• What is intervertebral disc?

It is a cushion between two vertebral bodies. It's job is to absorb strain and shock of the body that happens during sitting and movements

They do not have vascular (blood) supply.

  • What is herniated Disc / Disc Prolapse?

Disc has 2 components- inner gel like material core and outer layer of cartilagenous  tissues.

Cause –

  • With age the disc gets dried up and becomes prone to cracks and from those cracks the inner gel like material protrudes out.
  • Trauma/ Injury.
  • Lifting heavy weight.
  • Wrong postures in daily life lead to increase speed of aging of disc.
  • How can it cause problems?
  • From direct pressure on the nerve roots.
  • Irritation of the nerve roots due to the material of

Disc.

  • What are the symptoms of disc prolapse?
  • Backache/ Cervical Pain.
  • Radiation to pain to lower limbs/ upper limbs (Sciatica).
  • Numbness / tingling along the limb effected.

In severe / late cases – alarming symptoms like weakness in lower limb (foot drop) and urinary retention and severe constipation. Known as“ CAUDA EQUINA SYNDROME” . 

                                                      

MRI is the investigation of choice.

  • Management- Depending on the severity of symptoms and MRI findings treatment protocol in decided -
  • Conservative- Analgesics, Exercise and posture training. 80% of patient get relieved by this method.
  • Surgery- Microdiscectomy- the extruded segment is removed and nerve in set free.