Disk Herniation
A disk herniation, also known as disk rupture or disk displacement, is a complication associated with the cartilaginous supports in between the vertebrae.
It happens when the gelatinous nucleus protrudes through a rupture in the surface of the disk, happening in any location along the spine.
Signs and symptoms depend on the location of the rupture and whether the compression is on the spinal cord or a nerve root. Symptoms are:
- Pain in arms or legs. If the herniation is in the lumbar region, pain along the gluteal region, thighs, calves and feet. In case the herniation presents along the cervical spine, pain may be irradiated along the shoulders, arms and hands.
- Numbness or tingling. Perceived in the area innervated by the affected nerve.
- Weakness. The muscles innervated bye the affected nerve or nerves may become weak limiting the capability of raising arms or legs, making walking difficult or limiting the movement of objects.
The most common causes of a herniated disk are usually due to normal tear and wear, associated with aging, but some factors may contribute to an accelerated evolution.
- Increased body mass index.
- Jobs that demand constant movement, weightlifting, bending over repeatedly.
- Genetic predisposition.
- Smooking.
Herniated disk treatment is directed on eliminating the risk factors, modifying lifestyle and analgesics to alleviate the symptoms, but if conservative management does not provide any relief after 6 weeks, or if neurological or functional compromise are seen, discectomy is the treatment of choice. In some cases, the excision of the disk, followed by the placement of special grafts, accompanied by spinal fixation is the treatment of choice.
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Contact information
- Address Hospital CIMA: Office 1215, Torre 1, San José, Costa Rica.
- Phone +506 2208 1215
- WhatsApp +506 8372-4344
- Email info@drandresmorales.com