What is a P.I.V.D or prolapsed disc?
The term PIVD /prolapsed intervertebral disc means the protrusion or extrusion of the nucleus pulposus through a rent in the annulus fibrosus.
Causes of PIVD –
- Heavy manual labour
- Repetitive lifting and twisting
- Postural stress
- Poor and inadequate strength from the trunk
- Sitting for long hours
- increasing age (a disc is much more likely to develop a weakness with increasing age)
Symptoms of PIVD –
Lower Back / Lumbar Herniated Disc Symptoms
- Severe low-back pain
- Pain radiating towards the buttocks, legs, and feet
- Pain compounded with coughing, straining or laughing
- Muscle spasm
- Tingling or numbness in legs or feet
- Muscle weakness or atrophy in later stages
- Loss of bladder or bowel control in the event of cauda equina syndrome.
Some people do not have the signs of PIVD Research studies where routine back scans happen to be done on a many people have shown that many people have a PIVD without any symptoms. It’s thought that symptoms mainly occur when the prolapse causes pressure or irritation of the nerve. This does not take place in all cases. Some prolapses might be small, or occur from the nerves and cause minor, or no symptoms.
Neck / Cervical Herniated Disc Symptoms –
- Arm muscle weakness
- Deep pain near or higher the shoulder blades around the affected side
- Increased pain when bending the neck or turning go to the side
- Pain made worse with coughing, straining or laughing
- Neck pain, particularly in the back and sides together with spasm
- Burning pain radiating to the shoulder, upper arm, forearm, and rarely the hand, fingers or chest
- Tingling (a “pins-and-needles” sensation) or numbness in a single arm.
Cauda equina syndrome – rare, but an urgent situation
Cauda equina syndrome is a particularly serious kind of nerve root problem that may be caused by a prolapsed disc. This can be a rare disorder in which the nerves at the very bottom from the spinal cord are pressed on. This syndrome may cause low back pain plus: issues with bowel and bladder function (usually not able to pass urine), numbness within the ‘saddle’ area (around the anus), and weakness in a single or both legs. This syndrome needs urgent treatment to preserve the nerves towards the bladder and bowel from becoming permanently damaged. Visit a doctor immediately should you develop these symptoms.
It is well known, that slipped discs in the area of thoracic spine show a lower frequency than lumbar slipped discs. The more so it is important not to overlook it or to underestimate the symptoms of a slipped disc in this region. As experience shows, more young patients suffer from the thoracic prolapsed intervertebral disc.
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