Lumbar prolapsed intervertebral disc treatment (PIVD)
Lumbar (intervertebral) disk disease is a frequent source of low back pain. Bulging, protruding, extruding, or sequestered disks can result in lumbar disk disease.
Signs and symptoms
Signs and symptoms of lumbar disk disease include the following:
Sharp (rather than dull) pain
Typically, bilateral pain located at the posterior belt line
Referred pain rather than radicular
Usually preceded by multiple episodes of less severe low back pain
Localized to the lower back and gluteal area
Pain with flexion, rotation, or prolonged sitting or standing
Pain relieved in a recumbent position
Pain of sudden onset or gradual onset after injury
See Clinical Presentation for more detail.
Examination in a patient with suspected lumbar (intervertebral) disk disease may feature the following:
Decreased lumbar range of motion
Positive straight leg raising test: Indicative of nerve root involvement
Usually negative nerve root stretch test results
Perform the usual motor, sensory, and reflex examinations (including perianal sensation and anal sphincter tone when appropriate). It is also mandatory to perform a careful abdominal and vascular examination.