Herniated disk: Difference between revisions
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imported>Robert Badgett (New page: A herniated disk is defined as "an intervertebral disk in which the nucleus pulposus has protruded through surrounding fibrocartilage. This occurs most frequently in the lower lumbar regio...) |
imported>Robert Badgett |
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==Diagnosis== | ==Diagnosis== | ||
===History and physical examination=== | ===History and physical examination=== | ||
The presence of sciatica is associated with a herniated disk | The presence of [[sciatica]] is associated with a herniated disk:<ref name="pmid1386391">{{cite journal |author=Deyo RA, Rainville J, Kent DL |title=What can the history and physical examination tell us about low back pain? |journal=JAMA |volume=268 |issue=6 |pages=760–5 |year=1992 |pmid=1386391 |doi= |issn=}}</ref> | ||
* [[sensitivity (tests)|sensitivity]] = 95% | |||
* [[specificity (tests)|specificity]] = 88% | |||
On physical examination, a positive [[straight leg raise]] is associated with a herniated disk:<ref name="pmid1386391"/> | |||
* [[sensitivity (tests)|sensitivity]] = 80% | |||
* [[specificity (tests)|specificity]] = 40% | |||
==Treatment== | ==Treatment== | ||
Revision as of 14:46, 13 November 2007
A herniated disk is defined as "an intervertebral disk in which the nucleus pulposus has protruded through surrounding fibrocartilage. This occurs most frequently in the lower lumbar region.".[1]
Diagnosis
History and physical examination
The presence of sciatica is associated with a herniated disk:[2]
- sensitivity = 95%
- specificity = 88%
On physical examination, a positive straight leg raise is associated with a herniated disk:[2]
- sensitivity = 80%
- specificity = 40%
Treatment
References
- ↑ National Library of Medicine. Intervertebral Disk Displacement. Retrieved on 2007-11-13.
- ↑ 2.0 2.1 Deyo RA, Rainville J, Kent DL (1992). "What can the history and physical examination tell us about low back pain?". JAMA 268 (6): 760–5. PMID 1386391. [e]