The intervertebral discs in the lumbar spine may fail to remain within the borders defined by the vertebral bodies and in turn compress nerve roots. This process can be caused by trauma, degeneration or a combination of both. In laymen’s terms, this condition is known as a ‘slipped disc.’ Disc pathology is a common cause of low back pain and radicular leg pain, typically affecting the L4-L5 and L5-S1 levels. Diagnosis is made by history and physical examination, with MRI confirmation. Non-operative management with NSAIDs and physical therapy is usually successful, though surgical decompression is indicated for disabling pain or progressive neurological deficits.
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