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The disks that lie between the vertebrae in the spine consist of a soft center (nucleus) surrounded by a tougher exterior (annulus) There are artificial discs for lumbar spine, but they may be limited to single level replacements. A herniated disk occurs when a portion of the nucleus pushes through a crack in the annulus
Symptoms may occur if the herniation compresses a nerve. My spine surgeon, jeremy fogelson, at mayo is a spine deformity expert A herniated disk occurs when some of the softer material inside the disk pushes out through a crack in the tougher outside of the disk
This can irritate or press on nearby nerves and cause pain, numbness or weakness.
Compared with a bulging disk, a herniated disk is more likely to cause pain The inner cartilage of the disk sticks out farther and is more likely to irritate nerve roots. A herniation in a disc happens when the fibrous outer wall has breached and allowed some of the jelly like stuff inside called the nucleus to escape That is a disc that is weak and likely would allow vertebrae to slip past each other.
My lumbar spine had congenital stenosis, degenerative disc disease and neurogenic claudication It caused pain, weakness and numbness from lower back/hips/buttocks down to feet. As of last imaging i have a total of 17 herniation throughout my spine And osteophytes all over and post surgical failure, fibromyalgia and ra along with plenty of other things.
You can have a disc protrusion for a long time
If it has progressed as far as a herniation that spills the jelly like contents (called the nucleus) out of the disc, that can cause inflammation and bone spur growth. If you delay surgery, spinal nerves/nerve roots in your cervical spine that are pinched/compressed for long periods of time could cause permanent damage and symptoms.
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