Lumbar hernias occur through defects in the lumbar muscles or the posterior fascia, below the 12th rib. Patients with lumbar hernias can present with a variety of symptoms, including a back pain, bowel obstruction (if contents contain bowel), or urinary obstruction (if contents are kidney / ureter).
Late adulthood is the time of life after age 65. During this time, people go through many changes in their physical appearance, including an increase in wrinkles due to less elastic collagen, a decrease in muscle mass, and a loss of height.
Middle adulthood is a time of change, but of gradual change. Change in some aspects of life, with stability in others. This is a period when most have achieved success in their work and may have raised a family and so on. The middle-aged adult considers what they have-this is a time of contemplation and evaluation.