So we’re talking about herniated discs today doctor I’d like you to go to our 3d image wall if possible and we’re gonna show you what camera my on there we go what is a hernia disc doctor kind of explained that little redness and what we’re looking at absolutely this is a great graphic so you could see that this is a cross-section we are looking at the patient as if we cut the patient as a loaf of bread and we’re looking from the top down so this would be the front of the patient imagine this person is laying on their belly the back is up here the head is somewhere over here so bottom line is that you’re looking at the cross-section of the disc and what’s right behind the disc all this all these wires that’s the nerves so when a disc protrudes out which frequently happens right over to the side behind this thick posterior ligament what so this this is the nerve so as the second the disc comes out of its hole and it starts putting pressure on the nerve that patient is gonna start feeling pain going down their leg and if this is a disc in the neck this would cause pain going down the arm and doctor we’re on the spine are you most likely to get a herniated disc is there a certain area could be anywhere it’s true no it can be anywhere but what’s common is common so in a cervical spine usually at c-56 c67 so kind of the middle of the neck and in the lower back the discs that herniated the most are the ones that are all the way at the bottom so you frequently hear l45 or l5 s1 is the most common cause you