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Related Concept Videos

Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

44
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
44
Degenerative Disc Disease ll: Pathophysiology01:23

Degenerative Disc Disease ll: Pathophysiology

34
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
34
Degenerative Disc Disease I: Introduction01:27

Degenerative Disc Disease I: Introduction

29
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
29
Hiatal Hernia01:25

Hiatal Hernia

144
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
144

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An unexpectedly progressed lumbar herniated disk.

James A Lipton1, Geoffrey A McLeod

  • 1516 Wedge Dr, Virginia Beach, VA 23462-4540. jlipton@cox.net.

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A military veteran

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Area of Science:

  • Orthopedics
  • Neurology
  • Osteopathic Manipulative Treatment

Background:

  • A 26-year-old female military veteran experienced recurrent low back pain.
  • Previous lumbar pain was successfully managed with osteopathic manipulative treatment (OMT).

Observation:

  • The patient presented with low back pain, initially attributed to a foot injury.
  • Current symptoms improved with OMT and gait correction.
  • A history of a herniated disc diagnosed two years prior was revealed.

Findings:

  • Updated magnetic resonance imaging (MRI) confirmed a large herniated disc.
  • Severe spinal stenosis was caused by the herniated disc.

Implications:

  • Prompt surgical intervention is crucial for severe spinal stenosis.
  • This case highlights the importance of considering underlying conditions despite initial symptom improvement.
  • OMT may provide temporary relief but does not address severe structural pathology like herniated discs.