Lumbar Strain, Disc Hernias, Foraminal Narrowing, and difference between Spondylosis, Spondylitis, Spondylolisthesis, radiculopathy, radiculitis

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Currently clerk at an injury and workers compensation firm law firm and we get clients with a lot of back injuries. Currently on my first assignment that actually requires me to understand the differences between these conditions and trying to understand them all can be quite…rad-iculous

In: Biology

2 Answers

Anonymous 0 Comments

There are a lot here!

Disc Hernia: The spine is made up of around 33 bony blocks, between which are discs. The disc is tough and fibrous on the outside with a very thick gel like substance in the middle. If the outer part of the disc tears, the inner portion gets pushed out and can irritate the nerves leaving the spine. Usually happens in the low back.

Foraminal narrowing: the bony blocks (vertebrae) have an arched region where the spinal nerves exit (this is the foramina). If that area is blocked or narrowed (sometimes by small bony growths or a damaged disc) the spinal nerves may be irritated).

Spondylosis: General degeneration of the bony vertebrae (wear and tear) as a result of osteoarthritis.

Spondylitis: Inflammation of the bony vertebrae or the large joints where the sacrum attaches to the pelvis. The most common being Ankylosing Spondylitis. This is not a wear and tear condition.

Spondylolisthesis: A portion of or an entire vertebrae slips forwards, which narrows the spinal canal and puts pressure on the spinal cord.

Radiculopathy: A vague term essentially meaning a disorder of a nerve exiting the spine. Could be caused by any of the conditions mentioned and more. Often a result of a spinal nerve being squashed by something (like a damaged disc)

Radiculitis: Honestly have not encountered the term.
The etymology suggests Inflammation of a spinal nerve, possibly as a result of any of the above.

I have tried to keep this ELI5. So sorry of it sounds basic, I can add more details if you need help.

Anonymous 0 Comments

Probably best to hit a medical site or book for the best answers, particularly for legal references.

My 21yr old has spondylolisthesis (lower vertebrae slip forward, often putting pressure on nerves or bones), herniated disc, bulging disc, Schmorls nodes, and degenerative disc disease. Apparently doesn’t qualify for disability of any kind even though she’s in chronic pain and cannot stand for long periods. It sucks.