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Slipped Disk - Disk Slipping and Treatment
Degeneration of the intervertebral disk is a frequent and in some ways analogous disorder. Often this occurs acutely in young and middle-aged adults, and the pulpy centre of the disk pushes out through tears in the fibrous outer ring (so-called slipped disk). When this takes place in the lumbosacral region, the displaced centre (the nucleus pulposus) impinges on the adjacent nerve roots and causes shooting pains in the distribution of the sciatic nerve—hence the name sciatica.
Pain in the small of the back is loosely referred to as lumbago, or lumbosacral sprain. It may be associated not only with degeneration of the intervertebral disk and spondylosis but also with structural anomalies of the region. Principal among these is spondylolisthesis, in which there is an anterior displacement of one lumbosacral vertebral body on another. The episodes respond to bed rest and mechanical support from wearing an abdominal corset or brace. Muscle relaxants may be of value. Recurrences are prevented by avoidance of back strains. Muscle-strengthening exercises are frequently helpful. The protruding tissue is removed by surgery only in cases in which pain and neurological defects are severe and fail to improve after less drastic measures.
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