What is a Slipped Disc?

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Patrick Foote

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Aug 7, 2013, 4:00:07 PM8/7/13
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Patrick Foote

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Article Title: What is a Slipped Disc?
Author: Patrick Foote
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A slipped disc is a colloquial term that is often used to describe pain and other symptoms that stem from a problem in one of the intervertebral discs. However, it is important to understand that this term is nothing more than a misnomer that gives a false sense of what the problem actually is within the spinal column. Instead of thinking about the disc slipping � as if it has slid out of position � imagine that the disc or inner disc material is extruding beyond its normal parameters, as is the case with a herniated or bulging disc. To better illustrate this phenomenon it can be helpful to have a basic understanding of the anatomy of the intervertebral disc.

In the spine, adjacent vertebrae are cushioned and separated by thick, spongy pads that are called intervertebral discs. Each disc is essentially made of two main parts, a tough, fibrous outer shell called the annulus fibrosus and gel-like nuclear material called the nucleus pulposus. These two components work harmoniously to provide the disc both its strength and flexibility that are so important in the spine for allowing regular movement. The issue with these intervertebral discs, however, is that over time they have a tendency to wear out � particularly in the neck and lower back where the spine is especially flexible and the burden of supporting significant body weight takes its toll.

When it comes to the intervertebral discs, two main problems can develop (each of which may be erroneously called a �slipped disc). For starters, when the annulus fibrosus becomes weak and thinned, pressure placed on the wall by the nucleus pulposus can cause the disc to bulge out of position between the vertebrae. This condition is known as a bulging disc. The annulus fibrosus can also rupture, causing the nucleus pulposus to seep into the spinal canal and out of the disc. This condition is known as a herniated (or ruptured) disc.

While both of these conditions refer to damage or deterioration to the intervertebral disc, you�ll note that in neither instance does the disc �slip� out of position. Additionally, it is important to understand that while these conditions may sound troublesome, in many cases they are completely asymptomatic and will heal on their own over time. Typically, disc issues only become painful when the herniated disc material or bulged disc wall comes in contact with a nerve or the spinal cord. In this instance, a litany of symptoms can conceivably develop, such as numbness or tingling in the extremities, traveling pain, or muscle fatigue, but without question the most common symptom of nerve compression is chronic, localized pain.

In order to effectively treat the symptoms of nerve compression, it is absolutely essential to involve a spine specialist. Once it is determined what is causing the so-called �slipped disc,� a comprehensive, personally tailored treatment plan can be developed. More often than not a regimen of conservative, nonsurgical techniques, such as the use of nonsteroidal anti-inflammatory drugs, low-impact exercise, hot/cold therapy, and other similar methods will deliver the lasting results needed. In other instances, surgery may be suggested to remove the source of the nerve constriction.


About The Author: Patrick Foote is the Director of eBusiness at Laser Spine Institute, the leader in endoscopic spine surgery. Laser Spine Institute specializes in safe and effective outpatient procedures for individuals who are struggling with a slipped disc or similar condition. http://www.laserspineinstitute.com/back_problems/slipped_disc/neck/

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