| Presenting symptoms | Back pain
Decreased standing time Decreased walking distance Occasionally pain |
Radicular sharp shooting pain in one limb |
| Age | Old age patients | Young patients |
| Progression | Slowly progressive | Acute onset |
| Factors involved | Age related degeneration | Heavy weight lifting
Sudden jerk to back |
| Aim of Surgery | For improvement of lifestyle
Increase ability to stand and walk |
Absolute indication- for weakness
Relative- for disabling pain |
| Conservative treatment | First choice
Improves with back rehabilitation |
First choice
Majority people recover with rest and medications |
| Type of surgery | Spinal decompression/ spinal fusion | Endoscopic/ microscopic discectomy |