Herniated disk
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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]