What is Disc Extrusion?
Aug 24, · What Is Disc Extrusion? Disc extrusion is a specific type of spinal disc herniation. Although the term “herniated disc” is typically used to describe all herniation injuries, there are 3 types of disc herniation: protrusion, extrusion and sequestration. Let’s back up a little: what is disc herniation? Spinal discs sit between the 33 vertebrae in the spine. Extruded discs, on the other hand, are a specific form of disc herniation. Unlike protrusion, which only leads to tearing in a portion of the disc wall, in extrusion, all of the rings of the outer disc have torn, leaking disc material into the spaces between the vertebrae. What does an extruded disc feel like?
Disc extrusion is a condition in the spinal column where the nucleus of the extruxed ruptures out of the vertebrae. This spillage of the gel-like shock absorber of the spine can occur from some type of injury or from normal wear and tear of the area. It can extryded with or wwhat pain. Disc extrusion occurs when the disc breaks through the annulus, or the fibrous enclosure surrounding it.
The disc material can press against a nerve and disguise the pain symptoms. Pain from a disc protrusion can range extrudde no pain at all to numbness and tingling down whag arm or the back of the leg, also known as paresthesiato generalized weaknessdepending on the area of disruption. Radiculopathy or radiating pain is not uncommon when the disc material is pressing on a specific nerve.
In how to trim a video on ipod touch cases, lack of bladder control or the inability to flex ankle up may be present. For more serious, complicated pain issues, EMGs or electromyography, also known as nerve conduction tests, may be necessary to assess the exact location of pain. Physical therapy can assist in decreasing pain through modalities such as electrical stimulation machines and ultrasound.
It can also attempt to coax disc materials back inside the fibrous enclosure through specialized exercises and traction treatments. Physical therapy can also maximize function by strengthening surrounding muscles and re-teaching proper body mechanics to avoid further injury.
Massage therapy can assist with decreasing pain and loosening tight muscles surrounding the injured area. Both types of therapists may be able to demonstrate coping techniques to avoid further pain and injury.
What medicines react with grapefruit and acupuncture are also considered to be conservative treatments since they are extrudeed. Chiropractors can extrudec the spine to coax extruded materials back into their original space. Acupuncture utilizes specialized needle placement to gain disd.
If pain persists and is interfering with daily activities, an invasive procedure may be necessary. However, it is important to ascertain the exact location of pain. If surgery is performed on a disc extrusion but it is not the same location that is causing pain, the surgical intervention will be unsuccessful.
An epidural or nerve block injection of steroids to the area may provide temporary relief. Surgical options range from minimally invasive endoscopic procedures to more complex ones such as open decompressions, the placement of interspinous spacers, discectomiesfusions and total disc replacements. Please enter the following code:. Login: Forgot password?
What is a Disc Extrusion?
Feb 25, · These discs can be thought of as shock absorbers that prevent contact between the vertebrae. When these disks are injured, through trauma, age, or disc disease, they can bulge or even rupture. When the gelatinous substance inside the disk seeps out of the confines of the disk it is called a ruptured or extruded disc. A disc extrusion, more commonly known as a herniated or ruptured disc, is a degenerative spine condition which may lead to compression of the nerves, significant neck and back pain, and can even affect one’s ability to walk. May 08, · A disc extrusion, also known as a disc herniation, usually occurs from degeneration due to a disease like osteoarthritis or the natural aging process. Other causes may include injury, trauma, overexertion, illness or obesity. Given the circumstances, disc extrusions are largely unpreventable and may heal on their own without surgery.
Opt for our extruded disc treatment for repair and retraction of the slipped disc. Call us now to book your appointment! Before providing you information on an extruded disc, it might be of assistance to most if we provide basic definitions for some of the terminology we will use.
So, we shall start by describing and defining the basic anatomy of the spine and spinal disc. Spine: The spine , also called the spinal column or the vertebral column, is a stack of 26 independent bones separated by 24 spinal discs. The seven bones in the neck, twelve bones in the upper to mid-back, and five in the lower back form the 25 vertebras.
The last one is the tailbone, formed by the sacrum and coccyx. The spinal disc has three main components:. An extruded disc is a severe form of a herniated disc slipped disc or slip-disc , which involves a cephalic or caudal extension of the disc. In other words, the extruded nucleus pulposus extends above or below the disc level as a result of tears in the annular fiber.
A degenerated disc is always present in a herniated disc, protruded disc, prolapsed disc, and extruded disc. However, in an extruded disc, there will also tear in the annular fibers. The annular fibers are the support structures of a disc that maintain the nucleus pulposus in the center.
Annular tears result from degenerative changes, predisposing them to tears. Once the annular ligament tears, the nucleus shifts from the center to the periphery.
A spinal disc with torn annular fibers is weaker and more likely to fail when extra pressure. Prolonged sitting, repeated bending, or twisting at the waist, or even sneezing or coughing can cause the nucleus pulpous to slip, herniate or extrude backward.
When a disc fails, the center gel-like nucleus pulposus will extrude backward, and the annular fibers will not be able to contain the extruded disc materials. The symptoms of disc extrusion depend on the site of involvement. In other words, if the disc extrusion is in the neck, you may experience neck pain, upper back pain , pain at the shoulder blades , shoulder pain , arm pain, and even wrist or hand pain.
Patients with an extruded disc in their neck can expect some degree of numbness, burning, and tingling in the upper back, shoulders, arms, wrists, hands, and fingers.
Furthermore, some may even experience weakness in the shoulder, arm, wrist, and hands. Those diagnosed with an extruded disc in the lower back or the lumbar spine can expect similar symptoms to sciatica. In other words, back pain, pain in the buttocks, hip pain , thigh pain, leg pain , and ankle pain.
Some will complain of cramp-like sensations in one or both lower extremities. Similar to the low back patients, the neck extruded disc patients will have some degree of numbness, tingling, or burning sensation in the shoulders, upper back, arms, wrists, hands, and finger. In both instances, the neck and lower back disc extrusions can cause weakness in the arms and legs.
Therefore the need for targeted treatments is critical to address the root causes. Paralysis of the arms and legs can also happen with advancing conditions. Furthermore, in some cases, there may be some degree of bowel and bladder inconveniences.
Disc extrusion symptoms the result of pressure that an extruded disc applies to the spinal cord or spinal nerve. In other words, extruded discs lead to pinched nerves.
Often, it is similar to different types of disc herniation, varying from person to person. The severity of symptoms usually depends on the severity of nerve roots compression. The most common presenting symptom of patients with an extruded disc is the presence of pain. The pain may be present in the spine or extremities.
However, it is not uncommon to have disc extrusion in the lower back and neck with no pain in the lower back or neck itself. Some may only complain of numbness, tingling, or burning sensation in extremities. Extruded discs are serious conditions that can cause paralysis of arms, legs. It can cause the loss of bowel and bladder control and lead to impotence in males. An extruded spinal disc, in essence, is severe damage; it causes an inflammatory process within the damaged tissue of the spinal disc and even spinal joints.
If the inflammatory process is not adequately treated or neglected for a period, it can further damage the surrounding soft tissues. Therefore, the acute inflammatory process must be treated immediately so that our body can move into the healing stage. So, the need for thorough assessments is critical to successful non-surgical repair and recovery. Our physiotherapy and chiropractic methods of treatment for the extruded disc are better compared to what others offer. We are not aware of other centers that have authenticated methods of extruded disc treatments.
You can learn more about our efficacy in treating an extruded disc when you visit our proven slipped disc treatment methods page. Spinal disc damage is best classified with the following diagnosis:. Spinal disc damage is a progressive disorder. In other words, it is a condition that progressively worsens over time. For some, it could take months or years, while others have progressed to sinister forms of disc damage in a matter of days.
In short, care must be taken to prevent progression. Spine surgery should always be the last option. Researchers agree that spine surgery brings about mechanical changes altering the spine. Some of the biomechanical changes will impact healthier segments. Far too many cases were published where spine surgery on an extruded disc segment led to spinal disc issues in otherwise healthy segments above or below the surgical site.
Nucleoplasty and spinal fusions have the worse outlooks. In separate research, researchers published the results of fake and real nucleoplasty procedures. The researchers reported the fake surgery to have better results than the real nucleoplasty.
In short, if you have an extruded disc, seek our clinical teams. Your chances of long-term improvement are much higher with our non-surgical methods of spine care. For a spinal disc to bulge, herniate, extrude or fragment, other structures also suffer. Aside from muscular issues muscle spasms , spinal disc degenerative changes and changes in spinal joints are common occurrences in patients with slipped discs. Spinal joint degenerative changes are termed facet hypertrophy. Facet hypertrophy is descriptive of arthritic and degenerative changes bone spurs that are all too common in extruded disc patients.
Another condition commonly seen with spinal disc extrusion is canal stenosis. The most common cause of canal stenosis is hypertrophy of ligamentum flavum. In almost every spinal disc extrusion case, there are varying degrees of thickening or hypertrophy of ligamentum flavum. These co-conditions are the primary reason why spine surgery fails.
In short, spinal disc herniations and extrusion are too complex to solve by cutting tissues or bones. We hope the information presented here on the extruded disc was helpful. We encourage you to call one of our centers and learn about your non-surgical options. Hospitals and surgeons recommend spine surgery for the extruded disc. Some erroneously tell patients that slipped discs are not reversible, repaired unless they opt for spine surgery!
Well, we have proven them wrong through pre-and post-treatment MRI on several occasions. To date, the best means of correcting an extruded disc is through targeted methods rendered through our clinical teams.
As mentioned, spinal disc damage presents with co-conditions that also require treatments. In short, it is your best hope for long-term relief. To conclude, we can fix a slipped disc , even an extruded one. We have the skills, knowledge, and breakthrough technology specific to the spine. Extruded Disc Is Treatable Without Surgery Opt for our extruded disc treatment for repair and retraction of the slipped disc. Contact us Today! What is An Extruded Disc?
They are also called the annular ligament as they attach spinal bones. On average, about 25 concentric rings of these ligaments crisscross each other at about a degree angle, giving the annular ligament its strength and resilience. Nucleolus Pulposus: The Nucleus, as the name applies, is the innermost component of the spinal disc. It is much softer than the annular ligament, resembling a jelly-like material. The Nucleolus pulposus is the main part of the spinal disc.
It bears the weight and provides smooth spinal movements when in the proper position. Vertebral End-Pates: The end plates are the interface between the hard boney surfaces of the spinal bones and spinal discs. The End-pate serves as a point of attachment between vertebrae and disc, but more importantly, as nutrients supplier from the vertebrae to the avascular spinal discs.
Read more. Spinal disc damage is best classified with the following diagnosis: Degenerated spinal discs Degenerative Disc Disease Bulging disc disc bulge Herniated disc protruded disc or prolapsed disc Extruded disc Fragmented disc or sequestered disc.
Bending of the neck and back should also be avoided as this may increase the intradiscal pressure and worsen the disc extrusion. Avoid tilting back, as backward bending the neck or lower back causes impingement of the spinal disc fibers and the exiting spinal nerves.
Avoid prolonged sitting Do not lift or carry items that weigh more than 2kgs. Patients presenting with an extruded spinal disc often have co-condition! Please Share This Page:. Send this to a friend.