The Huffington Post
12 days
Acute low back pain or low back pain with sciatica radiating to the lower leg and to the foot (Figure 1). They are initially treated conservatively for at least six weeks by physical therapy, anti-inflammatory medication and limited activity (as guided by the pain). Doctors should treat the condition conservatively. Even if there is a large disc herniation on the MRI, unless the disc is central or causing a neurological deficit, they need wait at least six weeks before beginning a more aggressive treatment. 90% of patients will have symptoms that resolve in one month. Smoking, depression and vibrations will increase the incidence of low back pain (Figure 2). Intradiscal pressure (IDP) will change depending on the position (Figure 3). The lowest pressure is measured while the patient is lying supine. The highest IDP is measured while the patient is sitting, leaning forward and holding weight.
The Huffington Post
a month
Sciatica is a condition in which the sciatic nerve or any of its roots or branches is compressed, resulting in pain in the lower back and buttock. The pain is usually a sharp shooting pain in the leg or down to the foot. Typically, it affects one side of the body (Figure 1). The sciatic nerve arises from the lumbosacral plexus. The sciatic nerve originates from L4, L5, S1, S2 and S3 (Figure 2). There are five nerve roots and each one has its own area of motor or sensory supply. When a nerve root is compressed, it gives pain and symptoms in a specific area. The most common cause of sciatica is a disc herniation. For example a disc herniation between L5/S1, which will affect the S1 nerve root and the pain will shoot to the lateral side of the foot. If the L4 nerve root is involved, this will affect the medial side of the foot (Figure 3). If the L5 nerve root is involved, the top of the foot is affected.
Phys.Org
3 months
The Huffington Post
4 months
Diagnosis A high index of suspicion is needed to diagnose piriformis syndrome. The patient's history and exam can also aid in the diagnosis process. EMG and bone scans are not very helpful. An MRI could show an enlarged piriformis, anomalies of the vessels, and compression of the nerve. A diagnostic injection may be helpful. Consider the possibility of piriformis syndrome when treated trochanteric bursitis or patients with sciatica, especially after a failed spine surgery. Patients with sciatica will have pathology in the lumbar spine as shown on MRI such as disc herniation, lumbar stenosis, or degenerative changes. Patients with piriformis syndrome may not have symptoms or MRI findings related to the lower back. High index of suspicion is needed in patients with buttock or leg pain in the absence of lumbar pathology. This pain is increased while sitting with minimal or no back pain.
Womens Fitness
4 months
But the effects can also be grave. Ischemic tissue (tissue that doesnt get oxygen) can develop in the spine area, contributing to the curvature and any pressure on the column can affect the brain’s ability to communicate with the muscles. If you’re a sloucher, try to readjust your posture by extending your back; you’ll notice your abs elongate and hips push backwards, making your gluteal muscles look rounder and more toned. The results couldnt be more instant! Back again Whether it was caused by a traumatic event or general wear and tear, disc herniation in the lower back has become a common issue. Bending, twisting, rotating and carrying heavy objects can slowly make the discs less effective. But good posture and a strong core (from working on muscle-toning), can alleviate discomfort and not compromise the health of your spine. Finish strong While the core exercises wont burn subcutaneous or visceral fat like cardio will, it will activate and tone your muscles underneath, which will show once you are lean.
The Huffington Post
5 months
In established compartment syndrome, foot drop is a late finding. Irreversible muscle and nerve ischemia occurs in patients if fasciotomy is not performed. Fasciotomy should be done early. Four hours of ischemia may be tolerated but by eight hours, the damage is often irreversible. Treatment of Peroneal Nerve Injury/Foot Drop: If a disc herniation in the low back is impinging on the nerve and causing symptoms of foot drop, then the herniated disc should be treated or removed. EMG and nerve studies should be done for the patient. Recovery may take one year to 18 months. The big toe will be the last to recover. If recovery is not achieved, explore the nerve for repair, graft or tendon transfer. For another video on foot drop, follow the link below: https://www.youtube.com/watch?v=SWvEU8FYMFc For more videos, visit my YouTube channel: https://www.
The Huffington Post
5 months
The idea is to hold this weight closer to the body to reduce the pressure being placed on the discs. Intradiscal pressures associated with the seated positions and postural changes have proven to be greater in comparison to the same position performed while standing (Figure 2). Factors which may contribute to disc pain or degeneration within the lumbar spine include lack of fitness, heavy lifting of objects, operating motor vehicles, prolonged sitting, operating vibrating tools, and a history of smoking (which is known to cause disc degeneration) (Figure 3). Job dissatisfaction and/or lack of interest in your profession are psychological factors that may also play a role in the development of lower back problems. The straight leg raise test or tension sign indicates a possible disc herniation. In classic sciatica, a herniated disc will be located on the opposite side of the leg that is raised (Figure 4).
The Huffington Post
5 months
The Washington Times - Baseball
5 months
MIAMI (AP) - Los Angeles Dodgers ace Clayton Kershaw has been lifted after three innings and 66 pitches in his return from a back injury. The left-hander had not started since June 26 because of a mild disk herniation. He allowed two runs and five hits Friday night against the ...
The Washington Times - Baseball
6 months
DENVER (AP) - Dodgers ace Clayton Kershaw took a big step toward a return by throwing two solid innings during a simulated game Tuesday at Dodger Stadium. The three-time NL Cy Young Award winner has been sidelined with a minor disk herniation in his lower back since late June. Of ...
The Huffington Post
6 months
If the patient points to the exact area of pain each time, the pain is likely coming from the SI joint. The Faber test is helpful in determining the presence of SI joint problems. The purpose of this test is to stretch the SI joint in order to reproduce pain. Press down gently but firmly on the flexed knee and the opposite anterior superior iliac crest. Pain in the sacroiliac area indicates that there is a problem with the sacroiliac joints. The Straight Leg test is used to determine whether a patient with low back pain has an underlying herniated disc. This test is not used to determine the presence of SI joint pain. Differential Diagnosis: Differential diagnosis of SI joint pain includes trochanteric bursitis, piriformis syndrome, myofascial pain, lumbosacral disc herniation and bulge, lumbosacral facet syndrome, lumbar radiculopathy and cluneal nerve entrapment.
The Washington Times - Baseball
6 months
LOS ANGELES (AP) - Clayton Kershaw has taken another step forward in his attempt to return to the Los Angeles Dodgers' rotation this season, playing catch Saturday for the second day in a row. Sidelined since his last start on June 26, Kershaw (mild disk herniation) extended his throwing to ...
TIME - Top Stories
6 months
Texas Rangers slugger Prince Fielder will have to quit playing baseball after his second neck surgery. A person with direct knowledge of the decision told The Associated Press that Fielder isn't formally retiring, but that doctors won't give the six-time All-Star medical clearance to play again. That person spoke on condition of anonymity Tuesday because there was no official announcement from the Rangers or Fielder about his future. The Rangers said only that Fielder would hold media availability Wednesday when the team returns home after an eight-game trip. Texas won at Colorado 7-5 on Tuesday. Fielder, who is signed through 2020, had a cervical fusion on July 29 to repair a herniation between two disks in his neck. That was done just above the area where the 32-year-old Fielder had the same procedure in May 2014, only 26 months earlier. He will finish his 12 MLB seasons with 319 career homers, the same number that his father Cecil Fielder had in 13 seasons but fewer games.
Bleacher Report
6 months
Fielder's 2016 season ended in July when he underwent neck surgery to repair a C4/C5 disc herniation, per Rangers executive vice president of communications John Blake . Before Fielder was forced to go undergo surgery, he looked like a shell of his former self. The 32-year-old was hitting .212/.292/.334 with eight home runs in 89 games. This campaign marks the second time in three years that Fielder's season has ended prematurely due to injuries. He required a cervical fusion of the C5/C6 discs in his neck in May 2014. He used to be one of MLB 's great iron men, playing all 162 games four times in five seasons from 2009 to 2013, and he only missed one game in 2010. In a bit of sad irony, Baseball-Reference.com noted that Fielder's 319 career home runs are the same as his father, Cecil Fielder, when his career ended. Prince Fielder also had a terrific .
The Huffington Post
7 months
The Plow Pose" creates extreme flexion of the neck taking away the natural protection of each interlocking vertebra and putting pressure loads on bone and connective tissue that can cause compression fractures and/or herniation of the discs along the neck as well as along the entire spine. The vertebral structures in the cervical region are much smaller than the lumbar region; not designed to support the weight of the lower body. Repeated practice of the plow can cause the natural cervical curve to reverse and become flat; transferring heavy loads to the anterior surfaces of the vertebrae. Bone spurs may occur from the excess pressure and the disc may rupture or tear or pressing on spinal cervical nerves. Nerve tissue should not be stretched more than about 10 % and plow pose pulls the nerves at the root. If you are doing yoga to get the buffed out yoga butt, forget the plow pose.
OK!
9 months
HARRY Judd has taken to Twitter to apologise for postponing the upcoming McFly tour. The 5 Colours In Her Hair drummer suffered from an "acute disc herniation at C6/7 level" leaving him unable to perform on the tour. McFly have been forced to postpone their upcoming June tour due to Harry's injury[Getty ]In the statement released on Harry's Twitter account, he said: "I'm absolutely gutted that we've had to postpone the tour. "I've honestly tried everything to make it ...
TIME - Top Stories
a year
Fitness experts are now advising against doing too many sit-ups for risk of back injury. According to the Wall Street Journal , Stuart McGill, a professor of spine biomechanics at the University of Waterloo, says sit-ups put hundreds of pounds of compressive force on the spine. This pressure combined with the repeated flexing motion of a sit-up can squeeze spinal discs and possibly lead to herniation. Others are catching on. The Journal reports that an editorial in a paper covering the U.S. Navy has called for taking sit-ups out of annual fitness tests, and the Canadian Armed Forces has already done away with them. The creator of the P90X workout also says he no longer does sit-ups. What to do instead of sit-ups? Experts recommend the plank pose, which works out core muscles but puts less harmful pressure on the lower back.
The Huffington Post
a year
Mindel was finally diagnosed with a disc herniation. The doctors recommended surgery, but a family friend suggested he try a new, alternative medicine called Chiropractic. Though he was a bit skeptical at first, the treatments truly worked. Over time, chiropractic treatments helped straighten his spine and from that moment on Dr. Mindel claimed he knew he wanted to be a chiropractor. "It did more than completely change my perspective on health and medicine, it changed my life." When Dr. Mindel reflects on his 25-year career, he is happy with how many lives he has changed. One memory in particular is especially dear to him because he considers it to be his very first patient. It happened during chiropractic school - Dr. Mindel was working as an intern and the patient (we'll call him Johnny to respect confidentiality) came in complaining of excruciating back pain.