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Strangulated

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Q: When the blood supply to a herniated structure is cut off because of pressure?
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When the blood supply to a herniated scructure is cut off?

STRANGULATED


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Generally not, as of late 2012. The intervertebral discs do not have a good blood supply, so trying to suture the ripped bits back together after shoving as much of the herniated bits back in as possible just doesn't go well. The area overall doesn't heal quickly, and when it does it is heavy on the scar tissue that can pinch nerves and reduce mobility. The current standard of care is to remove the bits of the disc that fell out of the capsule (the "herniated" part of herniated disc) and then evaluate the joint to see what to do - clean out the rest and let it heal, fuse the joint, etc.


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