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Intervertibral disc prolapse
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The document discusses the anatomy, physiology, causes, symptoms, diagnosis and management of intervertebral disc herniation. Key points include:
1) Intervertebral discs act as shock absorbers between vertebrae and allow limited spinal movement. Herniation occurs when a tear in the disc allows the nucleus pulposus to bulge beyond the annulus fibrosus.
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2. Signs and symptoms of herniated discs vary depending on location but commonly include back pain radiating into the buttock and leg. Physical examination involves testing for limited range of motion and tenderness as well as straight leg raise.
3. Diagnosis involves assessing patient history, symptoms on physical exam, and sometimes imaging tests. Herniated discs most often occur in the lumbar spine and can impinge on lumbar or sacral nerve roots.
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