November 2016 · Volume 5 · Issue 11 Page 4067 International Journal of Reproduction, Contraception, Obstetrics and Gynecology Arya S et al. Int J Reprod Contracept Obstet Gynecol. 2016 Nov;5(11):4067-4069 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 Case Report Disc prolapse in pregnancy Sangeeta Arya, Nidhi Tripathi, Amrita Singh* INTRODUCTION A prolapsed (herniated) disc occurs when the outer fibres of the intervertebral disc (its annulus) are injured and soft material known as nucleus pulposus, ruptures out of its enclosed space. The prolapsed or ruptured disc material can enter the spinal canal, compressing the spinal cord, but more frequently spinal nerve, most common in young and middle aged adults. Pregnancy in some way predisposes to the development of a lumbar disc protrusion. 1 Most commonly occur in the lumbar spine and cervical spine, less commonly, they occur in thoracic spine. CASE REPORT A 26 old female presented in our antenatal clinic in first trimester with complains of back pain, which was insidious in onset dating back to 3-4 months prior to conception. Intermittent in nature, radiating to left side of gluteal region and thigh, responding to analgesics. Along with analgesics, patient was advised physiotherapy and other chiropractic measures from our side. However pain persisted and increased in intensity with advancing gestation. At 37 completed weeks, patient was planned for elective cesarean section because of this backache in order to prevent her from subjecting to cumbersome lithotomy position during labour. She underwent uneventful cesarean delivery with a healthy male child. On her 2 nd post-operative day when patient was asked to ambulate, she again had backache which was now more severe in intensity, radiating to whole of left side of lower body since her 5 th post-operative day, patient developed weakness in her left side of lower body. Her orthopedic reference was done and patient was advised X-Ray Pelvis and MRI of spine. X-Ray was normal however MRI was suggestive of disc prolapse at L5-S1 level patient was discharged from our side on 8 th post-operative day for further management of her disc prolapse. She was operated for the same-procedure was micro diskectomy under general anaesthesia and was discharged on next day of procedure. Thereafter patient had drastic pain relief and can move better. Department of Obstetrics and Gynaecology, GSVM Medical College, Kanpur, Uttar Pradesh, India Received: 23 August 2016 Revised: 30 September 2016 Accepted: 01 October 2016 *Correspondence: Dr. Singh Amrita, E-mail: amritanitinshankar@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Surgery is required only in about 1 in 10 cases of slipped disc. It may be considered if there is evidence of severe nerve compression, symptoms not improved using other treatments, having difficulty in standing or walking, have severe symptoms such as progressive muscle, weakness or altered bladder function. A microdiscectomy is typically performed for a herniated lumbar disc and is actually more effective for treating leg pain (also known as radiculopathy) than lower back pain. Impingement on the nerve root (compression) can cause substantial leg pain. While it may take weeks or months for the nerve root to fully heal and any numbness or weakness to get better, patients normally feel relief from leg pain almost immediately after a microdiscectomy spine surgery. Backache during pregnancy must not be overlooked as only minor ailment due to mechanical stress. Patient should be investigated on lines of spinal pathology. Keywords: Disc prolapse, Pregnancy, Backache, MRI spine DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20163892