Disk Related Pain
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Low back pain is a common cause of pain and there are many causes. Finding the exact cause of the pain can help guide treatment and management. Muscle strains, joint related problems, bony pathologies, disc problems and other conditions such as infections are all causes of low back pain. However, a common cause of low of back pain can be due to �degeneration�, or wearing out of the lumbar intervertebral discs. The resulting condition is called or lumbar disc pain. Between each vertebra (the bones which make up the spinal column), are intervertebral discs. Each disc consists of a tough outer fibrous layer that surrounds a gel-like nucleus.
Repeated overuse, during bending, lifting and sporting activities such as soccer can lead to wear and tear or degeneration of the outer layer of the disc. If this degeneration is sufficient, the gel-like nucleus can �prolapse� outwards from the disc. Occasionally, a single specific incident can cause the disc to prolapse. Often this �prolapsed� nucleus can impinge, or put pressure on nerves and other structures, which can cause significant pain.
Disc injuries occur most commonly in the lumbar spine, at the bottom of the back. The term �slipped disc�, �popped disc� or �herniated disc�, are often terms used to describe disc related pain. These terms are not precise and the term �prolapse� or �protrusion� better describes disc related low back pain.
What causes disc pain?
The exact cause of lumbar disc pain is not well understood. There are differences that can be seen between a normal lumbar disc and a degenerative lumbar disc. Most often these �differences� are seen on an MRI scan. However, lumbar disc degeneration is part of the normal aging process and most players who have degenerative discs (seen on a scan or x-ray) usually have no symptoms. These are commonly older players - 45 years plus. Younger players rarely have degenerative disc problems. Often a specific incident or accident can cause a disc prolapse. This can be as simple as bending and lifting a heavy object or
tackling while playing soccer.
What are the signs and symptoms?
The player will often remember a specific incident. Usually a specific movement (most commonly bending, twisting or lifting) will cause a lumbar disc to prolapse. This can be a simple movement that the player has done many times previously with no problems. The degeneration in the disc prior to this injury has weakened the disc and the movement is enough to cause damage into the disc itself. The nucleus material �leaks out� of the disc and �impinges� on nerves and other pain sensitive structures. Often the onset of pain in the lower back is sudden and severe. Coughing and sneezing increases the pressure within the disc and makes the pain worse. Frequently changing position relieves the pain, but it can be made worse by sustained flexed postures such as sitting, driving and standing. Often the disc prolapse �impinges� on the nerve root, causing pain down one of the legs. The nerve root that is affected (impinged) produces pain in the sciatic nerve distribution, resulting in the condition known as sciatica. This can produce pain in the buttock, the hamstrings, the back of the knee and the calf or the heel.
Repeated overuse, during bending, lifting and sporting activities such as soccer can lead to wear and tear or degeneration of the outer layer of the disc. If this degeneration is sufficient, the gel-like nucleus can �prolapse� outwards from the disc. Occasionally, a single specific incident can cause the disc to prolapse. Often this �prolapsed� nucleus can impinge, or put pressure on nerves and other structures, which can cause significant pain.
Disc injuries occur most commonly in the lumbar spine, at the bottom of the back. The term �slipped disc�, �popped disc� or �herniated disc�, are often terms used to describe disc related pain. These terms are not precise and the term �prolapse� or �protrusion� better describes disc related low back pain.
What causes disc pain?
The exact cause of lumbar disc pain is not well understood. There are differences that can be seen between a normal lumbar disc and a degenerative lumbar disc. Most often these �differences� are seen on an MRI scan. However, lumbar disc degeneration is part of the normal aging process and most players who have degenerative discs (seen on a scan or x-ray) usually have no symptoms. These are commonly older players - 45 years plus. Younger players rarely have degenerative disc problems. Often a specific incident or accident can cause a disc prolapse. This can be as simple as bending and lifting a heavy object or
tackling while playing soccer.
What are the signs and symptoms?
The player will often remember a specific incident. Usually a specific movement (most commonly bending, twisting or lifting) will cause a lumbar disc to prolapse. This can be a simple movement that the player has done many times previously with no problems. The degeneration in the disc prior to this injury has weakened the disc and the movement is enough to cause damage into the disc itself. The nucleus material �leaks out� of the disc and �impinges� on nerves and other pain sensitive structures. Often the onset of pain in the lower back is sudden and severe. Coughing and sneezing increases the pressure within the disc and makes the pain worse. Frequently changing position relieves the pain, but it can be made worse by sustained flexed postures such as sitting, driving and standing. Often the disc prolapse �impinges� on the nerve root, causing pain down one of the legs. The nerve root that is affected (impinged) produces pain in the sciatic nerve distribution, resulting in the condition known as sciatica. This can produce pain in the buttock, the hamstrings, the back of the knee and the calf or the heel.