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Definition

By Mayo Clinic staff

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Photo of man in bridge position 
Bridge position

When you experience back pain that shoots down your leg, everyday activities become difficult or even intolerable. One cause of back pain is a herniated disk, sometimes called a slipped disk or a ruptured disk.

Your spine is made up of bones (vertebrae) cushioned by small oval pads of cartilage or disks consisting of a tough outer layer (annulus) and a soft inner layer (nucleus).

When a herniated disk occurs, a small portion of the nucleus pushes out through a tear in the annulus into the spinal canal. This can irritate a nerve and result in pain, numbness or weakness in your back as well as your leg or arm.

A herniated disk generally gets better with conservative treatment. Surgery for a herniated disk usually isn't necessary.

References
  1. Herniated Disc. NeurosurgeryToday.org. http://www.neurosurgerytoday.org/what/patient_e/herniated.asp. Accessed Oct. 5, 2008.
  2. Chou R. Patient Information: Low back pain. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
  3. Wheeler SG, et al. Approach to the diagnosis and evaluation of low back pain in adults. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
  4. What is back pain? National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Back_Pain/back_pain_ff.pdf. Accessed Oct. 5, 2008
  5. Hu SS, et al. Disorders, diseases and injuries of the spine. In: Skinner HD. Current Diagnosis and Treatment in Orthopedicas. 4th ed. New York, N.Y.: McGraw-Hill; 2006. http://www.accessmedicine.com/content.aspx?aID=2319599. Accessed Oct. 5, 2008.
  6. Herniated disk. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00334&return_link=0. Accessed Oct. 5, 2008.
  7. Chou R. Subacute and chronic low back pain: Pharmacologic and noninterventional treatment. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
  8. Knight CL, et al. Treatment of low acute back pain. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
  9. Health care guideline: Adult low back pain. Bloomington, Minn.: Institute for Clinical Systems Improvement. http://www.icsi.org/low_back_pain/adult_low_back_pain__8.html. Accessed Oct. 15, 2008.
  10. Shelerud RA (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 12, 2008.
  11. Heliovaara M. Body height, obesity, and risk of herniated lumbar intervertebral disc. Spine. 1987;12(5):469-472.

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Dec. 20, 2008

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