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Disk herniation
At some point in their lives, 10 percent of people experience symptoms from a herniated disk. However, autopsy studies show that most people have had a herniated disk but never experienced symptoms.
Over the years, the demand of supporting the body's weight causes the outer layer of the disk to weaken, become thinner, and develop microscopic tears. At the same time, the center of the disk slowly loses its water content and becomes progressively drier. These changes make the disk susceptible to herniation, in which mild trauma, such as lifting an object or even sneezing, can cause the center of the disk to bulge through the weakened outer layer.
The location and severity of the symptoms caused by a herniated disk depend on the extent and site of the rupture. For example, a herniated lumbar disk may cause pain, numbness, or weakness in one leg (sciatica), while a ruptured cervical disk may produce similar symptoms in one arm or hand (less commonly, both sides can be affected). In general, a spasm of the back muscles plus difficulty walking or standing straight indicates a herniated disk.
Pain due to a herniated disk is usually sudden in onset. The patient may "feel something snap" before the start of pain, which may begin as a mild tingling or a "pins and needles" sensation before increasing in severity.
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