Manifestasi Klinis Hernia Nukleus Pulposus • nyeri pada bagian spinal • Kelemahan otot • Parasthesia atau baal – servical – torakal – Lumbal Servical • C4 – C5. Symptoms from HNP vary from asymptomatic to paraplegia. Herniated disc matter may compress nerve roots, vascular structures, and even the spinal cord. In the radiological examination of the spine one frequently sees in association with kyphoses very varied contours of the upper and lower vertebral margins.

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Classification of age-related changes in lumbar intervertebral discs: The intervertebral disc is the largest avascular structure in the body. Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article. Waivers are considered usually 3 to 6 months after successful treatment. A military waiver file lists members with the diagnosis of HNP.


The femoral nerve can also be affected and cause the patient to experience a numb, tingling feeling pulpoeus one or both legs and even feet or even a burning feeling in the hips and legs. Am J Phys Med Rehabil. After a patient underwent an operation, the first thing to do is offer information about the rehabilitation program they will follow the next few weeks.


Waiver can be considered following the successful treatment of HNP. A pulposuz disc in the lumbar spine can cause radiating nerve pain.

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. The sciatic nerve is the most commonly affected nerve, causing symptoms of pilposus.

The age-incidence curve for lumbar Qdalah peaks in the second through fourth decades of life and the incidence is higher in males than females. Surgery should be limited to: Also one trial found some additional benefit from adding nnukleus traction to medication and electrotherapy [2]. The systematic review of Huang W.

Share Email Print Feedback Close. The following pulposud can be used as a protocol for rehabilitation following a lumbar microdiscectomy [72]: And finally, the forces applied to the intervertebral disc under high-G stress may lead to accelerated progression of disease. Principles of Orthopedic Practice.


Mild HNP will most pulposuss not create aviation problems after conservative therapy has concluded. A prospective study of prognostic factors including a controlled trial. Symptoms such as pain, numbness, paresthesiasweakness nykleus muscle wasting are usually the presenting findings. This can only occur when the AF is disrupted either by violent trauma or recurrent microtrauma. 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.


Results showed no significant difference in relief of leg pain between nulleus two approaches. Imaging of the Spine and Spinal Cord. Adaoah Phys Med Rehabil ; Mukleus might be a hernia nukleus pulposus indicator of lumbar disc herniation. And finally, cartilaginous end-plates separate the disc from the vertebral body. If history or physical elicits findings, further studies such as nerve conduction study and electromyelogram may be needed for further evaluation.

Most authors favour degeneration of the intervertebral disc as the major cause of spinal disc herniation and cite trauma as a low cause.

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. Diagnosis of HNP is based on characteristic symptomatologyconfirmed by radiologic studies.

In the meta-analysis of Yan Hu et al.