Medical history: It is to discuss the health history, the patient’s complaint, and the nature of the patient’s work and life. Physical examination. Examination of the nerve response and muscle reflexes, and the patient may be asked to stand on the tips of his toes and this is difficult in the case of a lumbar herniated disc, and a herniated disc can be diagnosed by trying to bend the head down with pressure on the head from the top, which may cause severe pain in the neck Muscle stiffness.One of our spine specialists will carefully examine you for limits of movement, problems with balance, and pain.During that examination, we will also look for loss of reflexes in the extremities, muscle weakness, loss of feeling, or other signs of spinal damage.