Lumbar disc herniation (LDH)
● Radiculopathy: pain and/or subjective sensory changes (numbness, tingling…) in the distribution of a nerve root dermatome, possibly accompanied by weakness and reflex changes of muscles innervated by that nerve root
● typical disc herniation → radiculopathy in the nerve exiting at the level below
● massive disc herniations can → cauda equina syndrome (a medical emergency). Typical symptoms:
saddle anesthesia, urinary retention, LE weakness.
● most patients do as well with conservative treatment as with surgery, ∴ initial nonsurgical (conservative) treatment should be attempted for the vast majority
● surgery indications: cauda equina syndrome, progressive symptoms or neurologic deficits despite
conservative treatment, or severe radicular pain > ≈ 6 weeks
Lumbar disc herniation definition.
Lumbar disc herniation history.
see Lumbar disc herniation epidemiology.
see Lumbar Disc Herniation Classification.
Lumbar disc herniation pathophysiology
see Lumbar disc herniation clinical features.
see Lumbar disc herniation diagnosis.
see Lumbar disc herniation treatment.
Recurrent lumbar disc herniation.
see Lumbar disc herniation case series.
Lumbar disc herniation case reports.