Lumbar Disk Herniation

Question 1

Most common site for herniation?

Answer 1

L5-S1 (90% cases)

Question 2

movements that provoke pn?

Answer 2

flexion
sitting (prolonged)

Question 3

S&S of herniation

Answer 3

pn with flex/sitting
numbness
weakness

Question 4

What is best imaging of herniation?

Answer 4

MRI

For alignment, OA, disc space (plain radiograph)

Question 5

Treatment of herniation

Answer 5

bedrest 48 hrs
NSAID, PT, Core stabilization and McKenzie exercise
corticosteroid injections (last 3 months)
Prednisone- inflammation
alpha-2-delta (gabapentin, pregabalin,) and antidepressants