Lumbar disc herniation happens when the inner fluid portion/nucleus pulposus of the spinal disc pushes through the out ring/annulus fibrosus from a weak point or a tear due to aging or sudden spinal injury. Some medical conditions like rheumatoid arthritis and Ehler?s Danlos Syndrome may also cause lumbar herniated disc. This is more commonly seen at lower spine/lumbar vertebrae L4-L5 or L5-S1 segments. It is characterized by sciatica/shooting pain in the affected lower extremities and back region, numbness, weakness and tingling sensation/lumbar radiculopathy, associated muscle spasms and twitches, and inability to life the affected leg. The severity of the pain depends on the amount of impingement of herniated disc on to the structures like spinal nerve root. It is diagnosed with help of CT scan and MRI scan. The treatment of this lumbar disc herniation includes medications like pain killers and topical ointments, physical and massage therapy, epidural steroid injections, and if not uncontrolled with any of these methods then surgical intervention is performed by highly qualified spine surgeons with procedures like microdiscectomy and disc repair or replacement.
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