In the radiological examination of the spine one frequently sees in association with kyphoses very varied contours of the upper and lower vertebral margins. Mechanical Compression and Nucleus Pulposus Application on Dorsal Root the disc core is presumed to contribute to intervertebral disc hernia-related pain. This report examines 18 surgically proven L3/4 herniated nucleus pulposus ( HNP), all having myelogram, CT and adequate neurological evaluation. It will focus.

Author: Nasida Akikus
Country: Malaysia
Language: English (Spanish)
Genre: Marketing
Published (Last): 16 October 2006
Pages: 345
PDF File Size: 6.61 Mb
ePub File Size: 19.52 Mb
ISBN: 315-3-87186-625-4
Downloads: 44514
Price: Free* [*Free Regsitration Required]
Uploader: Met

September 19, Education. Nucleus pulposus is the inner core of the vertebral disc. Roxanne Mae Birador SN; 2. An intervertebral disk acts as shock absorber 24 disk protect. The following pulposud can be used as a protocol for rehabilitation following a lumbar microdiscectomy [72]: The systematic review of Huang W.

Surgery may be useful in those with a herniated disc that is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss hernia nukleus pulposus bowel control.

Br J Gen Pract. A corresponding posterior bony arch encloses and protects the neural elements, and each side of the posterior elements has a facet joint or articulation to allow motion. Mukleus might be a hernia nuklesu pulposus indicator of lumbar disc herniation.

The review of Rasoul MR et al. Epidural steroid injection ESI is an effective alternative to reduce the inflammation nukleu the nerve root. When certain nerves hernia nukleus pulposus compressed, a herniated nucleus pulposus may cause fever and incontinence hernia nukleus pulposus the bladder or bowels.

A prospective study of prognostic factors including a controlled trial. Smoking is a risk factor in the epidemiology of lumbar disk herniations and has pulpsus documented to decrease the oxygen tension in the avascular disk dramatically, presumably by hetnia and rheologic effects on blood. Spinal disc herniationalso known as a slipped discis a medical condition affecting the spine in which a tear in the outer, hernia nukleus pulposus ring of an intervertebral disc allows the soft, central portion to bulge out beyond the damaged outer rings.


Nuclear material is normally contained within the annulus, but it may cause bulging of the annulus or hernia nukleus pulposus herniate through the annulus into the spinal canal.

Spinal disc herniation

Also one trial found some additional benefit from adding nnukleus traction to medication and electrotherapy [2].

Nukles causes an oscillatory pressure to decrease pain.

Am J Phys Med Rehabil. Most authors favour degeneration of the intervertebral disc as the major cause of spinal disc herniation and cite trauma as a low cause. There is no consensus hernia nukleus pulposus the criteria that have to be considered in order to determine if the radiant pain is caused hrenia disc herniation.

This method of surgical removal is not possible with normal, pklposus material, which is encountered ppulposus healthy interverterbral disks are hegnia anteriorly in patients having surgery because of deformity or trauma.

Spinal disc herniation – Wikipedia

The hydraulic effect hernia nukleus pulposus the contained, hydrated nucleus nukleux the annulus acts as a shock absorber to cushion the spinal column from forces that are applied to the musculoskeletal system. An annular tear or weak spot has not been demonstrated to result from repetitive normal stress from customary activities or from physically stressful activities.

If the fissures reach the periphery of the anulus, the nuclear material can pass through as a disc herniation. The nerves of the cervical plexus and brachial plexus can be affected.


Over-the-counter and hernia nukleus pulposus medications can often lessen inflammation, which allows patients nnukleus begin long-term treatments like physical therapy without excessive pain or discomfort.

For patients who underwent one level microendoscopic discectomy for lumbar pulpossus herniation the Icing System CF can be used as it can be used to cool the spine when in ehrnia supine hernia nukleus pulposus or when lying hernia nukleus pulposus the hernia nukleus pulposus [81].

Lumbar disc herniation occurs 15 times more than cervical disc herniation, and is an important cause of lower back pain [11] [14]. The patient is asked if he feels any differences between the left and right side. The intervertebral disc is the largest avascular nuklesu in the body.

Lateral L3/4 herniated nucleus pulposus: clinical and imaging considerations.

Classification of age-related changes in lumbar intervertebral discs: That is usually the journal article where the information was first stated. They hukleus hernia nukleus pulposus from little or no pain if the disc is the only nuklues injured, to severe uplposus unrelenting neck pain or low back pain that will radiate into the regions served by affected nerve roots that are irritated or impinged by the herniated material.

If hernia nukleus pulposus stability is totally regained and fully under control, strength and power can be trained.