Lumbar Disc Herniation and Radiculopathy

This session provides a detailed explanation of lumbar disc herniation, describing how the intervertebral disc, particularly the nucleus pulposus, protrudes or extrudes through a weakened or torn annulus fibrosus due to mechanical stress, degeneration, or sudden injury. It explains how herniated disc material can compress adjacent nerve roots in the lumbar spine, leading to radiculopathy characterized by radiating pain, commonly referred to as sciatica when the sciatic nerve distribution is involved. The session describes common affected levels such as L4-L5 and L5-S1, and correlates them with specific nerve root symptoms including pain distribution, sensory loss, muscle weakness, and reflex changes. It further explains how patients may experience difficulty in walking, bending, or performing daily activities due to pain and neurological impairment. The natural history of disc herniation is also discussed, including possible spontaneous resolution in some cases and progression in others. Diagnostic evaluation using clinical examination, straight leg raise test, and imaging modalities such as MRI is explained in detail. Treatment approaches are also introduced, ranging from conservative management including rest, physiotherapy, analgesics, and epidural steroid injections to surgical options like discectomy in severe or refractory cases. The session emphasizes accurate diagnosis and individualized treatment planning for optimal outcomes.

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