Intervertebral disc lesion
(Disc bulging, ‘slipped disc’)

Scenario

A worker at Kirrawee, in the heart of the Sutherland shire went to pick up a box, not realising it was so heavy.
Due to the unexpected heavy load, the lower back is vulnerable to injury. He developed pain in he lower back and leg and went to see the chiropractor

What is it?

Due to anatomy a disc cannot slip, it is attached to the vertebrea above and below.
The disc bulges due to the outer fibres of the disc (which contains the central nucleus) being weak or torn.

What are the causes?

  • Those with disc herniation are usually between the ages of 30 and 50 years.
  • There frequently is a prior episodes of low back pain
  • The condition may be related to a precipitating event such as lifting, twisting or heaving a heavy object, but it may only recount a minimal provocation incident.

What are the symptoms?

  • May complain of back pain, leg pain or both. Often the back pain disappears with the onset of leg pain.
  • The pain is made worse by bending forward, coughing or sneezing, and is relieved by rest in the laying down position with the knees flexed (90/90 position)
  • Numbness (hypoesthesia) can be detected over one area of the leg (dermatome).
  • Muscle weakness may be evident
  • An antalgic lean is often present. This is where a bent position (to one side or forwards) is adopted to relieve the pain.

Lower Back Pain