Disc is a cushion like strecture lying between the vertebral bones. Jelly like substance within the disc(Nucleus pulposus) is responsible for the flexibility of back bone. Some times the jelly like substance comes out of its boundary and is called as disc prolapse .
Disc prolapse if occurs in the neck it causes neck pain with arm pain. If it occurs in low back it causes lowback pain with leg pain. Pt might also have weakness and numbness of arm or leg depending upon the severity of nerve compression.
Xray is the first investigation needed. MRI may be needed if pain or weakness is severe.
Mostly pain will subside with physiotherapy , rest and pain medications. Discectomy surgery might be needed if pt has persistent arm or leg pain.
ROBOTIC GUIDED NERVE ROOT BLOCK FOR ACUTE DISC PROLAPSE:
Acute disc prolapse with radicular leg pain with out neurological defecit can settle down with 6 weeks of conservative management . For better pain relief we provide robotic guided nerve root block where in the inflammation in the nerve root is brought down by injecting local steroid . It is offered as an out patient procedure and patient walks pain free out of the hospital.