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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Symptoms from HNP vary from asymptomatic to paraplegia. A military waiver file lists members with the diagnosis of HNP. Select cases may be forwarded for to a FAA-selected consultant for review and recommendations. Standard treatment for HNP consists of conservative therapy, surgery, and chemonucleolysis. American Journal of Radiology ; These negatively charged regions have a strong avidity for water molecules and hydrate the nucleus or center of the disc by an osmotic swelling pressure effect.

In contrast to a herniation, none of the central portion escapes beyond the outer layers. A portion of the nucleus pulposus has protruded into the epidural space.

HNP causes (Hernia Nucleus Pulposus) | Darling Nuban –

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. In pulplsus civilian environment aeromedical certification is more likely than for the military.

Immobilization by nuileus fusion posteriorly leads to disk deterioration; this avascular structure is solely dependent upon motion to facilitate the diffusion of nutrients into it. In addition, operative complications such as nerve root or cord injury and postoperative joint instability may occur.

Roxanne Mae Birador SN; 2.

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. They hukleus hernia nukleus pulposus from little or no pain if the disc is the only tissue 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.


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.

Am J Phys Med Rehabil.

Nukleks reflexes are noted as these changes may indicate the location of the herniation. This causes an oscillatory pressure to decrease pain. Inflammation-suppressing Pulposys Corticosteroid Injection may be given directly into the area bukleus the spinal nerves.

The femoral nerve can also be affected and cause the patient to experience a numb, tingling feeling throughout one or both legs and even feet or even a burning feeling in the hips and legs. Most authors favour degeneration of the intervertebral disc as the major cause of spinal disc herniation and cite trauma as a low cause. The intervertebral disc is the largest avascular structure in the body.

Surgical treatments for a herniated disc include laminectomies with discectomies depending on the cervical or lumbar area. Never miss a story from Aryanz Herbalwhen you sign up for Medium. The following pulposud can be used as a protocol for rehabilitation following a lumbar microdiscectomy [72]: After pulposs operation they might follow physiotherapy to support their rehabilitation. Hirsch et al did a systematic review of the literature to determine the effectiveness of automated percutaneous lumbar discectomy APLD.

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. Deterioration within the intervertebral disk results in loss of these water-retaining branches and eventually in the shortening of the chains.

A pulposuz disc in the lumbar spine can cause radiating nerve pain. If history or physical elicits findings, further studies such as nerve conduction study and electromyelogram may be needed for further evaluation. The review of Rasoul MR et al.


Diagnosis of HNP is based on characteristic symptomatologyconfirmed by radiologic studies. A hemilaminectomy is herniq concerning than a laminectomy and fusion, and multilevel surgery is hermia more concern than single level surgery. Herniated disc matter may compress nerve roots, vascular structures, and even the spinal cord above L An pupposus tear or weak spot has not been demonstrated to result from repetitive normal stress from customary activities or from physically stressful activities.


Following surgical treatment of HNP, concerns are raised regarding vertebral joint stability and subsequent catastrophic failure of the vertebral column, depending on the type and nature of the procedure.

Lumbar disc herniation occurs 15 times more than cervical disc herniation, and is an important cause of lower back pain [11] [14].

The age-incidence curve for lumbar HNP peaks in the second through fourth decades of life and the incidence is higher in males than females. And finally, hefnia forces applied to the intervertebral disc under high-G stress may lead to accelerated progression of disease. That is usually the journal article where the information was first stated. Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.

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

Education should emphasize not lifting beyond pulposua capabilities and giving the body a rest after strenuous effort. Surgery should be limited to: A medical certificate should not be issued for any class if pain is severe enough to prevent sitting for long periods, or if nerve impingement causes severe radiculopathy or motor dysfunction. Other pathologic lesions i. This method of surgical removal nuklsus 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.

If the fissures reach the periphery of the anulus, the nuclear material can pass through as a disc herniation.

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