Christopher Silveri MD

Christopher P. Silveri, M.D.FAAOS

Board Certified Orthopaedic Surgeon : Spine View Profile
  • I would like to express my sincere appreciation for keeping me up and running. By - Martha Howar

  • After suffering back pain for over 50 years the pain it became unbearable. By - Bob Vandel

  • Dr Silveri performed the first case using the O-Arm 3-D Imaging at Fair Oaks Hospital. Exciting New Technology

  • Thanks for the GREAT WORK! Double Fusion Feb 4, 2003 MARATHON October 30, 2005 By - Tim Bergen

  • Ballroom Dancer Fully Recovers from Back Surgery,A Laminectomy and Three Vertebra Fusion By - Tom Woll

  • Thanks Dr. Silveri.

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Herniated disc (Lumbar)

Herniated disc

Herniated disc is a condition in which the outer fibers (annulus) of the intervertebral disc are damaged causing the soft inner material of the nucleus pulposus to rupture out of its space. A herniated disc, common in the lower back (lumbar spine) occurs when there is a tear in the outer lining of the disc (annulus fibrosus). This causes the inner jelly-like material (nucleus pulposus) to leak out and place pressure on the adjacent spinal nerve root. It is the most common cause of low back pain and pain that radiates down the leg (radiculopathy).

The most common signs and symptoms of lumbar disk herniation are back pain that radiates to buttocks and legs, numbness in the leg or foot, weakness in the leg or foot, and rarely loss of bowel and bladder control.

Diagnosis

Proper diagnosis of the condition requires a complete medical history and a careful physical examination by your physician. Some of the additional diagnostic tests your doctor may suggest include:

  • X-ray of the middle-back: X-rays help to detect the amount of wear and tear present and to rule out other conditions.
  • CT and MRI scan: These tests are done to confirm the diagnosis of herniated disc.

Treatment Options

Conservative Treatment

Conservative treatment includes pain medications, physical therapy, and avoiding strenuous activity if the pain is severe.

Epidural Steroid Injection (ESI): ESI can be considered if the pain is intolerable even with medications and rest.

Surgical Treatment

Lumbar microdiscectomy is a surgical procedure done to remove a herniated part of the disk and any fragments that are putting pressure on the spinal nerve. This surgical procedure involves use of a surgical microscope and microsurgical techniques to gain access to the lumbar spine. The microscope magnifies and illuminates the area of operation. Only a small portion of the herniated disc that pinches on the nerve roots is removed.

  • Penn Medicine
  • American  Association of Orthopaedic Surgeons
  •  American Board of Orthopaedic Surgery
  • North American Spine Society
  • Georgetown University