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Sequestered Disc
A sequestered disc is a term specifically used to describe a particular form of
ruptured disc.
When a piece of
nucleus pulposus
from an
extruded disc
actually breaks away from the whole disc structure, the herniation is described as being sequestered.

Sequestered Spinal Disc Diagnosis
A sequestered condition can only be accurately diagnosed with advanced imaging techniques, such as an
MRI
or CT scan.
X-rays
will not be useful, since they do not clearly show soft tissues, such as
intervertebral discs.
Sequestered conditions typically do not present any worse symptoms than
bulges
or one piece extrusions, and in many cases, a sequestering event might actually help to relieve symptoms due to a
pinched nerve
or
chemical radiculitis.
Remember, as the piece of separated disc material migrates, it might move away from nerve tissue and take pressure of any spinal structures currently being impinged upon…
Sequestered Intervertebral Disc Treatment
Separated disc fragments generally do not enact
foraminal stenosis
on their own, since there is no force applied to these pieces from the disc structure. These pieces might be implicated in causing chemical radiculitis in some patients, although this remains a very controversial diagnostic theory. Generally, sequestered discs do not qualify for any form of treatment which might be more effective at dealing with a contained disc herniation, such as
IDET,
nucleoplasty
and even most forms of non-surgical
spinal decompression.
Symptomatic modalities are used in the same applications as for bulging discs, but are typically provided for pain relief, rather than curative potential.
Sequestered Disc Advice
Having a piece of a disc broken off and floating around the spinal column sounds bad and might be problematic in some instances. However, many sequestered conditions are no more symptomatic than any other type of
herniated disc.
Remember that all disc issues typically follow this simple rule… Herniated discs due to normal spinal degeneration are less likely to be symptomatic and many exist completely unbeknownst to the affected individual. Herniations due to traumatic injury are likely to be painful for a time of 6 to 8 weeks, on average, but should resolve completely or near completely and are not likely to create chronic
back pain
syndromes. If your pain has endured for months or years, despite treatment, there is a good chance that your sequestered intervertebral disc is nothing more than a
scapegoat,
being blamed for pain when all the while it is coincidental and innocent to the symptomatic expression.
Sequestered Disc to Herniated Disc Home
8/31/09 Revised 9/14/09

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