There are a wide variety of diseases with low back and leg pain. In other words, to every patient with low back and leg pain, “Absolutely herniated disc!” It is not correct to approach with a pre-judgment. There are many diseases that imitate the herniated disc herniation. Many diseases such as a simple sports injury, rheumatism, infectious diseases, cancer and low back slippage may present with low back and/or leg pain.
For example, the most common low back pain, which we have included in the group of mechanical low back pain, is due to Musculoskeletal System diseases. It mostly occurs with minor damage to the muscles, connective tissue or joints. In addition, bad and faulty body posture, a short leg, smoking because it causes low oxygenation of the spine and cartilage in the waist, and psychosocial factors such as stress can be counted among the reasons.
In the more serious group, the most common disorders that cause low back pain are herniated disc (lumbar disc hernia), wear of disc tissue (degenerative disc disease), slipped back (lumbar spondylolisthesis), narrowing of the lumbar spine canal (lumbar narrowing). canal, stenosis). Apart from these, there are many less common but serious diseases of the spine such as tumors, infections, trauma, and spinal fractures due to osteoporosis.
For this reason, first of all, what the diagnosis is should be clearly revealed. Because the way to success in treatment is, first of all, correct diagnosis. Although the importance of plain X-ray films in the investigation of low back pain has decreased today, motion films have still not been filled, especially in the examination of dynamic problems. Although today, powerful magnetic resonance devices (MR) and what we call EMG are preferred, sometimes computed tomography (CT) is also used in pathologies related to bone tissue. Interpreting the images obtained from the shots taken especially in the postoperative period requires experience.
Sometimes bone scintigraphy to make the differential diagnosis of herniated disc and some other vital diseases; and bone density measurements may also be used to gain an idea of the strength and density of the bones and to confirm the diagnosis of osteoporosis.
