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This is a bulging of the disk material on the back side of the vertebral bodies, at the junction of the Lumbar and sacral portions of the spinal column. This is one of the most common sites of this event. When the disk protrudes into the canal at this point, it typically imposes itself onto the remnants of the spinal cord, causing low Back pain often with radiation into the buttocks, posterior thigh, calf, or foot. This is the early stages of what is typically known as "disk herniation."

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what happen if l4-5 disc protrusions & foraminal narrow as describe above

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Q: Paracentral disc protrusion L4-5
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How do you get to Spear Pillar in Pokemon Pearl?

What you do is you go to the top mt.coronet and get the legendary pokemon Palkia and Dialga,and if you have fought them before the instruction is uslessGo to Oreburgh City and go to route 207. take the bike ramp up to the two trainers. go right and into the cave. surf over the water and go down. DO NOT JUMP THE LEDGE. go up using rock climb. up the stairs.Upstairs, you can find a Max Potion on your way to the west up the stairs,along with an Ether in the nearby rock. An Escape Rope is on the very southside of the continued path, although you'll want to take the stairs going uponto the elevated area. There's an exit in the southwest corner of the roomthat will take you outside to the west side of Route 207, where you can useRock Climb to access an Iron. TM80 (Rock Slide) can be found by crossing thebridge, then taking the southernly route to reach it. A Revive can be found bytaking the northern route instead.Near the very back of the cave, you'll find an opening in the wall (however,if you have not done the events in the Veilstone Galactic Building and arecoming here for loot immediately after getting Rock Climb, this opening willbe sealed with depictions of the Legendary Trio, similar to the gate inCelestic Town). Enter it, and then make your way up the stairs.The stairs to the right lead to a hidden Max Revive inside of the southernrock. Otherwise, just keep heading north.__________.' TRAINERS `.___________________,----.| Galactic Grunt ($1600 )`-.--------------.-----------.---`----...| Beautifly | BUG / FLY | L40 | F |,-'--------------'-----------`.__.----...| Galactic Grunt ($1560 )`-.--------------.-----------.---`----...| Bronzor | STL / PSY | L39 | |`--------------'-----------'-----'---'Fight your way through the two Grunts along your way to the peak of Mt.Coronet.________________________________________...(_| s5.8.5. Mt. Coronet (Peak) |_______________________________________...__________.` POKEMON `. (Encounter Rate: 30 [frequently]) _________________| Peak |___________________________________/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Snover | GRS / ICE | 38 | 20% | 20% | 20% || Abomasnow | GRS / ICE | 40 | 20% | 20% | 20% || Medicham | FTG / PSY | 39, 40 | 20% | 20% | 10% || Machoke | FTG | 39, 40 | 20% | 20% | 10% || Chingling | PSY | 39, 40 | 10% | 10% | 10% || Bronzong | STL / PSY | 39, 40 | 5% | 5% | 5% || Clefairy | NRM | 38, 39 | 5% | 5% | 5% || Golbat | PSN / FLY | 39 | 0% | 0% | 10% || Noctowl | NRM / FLY | 39 | 0% | 0% | 10% |,--'---------.__|___________|_________...| Inside 1 |_(Encounter Rate: 10 [rarely])_____/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Bronzong | STL / PSY | 38, 39, 40 | 25% | 25% | 25% || Graveler | RCK / GRD | 38 | 20% | 20% | 20% || Machoke | FTG | 39 | 10% | 10% | 10% || Clefairy | NRM | 38, 39, 40 | 15% | 15% | 15% || Medicham | FTG / PSY | 39 | 10% | 10% | 10% || Golbat | PSN / FLY | 39 | 10% | 10% | 10% || Chingling | PSY | 39, 40 | 10% | 10% | 10% |,--'---------.__|___________|_________...| Inside 2 |_(Encounter Rate: 15 [uncommon])___/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Bronzong | STL / PSY | 38, 39, 40 | 25% | 25% | 25% || Graveler | RCK / GRD | 38 | 20% | 20% | 20% || Machoke | FTG | 39 | 10% | 10% | 10% || Clefairy | NRM | 38, 39, 40 | 15% | 15% | 15% || Medicham | FTG / PSY | 39 | 10% | 10% | 10% || Golbat | PSN / FLY | 39 | 10% | 10% | 10% || Chingling | PSY | 40 | 5% | 5% | 5% || Chimecho | PSY | 40 | 5% | 5% | 5% |,--'---------.__|___________|_________...| Inside 3 |_(Encounter Rate: 15 [uncommon])___/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Bronzong | STL / PSY | 40, 41, 42 | 25% | 25% | 25% || Graveler | RCK / GRD | 40 | 20% | 20% | 20% || Machoke | FTG | 41 | 10% | 10% | 10% || Clefairy | NRM | 40, 41, 42 | 15% | 15% | 15% || Medicham | FTG / PSY | 41 | 10% | 10% | 10% || Golbat | PSN / FLY | 41 | 10% | 10% | 10% || Chimecho | PSY | 41, 42 | 10% | 10% | 10% ||____________|___________|______________...,-------._________________| ITEMS | Adamant Orb* |`-------| Lustrous Orb** |'-----------------'* only in Pokemon Diamond** only in Pokemon PearlAs you enter, you'll see a familiar sight: snow. Blinding snow. Like theRoutes on your way to Snowpoint City, it is snowing at the peak of Mt.Coronet, and the weather will be Hail inside of each battle.This section sometimes confuses people, because there are lots of areas toexplore on the peak and I like to cover them all, so I'm going to list herea quick-'n-easy path to take to get straight to business:1. Head east, north, use Rock Climb.2. Go west, south, a bit more west, and head north into the cave.3. Use Rock Climb and follow the path in the cave east to the exit.4. Climb down the stairs in the peak and then use Rock Climb in the chasmto climb the western rocks.5. Keep heading west until you get to a cave.6. It's straightforward from here on in, so just keep following the pathand you'll get there.But, if you want to explore everything, I have the original, slow-'n-detailedversion intact.Head east, then north (taking the elevated path if you wish to avoid randomencounters). Use Rock Climb to climb the rocks. You can use Rock Climb againif you wish to find a patch of grass with a rock in the middle of it. Hiddenin the rock is a Nugget.The cave to the right of where you used Rock Climb has a giant lake in it witha waterfall (that you'll have to explore later), as well as a PP Up and UltraBall hidden inside of some of the more obvious-placed rocks.Back to where you used Rock Climb the first time, head west. If you have aPokemon with Strength, you can avoid the patches of tall grass by using it ontaking the more eastern path. Otherwise, you'll need to wade through a largefield of tall grass. On the southern path, hidden inside of a rock past a rockthat you can use Rock Smash on is a Max Potion. Make your way north and intothe cave.__________.' TRAINERS `.___________________,----.| Galactic Grunt ($1480 )`-.--------------.-----------.---`----...| Dustox | BUG / PSN | L35 | M || Dustox | BUG / PSN | L35 | M || Golbat | PSN / FLY | L38 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Stunky | PSN / DRK | L38 | M || Golbat | PSN / FLY | L38 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1600 )`-.--------------.-----------.---`----...| Golbat | PSN / FLY | L40 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Croagunk | PSN / FTG | L35 | M || Croagunk | PSN / FTG | L38 | M || Stunky | PSN / DRK | L38 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Wurmple | BUG | L34 | F || Beautifly | BUG / FLY | L38 | F || Silcoon | BUG | L36 | F |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Bronzor | STL / PSY | L38 | || Glameow | NRM | L38 | F |,-'--------------'-----------`.__.----...| Galactic Grunt ($1480 )`-.--------------.-----------.---`----...| Bronzor | STL / PSY | L37 | || Golbat | PSN / FLY | L37 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1480 )`-.--------------.-----------.---`----...| Golbat | PSN / FLY | L37 | F || Glameow | NRM | L37 | F || Bronzor | STL / PSY | L37 | |,-'--------------'-----------'-----'--...| Galactic Grunt Galactic Grunt ($3040 )`-.--------------.-----------.-----.--...| Dustox | BUG / PSN | L38 | M Stunky | DRK / PSN | L38 | F || Croagunk | PSN / FTG | L38 | M Glameow | NRM | L35 | F |`--------------'-----------'-----'---''-...Inside of the cave, use Rock Climb to climb your way up to a Team GalacticGrunt. Fight him, and then continue along until you have to fight another one.On the very east side of the cave, you'll find an exit leading back outside.Head north, and then down into the crevice. There's a cave down there, as wellas a few Grunts, although you won't be able to proceed deeper into the caveuntil Team Galactic is off of the mountain, so you can ignore that cave if youwish. (After they leave, come back to this entrance and you can snag yourselfTM02 (Dragon Claw), as well as exit to the northern part of the mountain.) So,instead, use Rock Climb to get yourself up onto the western cliff. Again, ifyou have a Pokemon that can use Strength, you will be able to use Strength onthe boulders to fight less Pokemon on your way to the west. Regardless of ifyou have it or not, you'll want to head to the west until you find anotherentrance into the mountain.Back inside, you will find a path leading to stairs. Climb the stairs, andthen fight the two Grunts on the next floor. Keep going, and you'll findanother flight of stairs. Upstairs, you'll find another Grunt. Fight theGrunt, and then keep going north until you reach an exit leading out.NOTE: At this point, if you don't have at least 20 Ultra Balls (or DarkBalls), you should turn back now and buy some! You will want to have them forone of the upcoming fights.You will now be on the very top of the Mt. Coronet, amidst the ancient ruinsknown as the Spear Pillar. Fight the two Grunts guarding the entrance in aDouble Battle, and then head north a bit to see a dangerous sight... Mars,Jupiter, and Cyrus!After some intense dialogue, Cyrus will proceed to awaken Dialga (or, ifyou're playing Pokemon Pearl, Palkia) in the most AMAZING scene ever in thehistory of Pokemon games (at least, that's what I think). Save your game andheal your Pokemon, because you're about to enter a pretty challenging fight.When you're ready, step north, and Mars and Jupiter will challenge you to afight. Just then, Rival will rush in to help you out, eager to get his revengeon Jupiter from their battle in Lake Acuity earlier._______________|.User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)~.\____________________ ____________________________,-----.,BOSS BATTLE `User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)\_/User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)User:98.206.181.7803:24, 2 Jul 2008 (UTC)... $7280 |\|\ Commander Mars |_| Commander Jupiter '._____.'|`*\============v===========v=====v==( )===========v===========v=====v===/#||*| Bronzor | STL / PSY | L41 | |#| Bronzor | STL / PSY | L41 | |#||*|------------^MOVES:-----^-----^---|...|*| [ Gyro Ball ][ Extrasensory ] |#| [ Gyro Ball ][ Extrasensory ] |#||*| [ Light Screen ][ Confuse Ray ] |#| [ Rock Slide ][ Reflect ] |#||*|__________________________________|...>*>===========v===========v=====v==( )===========v===========v=====v=============v===========v=====v==( )===========v===========v=====v==*>=============v===========v=====v===============v===========v=====v===============v===========v=====v==


Were is the spear pillar?

Go to Oreburgh City and go to route 207. take the bike ramp up to the two trainers. go right and into the cave. surf over the water and go down. DO NOT JUMP THE LEDGE. go up using rock climb. up the stairs.Upstairs, you can find a Max Potion on your way to the west up the stairs,along with an Ether in the nearby rock. An Escape Rope is on the very southside of the continued path, although you'll want to take the stairs going uponto the elevated area. There's an exit in the southwest corner of the roomthat will take you outside to the west side of Route 207, where you can useRock Climb to access an Iron. TM80 (Rock Slide) can be found by crossing thebridge, then taking the southernly route to reach it. A Revive can be found bytaking the northern route instead.Near the very back of the cave, you'll find an opening in the wall (however,if you have not done the events in the Veilstone Galactic Building and arecoming here for loot immediately after getting Rock Climb, this opening willbe sealed with depictions of the Legendary Trio, similar to the gate inCelestic Town). Enter it, and then make your way up the stairs.The stairs to the right lead to a hidden Max Revive inside of the southernrock. Otherwise, just keep heading north.__________.' TRAINERS `.___________________,----.| Galactic Grunt ($1600 )`-.--------------.-----------.---`----...| Beautifly | BUG / FLY | L40 | F |,-'--------------'-----------`.__.----...| Galactic Grunt ($1560 )`-.--------------.-----------.---`----...| Bronzor | STL / PSY | L39 | |`--------------'-----------'-----'---'Fight your way through the two Grunts along your way to the peak of Mt.Coronet.________________________________________...(_| s5.8.5. Mt. Coronet (Peak) |_______________________________________...__________.` POKEMON `. (Encounter Rate: 30 [frequently]) _________________| Peak |___________________________________/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Snover | GRS / ICE | 38 | 20% | 20% | 20% || Abomasnow | GRS / ICE | 40 | 20% | 20% | 20% || Medicham | FTG / PSY | 39, 40 | 20% | 20% | 10% || Machoke | FTG | 39, 40 | 20% | 20% | 10% || Chingling | PSY | 39, 40 | 10% | 10% | 10% || Bronzong | STL / PSY | 39, 40 | 5% | 5% | 5% || Clefairy | NRM | 38, 39 | 5% | 5% | 5% || Golbat | PSN / FLY | 39 | 0% | 0% | 10% || Noctowl | NRM / FLY | 39 | 0% | 0% | 10% |,--'---------.__|___________|_________...| Inside 1 |_(Encounter Rate: 10 [rarely])_____/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Bronzong | STL / PSY | 38, 39, 40 | 25% | 25% | 25% || Graveler | RCK / GRD | 38 | 20% | 20% | 20% || Machoke | FTG | 39 | 10% | 10% | 10% || Clefairy | NRM | 38, 39, 40 | 15% | 15% | 15% || Medicham | FTG / PSY | 39 | 10% | 10% | 10% || Golbat | PSN / FLY | 39 | 10% | 10% | 10% || Chingling | PSY | 39, 40 | 10% | 10% | 10% |,--'---------.__|___________|_________...| Inside 2 |_(Encounter Rate: 15 [uncommon])___/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Bronzong | STL / PSY | 38, 39, 40 | 25% | 25% | 25% || Graveler | RCK / GRD | 38 | 20% | 20% | 20% || Machoke | FTG | 39 | 10% | 10% | 10% || Clefairy | NRM | 38, 39, 40 | 15% | 15% | 15% || Medicham | FTG / PSY | 39 | 10% | 10% | 10% || Golbat | PSN / FLY | 39 | 10% | 10% | 10% || Chingling | PSY | 40 | 5% | 5% | 5% || Chimecho | PSY | 40 | 5% | 5% | 5% |,--'---------.__|___________|_________...| Inside 3 |_(Encounter Rate: 15 [uncommon])___/ Frequency \`--.---------' | Type(s) | Level(s) |Morn.| Day |Night|| Bronzong | STL / PSY | 40, 41, 42 | 25% | 25% | 25% || Graveler | RCK / GRD | 40 | 20% | 20% | 20% || Machoke | FTG | 41 | 10% | 10% | 10% || Clefairy | NRM | 40, 41, 42 | 15% | 15% | 15% || Medicham | FTG / PSY | 41 | 10% | 10% | 10% || Golbat | PSN / FLY | 41 | 10% | 10% | 10% || Chimecho | PSY | 41, 42 | 10% | 10% | 10% ||____________|___________|______________...,-------._________________| ITEMS | Adamant Orb* |`-------| Lustrous Orb** |'-----------------'* only in Pokemon Diamond** only in Pokemon PearlAs you enter, you'll see a familiar sight: snow. Blinding snow. Like theRoutes on your way to Snowpoint City, it is snowing at the peak of Mt.Coronet, and the weather will be Hail inside of each battle.This section sometimes confuses people, because there are lots of areas toexplore on the peak and I like to cover them all, so I'm going to list herea quick-'n-easy path to take to get straight to business:1. Head east, north, use Rock Climb.2. Go west, south, a bit more west, and head north into the cave.3. Use Rock Climb and follow the path in the cave east to the exit.4. Climb down the stairs in the peak and then use Rock Climb in the chasmto climb the western rocks.5. Keep heading west until you get to a cave.6. It's straightforward from here on in, so just keep following the pathand you'll get there.But, if you want to explore everything, I have the original, slow-'n-detailedversion intact.Head east, then north (taking the elevated path if you wish to avoid randomencounters). Use Rock Climb to climb the rocks. You can use Rock Climb againif you wish to find a patch of grass with a rock in the middle of it. Hiddenin the rock is a Nugget.The cave to the right of where you used Rock Climb has a giant lake in it witha waterfall (that you'll have to explore later), as well as a PP Up and UltraBall hidden inside of some of the more obvious-placed rocks.Back to where you used Rock Climb the first time, head west. If you have aPokemon with Strength, you can avoid the patches of tall grass by using it ontaking the more eastern path. Otherwise, you'll need to wade through a largefield of tall grass. On the southern path, hidden inside of a rock past a rockthat you can use Rock Smash on is a Max Potion. Make your way north and intothe cave.__________.' TRAINERS `.___________________,----.| Galactic Grunt ($1480 )`-.--------------.-----------.---`----...| Dustox | BUG / PSN | L35 | M || Dustox | BUG / PSN | L35 | M || Golbat | PSN / FLY | L38 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Stunky | PSN / DRK | L38 | M || Golbat | PSN / FLY | L38 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1600 )`-.--------------.-----------.---`----...| Golbat | PSN / FLY | L40 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Croagunk | PSN / FTG | L35 | M || Croagunk | PSN / FTG | L38 | M || Stunky | PSN / DRK | L38 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Wurmple | BUG | L34 | F || Beautifly | BUG / FLY | L38 | F || Silcoon | BUG | L36 | F |,-'--------------'-----------`.__.----...| Galactic Grunt ($1520 )`-.--------------.-----------.---`----...| Bronzor | STL / PSY | L38 | || Glameow | NRM | L38 | F |,-'--------------'-----------`.__.----...| Galactic Grunt ($1480 )`-.--------------.-----------.---`----...| Bronzor | STL / PSY | L37 | || Golbat | PSN / FLY | L37 | M |,-'--------------'-----------`.__.----...| Galactic Grunt ($1480 )`-.--------------.-----------.---`----...| Golbat | PSN / FLY | L37 | F || Glameow | NRM | L37 | F || Bronzor | STL / PSY | L37 | |,-'--------------'-----------'-----'--...| Galactic Grunt Galactic Grunt ($3040 )`-.--------------.-----------.-----.--...| Dustox | BUG / PSN | L38 | M Stunky | DRK / PSN | L38 | F || Croagunk | PSN / FTG | L38 | M Glameow | NRM | L35 | F |`--------------'-----------'-----'---''-...Inside of the cave, use Rock Climb to climb your way up to a Team GalacticGrunt. Fight him, and then continue along until you have to fight another one.On the very east side of the cave, you'll find an exit leading back outside.Head north, and then down into the crevice. There's a cave down there, as wellas a few Grunts, although you won't be able to proceed deeper into the caveuntil Team Galactic is off of the mountain, so you can ignore that cave if youwish. (After they leave, come back to this entrance and you can snag yourselfTM02 (Dragon Claw), as well as exit to the northern part of the mountain.) So,instead, use Rock Climb to get yourself up onto the western cliff. Again, ifyou have a Pokemon that can use Strength, you will be able to use Strength onthe boulders to fight less Pokemon on your way to the west. Regardless of ifyou have it or not, you'll want to head to the west until you find anotherentrance into the mountain.Back inside, you will find a path leading to stairs. Climb the stairs, andthen fight the two Grunts on the next floor. Keep going, and you'll findanother flight of stairs. Upstairs, you'll find another Grunt. Fight theGrunt, and then keep going north until you reach an exit leading out.NOTE: At this point, if you don't have at least 20 Ultra Balls (or DarkBalls), you should turn back now and buy some! You will want to have them forone of the upcoming fights.You will now be on the very top of the Mt. Coronet, amidst the ancient ruinsknown as the Spear Pillar. Fight the two Grunts guarding the entrance in aDouble Battle, and then head north a bit to see a dangerous sight... Mars,Jupiter, and Cyrus!After some intense dialogue, Cyrus will proceed to awaken Dialga (or, ifyou're playing Pokemon Pearl, Palkia) in the most AMAZING scene ever in thehistory of Pokemon games (at least, that's what I think). Save your game andheal your Pokemon, because you're about to enter a pretty challenging fight.When you're ready, step north, and Mars and Jupiter will challenge you to afight. Just then, Rival will rush in to help you out, eager to get his revengeon Jupiter from their battle in Lake Acuity earlier._______________|.User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)~.\____________________ ____________________________,-----.,BOSS BATTLE `User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)\_/User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)User:82.6.55.2723:23, 15 Feb 2008 (UTC)... $7280 |\|\ Commander Mars |_| Commander Jupiter '._____.'|`*\============v===========v=====v==( )===========v===========v=====v===/#||*| Bronzor | STL / PSY | L41 | |#| Bronzor | STL / PSY | L41 | |#||*|------------^MOVES:-----^-----^---|...|*| [ Gyro Ball ][ Extrasensory ] |#| [ Gyro Ball ][ Extrasensory ] |#||*| [ Light Screen ][ Confuse Ray ] |#| [ Rock Slide ][ Reflect ] |#||*|__________________________________|...>*>===========v===========v=====v==( )===========v===========v=====v=============v===========v=====v==( )===========v===========v=====v==*>=============v===========v=====v===============v===========v=====v===============v===========v=====v==