Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get StartedCauses
By Mayo Clinic staffYour spinal column is made up of bones (vertebrae) cushioned by small oval pads of cartilage or disks consisting of a tough outer layer (annulus) and a soft, jelly-like inner layer (nucleus). These disks act as springs, absorbing shock and allowing bending movements of your spine. They assist your spinal muscles in protecting your spine from the stress of everyday tasks and heavy lifting.
When a herniated disk occurs, a small portion of the nucleus pushes out through a tear in the annulus into the spinal canal. This situation can cause irritation of one of the spinal nerves.
Disk herniation is most often the result of a gradual, aging-related wear and tear called degeneration of the disks. As you age, your spinal disks lose some of their water content. That makes them less flexible and more prone to tearing or rupturing with even a minor strain or twist.
Most people can't pinpoint the exact cause of their herniated disk. Sometimes, using your back muscles instead of your leg and thigh muscles to lift large, heavy objects can lead to a herniated disk, as can twisting and turning while lifting. Rarely, a traumatic event such as a fall or a blow to the back can cause a herniated disk.
- 1. Herniated Disc. NeurosurgeryToday.org. http://www.neurosurgerytoday.org/what/patient_e/herniated.asp. Accessed Oct. 5, 2008.
- 2. Chou R. Patient Information: Low back pain. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
- 3. Wheeler SG, et al. Approach to the diagnosis and evaluation of low back pain in adults. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
- 4. What is back pain? National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Back_Pain/back_pain_ff.pdf. Accessed Oct. 5, 2008
- 5. Hu SS, et al. Disorders, diseases and injuries of the spine. In: Skinner HD. Current Diagnosis and Treatment in Orthopedicas. 4th ed. New York, N.Y.: McGraw-Hill; 2006. http://www.accessmedicine.com/content.aspx?aID=2319599. Accessed Oct. 5, 2008.
- 6. Herniated disk. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00334&return_link=0. Accessed Oct. 5, 2008.
- 7. Chou R. Subacute and chronic low back pain: Pharmacologic and noninterventional treatment. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
- 8. Knight CL, et al. Treatment of low acute back pain. http://www.uptodate.com/home/index.html. Accessed Oct. 2, 2008.
- 9. Health care guideline: Adult low back pain. Bloomington, Minn.: Institute for Clinical Systems Improvement. http://www.icsi.org/low_back_pain/adult_low_back_pain__8.html. Accessed Oct. 15, 2008.
- 10. Shelerud RA (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 12, 2008.
- 11. Heliovaara M. Body height, obesity, and risk of herniated lumbar intervertebral disc. Spine. 1987;12(5):469-472.