Representing about four per cent of back pain cases, this is where a damaged spinal nerve (usually caused by a disc protruding onto it - a herniation or slipped disc) leads to back pain and numbness, and pain and pins and needles down the leg. Patients are managed with the same methods as those used for mechanical back pain. Surgery is an option, but Professor Maher says it's usually avoided, as the long-term results aresimilar to other treatments.
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