Introduction by Dr. Bharat Dave: The CME started at 9:30 a.m. by introductory lecture of Dr.Bharat Dave. He mentioned history, explained structure & function of intervertebral Disc. There are 32 avascular & aneural disc, which act as a shock absorber and shrinks & swells 1,000,000 times in one year. He explained difference between degeneration & herniation of the disc.

Degeneration is aging process affecting end plate & disc nutrition; characterized by desiccation, fibrosis & cleft formation in nucleus, fissuring & mucinous degeneration of the annulus, defects & sclerosis of end plates, while PID occurs in 4th decade due to annular tear & affect nutrition secondarily. PID is a most common spinal disorder. There are many myths for etiology & treatment in the society.

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