[Hinews] [Physician's Column] By Lee Dong Youp, Champodonamu Hospital

Once considered a condition of older adults, lumbar disc herniation is increasingly common among younger professionals. Prolonged sitting, a hallmark of modern office life, places significantly more pressure on the spine than standing. Combined with poor posture or weak core muscles, this can precipitate disc issues in individuals as young as their 20s and 30s. Early symptoms often mimic ordinary back pain, causing many to dismiss them as mere muscle strain.

Medically known as lumbar intervertebral disc herniation, the condition occurs when a disc between the vertebrae protrudes or ruptures, compressing nearby nerves. In addition to lower back pain, patients may feel numbness, tingling, or pain radiating from the buttocks down the thighs, calves, and even to toes. These symptoms, indicative of nerve root compression, set the condition apart from typical muscle soreness.

The subtle onset of symptoms often delays treatment, particularly among young professionals who assume their youth offers immunity. Ignoring early signs can worsen the condition, leading to further disc protrusion or increased nerve compression, potentially ruling out less invasive treatment options.

Photo: Lee Dong Youp, Champodonamu Hospital
Photo: Lee Dong Youp, Champodonamu Hospital

Recent advances in minimally invasive techniques, such as endoscopic discectomy, have transformed treatment. This procedure involves a small incision through which an endoscope is inserted to remove herniated disc material or relieve nerve compression. Compared to traditional open surgery, it causes less damage to surrounding muscles and ligaments, reducing postoperative pain and accelerating recovery. For patients hesitant about surgery, this method offers a compelling alternative.

Not all cases require surgical intervention. Initial management often includes conservative measures like medication, physical therapy, or nerve block injections. If symptoms persist or deteriorate, MRI imaging is essential to determine whether surgery is necessary.

Early diagnosis is critical. Untreated disc herniation can impair daily activities and work performance, and in severe cases, may lead to lower limb paralysis. Persistent lower back pain or radiating leg pain warrants prompt medical evaluation with diagnostic imaging.

Rather than brushing off back pain as temporary, identifying the underlying cause early prevents long-term complications and costly treatments. Professionals who spend extended periods seated should prioritize spinal health and seek care at facilities with comprehensive diagnostic and treatment systems.

저작권자 © Hinews 무단전재 및 재배포 금지
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