What is a herniated disc? About her treatment

It is mostly displaced to the back with the rupture of the capsule around the nucleus in the center of the structure called the disc located between the vertebrae in the lumbar spine. If the slip presses on the nerve root on the sides, leg pain and neurological deterioration due to this nerve are seen. If it presses on the nerves in the midline, more serious problems such as difficulty in urinating and defecation are encountered. More than 90% of lumbar hernias occur at L4- L5 or L5- S1 levels. L4-5 level hernias press on the L5 nerve root, and L5-S1 level hernias press on the S1 nerve root. In advanced cases of L5 nerve compression, the patient cannot walk on his heels. In the most severe case, drop foot occurs. S1 nerve root compressions prevent walking on toes. Most patients benefit from so-called conservative treatment, medication and bed rest. Physical therapy can then be applied. Some patients may require pain management by injection. Foraminal injections are especially useful in patients with nerve root pain and facet injections in patients with facet pain. Surgery is required in patients whose pain cannot be relieved despite all kinds of treatment, in patients with advanced or progressive neurological deficits, and in patients with problems such as urinary incontinence. Microlumbardiscectomy and endoscopic discectomy are the most commonly used surgical methods today.