Protruded intervertebral disc, the most common cause of low-back pain, must be excluded from various conditions and diseases which cause similar symptoms.
The characteristic features of the the typical protruded intervertebral-disc syndrome, as well as some of the less common manifestations of the protruded disc, are presented.
The most effective treatment for the patient with a protruded disc is rest in bed until the pain subsides.
The sudden appearance and progressive development of a neurological deficit is an indications for prompt surgical treatment.
A lack of improvement after an adequate trial of rest in bed is a second, but less absolute, indication for surgical treatment.
Section of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota 55901