Events related to Lumbar Disk Herniations

Events related to Lumbar Disk Herniations

Events related to Lumbar Disk Herniations

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As logical creatures,  humans usually want to associate an event with a cause.  In our current culture,  we want a reason for many of our own medical conditions.  Regarding spine problems,  Physicians know that being over weight,  smoking,  and  genetics have bearing on the incidence of disk problems.  People,  however,  want to associate a disk herniation with an event.  A 2010 Spine Jounal Article by Suri, et al. examined the inciting event associated with development of a herniated disk.

154 people who had Lumbar Disk herniations confirmed by MRI and with corresponding radicular pain were polled.  While the authors acknowledged the self reporting nature of the responses,  never the less,  it provided interesting information on the self reported Inciting event causing the MRI identified Lumbar Disk Herniation.

Each person was asked to identify the cause of the disk herniation.

Here are the category choices with percentages results:

1. Spontaneous onset  at 62% with no specific identified event

2. Nonlifting physical activity  at 26%

3. Heavy lifting (>35 lbs) at 6.5%

4. Light lifting (<35 lbs) at 2%

5. Nonexertional occurrence at 2%

6. Physical trauma at 1.3%.

The results show a supra majority of people not really being able to define a specific event,  and most interestingly,  only 1.3% identified the inciting event as being caused by trauma.

As the authors commented,  the results suggest Lumbar Disk herniations may be triggered by cumulative or genetic factors.    Further review of the population surveyed identified only 8% with worker’s compensation claims.  While some may argue it did not sample a cross sectional population,  this self reported study demonstrated that disk herniations are more often associated with non traumatic causes,  rather than lifting or trauma.

This information runs counter to our common sense interpretation.  Yet,  as a Clinician,  and Surgeon,  I often find that people do struggle trying to explain why they developed a disk herniation.  While patients try to relate Lumbar Disk Herniations to a specific event,  it may be totally unrelated.

 

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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