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

Lumbar disc herniation, once thought to afflict primarily older adults, is increasingly common among younger professionals. Prolonged sitting, a hallmark of modern office life, places significantly greater 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. The condition’s early symptoms often resemble simple back pain, leading many to mistake it for muscle strain.

Medically known as lumbar intervertebral disc herniation, the condition occurs when a disc between the vertebrae protrudes or ruptures, compressing nearby nerves. Beyond lower back pain, patients may experience numbness, tingling, or pain radiating from the buttocks through the thighs, calves, and 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, allowing further disc protrusion or intensified nerve compression, which may eliminate less invasive treatment options.

Photo: Dong Youp Lee, Champodonamu Hospital
Photo: Dong Youp Lee, 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. Unlike traditional open surgery, it minimizes damage to surrounding muscles and ligaments, reducing postoperative pain and speeding recovery. For patients wary of surgery, this approach is 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 dismissing back pain as fleeting, identifying its 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.

키워드

#LumbarDiscHerniation#SpinalHealth#MinimallyInvasiveSurgery
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