webmd.com/content/article/34/1728_77093.htm

WebMD Today Home WebMD Newscenter Member Services WebMD University My WebMD Find a Doctor, Clinic Medical Info Check Symptoms Medical Library Quizzes, Calculators Clinical Trials ... Family Genetics Who We Are About WebMD Health Mall Sponsored: Lose Lbs Naturally Heart Failure? Trouble Focusing? Backaches May Be in Your Genes By Jeanie Lerche Davis WebMD Medical News Reviewed By Dr. Tonja Wynn Hampton Email to a friend Printer-friendly version April 11, 2001 "Oh! My aching back!" It's one complaint that nearly all of humankind has in common. Many people just live with it, putting up with bouts of pain. But for a few select people, back problems are so severe they become chronic and debilitating, often requiring surgery. Now a group of researchers has identified a genetic abnormality that dramatically increases the risk of one of the most common back disorders lumbar disk disease. They hope this genetic defect may eventually be a target for gene therapy. "This is a breakthrough," study author Leena Ala-Kokko, MD, PhD, associate professor in the Center for Gene Therapy at Tulane University Health Sciences Center in New Orleans, tells WebMD. "It's quite possible that genetic defects may be the major cause of this disease." The research findings appear in the April 11 issue of The Journal of the American Medical Association.

60. INTRODUCTION CLINICAL EXPERIENCE IN THE TREATMENT OF lumbar disk DISEASE, WITH A CYCLE OF LUMBARMUSCLES INJECTIONS OF AN OXYGEN + OZONE MIXTURE Torri G., Della Grazia A http://www.biaccabi.com/edocs/um_torri.html

CLINICAL EXPERIENCE IN THE TREATMENT OF LUMBAR DISK DISEASE, WITH A CYCLE OF LUMBAR MUSCLES INJECTIONS OF AN OXYGEN + OZONE MIXTURE Torri G., Della Grazia A., Casadei C. Institute of Orthopaedic Clinic - Milan University 20126 Milan Italy e-mail: gaetano.torr@unimi.it Tel: +39 02 57993283 Fax: +39 02 6425332 SUMMARY In the last ten years the treatment of lumbar disk herniation is significantly diversified. Other pathologies of the posterior vertebral compartment, as facet joint arthrits and spinal canal stenosis can complicate clinical symptoms. Because of this complex clinical syndrome the ozonetherapy found many applications, for its poor invasivity and low cost. Our clinical series of 96 patients, homogeneous for lumbar disk pathologies, age and sex, was divided in two treatment groups: GROUP A treated with 12 injections of O2-O3 gaseous mixture in paravertebral muscles GROUP B treated with 12 injections of only medical oxygen. A reduction of subjective and objective parameters was observed in both groups. Excellent or good and fair results were observed in 86% of patients. On the other hand from our study arises a statistical evidence of a difference in evolution (time and intensity) of some clinical parameters between the two treated groups. KEY WORDS: OZONETHERAPHY OZONE OXYGEN-OZONETHERAPHY DISK HERNIATION LOW BACK PAIN BACKACHE SCIATICA INTRODUCTION In the last ten-year period the treatment of lumbar disk herniation is significantly diversified, concerning the various surgical approaches more or less invasive (from the standard techniques to the percutaneous approaches, in which suction, laser or arthroscopic techniques have been advocated). Each of these methods demonstrates to have precise indications and a discrete incidence of failure. [11, 15]

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