musculoskeletal and connective tissue disorders
Lumbar Herniated Nucleus Pulposus
Key Points
Herniated lumbar disks are common and usually affect nerve roots at L5 or S1. If symptoms develop suddenly and back pain is relieved with rest, suspect a herniated disk rather than an epidural tumor or abscess. Recommend analgesics, light activity as tolerated, and exercises to improve posture and strength; however, if pain or deficits are severe or worsening, consider invasive procedures. 