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Young woman presents with excruciating leg pain in the right L5 distribution. On the MRI scan, the two lowest levels have already been fused. Due to stress transfer, the L3- L4 disc has herniated upward in the spinal canal.(arrow points to disc fragment) She has failed time, rest, physical therapy, and has had a single ineffective steroid injection.Adding her on for surgery… Stay tuned! Subach spinal solutions 877-782-2241 #lifeatvhc #stresstransfer #lumbarradiculopathy #discextrusion #minimallyinvasivespinesurgery #microscope #imageguidance #medtronicspine #onwardandupward (at Virginia Hospital Center) https://www.instagram.com/p/B2xtru5h6SL/?igshid=mqrlmgw3w08e

#LumbarRadiculopathy (often known as #Sciatica) refers to symptoms of pain, tingling, numbness or weakness that travel down the low back and into the leg or extremity. The sciatic nerve is the largest nerve in the body and exits the spinal cord as several nerve roots which join to form the sciatic nerve. The nerve, and the accompanying pain, radiate from the low back to travel behind the thigh and often below the knee to the ankle or foot. 🏃 Sciatica is the result of disc degeneration, herniation that directly presses on the nerve, or the content of the disc, is an irritant to the nerve. Any irritation or inflammation of a nerve resulting from disc herniation is called a #radiculopathy. 🏃‍♀ The discs of the spine are composed of an inner gelatin-like core and a firm outer ring. As the disc wears, it weakens, and the inner core will protrude outward through the outer ring. The resulting pressure on the nerve roots exiting the spinal column are intensified by inflammation caused by damaged tissue. Depending on the cause, sciatica can sometimes resolve on its own; however, some cases of sciatica may not resolve themselves if ignored. For many people with sciatica, there are treatments that can shorten the recovery time and reduce the likelihood that the pain will come back. 👐 #Chiropractic care can be a very effective therapy for many causes of sciatica! 💆#GetAdjusted (at Vancouver, British Columbia)