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Related Concept Videos

Degenerative Disc Disease ll: Pathophysiology01:23

Degenerative Disc Disease ll: Pathophysiology

30
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...
30
Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

40
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...
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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

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Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation
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Discogenic low back pain.

Jeremy Simon1, Matthew McAuliffe2, Fehreen Shamim2

  • 1Department of Physical Medicine and Rehabilitation, Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA.

Physical Medicine and Rehabilitation Clinics of North America
|May 3, 2014
PubMed
Summary
This summary is machine-generated.

Most lumbar disk herniations resolve naturally, but some chronic low back pain may stem from internal disk disruption. Diagnosis and treatment for disk-related pain present challenges.

Keywords:
Annular tearDiscogenic low back painInternal disk disruptionLow back painLumbar disk diseaseLumbar disk herniation

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Area of Science:

  • Orthopedics
  • Pain Management
  • Spinal Diagnostics

Background:

  • Lumbar disk herniations often improve spontaneously.
  • Asymptomatic disk herniations and annular tears are common.
  • Internal disk disruption can cause chronic low back pain.

Purpose of the Study:

  • To review the diagnosis of lumbar disk herniations.
  • To explore the causes of chronic low back pain related to disk issues.
  • To discuss treatment options for disk-related chronic pain.

Main Methods:

  • Literature review of lumbar disk herniation.
  • Analysis of diagnostic criteria for internal disk disruption.
  • Evaluation of treatment outcomes for chronic diskogenic pain.

Main Results:

  • Many lumbar disk herniations resolve without intervention.
  • Internal disk disruption is a potential cause of persistent low back pain.
  • Treatment for chronic diskogenic pain yields variable success rates.

Conclusions:

  • Effective diagnosis and management of chronic diskogenic pain remain challenging.
  • Further research may improve treatment strategies for internal disk disruption.
  • Understanding the natural history of lumbar disk herniations is crucial.