Lumbar Disc Herniation
Lumbar Disc Herniation - Related Videos
02:51
Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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2025
Source: Wang, L., et.al. Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation. J. Vis. Exp.(2023)This video demonstrates a minimally invasive endoscopic procedure to treat lumbar disc herniation by removing the protruded nucleus pulposus and ruptured annulus fibrosus. The technique decompresses the affected nerve root, alleviates pain, and restores nerve function through targeted tissue resection and radiofrequency modulation.
05:42
Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
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Cited by 1 •
2023
Here, we present a protocol for the "isolation zone" technique in the treatment of lumbar disc herniation (LDH) under full-endoscopic spine surgery (FESS), including intervertebral foramen formation, targeted catheterization, nucleus pulposus resection, and annulus fibrosus formation, which together completely block the pain from the nerve conduction pathway.
05:50
A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations
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Cited by 42 •
2018
Here we present a protocol of a novel outside-in technique of transforaminal endoscopic discectomy for lumbar disc herniations. The technical aspects of the technique, the wide indications of use, and the results of the treatment in 184 patients are described in detail.
10:09
Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Cited by 3 •
2022
Presented here is a novel technique of C-arm free transtubular posterolateral decompression for lumbar foraminal stenosis and lateral disc herniation under O-arm navigation.
06:26
The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation
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Cited by 3 •
2023
Here, we present the third channel-assisted UBE technique, which allows for the vertical removal of herniated disc fragments. This technique can effectively address the limitations of traditional UBE techniques. This article will systematically elaborate on this procedure.
FAQs
Symptoms may extend into the leg when displaced disc material irritates or compresses a nearby spinal nerve root. Because each nerve root supplies a particular distribution, the resulting pain, altered sensation, or weakness can follow a recognizable pattern. This distribution helps clinicians connect symptoms with possible nerve involvement during the medical evaluation.
Nerve-root irritation or compression can produce radicular symptoms, meaning symptoms that travel along the affected nerve distribution. Pain may therefore be accompanied by numbness, tingling, or weakness instead of remaining localized to the lower back. The presence and pattern of these findings provide important clinical information when assessing the condition.
A clinical examination identifies the patient’s symptoms and neurological findings, while imaging can show structural changes in the spine. Magnetic resonance imaging is particularly useful for confirming the suspected condition and locating relevant disc abnormalities. Considering both sources of information helps clinicians relate imaging findings to the patient’s actual presentation and guide treatment decisions.
The evaluation begins with a clinical examination focused on back and leg symptoms, including patterns of pain, numbness, tingling, or weakness. Clinicians then use imaging, particularly magnetic resonance imaging, when confirmation and anatomical detail are needed. Together, these steps help determine whether disc-related nerve involvement is present and inform the management plan.
Initial management commonly includes activity modification, medication, and physical therapy. These measures provide a nonoperative approach while clinicians monitor symptoms and neurological findings. The combination is intended to address discomfort and support functional management before considering an operation. Treatment selection and progression depend on the patient’s clinical presentation and response to conservative care.
Surgical decompression may be considered when symptoms remain severe or when persistent neurological deficits are present. The procedure is intended to relieve pressure affecting the involved nerve structures. Because many cases initially receive conservative care, clinicians generally use the severity, persistence, and neurological impact of symptoms, together with examination and imaging findings, to guide this decision.