Specific Surgeon Requested: Dr. Regis W. Haid, Jr. Steven D. Wray Dr. Roger H. Frankel Dr. David M. Benglis, Jr. Gary R. This causes the nucleus pulposus jelly-like center of the disc to leak into the spinal canal.
Smith: As we age, our discs deteriorate and bulge downward, so bulging discs are usually caused by age-related degeneration. Because it is considered degenerative, there is usually a progressive, gradual onset of symptoms.
It can cause pain in the buttocks, legs, or back. It can also affect your ability to walk. Bulging discs usually affect multiple discs.
This condition develops over time and can cause other disc degeneration-related issues, like lumbar stenosis narrowing of spinal canal. Fortunately, there is a spectrum of treatment options. Short-term treatment can mean taking anti-inflammatory medications, especially during flare-ups. Steroid injections may be considered if there is significant nerve pain. Long-term treatment usually involves a self-directed exercise program that you start with a physical therapist and then transition to doing at home.
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Costs associated with obesity may account for 3. Maybe you've been in this conversation. If so, you probably felt like the words you were hearing were worse than the pain you were feeling. And if you had one doctor tell you that your disc had "ruptured and exploded" with a "massive fragment crushing your nerve," while another simply explained that you had had a disc injury, with a "protrusion" putting "pressure on the nerve," you might have been pretty confused. Who's telling the truth?
The first thing you should know is most primary medical doctors only see serious back or neck problems a few times a year. They usually don't read MRIs and they are a little bit at the mercy of the radiologist's report. And, there's a lot of variation in the way different radiologists will interpret the same imaging study. There's no standard scale for what is big, bigger or biggest, and some radiologists will call any slight disc bulge a herniation.
So, your doctor may be genuinely concerned for your safety when he or she reads that you have a "large extruded fragment" with "severe nerve root compression" or "multiple herniations throughout the cervical spine. In trying to explain what that means - and because they want you to take this seriously - the description can drift and the terms that you hear can get scarier.
Even if they use the proper medical terms, confusion is common. For instance, arm pain or leg pain is often caused by a pinched nerve, and referred to medically as radicular pain. More than once I've met a patient who thought their local doctor called it "ridiculous pain" and they weren't too happy with that attitude! The truth is that even the formal medical terms we use in diagnosing back and neck problems are largely descriptive. It's helpful to know what they mean, so here's a short list of terms that shouldn't scare you:.
Disc herniation: disc bulge, slipped disc, protrusion, herniation, rupture, extrusion, herniated nucleus pulposus - these all mean exactly the same thing. And what one MD calls large, or extensive, or significant, may seem moderate to another. Disc herniations are like noses - what looks huge to one person looks pretty ordinary to another, depending on what you've seen before.
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