Disc Problems
Disc problems range from disc degeneration and simple disc covering (annulus) ruptures to disc material extrusion into the spinal canal compressing nerves, leading to paralysis, bladder, and bowel function. Small disc annulus ruptures are usually benign and tend to cause a backache for few weeks. Not uncommonly, disc ruptures tend to extrude the space and press over the nerves causing sciatica pain (sharp shooting pain along the course of a nerve) along the legs. However, 90 to 95 % of such complaints can be treated without surgery, but consulting the spine physician is mandatory to understand the problem’s gravity. Occasionally these extrusions can cause weakness and severe numbness in the legs when surgery is indicated. In case of symptoms of bladder and bowel with weakness of legs, emergency help is merited.
- Medical treatment
- Transforaminal epidural block
- Endoscopic discectomy
- Microdiscectomy
- Laminectomy and discectomy