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: JoJokree Kagagal
Country: Ecuador
Language: English (Spanish)
Genre: Personal Growth
Published (Last): 27 May 2005
Pages: 189
PDF File Size: 14.75 Mb
ePub File Size: 13.84 Mb
ISBN: 986-9-48340-497-6
Downloads: 11135
Price: Free* [*Free Regsitration Required]
Uploader: Dozragore

Cervical nukleis herniations occur in the neck, most often between the fifth and sixth C5—6 and the sixth and seventh C6—7 cervical vertebral bodies. A preliminary case control study of Indian population. Example of a herniated disc at L5—S1 in the lumbar spine. Pulpoosus addition, nerve compression has been demonstrated to reduce or completely abolish neuronal firing and more often results in paresthesia and muscle weakness than in pain.

If hernia nukleus pulposus stability is totally regained and fully under control, strength and power can be trained. Disc herniation is frequently associated with age-related degeneration of the outer ring, known as the anulus fibrosusbut is normally triggered by trauma or straining by lifting or twisting.

Disk desiccation is not responsible for disk height loss, as the nucleus pulposus volume remains the same with aging, but rather due to annular bulging and end plate bowing. If the herniated disc is in the lumbar region, the patient may also experience sciatica due to irritation of one of the nerve roots of the sciatic nerve. Nordborg C, et al.

Gray’s Anatomy 39th edition. The aim of the present study was to investigate possible changes pulpouss neuronal thalamic activity using an acute experimental disc hernia model hermia the rodent.

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

The Cochrane Database hetnia Systematic Reviews. Protection from disc herniation is best provided by core strength and an awareness of body mechanics including posture. Rupture of the intervertebral disc with involvement of the spinal canal. This method of surgical removal is not possible with normal, pklposus material, which is encountered when healthy interverterbral disks are excised anteriorly in patients having surgery because of deformity or trauma. Spinal disc herniationalso known as a slipped discis a medical condition affecting the spine in which a tear in the outer, hernia nukleus pulposus hernai of an intervertebral disc allows the soft, hdrnia portion to bulge out beyond the damaged outer rings.


It therefore cannot be excluded that the NP leakage onto the DRG introduced on day 1 hernai already have altered the activity before baseline records were obtained on day 2. Spine Phila Pa International Journal of Osteopathic Medicine. Spinal curvature Kyphosis Lordosis Scoliosis. Onda A, et al. Education should emphasize not lifting beyond one’s capabilities and giving the body a rest after strenuous effort. P values less than 0.

Back exercises include the prone press-ups, upper back extension, transverse abdominis bracing, and floor bridges. Over-the-counter and hernia nukleus pulposus medications can often lessen inflammation, which allows patients to begin long-term treatments like physical therapy without excessive pain or discomfort. J Bone Joint Surg Am.

Views Read Edit View history. Log in Sign up. Initial treatment usually consists of nonsteroidal anti-inflammatory drugs NSAIDsbut long-term use of NSAIDs for people with persistent back pain is complicated by their possible cardiovascular and gastrointestinal toxicity.

The following pulposud can be used as a protocol for rehabilitation following a lumbar microdiscectomy [72]: Since a light mechanical compression may reduce transmission in nociceptive pathways, it is possible that the presence or absence of NP ppulposus crucial for pain development in the acute phase of disc herniation.

Importantly, the observed decrease was not likely to be due to irreversible fiber damage because the addition of NP not only reversed the decrease in neuronal activity but also resulted in an increased activity while the mechanical hernix still remained. Nucleus pulposus is the inner core of the vertebral disc. Author information Copyright and License information Disclaimer.


Essential clinical anatomy 3rd ed. Abstract A combination of mechanical compression caused by a protruding disc and leakage of nucleus pulposus NP from the disc core is presumed to contribute to intervertebral disc hernia-related pain. At this stage, no remnants of the previously applied NP were visible on macroscopic inspection. The condition may be referred to as a slipped discbut this term is not accurate as the spinal discs are firmly attached between the vertebrae and cannot “slip” out of place.

Changes in human sensory axonal excitability induced by focal nerve compression. This study was supported by grants from the Dr. Br J Gen Pract.

Surgery may be useful when a herniated disc is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss of bowel control.

Acute effects of nucleus pulposus on blood flow and endoneurial fluid pressure in rat dorsal root ganglia. The boxes in the left panel indicate the intervention performed on day 1 for each group of animals. Organization of the spinocervicothalamic pathway in the rat. Annals of Saudi Medicine.

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

The patient is asked if he feels any differences between the left and right side. Shen KF, et al.

If pain is present in the back, it can mean that the stabilization muscles of the back are weak and a person needs to train the trunk musculature. Effects pulpposus nucleus pulposus on nerve root pupposus activity, mechanosensitivity, axonal morphology, and sodium channel expression. The most conclusive diagnostic tool for disc herniation is MRIand treatment may range from painkillers to surgery.

Edit article Share article View revision history. Schmorl’s nodes Degenerative disc disease Spinal disc herniation Facet joint arthrosis.