Low back and leg pain is the most prominent complaint. But sometimes only one of the back or leg pain can be found. Limitation of movement, limping, swaying of the body to one side can be observed. Numbness, tingling in the legs, loss of strength and thinning (atrophy) may occur as the disease progresses. Sexual functions may be adversely affected in hernias that press on the nerves widely.
Sometimes, in large lumbar hernias that extend from the midline to the spinal canal and compress the nerves, in addition to pain, discomfort such as incontinence or inability to make urine and defecation, paralysis in the legs, loss of sensation in the form of a cavalry patch (around the seat), and sexual dysfunction may occur. . This clinical picture is called cauda equina syndrome. Even small midline hernias may cause similar complaints in patients with narrow spinal canal. This degree of progression of the disease should not be allowed, and an appropriate treatment should be performed with timely intervention.
Low back and leg pain in herniated disc may increase with coughing, walking, doing work and standing, but may decrease by lying on a hard bed.
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Reducing patient pain because an advanced hernia compresses the nerve root tilts his body to the side. |
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Rarely, paralysis may develop in the legs together with pain in such large-volume midline lumbar hernias that progress abruptly. The patient may leak urine and stool |
