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Lumbar Disc Injuries and Treatment - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Lumbar Disc Injuries and Treatment - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Your spine is composed of individual bones called vertebrae. Your vertebrae form a protective tunnel called the spinal canal, which surrounds the spinal cord as it travels down the length of your spine. On each side of the spinal cord, spinal nerves exit the spinal canal through small bony channels called neural foramina. Your lumbar spine is the lower third of your spinal column. Between each vertebra, a flexible pad called an intervertebral disc acts as a shock absorber for your spine. Lumbar disc pressure can increase by more than 50% when you change from a standing position to bending over, or by more than 80% between a standing position and sitting with no back support. The intervertebral disc's tough, outer ring is known as the annulus fibrosis. The soft gel-like center is called the nucleus pulposus. During a traumatic injury, your spine may lurch forward forcefully, causing your vertebrae to compress the front of one or more of your lumbar discs beyond normal limits. As a result the back of your disc protrudes backward, causing small tears and thinning of your annulus fibrosis. Over time, your damaged annulus fibrosis may weaken and change shape, and your nucleus pulposus may dry out, and lose flexibility. As your intervertebral disc deteriorates, your nucleus pulposus may push your annulus outward, resulting in a disc bulge. Depending on its location, the bulge may push on, or impinge, one of your spinal nerves, your spinal cord, or your cuada equina, which is a collection of spinal nerve roots at the end of your spinal cord. Central disc bulges protrude backward into your spinal canal. Lateral disc bulges extend into your neural foramen. Severe lumbar disc injuries can tear your annulus fibrosis. Pressure from your vertebrae may push your nucleus pulposus out of your torn annulus, causing a disc herniation. A herniated lumbar disc can and impinge upon your cuada equina, or spinal nerves, and cause symptoms such as pain, numbness, or weakness in one or both of your legs. Treatments for lumbar disc injuries may include rest, anti-inflammatory medication, muscle relaxants, ice or heat applied to the injured area, physical therapy, an epidural steroid injection given directly into the area of nerve irritation, and in more severe cases, surgery.

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What attorneys say about MLA and The Doe Report:
"Our firm was able to settle our case at an all day mediation yesterday and I am confident that the detail and overall appearance of the medical illustrations significantly contributed to the settlement. When we require medical illustrations in the future, I will be sure to contact [MLA]."

Noel Turner, III
Burts, Turner, Rhodes & Thompson
Spartanburg, SC

"I wanted to thank you for the terrific job you did illustrating my client's injuries. The case was settled at the pre-suit mediation, and I believe a good part of the success we had was due to the medical legal art you prepared.

Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the conclusion of mediation, and will be using it to train nurses on how to prevent bed sores..."

Steven G. Koeppel
Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL

"Medical illustrations are essential during trial for any medical malpractice case. The people at MLA have the uncanny ability of creating medical illustrations that simplify the most complex of medical concepts and human anatomy to a lay audience. The exhibits of MLA allow experts to easily describe complex concepts and human anatomy in a manner that could not be done otherwise.

In addition, their custom illustrations show in great detail the extent of injuries suffered and the devastating effects they have had on the client's anatomy. These custom illustration can show, side by side, the body before and after a catastrophic injury. The effect of this juxtaposition is unmatched by any testimony that can be adduced at the time of trial.

Even jurors after trial have commented on the ease with which they grasp medical concepts and anatomy once the MLA exhibits were introduced and used by my experts. Even judges who have "seen it all" are thoroughly impressed by the detail and sophistication of the illustrations.

I would not want to try a case without them."

Lambros Y. Lambrou
McHUGH & LAMBROU, LLP
New York, NY

"Thanks, and your illustrations were effective in a $3 million dollar verdict last Friday."

Joseph M. Prodor
Trial Lawyer
White Rock, British Columbia












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