Herniated Disc

Orthopedics

Overview

Definition

Extrusion of nucleus pulposus through annulus fibrosus.

Epidemiology

Varies globally. Often age and lifestyle dependent.

Etiology & Risk Factors

  • Aging, lifting trauma.

Clinical Symptoms

  • Radicular pain (sciatica)
  • numbness
  • weakness.

Clinical Approach

Diagnosis

  • Positive straight leg raise
  • MRI.

Management

  • NSAIDs
  • Physical therapy
  • Epidural injections
  • Discectomy.

Complications

  • Cauda equina syndrome.