Wednesday, 26 October 2016

Low Back Pain due to Slipped Disc in Malaysia


Disc damage or slipped disc/slip disc can be one of the diagnoses for neck or low back pain. There are different types of disc damage that can result in pain such as ruptured or herniated disc, degenerated disc, excessive torsional injury and compression injury of the disc. Most of the disc injuries involve damages and abnormalities not only the disc, but also the soft tissue structures around the disc.

Excessive rotational or torsional stress may cause injury to the facet joints, the annulus fibrosus, or most commonly both. The annulus fibrosus is under maximal stress when the disc is being loaded in a bent and twisted position. Therefore, people who always injured their back when they lift heavy objects in a forward bending position with the upper body rotating to one side.

Repetitive torsional injury to the disc may lead to tears seen on MRI. Annulus fibrosus with tears are more susceptible to nucleus pulposus herniation. An inflammatory reaction may be provoked in response to the annular tear and this will result in pain from chemical irritation. This chemical nociception normally presents as a diffuse back pain that may or may not be referred to the lower limbs. Any movement of the lumbar spine, especially forward bending and twisted, can aggravate the lower back pain from excessive rotational stress.

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