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Repetitive, compressive loading of the disks in flexion (eg, lifting) puts the disks at risk for an annular tear and internal disk disruption. Likewise, torsional forces on the disks can produce shear forces that may induce annular tears. (Degenerative disk forces are demonstrated in the image below.) The contents of the annulus fibrosis (nucleus pulposus) may leak through these tears. Central fibers of the disk are pain free, so early tears may not be painful. Samples of disk material taken at the time of autopsy reveal that the cross-linked profile of pentosidine, a component of the collagen matrix, declines. This may indicate the presence of increased matrix turnover and tissue remodeling.
Spinal stenosis is an abnormal narrowing of the spinal canal. It can occur as intervertebral discs lose moisture and volume with age, which decreases the canal space. This, coupled with disease in joints of the lower back, causes spinal canal narrowing. These changes in the disc and the joints produce symptoms and can be seen on an X-ray or scans. A person with spinal degeneration may have morning stiffness or pain while standing for a long time or walking even short distances. Even minor trauma under these circumstances can cause inflammation and nerve root impingement, which can produce classic sciatica without disc rupture or herniation.
Ferri FF. Ferri’s Clinical Advisor 2018. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed Nov. 11, 2017. Blenders & Mixers
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Medically reviewed by John A. Daller, MD; American Board of Surgery with subspecialty certification in surgical critical care
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Trampolines Recent Related Research (from Pubmed) Continue Shopping Jump up ^ North American Spine Society (February 2013), “Five Things Physicians and Patients Should Question”, Choosing Wisely: an initiative of the ABIM Foundation, North American Spine Society, retrieved 25 March 2013, which cites
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Shop All Electric Toothbrushes Spinal stenosis occurs when the spinal column narrows, placing pressure on the spinal cord and nerves. This issue can lead to pain, numbness, leg weakness and sensory loss, and runs the risk of becoming a very serious condition if not treated right away.
Lie on the back with the knees bent and feet on the floor. Place the hands across the chest. Contract the abdominal muscles, slowly raising the shoulders about 10 inches from the floor while keeping the head back (the chin should not touch the chest). Then release the abdominal muscles, slowly lowering the shoulders. Do 3 sets of 10.
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Physical Desserts Degenerative disc disease. At birth, intervertebral discs are full of water and at their healthiest. As people age over time, discs lose hydration and wear down. As the disc loses hydration, it cannot resist forces as well, and transfers force to the disc wall that may develop tears and cause pain or weakening that can lead to a herniation. The disc can also collapse and contribute to stenosis.
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