Herniated Intervertebral Disc
Usually complaints and symptoms of herniated intervertebral discs depending on the disc material which protrude or herniate. Herniation of the lumbar spine usually causes lower back pain with or without sciatica or may simply be lower back pain chronic pain radiating to the sciatic which ranging from the lower back to the buttocks down to the lower limbs. Clinical symptoms can be found:
- Lower back pain that is severe, sudden, settled a few hours to a few weeks slowly.
- Sciatica form of severe pain on one or two legs in accordance with the distribution of the nerve roots and become great when coughing, sneezing or bending.
- Paresthesias great, can be accompanied by sciatica, according to the distribution of nerve and may occur after nerve pain symptoms decreased.
- Deformity in the form of loss of lumbar lordosis or scoliosis therefore great lumbar muscle spasm.
- Mobility decreases bone movement. In the acute stage movement at the lumbar very limited, then comes the pain at the time of the extension of the spine.
- Tenderness in the area of herniation and the paravertebral area or buttocks.
- Straight leg raise test according to (SLR). This test will indicate the degree of limitation and the amount of pressure on the nerve roots.
- The test voltage of the femoral nerve. Vertebral disc herniation at L-3/4, flexion of the knee joint is passively in prone position will cause pain in the front of the thigh.
- Neurological symptoms in the legs, such as muscle weakness, reflex changes and sensory changes of the nerve roots.
