{"product_id":"2940153839240","title":"Herniated Disk, (Slipped Disk) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions","description":"\u003cp\u003eHerniated Disk or Prolapsed Inter-vertebral Disk is the medical disorder of prolapse of the inter-vertebral disk (which is the disk between 2 vertebrae) as a result of protrusion of the nucleus pulposus of the disk out of its weakened ligamentous ring (annulus fibrosus).\u003cbr\u003eThe disk may protrude in a posterior or posterolateral direction producing pressure to the nerve roots particularly at L4, L5 and S1 vertebrae.\u003cbr\u003eMany doctors use the phrase “prolapsed disk” synonymously with terms such as “herniated disk,” “slipped disk,” and “ruptured disk.”\u003cbr\u003eWhile this is fine for common usage, a prolapsed disk medically refers to the second of four stages of disk rupture.\u003cbr\u003eAlong the route to fully rupturing, the disks in the spine may pass through four distinct stages.\u003cbr\u003e1. Disk Degeneration\u003cbr\u003eDuring this stage, the outer walls of the inter-vertebral disks are weakened, but no visible external alterations have occurred.\u003cbr\u003e2. Disk Prolapse\u003cbr\u003eThe outer wall of the disk begins to change shape and bulge out into the spinal canal.\u003cbr\u003eThe patient may begin to feel symptoms at this stage if the distended disk exerts pressure on the spinal cord or the nerve roots that extend from it.\u003cbr\u003e3. Disk Extrusion\u003cbr\u003eAt this stage, the gel-like inner core of the disks has burst through a tear in the disk’s outer wall, but has not leaked out into the spinal canal.\u003cbr\u003e4. Disk Sequestration\u003cbr\u003eAt this final stage, the gel-like substance has left the disk and has leaked into the spinal canal.\u003cbr\u003eIt is almost certain that the patient will feel symptoms at this stage, as the inner gel contains proteins that will inflame nerves that they come into contact with.\u003cbr\u003e1. The most common symptom is Low Backache with pain in the lumbar region.\u003cbr\u003ePain may so bad that the person cannot stand erect.\u003cbr\u003e2. There is a Sciatica or pain shooting down one leg\u003cbr\u003ePhysical Examination in a patient with suspected lumbar (lower back) inter-vertebral disk disease may feature the following:\u003cbr\u003ea. Abnormal gait\u003cbr\u003eb. Abnormal postures\u003cbr\u003ec. Decreased lumbar range of motion\u003cbr\u003ed. Positive straight leg raising test: Indicative of nerve root involvement\u003cbr\u003eSpine MRI or CT will indicate that the herniated disk is pressing on the spinal canal.\u003cbr\u003eThe first treatment for a slipped disk is a short period of rest with medicines for the pain.\u003cbr\u003eInitial phase:\u003cbr\u003e1. Bed rest with a hard board below the mattress- straighten the back\u003cbr\u003e2. Physiotherapy such as traction, shortwave diathermy\u003cbr\u003eMobilization phase:\u003cbr\u003e1. Wearing a corset to straighten the back and help the traction of the spinal bones\u003cbr\u003e2. Gradual mobilization and exercises to improve the strength of the spinal extensor muscles\u003cbr\u003eMaintenance phase:\u003cbr\u003e1. Exercises to strengthen the back muscles.\u003cbr\u003e2. Wear a corset\u003cbr\u003e3. Avoid postural strain on the back\u003cbr\u003eSurgery is required if there are:\u003cbr\u003e1. Persistent pain and neurological symptoms remain after conservative treatment\u003cbr\u003e2. Progressive neurological symptoms\u003cbr\u003e3. Disk has protruded more than 75% out of its inter-vertebral space as seen on MRI images\u003cbr\u003eSurgery can be:\u003cbr\u003e1. Laminectomy - removal of the disk and prolapsed material.\u003cbr\u003e2. Microdiskectomy- insertion of a titanium disk to replace the removed prolapsed disk\u003c\/p\u003e\u003cp\u003eTABLE OF CONTENT\u003cbr\u003eIntroduction\u003cbr\u003eChapter 1 Herniated Disk\u003cbr\u003eChapter 2 Causes\u003cbr\u003eChapter 3 Symptoms\u003cbr\u003eChapter 4 Diagnosis\u003cbr\u003eChapter 5 Treatment\u003cbr\u003eChapter 6 Prognosis\u003cbr\u003eChapter 7 Sciatica\u003cbr\u003eChapter 8 Neck Injury\u003cbr\u003eEpilogue\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47169023410416,"sku":"2940153839240","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940153839240_p0.jpg?v=1764057481","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940153839240","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}