Herniated lumbar intervertebral disk

Richard (Rick) Deyo, Sohail K. Mirza

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

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
Volume374
Issue number18
DOIs
StatePublished - May 5 2016

Fingerprint

Intervertebral Disc
Pain
Leg
Intervertebral Disc Displacement
Ibuprofen
Physical Examination
Magnetic Resonance Imaging
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Herniated lumbar intervertebral disk. / Deyo, Richard (Rick); Mirza, Sohail K.

In: New England Journal of Medicine, Vol. 374, No. 18, 05.05.2016, p. 1763-1772.

Research output: Contribution to journalArticle

Deyo, Richard (Rick) ; Mirza, Sohail K. / Herniated lumbar intervertebral disk. In: New England Journal of Medicine. 2016 ; Vol. 374, No. 18. pp. 1763-1772.
@article{3c3e0ba7b6b24fc886d93619ce686ad6,
title = "Herniated lumbar intervertebral disk",
abstract = "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?",
author = "Deyo, {Richard (Rick)} and Mirza, {Sohail K.}",
year = "2016",
month = "5",
day = "5",
doi = "10.1056/NEJMcp1512658",
language = "English (US)",
volume = "374",
pages = "1763--1772",
journal = "New England Journal of Medicine",
issn = "0028-4793",
publisher = "Massachussetts Medical Society",
number = "18",

}

TY - JOUR

T1 - Herniated lumbar intervertebral disk

AU - Deyo, Richard (Rick)

AU - Mirza, Sohail K.

PY - 2016/5/5

Y1 - 2016/5/5

N2 - 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?

AB - 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?

UR - http://www.scopus.com/inward/record.url?scp=84968911274&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84968911274&partnerID=8YFLogxK

U2 - 10.1056/NEJMcp1512658

DO - 10.1056/NEJMcp1512658

M3 - Article

C2 - 27144851

AN - SCOPUS:84968911274

VL - 374

SP - 1763

EP - 1772

JO - New England Journal of Medicine

JF - New England Journal of Medicine

SN - 0028-4793

IS - 18

ER -