We’re going to look now at a lumbar spine MRI of a patient that has a disc herniation and again we see the side view spinal cord ending here nerve roots coming out and the white being cerebral spinal fluid the water these are the vertebra.
These are the discs the L one two two three and three four discs are normal the white on the inside the jelly is full of water the dark plies in the tire normal here at the four five level there is a degenerative disk you don’t see the normal white of a normal disc and you see a small tear in the back of the disc right.
There at the five one level it looks somewhat like the four five level as it’s dark in the disc but you can see a complete rupture at the back of the disc and a disc herniation here which is filling up the spinal canal this is a typical disc herniation.
You can look at it now from the topdown view and will come down to the five one level no better yet we will start at three four here and here is that jelly filled donut the normal jelly on the inside the donut on the outside the sack of nerves here all of these black dots are.
The nerve roots the back of the disc is flat to concave this is normal we come down from that level to the four five level and here is a small tear in the back of the disc this is called an annular tear but the nerves behind that tear are not compressed therefore this patient shouldn’t have any nerve pain from this tear we come down to the five one level.
And here we see a massive herniated disc you can see on the right side the nerve in some of the nerves in the right side are free and open on the left side you’ll see that this herniation.
Science of Back Pain
This is your back and it is made of 4 regions: cervical, thoracic, lumbar and sacral. your back is complex structure comprised of muscles, tendons, ligaments, bones and intervertebral discs. Problems in any part of this structure result in back pain. Back pain is either acute or chronic, depending on how long the pain is experienced. Muscle and ligaments strain is the most common causes of back pain, usually caused by heavy and improper lifting, awkward.
Movements, poor posture and muscle spasms. Structural issues that cause back pain include disc herniation, bulging disc, sciatica, osteoarthritis, scoliosis and osteoporosis. Risk factors like an obesity, aging, anxiety, smoking, sedentary lifestyle, strenuous activity and pregnancy can all increase back pain development. If you feel like you have back pain and cant find relief in everyday remedies like over the counter medications, click on the link below to schedule an appointment with one.