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| Body | This is a large L5 disc herniation. Most people, physicians included, do not know that what makes this so painful is inflammation being released from the disc onto the nerve root, not the mechanical compression of the nerve. Consider the evidence for this:<br /> <br /> · Large disc herniations may be asymptomatic <br /> · Small disc herniations may be extremely painful<br /> · Conservative therapy is most often effective<br /> · Discs heal and are reabsorbed, via macrophages<br /> · The nucleus of the disc is immunogenic <br /> · Multiple models have shown this (cited below)<br /> <br /> This knowledge should comfort you. First, If you have a large disc herniation, the most likely outcome is healing of the disc. Second, if you have severe pain and have been told that your MRI is, “normal”, you now know that it is because the pain is from inflammation, which cannot be seen on imaging. Now you can go about addressing the inflammation and getting back to life!<br /> <br /> #discherniation #backpain #backpainrelief #immunesystem <br /> <br /> Mulleman D, Mammou S, Griffoul I, Watier H, Goupille P. Pathophysiology of disk-related sciatica. I.—Evidence supporting a chemical component. Joint Bone Spine. 2006 Mar;73(2):151-8. doi: 10.1016/j.jbspin.2005.03.003. Epub 2005 Jun 22. PMID: 16046173. |
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