Intervertebral disc herniation of the lumbar spine is a common disease presenting with low back pain and involving nerve root radiculopathy. Some neurological symptoms in the majority of patients frequently improve after a period of conservative treatment. This has been regarded as the result of a decrease of pressure exerted from the herniated disc on neighboring neurostructures and a gradual ...

375 With the wide availability of non-invasive imaging techniques, the occurrence of a patient with a large disc herniation who ultimately has complete disappearance of the herniation on imaging without surgery is not rare.1-4 It is unclear how common this is, as most patients who recover from sciatica do not get repeat imaging. Alternatively, how commonly cauda equina syndrome subsequently occ...

  Abstract   Background: Far lateral discal herniation is an uncommon disorder and is difficult   to assess by physical examination alone. This study is designed to define clinical and   epidemiological findings and to establish the indications of surgical and medical treatment for FLLDH.   Methods: Between 2000 and 2005, a total of 2035 patients with lumbar disc herniation   underwent surgical...

We report a case of child with cystic fibrosis and lumbar disc herniation. An 8-year-old boy presented with low back pain that exacerbated on coughing, sitting, walking, or bending and diminished when lying down. The straight leg raising test was positive when the right leg was lifted at 60 degrees. Crossed leg raising test was negative. Lumbar MRI revealed a L5-S1central disc protrusion. Conse...

A 60-year-old man presented with a three week history of low back pain and right sciatica after lifting a heavy weight. On examination, there was marked restriction of straight leg raising on the right side with a reduced knee jerk and impaired sensation in the right L3 and L4 dermatomes. The provisional diagnosis was L4 root compression by a herniated L3/4 disc. Myelography with water -soluble...

To cite: Peng B, Pang X. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-009358 DESCRIPTION A 49-year-old man was admitted with right lower extremity pain and numbness that had lasted for 1 year. He had also experienced a sudden exacerbation of the symptoms for 10 days before admission. Physical examination revealed a negative straight leg raising sign in bo...

  Even though intervertebral disc degeneration can be found in the natural course of alkaptonuria, detection of the disease by black disc color change in a patient without any other presentation of alkaptonuria is an exceptionally rare condition. We have reported a very rare case of alkaptonuria presented with low back pain and steppage gait in a 51-year-old male with a complaint of chronic low...

Symptomatic pneumocephalus is frequently seen after traumatic fracture of the skull base bone. However, it has rarely been reported after spinal surgery and its mechanism has not been fully explained. In this paper, we present a 30 year old male patient who had lumbar discectomy due to a symptomatic midline lumbar disc herniation. He had developed symptomatic pneumocephalus after the lumbar dis...

BACKGROUND There are many different reasons why patients could be experiencing pain in the gluteal area. Previous studies have shown an association between radicular low back pain (LBP) and gluteal pain (GP). Studies locating the specific level responsible for gluteal pain in lumbar disc hernias have rarely been reported. METHODS All patients with lumbar disc herniation (LDH) in the Kanghua h...

Tuina manipulation has long been used in the treatment of lumbar intervertebral disc herniation, although its therapeutic mechanisms remain uncertain. The specific characteristic syndrome of this disease is lumbocrural pain in varying degrees, which is due to mechanical compression, aseptic inflammation, blood circulation disturbance and dystrophy. These factors can act on the involved nerve ro...