What is a disc?
Key points
- The spine is made up of the vertebrae (the bones making up the spine), which have cartilage discs between them.
- A slipped disc is when the soft part of the disc bulges through the circle of connective tissue.
- A slipped disc occurs due to the breaking down of the circle of connective tissue with advancing age.
- A slipped disc in the lower back is most often seen between the ages of 30 and 50.
The spine is made up of the vertebrae (the bones making up the spine), which have cartilage discs between them. The discs consist of a circle of connective tissue with a central gel-like core. This makes the spine flexible and at the same time acts as a protective buffer.
In the centre of this column of vertebrae and discs is the spinal canal, which contains the spinal cord stretching from the brain-stem down to the first or second lumbar vertebra. It continues as a bundle of nerve fibres called the cauda equina stretching down towards the sacrum, which is the extension of the spine. Between each vertebra, the spinal cord has nerve root connections to other parts of the body.
The spine is divided into three parts:
* neck (cervical vertebrae)
* chest (thoracic vertebrae)
* the lower back (lumbar vertebrae).
The spine is connected to the ribs at the chest.
What is a slipped disc?
A slipped disc is when the soft part of the disc bulges through the circle of connective tissue. This prolapse may push on the spinal cord or on the nerve roots. However, it is worth noting that 20 per cent of the population have slipped discs without experiencing any noticeable symptoms.
The term 'slipped disc' does not really describe the process properly - the disc does not actually slip out of place, but bulges out towards the spinal cord.
What is the cause of a slipped disc?
A slipped disc occurs due to the breaking down of the circle of connective tissue with advancing age. This causes a weakness allowing the soft part to swell.
Slipped discs most often affect the lower back and are relatively rare in the chest part of the spine.
It is possible that hard physical labour can increase the likelihood of a slipped disc. They are also occasionally seen following trauma such as an injury from a fall or a road traffic accident.
At what age can a slipped disc occur?
A slipped disc in the lower back is most often seen between the ages of 30 and 50. In the cervical vertebrae around the neck, slipped discs are most often seen between the ages of 40 and 60.
What are the symptoms of a slipped disc?
A slipped disc can be symptom free. If it causes pain, it is primarily due to the pressure on the nerve roots, the spinal cord or the cauda equina.
Symptoms of nerve root pressure
Paralysis of single muscles, possibly with pain radiating to the arms or legs. There may also be a disturbance of feeling in the limbs.
Written and revised by
Gerald Hurowitz, M.D.
Our doctors write and review articles for accuracy and keep them up to date.
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