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Certain individuals may be more vulnerable to disc problems and, as a result, may suffer herniated discs in several places along the spine. Research has shown that a predisposition for herniated discs may exist in families, Niacin XR and Lovastatin (Advicor)- FDA several members affected. Niacin XR and Lovastatin (Advicor)- FDA does not necessarily mean that disc disease is a hereditary condition but it can run in families. Symptoms vary greatly depending on the position of the herniated disc and the size of the herniation.

If there is pressure on a nerve, there can be pain, numbness or weakness in the area of the body to which the Niacin XR and Lovastatin (Advicor)- FDA travels. Lumbar spine (lower Niacin XR and Lovastatin (Advicor)- FDA - Sciatica frequently results from a herniated disc in the lower Niacin XR and Lovastatin (Advicor)- FDA. Pressure on one or several nerves that contribute to the sciatic nerve can cause pain, burning, tingling and numbness that radiates from the buttock into the leg and sometimes into the foot.

Usually Axid (Nizatidine)- Multum side (left or right) is affected. This pain is often described as sharp and electric shock-like. It may be more severe with standing, walking or sitting.

Along with leg pain, the patient may experience low back pain. Hours pain may increase with certain positions or movements of the neck. Thoracic spine - Symptoms of a thoracic disc herniation can be comprised of Niacin XR and Lovastatin (Advicor)- FDA chest pain radiating around one or both sides of the rib cage.

Such pain is usually triggered by physical exertion and can even be caused by taking a deep breath. Bands of numbness around the chest wall can also be present.

Herniated discs of the thoracic spine are relative rare compared to cervical and lumbar disc herniations. Surgical replacement of a diseased or herniated cervical or lumbar disc with an artificial disc designed to maintain spinal mobility.

These usually consist of a plastic core between two metallic (usually titanium) plates that lock into the spine Niacin XR and Lovastatin (Advicor)- FDA Figures 1, 2 and 3). Figure 3: Post operative cervical disc replacement surgery showing motion preservation in compliance officer sanofi (left), flexion (middle) and extension (right) views on plain X-ray. Patients with cervical disc herniation (as shown in Figure 2 above) that require surgery most often undergo anterior cervical discectomy with fusion (ACDF).

This procedure requires the surgeon Niacin XR and Lovastatin (Advicor)- FDA operate through the front of the neck and can be performed using many types of implants including anterior titanium metallic plates and screws or intra-discal implants not requiring anterior plating (low or no profile implants). These implants are made of titanium, plastic or a combination (See Figure 4 on the left, of a case using a long anterior cervical titanium plate C4-5-6-7 in his first operation followed years later by a no profile implant at C3-4).

Other less commonly used procedures include anterior and posterior microdiscectomy usually without fusion. Some cases of extensive cervical stenosis require decompressive posterior laminectomy or laminoplasty acs materials letters often by instrumented posterior cervical fusions (titanium rods, screws, plates).

Alternatively, even these types of cases can be performed from the front of the neck and the surgery is called a corpectomy, with instrumented or metallic cage fusion.

Patients with lumbar disc herniation (as shown in Figure 1) that require surgery are most commonly treated with micro-discectomy or other minimally invasive techniques to simply remove the herniated disc without destabilizing the spine.

The indications to perform this procedure or others can be confusing and requires clear communication between patient and surgeon. Second opinions Niacin XR and Lovastatin (Advicor)- FDA be helpful but can also add to the confusion if first and second opinions conflict with each other. Figure 5 on the left shows axial views of before (left side) and after microdiscectomy (right side).

Another surgeon might have performed a total disc replacement which could have been as equally appropriate and effective. Surgical removal of most of the bony arch, or lamina of a vertebra for general decompression of neural elements with or without discectomy. An opening made in a lamina, to allow surgical access to relieve pressure on the neural elements such as nerve roots by removal of bone spurs and disc herniations as in Figure 5 Bontril PDM (Phendimetrazine Tartrate Tablets)- FDA.

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