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  • Q&A with Australian Health Practitioners

    What is a lumbar disc herniation?

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    Mr Terence Tan is a Melbourne-trained neurosurgeon and complex spine surgeon who specialises in the surgical and non-surgical management of brain and spine conditions. His … View Profile

    Lumbar Disc Herniation results from the intervertebral disc in the lower back degenerating and protruding from its normal location. It is also known as a disc bulge or a ‘slipped’ disc. Patients report back pain and possibly numbness, tingling or weakness in the legs if there is nerve compression.

  • Dr. John Choi – Spine Surgeon (MBChB, FRACS, FAOrthA) Minimally Invasive Spine Specialist | Innovator | Educator Dr. John Choi is a fellowship-trained spine surgeon … View Profile

    A lumbar disc herniation occurs when the inner gel-like core of an intervertebral disc (nucleus pulposus) pushes through a weakened or torn outer layer (annulus fibrosus) in the lumbar spine (lower back). This herniated disc material can compress nearby spinal nerves, causing symptoms such as: * Lower back pain * Sciatica (radiating leg pain) * Numbness, tingling, or weakness in the legs * Difficulty walking or performing daily activities Causes * Age-related degeneration ("disc wear and tear") * Lifting heavy objects improperly * Sudden twisting or trauma * Genetic predisposition Treatment Options 1. Conservative (Non-surgical) * Physical therapy * Anti-inflammatory medication * Epidural steroid injections * Activity modification Most patients improve without surgery over weeks to months. 2. Surgical Treatment – Advanced Minimally Invasive Technique: UBE (Unilateral Biportal Endoscopy) UBE is an innovative endoscopic spine surgery technique that allows surgeons to treat lumbar disc herniations with greater precision and minimal tissue disruption. It’s part of the growing field of minimally invasive spine surgery (MISS). Summary: Lumbar disc herniation is a common cause of back and leg pain, often treatable without surgery. However, for persistent or severe cases, UBE (Unilateral Biportal Endoscopy) offers a state-of-the-art, minimally invasive solution that prioritizes faster recovery, less pain, and precise decompression of the affected nerve.

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