first_img February 15, 2018 1,726 Views Demand Propels Home Prices Upward 2 days ago Tagged with: FEMA Hurricane Maria hurricanes Puerto Rico transitional shelter assistance program in Daily Dose, Featured, Government, Headlines, News Home / Daily Dose / FEMA Aid for Some Displaced Puerto Ricans Running Out The Week Ahead: Nearing the Forbearance Exit 2 days ago Share Save Servicers Navigate the Post-Pandemic World 2 days ago Governmental Measures Target Expanded Access to Affordable Housing 2 days ago Previous: Drop-In Centers Working to Assist Hurricane-Impacted Texans Next: Ginnie Mae MBS Outstanding Issuance Approaches $2 Trillion Data Provider Black Knight to Acquire Top of Mind 2 days ago  Print This Post The Best Markets For Residential Property Investors 2 days ago Sign up for DS News Daily Governmental Measures Target Expanded Access to Affordable Housing 2 days ago FEMA Hurricane Maria hurricanes Puerto Rico transitional shelter assistance program 2018-02-15 David Wharton Subscribe Related Articles The Best Markets For Residential Property Investors 2 days ago FEMA Aid for Some Displaced Puerto Ricans Running Out Servicers Navigate the Post-Pandemic World 2 days ago Data Provider Black Knight to Acquire Top of Mind 2 days ago About Author: David Wharton Demand Propels Home Prices Upward 2 days ago At the beginning of February, HUD announced that $1.5 billion in aid was being allocated toward Puerto Rico’s recovery from a brutal hurricane season, designed to “support long-term recovery of seriously damaged housing and local businesses in Puerto Rico,” according to HUD’s media statement. But for Puerto Ricans displaced in the aftermath of the disaster, long-term HUD funds aren’t going to address more immediate needs. Thus far, shelter for many Puerto Rico evacuees in areas such as Florida has been provided by FEMA’s Transitional Shelter Assistance program, which pays for hotel and motel accommodations while those affected by a disaster search for long-term housing. However, while FEMA had previously extended the end date for these services to March 20, The New York Times reports that the program will begin to expire for some of the affected families this week.The Times reports that nearly 4,000 families currently remain in hotels courtesy of the FEMA program, with around 1,500 of those families in Florida. Finding alternate housing in the Sunshine State likely won’t be easy, either—like many parts of the country, Florida is in the grip of an affordable housing shortage, one which has only been exacerbated by the influx of Puerto Rico natives fleeing to the mainland after Hurricane Maria.According to a National Low Income Housing Coalition study cited by cited by the Orlando Weekly, the Orlando metropolitan area ranks third in the U.S. when it comes to affordable rental homes, with only 18 affordable rental units available per 100 low-income families. With nearly 300,000 Puerto Ricans having arrived in Florida (per the state’s Division of Emergency Management), the situation is only getting worse.Democratic Congressman Darren Soto, a Puerto Rican whose district is located in central Florida, is petitioning FEMA to extend the program for the affected families through the end of the school year, and earlier this week he sent FEMA a letter to that effect, co-signed by Representatives from both parties. Rep. Soto told the Times, “With the program ending, we then have to argue for individual cases, and it becomes more cumbersome and people fall through the cracks.”When DS News originally reported on the then-looming original FEMA deadline, a FEMA representative said, “FEMA reviews each case for continuing eligibility every thirty days, depending on the need of each survivor the period under the TSA program will be extended and we will work to find permanent housing solutions.”According to the Times, “Most of the stays have been extended until March 20, but about 200 households have been alerted that FEMA would stop paying for their rooms as of Wednesday. The agency had already cut off assistance last month for some households after federal officials determined that their homes in Puerto Rico were habitable and had functioning utilities.”FEMA spokesman William Booher told the Times, “This is a bridge to other longer-term solutions. Survivors are responsible for their own recovery and to actively look for permanent housing solutions.”Meanwhile, Puerto Rico is on the cusp of a foreclosure epidemic, with data firm Black Knight Inc. in December reporting that almost one-third of Puerto Rican homeowners were behind on their mortgage, and 90,000 had become delinquent due to Hurricane Maria. There are currently foreclosure moratoriums in place for affected Puerto Rico homeowners, however those moratoriums are set to expire on March 19.last_img read more

first_imgCheck and adhere to use-by dates onfresh poultry packages. “Fresh turkeys are highlyperishable,” she said. “If you buy it too far in advance or don’tuse it by the date specified, it may start to spoil in yourrefrigerator before you’re ready to cook it.”Don’t stuff a turkey until you’reready to cook it. Stuffing it a day early can be a costlyshortcut. “If you stuff your turkey,” Harrison said, “do it rightbefore cooking and stuff it loosely.”Thaw it in the fridge. Don’tthaw a frozen turkey at room temperature. Thaw it in therefrigerator, where it will stay cooler than 40 degrees, or incold water, changing the water every 20 to 30 minutes.Serve no turkey before itstime. The safe way to tell when poultry is cookedthoroughly is to use a food thermometer.”Insert a food thermometer into the thickest part of the thighmuscle without touching the bone,” Harrison said. “When itregisters 180 degrees Fahrenheit, the bird is done. If you’recooking only white meat pieces, they’re done at 170 degrees.”Stuffing should reach at least 165 degrees, Harrison said. Youcan check it by inserting the food thermometer into the thickestpart of the stuffing.Get the stuffing out. As soonas the turkey’s done, remove all of the stuffing. Harmfulbacteria are more likely to grow in the stuffing if it stays inthe bird after cooking.If you don’t need all the stuffing for the first serving, keepthe rest either in the refrigerator or above 140 degrees in theoven, if you will be serving it soon.Don’t leave the turkey out after themeal. From the time the turkey comes out of the oven, youhave about 2 hours to carve it, serve it and then refrigerate orfreeze the leftovers.When refrigerating meat or stuffing, store it in shallow coveredcontainers so it will cool quicker. It’s best to slice theleftover meat or turkey so it cools fast.”Leftover turkey will keep in the refrigerator for three or fourdays,” Harrison said. “Use the stuffing and gravy within one ortwo days. Bring leftover gravy to a rolling boil before you serveit, and reheat stuffing to 165 degrees.”For longer storage, she said, package leftovers in freezercontainers, freezer paper or heavy-duty aluminum foil and freezethem. Use frozen turkey, stuffing and gravy within one month. (Dan Rahn is a news editor with the University of GeorgiaCollege of Agricultural and Environmental Sciences.) By Dan RahnUniversity of GeorgiaWhile you’re feasting your eyes on your holiday turkey andpondering biting into it, it’s already “thinking” about bitingyou back. If you’re not careful, it will.Think of the time after the turkey is cooked as a race thatstarts when you take it out of the oven, said Judy Harrison, anExtension Service foods specialist with the University of GeorgiaCollege of Family and Consumer Sciences.Not putting leftovers into the refrigerator fast enough is justone of the costly mistakes people make in buying, cooking,serving and storing turkeys. “Between the store and theleftovers,” she said, “a number of mistakes can make foodborneillness possible.”Behind the biteBehind virtually all of the things people do wrong with turkeys,Harrison said, is the fact that the bacteria with the bite, theones that cause foodborne illnesses, multiply fast between 40 and140 degrees Fahrenheit.These tips can help you avoid being bitten by a foodborne illness:last_img read more

first_imgFootball fans around Central New York were still talking about the one-of-a-kind result Sept. 27 at Vernon-Verona-Sherrill, the Lakers not getting a touchdown or field goal, yet winning 4-0 because it earned a pair of safeties in the fourth quarter.All that mattered to the Lakers, though was that it got a much-needed victory and that, in order to build on it, needed to at least produce a few more points on its visit to Camden.When the Blue Devils kept Cazenovia scoreless in the first quarter, there was a brief concern that this was yet another game the Lakers would have to tough out through unconventional means. Tags: Cazenoviafootball For the second week in a row, the Cazenovia football team ventured on the road and kept a Class B East division opponent off the scoreboard.Only this time, the Lakers actually paired that defensive dominance with a few trips to the end zone.Cazenovia’s 24-0 shutout over Camden Saturday night was the team’s third win in a row following an 0-2 start and second consecutive shutout, and far more conventional than what had taken place eight days earlier.center_img All of that changed, though, when in the second period Cazenovia moved it to Camden’s 24-yard line and Ryan Romagnoli broke his team’s touchdown drought, following good blocks all the way to the end zone.Even more important was Evan Murray’s 32-yard field goal that extended the Lakers’ margin to 10-0 by halftime, a shot of momentum that carried over into the third quarter.Twice, the Lakers moved it on Camden’s defense, and each time Romagnoli finished it off, scoring on runs of five and 11 yards.But just one TD was needed here as, once again, the Lakers’ defense dominated from start to finish, never letting the Blue Devils put together any kind of consistent production.Now Cazenovia returns to the portable lights at Buckley-Volo Field this Friday to welcome Central Valley Academy for a 6:30 kickoff, both teams sitting at 3-2 and tied for third in B West behind undefeated Oneida and New Hartford.The Thunder arrive in Cazenovia fresh off its own shutout, having blanked Chittenango 21-0 a night before the Lakers’ win at Camden.A 14-point second quarter put CVA in charge, with Cole Brewer catching TD passes of two and 66 yards from Michael Dihrberg and then scoring again in the third period on a 14-yard pass from Dihrberg.It won’t get easier for the Bears this Friday as 5-0 New Hartford visits, the Spartans determined not to look ahead to a potential league-championship showdown with Oneida in the Oct. 18 regular-season finale.Share this:FacebookTwitterLinkedInRedditComment on this Story last_img read more

first_img Loading …Puppy Love – BudweiserCowboy Kid – DoritoHero’s Welcome = BudweiserTime Machine – DoritosPhone Call – Radio Shack by Tracy McCue, Sumner Newscow — Forget the Super Bowl (and yours truly is most certainly trying), let’s talk about the Super Bowl Commercials.We are running a special Monday version of Sumner Newscow weekly poll by having you the reader pick your favorite commercial.The following are the top five most popular Super Bowl commercials according to the 2014 USA Today Super Bowl Ad Meter (see survey here).Click on the commercial videos below the survey to pick your favorite. Sorry, we are only picking five for this poll. There were 60 commercials throughout the telecast. What was your favorite Super Bowl commercial? Puppy Love – Budweiser Cowboy Kid – Dorito Hero’s Welcome – Budweiser Time Machine – Doritos Phone Call – Radio Shack I like another commercial not on the list I hated all of those commercials above. View Resultscenter_img Close Forgot password? Please put in your email: Send me my password! Close message Login This blog post All blog posts Subscribe to this blog post’s comments through… RSS Feed Subscribe via email Subscribe Subscribe to this blog’s comments through… RSS Feed Subscribe via email Subscribe Follow the discussion Comment (1) Logging you in… Close Login to IntenseDebate Or create an account Username or Email: Password: Forgot login? Cancel Login Close WordPress.com Username or Email: Password: Lost your password? Cancel Login Dashboard | Edit profile | Logout Logged in as Admin Options Disable comments for this page Save Settings Sort by: Date Rating Last Activity Loading comments… You are about to flag this comment as being inappropriate. Please explain why you are flagging this comment in the text box below and submit your report. The blog admin will be notified. Thank you for your input. 0 Vote up Vote down JustMe · 340 weeks ago I’m kind of tired of the old dog and pony show from Budweiser. Report Reply 0 replies · active 340 weeks ago Post a new comment Enter text right here! Comment as a Guest, or login: Login to IntenseDebate Login to WordPress.com Login to Twitter Go back Tweet this comment Connected as (Logout) Email (optional) Not displayed publicly. Name Email Website (optional) Displayed next to your comments. Not displayed publicly. If you have a website, link to it here. Posting anonymously. Tweet this comment Submit Comment Subscribe to None Replies All new comments Comments by IntenseDebate Enter text right here! Reply as a Guest, or login: Login to IntenseDebate Login to WordPress.com Login to Twitter Go back Tweet this comment Connected as (Logout) Email (optional) Not displayed publicly. Name Email Website (optional) Displayed next to your comments. Not displayed publicly. If you have a website, link to it here. Posting anonymously. Tweet this comment Cancel Submit Comment Subscribe to None Replies All new commentslast_img read more

first_imgThis weekend’s minus tides could be problematic for ocean anglers launching at Eureka’s two public boat ramps. As most boaters are aware, the Eureka public boat ramp off of Waterfront is a muddy mess at low tide. And this weekend’s minus tides fall smack dab in the middle of when the boat launching traffic is typically the heaviest. Saturday’s low of minus 0.8 falls at prime launching time, right around 7:15 a.m. Sunday isn’t much better, with a minus 0.8 right around 8 a.m. Reportedly, it will …last_img read more

first_imgThe Raiders have released both wide receiver Jordy Nelson and quarterback A.J. McCarron, they announced Thursday afternoon.Nelson was the Raiders’ No. 1 wide receiver at the end of last season, and the team paid him a $3.6 million bonus late in 2018. His release open up over $3.5 million in cap space, according to Over The Cap, since he carried a cap number of over $5.3 million but a dead money hit of $1.8 million. His $3 million base salary for 2019 would’ve become fully guaranteed if he was …last_img read more

first_img(Visited 48 times, 1 visits today)FacebookTwitterPinterestSave分享0 Complex behaviors showing foresight and planning are adding to a long list of contradictions to evolutionary explanations about “brute” ancestors.Caveman recycling plan:  Studies in an Israel cave supposedly dating 1.3 million years old show its inhabitants making sustainable use of its resources, recycling like moderns do.  The story on PhysOrg begins, “If you thought recycling was just a modern phenomenon championed by environmentalists and concerned urbanites—think again.”  If these presumed evolutionary ancestors had this much mental power for planning, what stopped them from planting farms and building ox-drawn carts for another 1.25 million years?  Worse, the modern behavior could potentially be older in the evolutionary timeline: “Recycling was widespread not only among early humans but among our evolutionary predecessors such as Homo erectus, Neanderthals and other species of hominids that have not yet even been named,” one of the researchers said.Hand over the toothpicks, please:  The Dmanisi skulls show evidence the Homo erectus denizens of the cave used toothpicks, a paper in PNAS reported.  The skeletons are thought to be 1.77 million years old in the evolutionary timeline.  Apparently these people were wise enough to engage in dental hygiene.  “Dmanisi further provides the first clear evidence for toothpick-induced local periodontitis,” the summary says.  “This study illustrates how excessive tooth wear leads to dentognathic pathology and complete tooth loss, which was evidently compensated for by culturally mediated food processing.”  The BBC News coverage includes photos of the wear marks on the teeth.  “‘It shows once more how complicated the story of human evolution is,’ Prof Lordkipanidze, co-author of the work, told BBC News.”The yelp theory of music:  To show that evolutionists only have just-so stories to explain “Why humans are musical,”  Science Daily begins, “Why don’t apes have musical talent, while humans, parrots, small birds, elephants, whales, and bats do?”  After a series of hmms and hahs, the article discusses dopamine as a feel-good molecule that might be implicated, postulating, “it may as well have been rewarding for the brain in relative safety, resulting in activities such as hand- clapping, foot-stamping and yelping around the campfire.”  Evolutionists have yet to find birds, elephants, whales, or bats building musical instruments, let alone concert halls, let alone clapping their flippers or wings over a complex contrapuntal symphony utilizing four-part harmony and multiple skilled musicians playing in an orchestra or choir, reading music, even though they had more time to evolve than humans supposedly did.  This criticism applies also to the view of Jay Schulkin, who proposed in a new book that music allowed humans to practice living with uncertainties—a behavior that was rewarded with oxytocin and dopamine in the brain (see book review on New Scientist).  If this were a law of nature, it should have made musicians of all primates.Language evolution theory #1,523:  PhysOrg tried again to ask, “Why is language unique to humans?”  It must be remembered that while animal signaling is widespread in nature, true abstract thought with syntax and semantics is a unique human trait.  Researchers from Durham University could only conclude that it is rare to get all the requirements together in one species; that’s why it’s unique to humans.  “”The scientists argue that these constraints can only be bypassed if individuals have the sufficient socio-cognitive capacity to engage in ostensive communication,” they concluded. “Humans, but probably no other species, have this ability. This may explain why language, which is massively combinatorial, is such an extreme exception to nature’s general trend.”  This implies there is no evolutionary explanation.Why do we pay attention to these fibbers?  Darwin was right about one thing: “the descent of man,” down lower and lower into stupidity as time goes on.  Adam could teach these DODO heads a thing or two.last_img read more

first_img(Visited 48 times, 1 visits today)FacebookTwitterPinterestSave分享0 It takes more to turn a dinosaur into a bird than changing arm and leg ratios and reducing body size.The summary of an article on Science Daily foretells what it will try to explain:The key characteristics of birds which allow them to fly — their wings and their small size — arose much earlier than previously thought, according to new research that examined closely the Paraves, the first birds, and their closest dinosaurian relatives which lived 160 to 120 million years ago. Researchers investigated the rates of evolution of the two key characteristics that preceded flight: body size and forelimb length. In order to fly, hulking meat-eating dinosaurs had to shrink in size and grow much longer arms to support their feathered wings.The article promised “New insights into origin of birds” by focusing on “key characteristics that preceded flight: Body size, forelimb length.”  A little reflection makes it clear, though, that smaller size and shrinkage of forelimbs is not going to help a dinosaur caught falling out of a tree or running along the ground, assuming the two leading theories about the origin of flight (arboreal vs. cursorial).  A small rock with long arms drops at the same rate as a large rock with short arms.Mark Puttick and his team from the Universities of Sheffield and Bristol could say that these “key characteristics” are prerequisites only – not that they are explaining flight itself.  Nevertheless, flight is a major theme in their statements.  It’s what they aim to explain.“We were really surprised to discover that the key size shifts happened at the same time, at the origin of Paraves,” said Mr Puttick of Bristol’s School of Earth Sciences. “This was at least 20 million years before the first bird, the famous Archaeopteryx, and it shows that flight in birds arose through several evolutionary steps.”What did their research consist of?  They “applied new numerical methods that calculate the rate of evolution of different characteristics across a whole evolutionary tree, and identify where bursts of fast evolution occurred.”  Clearly this assumes evolution occurred.  It is useless, therefore, to counter arguments for design, because they assume evolution to “prove” evolution.  Even so, there are contradictions within the evolutionary scenario.   For one, different traits helpful for flight “evolved” at different rates.  For another, they have to account for certain dinosaurs surviving with long arms and stubby legs for 20 million years, without being able to use them for flight.  It would seem those ungainly limb ratios would hinder survival on the ground with other fast-running theropods able to outrun and outcompete them.  Evolutionary theory prohibits traits emerging with the goal of using them for flying millions of years later.  Each variation has to have immediate survival value.Without details, the article claims “a whole group of dozens of little dinosaurs were lightweight and had wings of one sort or another” that were “gliders or parachutists, spreading their feathered wings, but not flapping them.”  How they could know that is curious, since they weren’t there as Jurassic birdwatchers.  It would be necessary to know if these “dinosaurs” were secondarily flightless birds.  More importantly, powered flight with flapping wings and all the accessory equipment is far different from gliding behavior, requiring new flight muscles (pectoralis and supracoracoideus) as well as related ligaments, nerves, and brain hardware and software to operate them.Puttick’s paper in Evolution (co-authored with Gavin Thomas and Michael Benton) is entitled, “High Rates of Evolution Preceded the Origin of Birds.”  The paper seems to focus on body size alone as the determining factor: “The high evolutionary rates arose primarily from a reduction in body size, as there were no increased rates of forelimb evolution.”  The Aves class was unique, they claim, in its ratio of forelimb length to body size.  “Traits associated with Aves evolved before their origin, at high rates,” they say – without accounting for how or why evolutionary rates should be high or low, nor why they should evolve before flying birds appeared.  All their thinking depends, furthermore, on believing the evolutionary dates and the evolutionary trees.The beautiful Illustra documentary Flight: The Genius of Birds gives a much more elegant and satisfying explanation for flight, because it doesn’t gloss over the details, but accounts for all the traits needed for powered flight: efficient one-way lungs, efficient digestive and excretory systems, the beautifully engineered flight muscles that provide a compact center of gravity, the hollow bones, the navigation systems, the sensory components (able not only to see details from the air but to sense the magnetic field), the exquisite design of feathers, and the behaviors that allow birds to take advantage of air currents, including the lift from other birds in formation flight (1/16/14).  The integrated systems that allow an eagle to pick a fish out of a lake, a hummingbird (12/05/13) to hover in mid-air sucking its food out of a flower with a specialized nectar-trapping tongue, or a snowy egret with its large, elegant wings to fly between tree limbs without hitting them, are explained by appealing to what we know in our universal experience about complex functional systems.  Intelligent design is a known “vera causa” (true cause) that can account for the observations.Evolution, by contrast, comes up empty looking for a true cause for flight (7/30/13).  Never do we see blind, unguided processes leading to complex functional systems with integrated parts contributing to the overall design goal.  Intelligent design is, therefore, the best scientific explanation in contrast to the storytelling from the Darwin camp (9/30/13).  The Tweety Rex fable looks downright silly by comparison.  With its high perhapsimaybecouldness index, its stretchable rates of evolution (a clear ad hoc theory rescue device), and its copious use of magic words (emerged, arose, developed, appeared), it reduces to “birds evolved because they evolved.”  If the public were allowed to hear the two explanations side by side, there would be no contest.  Darwin’s flightless DODO birds would go running out of the auditorium in shame.last_img read more

first_imgTags:#Location#news#NYT#social networks#web Guide to Performing Bulk Email Verification Location based social network Brightkite plans to launch a universal check-in API that will let users update their information on competing services like Gowalla, Foursquare and others later this month at South by Southwest, we believe. In a poll we ran last night about competing location networks, Mark Krynsky, founder of Lifestreamblog and CheckInBlog, left the following comment: “I’d like to see a a multi-checkin service make its appearance at SXSW that would allow me to check into all 3 mentioned in the poll (more if possible) at once. Think Ping.fm for checkin services.” Brightkite co-founder Martin May replied: “working on exactly that.”Brightkite executives declined to share any further details before they unveil whatever it is that they are working on, but there are additional reasons to believe that we’ll see a cross-system check-in tool from the company later this month. Brightkite API email list members were warned last month that major changes to the company’s development platform were coming at a time that roughly corresponds with SXSW. TechCrunch coverage of the company’s surprisingly high user numbers and local advertising deals from a week ago also includes brief mention of something coming around SXSW time. A universal check-in system is the next logical step for location based social networks. It’s just no fun to use one service but give up the ability to see where your friends on other networks are. Siloed social networks end up competing not on the quality of their services, but on the number of your friends they have locked-in to their network in particular. Setting users free through a universal, interoperable check-in would be a bold move. It will be interesting to see how Brightkite tries to do it and how its competitors respond. (We’ve got inquiries in asking a few of them.)Hopefully a universal check-in system will be good for all players in the field. That was the vision of Yahoo’s FireEagle, which you don’t hear a lot about these days.Brightkite says it has 2 million active monthly users and it was the clear winner in last night’s ReadWriteWeb poll asking which location service people would use at SXSW. But it gets far less media hype these days than Foursquare and Gowalla and admittedly approximate web traffic services don’t show Brightkite in the lead at all. Either way, offering up a way to read from and write across multiple location based social networks would be absolutely fabulous. Our fingers are crossed that this is what we’ll see from Brightkite in a few weeks and that it will be good.Update: Foursquare founder Dennis Crowley says this is news to him and a reader in comments points out that Gowalla’s API is read-only, making a universal check-in impossible. Gowalla has said it is working on a write capable version of its API, though. Time will tell what’s going on! If not Brightkite, then somebody needs to build a universal check-in system ASAP. Google Buzz may be a good place to look for this as well, see How Google Buzz is Disruptive: Open Data Standards. Our fingers remain crossed. A Comprehensive Guide to a Content Audit The Dos and Don’ts of Brand Awareness Videoscenter_img Related Posts Facebook is Becoming Less Personal and More Pro… marshall kirkpatricklast_img read more

first_imgDefinitionA herniated (slipped) disk occurs when all or part of a disk is forced through a weakened part of the disk. This may place pressure on nearby nerves or the spinal cord.Alternative NamesLumbar radiculopathy; Cervical radiculopathy; Herniated intervertebral disk; Prolapsed intervertebral disk; Slipped disk; Ruptured disk; Herniated nucleus pulposusCausesThe bones (vertebrae) of the spinal column protect nerves that come out of the brain and travel down your back to form the spinal cord. Nerve roots are large nerves that branch out from the spinal cord and leave your spinal column between each vertebrae.The spinal bones are separated by disks. These disks cushion the spinal column and put space between your vertebrae. The disks allow movement between the vertebrae, which lets you bend and reach.With herniated disk:The disk may move out of place (herniate) or break open (rupture) from injury or strain. When this happens, there may be pressure on the spinal nerves. This can lead to pain, numbness, or weakness.The lower back (lumbar area) of the spine is the most common area for a slipped disk. The neck (cervical) disks are sometimes affected. The upper-to-mid-back (thoracic) disks are rarely involved.A herniated disk is one cause of radiculopathy. This is any disease that affects the spinal nerve roots.Slipped disks occur more often in middle-aged and older men, usually after strenuous activity. Other risk factors include conditions present at birth (congenital) that affect the size of the lumbar spinal canal.SymptomsadvertisementThe pain most often occurs on one side of the body.With a slipped disk in your lower back, you may have sharp pain in one part of the leg, hip, or buttocks and numbness in other parts. You may also feel pain or numbness on the back of the calf or sole of the foot. The same leg may also feel weak.With a slipped disk in your neck, you may have pain when moving your neck, deep pain near or over the shoulder blade, or pain that moves to the upper arm, forearm,and fingers. You can also have numbness along your shoulder, elbow, forearm, and fingers.The pain often starts slowly. It may get worse:After standing or sittingAt nightWhen sneezing, coughing, or laughingWhen bending backward or walking more than a few yardsYou may also have weakness in certain muscles. Sometimes, you may not notice it until your doctor examines you. In other cases, you will notice that you have a hard time lifting your leg or arm, standing on your toes on one side, squeezing tightly with one of your hands, or other problems.The pain, numbness, or weakness often goes away or improves a lot over weeks to months.Exams and TestsA careful physical exam and history is almost always the first step. Depending on where you have symptoms, your doctor examines your neck, shoulder, arms, and hands, or your lower back, hips, legs, and feet.Your doctor will check:For numbness or loss of feelingYour muscle reflexes, which may be slower or missingYour muscle strength, which may be weakerYour posture, or the way your spine curvesYour doctor may also ask you to:Sit, stand, and walk. While you walk, your doctor may ask you to try walking on your toes and then your heels.Bend forward, backward, and sidewaysMove your neck forward, backward, and sidewaysRaise your shoulders, elbow, wrist, and hand and check your strength during these tasksLeg pain that occurs when you sit down on an exam table and lift your leg straight up usually suggests a slipped disk in your lower back.In another test, you will bend your head forward and to the sides while the health care provider puts slight downward pressure on the top of your head. Increased pain or numbness during this test is usually a sign of pressure on a nerve in your neck.DIAGNOSTIC TESTSEMG may be done to determine the exact nerve root that is involved.Myelogram may be done to determine the size and location of disk herniation.Nerve conduction velocity test may also be done.Spine MRI or spine CT will show that the herniated disk is pressing on the spinal canal.Spine x-ray may be done to rule out other causes of back or neck pain. However, it is not possible to diagnose a herniated disk by a spine x-ray alone.TreatmentThe first treatment for a slipped disk is a short period of rest with medicines for the pain. This isfollowed by physical therapy. Most people who follow these treatments recover and return to normal activities.Some personswill need to have more treatment. This may include steroid injections or surgery.advertisementMEDICATIONSMedicines can help with your pain. Your doctor may prescribe nonsteroidal anti-inflammatory medications (NSAIDs for long-term pain control. Narcotics may be prescribed if the pain is severe and does not respond to NSAIDs.If you have back spasms, you will usually receive muscle relaxants. In rare cases, steroid medicinesmay be given, either by pill or through a vein(IV), to control your back pain.LIFESTYLE CHANGESDiet and exercise arevery important for improving back pain if you are overweight.Physical therapy is important for nearly everyone with disk disease. Therapists will teach you how to properly lift, dress, walk, and perform other activities. They teach you how to strengthen muscles that help support the spine. You will also learn how to increase flexibility in your spine and legs.Take care of your back at home:Reduce activity for the first few days. Slowly restart your usual activities.Avoid heavy lifting or twisting your back for the first 6 weeks after the pain starts.After 2 to 3 weeks, gradually start exercising again.INJECTIONSSteroid medicine injections into the back in the area of the herniated disk may help control pain for several months. These injections reduce swelling around the disk and relieve many symptoms. Spinal injections are usually done in your doctors office.SURGERYSurgery may be an optionif yoursymptoms do not go away with other treatments and time.Diskectomyis surgery to remove all or part of a disk.Discuss with your doctor which treatment options are best for you.Outlook (Prognosis)Most people improve with treatment.But you may have long-term back pain even after treatment.It may take several months to a year or more to go back to all of your activities without having pain or straining your back. People who work in jobs that involve heavy lifting or back strain may need to change their job activities to avoid injuring their back again.Possible ComplicationsIn rare cases, the following problems can occur:Long-term back pain or leg painLoss of movement or feeling in the legs or feetLoss of bowel and bladder functionPermanent spinal cord injury (very rare)When to Contact a Medical ProfessionalCall your health care provider if:You have severe back pain that does not go awayYou have any numbness, loss of movement, weakness, or bowel or bladder changesPreventionBeing safe at work and play, using proper lifting techniques, and controlling weight may help prevent back injury.Your health care provider mayrecommend aback brace to help support the spine.A brace can help prevent injuries in people who lift heavy objects at work. But using these devices too much can weaken the muscles that support your spine and make the problem worse.ReferencesJegede KA, Ndu A, Grauer JN. Contemporary management of symptomatic lumbar disc herniations. Orthop Clin North Am. 2010;41:217-224.Chou R, Atlas SJ, Stanos SP, Rosenquist RW. Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine. 2009;34(10):1078-93. Review.advertisementReview Date:4/16/2013Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.last_img read more