{"id":243019,"date":"2024-12-20T15:41:08","date_gmt":"2024-12-20T15:41:08","guid":{"rendered":"https:\/\/rafaelportela.pt\/lumbar-disc-herniation\/"},"modified":"2025-10-16T15:26:48","modified_gmt":"2025-10-16T15:26:48","slug":"lumbar-disc-herniation","status":"publish","type":"page","link":"https:\/\/rafaelportela.pt\/en\/pathologies\/lumbar-disc-herniation\/","title":{"rendered":"Lumbar Disc Herniation"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; admin_label=&#8221;Hero&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;e68aa8c9-06e1-48cb-b82b-29ec720aed4c&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;#ffffff 50%|rgba(255,255,255,0) 50%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(0,0,0,0.5)&#8221; background_color_gradient_end=&#8221;rgba(0,0,0,0.75)&#8221; 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header_3_font_size_phone=&#8221;17px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Lumbar disc herniation is a common condition affecting the spine, causing pain and discomfort. It&#8217;s important to recognise the symptoms and seek appropriate treatment to improve quality of life. <\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; custom_padding=&#8221;8%||8%||false|false&#8221; custom_padding_tablet=&#8221;0%||8%||false|false&#8221; custom_padding_phone=&#8221;0%||8%||false|false&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Text &#038; Image&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;5138c454-be54-4233-bd3b-f8e6a8747976&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; 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header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22%93}&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<p>A disc herniation is when a fragment of the intervertebral disc is expelled from the disc. This expulsion occurs through one or more fissures in the disc and cannot happen in perfectly healthy discs. A disc herniation is different from a disc protrusion, which corresponds to a progressive bulging of the disc as it collapses. Fissures, herniations, and disc protrusions are all consequences of discopathy or degenerative disc disease, a very common condition in the population, which explains the high number of people with disc herniations.   <\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Text &#038; Image&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;5138c454-be54-4233-bd3b-f8e6a8747976&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; z_index=&#8221;500&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Evolution of Lumbar Disc Herniation&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;f0c675ea-2574-4d0e-b725-30f8550a8550&#8243; title_level=&#8221;h3&#8243; title_font=&#8221;&#8211;et_global_heading_font|Cormorant Garamond_weight||on|||||&#8221; title_text_color=&#8221;#007BB5&#8243; title_font_size=&#8221;40px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||10px||false|false&#8221; title_font_size_tablet=&#8221;25px&#8221; title_font_size_phone=&#8221;25px&#8221; title_font_size_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22#05668d%22:%91%22title_text_color%22%93}&#8221;][\/et_pb_heading][et_pb_text quote_border_color=&#8221;#b68b4c&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;2c55a9c4-feed-423b-9edb-ae0b5b365cac&#8221; text_font=&#8221;&#8211;et_global_body_font|Proza Libre_weight|||||||&#8221; text_text_color=&#8221;rgba(0,0,0,0.64)&#8221; text_line_height=&#8221;1.75em&#8221; link_font=&#8221;|Proza Libre_weight|||||||&#8221; link_text_color=&#8221;#05668d&#8221; quote_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; quote_text_color=&#8221;#111111&#8243; header_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_text_color=&#8221;#111111&#8243; header_font_size=&#8221;72px&#8221; header_line_height=&#8221;1.15em&#8221; header_2_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_2_text_color=&#8221;#111111&#8243; header_2_font_size=&#8221;50px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_3_text_color=&#8221;#111111&#8243; header_3_font_size=&#8221;32px&#8221; header_3_line_height=&#8221;1.3em&#8221; header_4_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_4_text_color=&#8221;#111111&#8243; header_4_font_size=&#8221;24px&#8221; header_4_line_height=&#8221;1.4em&#8221; header_5_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_5_text_color=&#8221;#111111&#8243; header_5_font_size=&#8221;18px&#8221; header_5_line_height=&#8221;1.4em&#8221; header_6_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_6_text_color=&#8221;#111111&#8243; header_6_line_height=&#8221;1.5em&#8221; custom_margin=&#8221;||||false|false&#8221; text_font_size_tablet=&#8221;17px&#8221; text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;40px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;22px&#8221; header_3_font_size_phone=&#8221;17px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22%93}&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<p>Having a disc herniation is not necessarily serious or painful. Often, disc herniations are discovered in people who have no back pain complaints. A disc herniation becomes painful when it compresses a nerve root located just behind the disc in the spine. The evolution can lead to a decrease in symptoms, even if the herniation itself does not disappear. On the other hand, there may be a worsening of pain and, in more severe cases, paralysis. For many patients, the evolution is cyclical, alternating between periods of pain and remission.     <\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/01\/depositphotos_283922492-stock-photo-cropped-view-doctor-white-coat-1.webp&#8221; title_text=&#8221;depositphotos_283922492-stock-photo-cropped-view-doctor-white-coat (1)&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;1cc6152f-565c-4c4d-b0c9-cf8c9576c341&#8243; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|6px|6px|6px|6px&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;40px&#8221; box_shadow_blur=&#8221;112px&#8221; box_shadow_spread=&#8221;-24px&#8221; box_shadow_color=&#8221;rgba(0,0,0,0.12)&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; 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This leg pain is related to the compression of a nerve root by the herniation, following a precise path. It is called sciatica when the compressed roots are located at the back of the leg and cruralgia when they are in the front part of the thigh. The pain may extend to the feet or be limited to areas such as the buttocks, thighs, or calves. Besides pain, tingling, numbness, loss of sensation, or even paralysis may occur, indicating severe nerve root injuries, which may become permanent if left untreated.[\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_video_mp4=&#8221;off&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(0,0,0,0.04)&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;Tests&#8221; _builder_version=&#8221;4.27.4&#8243; header_font=&#8221;&#8211;et_global_heading_font||||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;40px&#8221; header_line_height=&#8221;1.4em&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#000000&#8243; body_line_height=&#8221;1.75em&#8221; use_background_color=&#8221;off&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;9px&#8221; button_text_color=&#8221;#ffffff&#8221; button_bg_color=&#8221;#6caf3f&#8221; button_border_width=&#8221;10px&#8221; button_border_color=&#8221;rgba(47,56,84,0)&#8221; button_border_radius=&#8221;60px&#8221; button_letter_spacing=&#8221;1px&#8221; button_font=&#8221;|700||on|||||&#8221; button_use_icon=&#8221;off&#8221; button_alignment=&#8221;left&#8221; text_orientation=&#8221;left&#8221; max_width=&#8221;800px&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;100px|60px|100px|60px|false|false&#8221; custom_padding_tablet=&#8221;|||60px|false|false&#8221; custom_padding_phone=&#8221;|||60px|false|false&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; header_font_size_tablet=&#8221;30px&#8221; header_font_size_phone=&#8221;30px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;17px&#8221; body_font_size_phone=&#8221;17px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; button_text_color_hover=&#8221;#2f3854&#8243; button_border_radius_hover=&#8221;66px&#8221; button_letter_spacing_hover=&#8221;1px&#8221; button_bg_color_hover=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;on&#8221; button_text_color__hover=&#8221;#2f3854&#8243; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;on&#8221; button_bg_color__hover=&#8221;#ffffff&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]Disc herniations are accurately diagnosed by computed tomography (CT scan) or magnetic resonance imaging (MRI). 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header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22#05668d%22:%91%22link_text_color%22%93,%22#0e0c19%22:%91%22header_text_color%22,%22header_4_text_color%22,%22header_3_text_color%22,%22header_2_text_color%22,%22header_5_text_color%22,%22header_6_text_color%22,%22quote_text_color%22%93,%22#3c3a47%22:%91%22text_text_color%22%93,%22#b68b4c%22:%91%22quote_border_color%22%93,%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22%93}&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; sticky_enabled=&#8221;0&#8243;]<span>In the absence of paralysis or urinary problems, surgery for disc herniation is never an emergency. Medical treatment consists of rest, analgesic and anti-inflammatory medications, and, in some cases, massages or <a href=\"https:\/\/rafaelportela.pt\/en\/non-surgical-treatments\/\">infiltrations.<\/a> The goal is to reduce inflammation around the compressed nerve root and wait for a possible spontaneous resolution of symptoms. 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Using a high-definition camera and specialised instruments, the surgeon can visualise and treat the affected area without causing significant damage to surrounding tissues. This method reduces recovery time and minimises the risk of complications, providing immediate pain relief and restoring nerve function.  <\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/rafaelportela.pt\/en\/spine-endoscopy\/&#8221; button_text=&#8221;Find Out More About the Procedure&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;ab15fb74-61a3-43aa-96b3-41e09aeef654&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;17px&#8221; button_text_color=&#8221;#B68B4C&#8221; button_bg_color=&#8221;#FFFFFF&#8221; button_border_width=&#8221;0px&#8221; button_border_radius=&#8221;100px&#8221; button_font=&#8221;&#8211;et_global_body_font|500|||||||&#8221; custom_padding=&#8221;12px|24px|12px|24px|true|true&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; min_height=&#8221;406px&#8221; custom_padding=&#8221;0px|0px|0px|0px||&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#f6f6f6&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;POST-OPERATIVE CARE&#8221; _builder_version=&#8221;4.27.4&#8243; header_level=&#8221;h3&#8243; header_font=&#8221;&#8211;et_global_heading_font|&#8211;et_global_heading_font_weight|||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;40px&#8221; header_line_height=&#8221;1.3em&#8221; body_font=&#8221;&#8211;et_global_body_font|&#8211;et_global_body_font_weight|||||||&#8221; body_text_color=&#8221;#2F4858&#8243; body_line_height=&#8221;1.75em&#8221; use_background_color=&#8221;off&#8221; button_alignment=&#8221;left&#8221; text_orientation=&#8221;left&#8221; background_layout=&#8221;light&#8221; max_width=&#8221;580px&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;right&#8221; custom_padding=&#8221;100px|60px|100px|60px&#8221; header_font_size_tablet=&#8221;25px&#8221; header_font_size_phone=&#8221;25px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;17px&#8221; body_font_size_phone=&#8221;17px&#8221; body_font_size_last_edited=&#8221;on|phone&#8221; button_border_radius_hover=&#8221;66px&#8221; button_letter_spacing_hover=&#8221;1px&#8221; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<p>The patient is encouraged to get up a few hours after the surgery. 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The patient receives guidance on dressings, analgesic medication, and rest until the follow-up appointment.   <\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2024\/12\/kine_02.jpg&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.16&#8243; height=&#8221;400px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_video_mp4=&#8221;off&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; sticky_limit_bottom=&#8221;section&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2024\/12\/velo.jpg&#8221; background_position=&#8221;top_center&#8221; background_enable_video_mp4=&#8221;off&#8221; background_video_width=&#8221;auto&#8221; background_video_height=&#8221;auto&#8221; background_video_pause_outside_viewport=&#8221;off&#8221; custom_padding=&#8221;|||&#8221; sticky_limit_bottom=&#8221;section&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; height=&#8221;400px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(0,0,0,0.04)&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;CONVALESCENCE&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x35;||divi||400&#8243; icon_color=&#8221;#B68B4C&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;40px&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;65059203-12d3-44f6-8371-3f5cf61a0475&#8243; header_font=&#8221;&#8211;et_global_body_font|Cormorant Garamond_weight|||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;34px&#8221; header_line_height=&#8221;1.4em&#8221; body_font=&#8221;&#8211;et_global_body_font|Proza Libre_weight|||||||&#8221; body_text_color=&#8221;rgba(0,0,0,0.64)&#8221; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.75em&#8221; body_link_text_color=&#8221;#05668d&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;40px|25px||25px|false|false&#8221; animation=&#8221;off&#8221; header_font_size_tablet=&#8221;25px&#8221; header_font_size_phone=&#8221;25px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-f2943306-fa6c-45f0-b632-5fc00151366a%22:%91%22icon_color%22,%22icon_color%22%93}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_body_font||||||||&#8221; text_line_height=&#8221;1.75em&#8221; custom_padding=&#8221;25px|60px|25px|60px|false|false&#8221; text_font_size_tablet=&#8221;17px&#8221; text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>At home, it is recommended to alternate rest in a comfortable position (semi-reclined, with legs slightly bent) with light walks on flat surfaces. 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toggle_font_size_phone=&#8221;14px&#8221; toggle_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; border_width_all=&#8221;2px&#8221; border_color_all=&#8221;rgba(255,255,255,0.4)&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22open_toggle_text_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22open_toggle_text_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22%93,%22gcid-828accbb-1ed2-407d-95be-20ab4e191566%22:%91%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22%93,%22gcid-7cadd8b3-5228-48e4-90c4-212d09232f7b%22:%91%22toggle_text_color%22%93}&#8221;][et_pb_accordion_item title=&#8221;What is a lumbar disc herniation?&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>It is a condition in which the internal material of an intervertebral disc in the lumbar region is displaced, compressing nerve roots and causing lower back pain and sciatica.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the most common symptoms?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Lower back pain that may radiate to the legs, a tingling or numbness sensation in the legs, and muscle weakness.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the main causes?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Gradual wear and tear of the discs due to ageing, weak musculature, excess weight, poor posture, and sudden or repetitive movements.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;How is the diagnosis made?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Through symptom assessment, clinical examination, and imaging tests such as magnetic resonance imaging or computed tomography.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the treatment options?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>They include analgesic medication, physiotherapy, specific exercises, and, in more severe cases, surgery.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Is surgery always necessary?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>No. Most cases improve with conservative treatments. Surgery is considered when non-invasive treatments fail or in cases of severe symptoms.  <\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;How long does a disc herniation episode last?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Symptoms may improve within 6 to 9 months, regardless of treatment, as many herniations are naturally reabsorbed.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Can a disc herniation disappear on its own?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Yes. Often, the body reabsorbs the herniation over time, leading to an improvement in symptoms. <\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What activities should be avoided?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Lifting weights, sudden movements, inadequate postures, and activities that increase pressure on the lower back should be avoided.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;How to prevent lumbar disc herniation?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Maintain correct posture, exercise regularly, strengthen back and abdominal muscles, avoid smoking, and control body weight.<\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<script type=\"application\/ld+json\"><!-- [et_pb_line_break_holder] -->{<!-- [et_pb_line_break_holder] -->  \"@context\": \"https:\/\/schema.org\",<!-- [et_pb_line_break_holder] -->  \"@type\": \"FAQPage\",<!-- [et_pb_line_break_holder] -->  \"mainEntity\": [<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"O que \u00e9 uma h\u00e9rnia discal lombar?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"\u00c9 uma condi\u00e7\u00e3o em que o material interno de um disco intervertebral na regi\u00e3o lombar se desloca, comprimindo ra\u00edzes nervosas e causando dor lombar e ci\u00e1tica.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o os sintomas mais comuns?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Dor lombar que pode irradiar para as pernas, sensa\u00e7\u00e3o de formigamento ou dorm\u00eancia nas pernas e fraqueza muscular.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o as causas principais?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Desgaste gradual dos discos devido ao envelhecimento, musculatura fraca, excesso de peso, m\u00e1 postura e movimentos bruscos ou repetitivos.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Como \u00e9 feito o diagn\u00f3stico?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Atrav\u00e9s da avalia\u00e7\u00e3o dos sintomas, exame cl\u00ednico e exames de imagem como resson\u00e2ncia magn\u00e9tica ou tomografia computadorizada.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o as op\u00e7\u00f5es de tratamento?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Incluem medicamentos analg\u00e9sicos, fisioterapia, exerc\u00edcios espec\u00edficos e, em casos mais graves, cirurgia.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A cirurgia \u00e9 sempre necess\u00e1ria?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"N\u00e3o. A maioria dos casos melhora com tratamentos conservadores. A cirurgia \u00e9 considerada quando h\u00e1 falha nos tratamentos n\u00e3o invasivos ou em casos de sintomas graves.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quanto tempo dura uma crise de h\u00e9rnia discal?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Os sintomas podem melhorar em 6 a 9 meses, independentemente do tratamento, pois muitas h\u00e9rnias s\u00e3o reabsorvidas naturalmente.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A h\u00e9rnia discal pode desaparecer sozinha?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Sim. Muitas vezes, o corpo reabsorve a h\u00e9rnia ao longo do tempo, levando \u00e0 melhora dos sintomas.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais atividades devem ser evitadas?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Levantamento de pesos, movimentos bruscos, posturas inadequadas e atividades que aumentem a press\u00e3o na regi\u00e3o lombar devem ser evitadas.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Como prevenir a h\u00e9rnia discal lombar?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Manter uma postura correta, praticar exerc\u00edcios regularmente, fortalecer a musculatura das costas e abdominais, evitar o tabagismo e controlar o peso corporal.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    }<!-- [et_pb_line_break_holder] -->  ]<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lumbar disc herniation is a common condition affecting the spine, causing pain and discomfort. It&#8217;s important to recognise the symptoms and seek appropriate treatment to improve quality of life. A disc herniation is when a fragment of the intervertebral disc is expelled from the disc. This expulsion occurs through one or more fissures in the disc and cannot happen in perfectly healthy discs. A disc herniation is different from a disc protrusion, which corresponds to a progressive bulging of the disc as it collapses. Fissures, herniations, and disc protrusions are all consequences of discopathy or degenerative disc disease, a very common condition in the population, which explains the high number of people with disc herniations. Having a disc herniation is not necessarily serious or painful. Often, disc herniations are discovered in people who have no back pain complaints. A disc herniation becomes painful when it compresses a nerve root located just behind the disc in the spine. The evolution can lead to a decrease in symptoms, even if the herniation itself does not disappear. On the other hand, there may be a worsening of pain and, in more severe cases, paralysis. For many patients, the evolution is cyclical, alternating between [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":243045,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-243019","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243019","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/comments?post=243019"}],"version-history":[{"count":3,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243019\/revisions"}],"predecessor-version":[{"id":243222,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243019\/revisions\/243222"}],"up":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243045"}],"wp:attachment":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/media?parent=243019"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}