Glossary

Spine terms, in plain English

Every term used across this site, defined without the jargon. Where a term has a dedicated page, it's linked.

Annulus fibrosus
The tough, fibrous outer ring of a spinal disc that contains the gel-like nucleus. Tears in the annulus allow disc material to bulge or herniate. See: Herniated discs
Bulging disc
A disc whose outer ring extends beyond its normal boundary without tearing. Often a precursor to herniation; many bulges cause no symptoms until they contact a nerve. See: Herniated & bulging discs
Cauda equina syndrome
Compression of the nerve bundle at the base of the spinal cord, causing saddle numbness and bowel or bladder changes. A surgical emergency — never a decompression case. See: Contraindications
Centralization
When radiating limb pain retreats toward the spine in response to treatment or movement — a good prognostic sign. The opposite, peripheralization, is a warning to stop.
Cervical spine
The neck region (vertebrae C1–C7). Cervical disc problems refer pain into the shoulder, arm and hand.
Degenerative disc disease (DDD)
Age-related thinning and dehydration of the discs. Common and often painless; treated only when it becomes symptomatic. See: Degenerative disc disease
Dermatome
The strip of skin served by a single nerve root. Where your numbness or tingling appears tells the examiner which disc level is involved. See: Sciatica & radiculopathy
Epidural fibrosis
Scar tissue that forms around a nerve root after spine surgery. One possible driver of persistent post-surgical pain. See: Failed back surgery syndrome
Facet joints
The small paired joints at the back of each spinal segment that guide motion. A common pain source, especially with extension and twisting. See: Facet syndrome
Failed back surgery syndrome (FBSS)
Persistent or recurrent pain after spine surgery. Candidacy for decompression depends heavily on which procedure was performed. See: Failed back surgery syndrome
Foraminal stenosis
Narrowing of the opening (foramen) where a nerve root exits the spine, usually from disc height loss and joint arthritis. See: Spinal stenosis
Herniated disc
When the disc's inner nucleus pushes through a tear in the outer ring. Also called a slipped or ruptured disc — though discs don't actually slip. See: Herniated discs
Intradiscal pressure
The pressure inside a spinal disc. It rises with sitting and loading and drops with lying down — and during the pull phase of decompression. See: How decompression works
Lumbar spine
The low back (vertebrae L1–L5). Bears the most load and is where most disc herniations treated with decompression occur.
Nerve root
The point where a nerve exits the spinal canal. Compression here produces the radiating pain, numbness and weakness of radiculopathy.
Nucleus pulposus
The gel-like center of a spinal disc that absorbs and distributes load. Loses water content with age and degeneration.
Radiculopathy
Pain, numbness, tingling or weakness caused by an irritated nerve root, traveling along the nerve's path. Sciatica is the lumbar version. See: Sciatica & radiculopathy
Sciatica
Pain radiating along the sciatic nerve from the low back into the leg, usually from a lumbar disc pressing on a nerve root. See: Sciatica
Spinal stenosis
Narrowing of the spinal canal or nerve exit holes, most common after 60. Classically causes leg symptoms that ease with sitting or bending forward. See: Spinal stenosis
Traction cycle
The alternating pull-and-release pattern used in decompression. Cycling prevents the muscle guarding that defeats sustained static traction. See: How decompression works

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