Herniated lumbar intervertebral disk

Richard (Rick) Deyo, Sohail K. Mirza

Research output: Contribution to journalArticlepeer-review

146 Scopus citations


A 41-year-old man reports the sudden onset of low back and left leg pain. The symptoms began while he was doing yard work and pulling out large bushes. Since the onset of the pain 2 days ago, it has worsened, although he took a single dose of ibuprofen when the pain began. The patient has no clinically significant medical history, and the physical examination is normal other than severe pain in the left leg with a straight-leg-raising maneuver to 40 degrees. He says, "I'm sure I slipped a disk," and he requests magnetic resonance imaging (MRI) of the low back. What testing and treatment would you recommend?

Original languageEnglish (US)
Pages (from-to)1763-1772
Number of pages10
JournalNew England Journal of Medicine
Issue number18
StatePublished - May 5 2016

ASJC Scopus subject areas

  • Medicine(all)


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