This is a REALLY rare phenomenon, and is an XRay finding in people who have something called "Spondylolisthesis" and occurs in about 2% of the population... I have to gradually work toward answering your question, so bear with me... If you will copy and paste into Google this URL (the http:... address at the top of the screen): http://images.google.com/images?hl=en&q=Lumbar+vertebra&um=1&ie=UTF-8 Note the facet joints in the pictures. These are essentially the 2 legs of a tripod, the body of the vertebra being the 3rd leg... The way these facet joints join, or 'hook together' is like if you hooked two fingers of each hand together, pulling in opposite directions. They are tied together by ligaments to keep them from slipping appart, just like the ligaments in your other joints (fingers, knees, etc) are tied together. Between each vertebra are the spinal disks, which act as "shock absorbers", and the vertebra are tied together by 7 layers of ligaments... That's how the spine is tied together to keep the vertebra from slipping forward (pulled by the weight of the front of the body) and crushing the spinal nerves as the travel down the spinal canal, located in the back-section of the vertebral spine. In the womb, the skeleton forms as cartilage and calcium begins to be deposited; after we are born it continues to be deposited so the bones all become hardened and able to bear our weight as we mature (all except the joint surfaces that have cartilage there to promote joint movement). In a very few folks, at the L5 level, calcium isn't deposited into one or both facet joint areas as they arise from the body of the vertebra... If one side (facet-area) of this spinal area doesn't "calcify" and become hard, it is called Spondylolysis, and the spine will stay in alignment unless there is severe trauma that fractures the other calcified (normal) part. If neither side in the facet area calcify --and remains soft cartilage-- eventually the areas will separate and allow the spine to slide forward a little, L5 on S1. If it's just a little (grade I) their might be just a small amount of pain since the multiple layers of ligaments that wrap around the vertebra hold the spine together [only 20% of the strength of the spinal column is produced by the bones and ligaments, the other 80% is the produced by the muscles that support the spine]. Depending on the severity, there are 5 grades --or degrees-- of forward slippage of the spine allowed by the fractured L5 area. Now to your question... IF the spine slides forward, it will pull on the spinal disc between L5 & S1 (picture squashing a marshmallow, then sliding it a little). THAT is the way the squashed / pulled forward disc will show up on the Xray... it will appear as though it is bulging, but it really isn't... Sorry it took so long...!
In short you have a small swelling at the rear of a disc in your spine, about level with where the waist band of a pair of jeans would be.
L5 is the lowest of your lumbar vertebra, the small of your back. S1 is the first of the sacral vertebra, it's below the L5 and its in the last section of your spine. Pretty much where the spine attaches to the pelvis.
Diffuse is weak, vague unclear.
Posterior is towards the rear
Discs are the shock absorbing pads stacked between each vertebra
A bulge is a small swelling or elevated area
If you have an l4-l5 bulging disc there are small things one can do to find relief. Warm compresses and rest are obvious but there is also strengthening your core to alleviate pressure on the spine as well as good posture will reap huge benefits.
Yes a accident can cause a disc bulge
You have an intervertebral disc in between your vertebrae. It has got outer tough annulus fibrosus and inner soft nucleus pulposus. usually the nucleus pulposus escapes the disc. But at times the annular disc may bulge out. Osteophytes are seen due to degenerative changes in the upper and lower borders of your vertebrae. Disc means probably all over the edge.
Significant intervertebral disc space signal loss at C6-C7 is a nerve impingement which may be painful or cause loss of feeling. A minor diffuse disc bulge is a minor bulge of the affected disc.
Sure
Broad based disc bulge is the issue of have no extra room for the person's spinal cord causing pain and numbness. Broad based disc bulge is often thought to be a pinched nerve until imagining is taken.
One treatment for a disc bulge in L4 and L5 would be steroid injections by your physician. If the bulge is not extreme, the recommendation may be simply rest and anti-inflammatory medications.
yes
whats problems being create whan the c5 and c6 diffuse annular disc bulge
A diffuse disc bulge means a disc in the neck or spinal cord is outside of the space it should be normally. Facet joint arthropathy refers to a degenerative disease that affect the cartilage. Diffuse disc bulge along with facet joint anthropathy results in serious disabling health issues.
back pain
what can be done for this
Circumferential disk bulge is a condition of the spinal column wherein 50 to 100 percent of the circumferential disk tissue goes over the edges of the ring apophyses. Ninety percent of disk bulges happen in the lower back area.