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A herniated nucleus pulposus, commonly called a slipped disc, occurs when the soft gel-like center of an intervertebral disc pushes out of its normal position. It most often affects the lower (lumbar) spine, where body weight is greatest. Common symptoms include pain radiating into the buttocks and legs. Diagnosis involves physical examination, neurological tests, and imaging like MRI, which can clearly show the herniated disc material compressing spinal nerves.
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2) Physical examination revealed scoliosis, limited back flexion due to pain, and positive straight leg raise and Trendelenburg tests on the right side.
3) MRI showed a central L4-5 disc protrusion consistent with his symptoms. He was initially treated conservatively with rest, heat therapy, and spinal traction, and if that failed surgery would be considered.
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Aarex Medical Services: Save 70% on spine surgery cost in India. World class spine surgery facilities like top spine surgery hospitals in India, microscopic spine surgery in India, low cost & affordable spine surgery in India. Contact us to get most competitive cost of spinal surgery in India, back surgery & microscopic spine surgery in India.
Reaching us is easy…
Write to us…
ramesh.aarex@gmail.com
doctor@aarexmedical.com
Call us
+ 91 98201 99574
+ 91 22 2537 2435
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Speak to us free of cost!
Skype: aarex.ramesh
Google Talk:ramesh.aarex@gmail.com
Browse our site,
www.surgeryinindia.in
Touch base via,
Facebook : www.facebook.com/aarexmedicalservices
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3. Diagnosis involves assessing patient history, symptoms on physical exam, and sometimes imaging tests. Herniated discs most often occur in the lumbar spine and can impinge on lumbar or sacral nerve roots.
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Referat low back pain
Ringkasan dari dokumen tersebut adalah:
1. Low back pain adalah nyeri punggung bawah yang umumnya terjadi pada diskus intervertebralis L4-L5 dan L5-S1.
2. Terdapat berbagai penyebab low back pain seperti degenerasi, inflamasi, osteoporosis, dan faktor psikologis.
3. Diagnosis low back pain didasarkan pada anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang seperti ront
PPT Nyeri punggung
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The document discusses intervertebral disc diseases. It describes the normal structure of intervertebral discs and how aging, mechanical factors, and inflammation can alter disc structure and function. Common causes of disc herniation include trauma, genetic predisposition, and degeneration from aging. Herniated discs most commonly occur in the lumbar and cervical spine. Symptoms depend on the specific nerve root compressed and may include pain, weakness, sensory changes, and reflex abnormalities. Imaging like MRI is used to identify disc herniations. Conservative care includes rest, medication, and physical therapy, while surgery is considered if symptoms do not improve.
Prolapse Intervertebral Disc LECTURE.pdf
An intervertebral disc prolapse occurs when a tear in the annulus fibrosus allows the nucleus pulposus to bulge out. This most commonly affects the lumbar region, specifically the L4-L5 and L5-S1 discs. Symptoms include back pain radiating into the buttocks and legs. A physical exam reveals limited back movement, muscle spasms, and tenderness over the affected disc. Straight leg raises can reproduce the pain. Diagnosis is confirmed with imaging studies.
The spine & spinal cord
The document discusses anatomy of the spine, including identifying vertebrae and describing their features. It covers the roles of intervertebral discs, ligaments, and muscles in load bearing and spinal movement. Common spinal abnormalities and causes of back pain are outlined. Procedures like lumbar puncture and considerations for spinal injury management are also summarized.
Spine.pptx and its functions with complete assesment
This document discusses various pathologies related to the management of spine and musculoskeletal disorders. It covers topics such as intervertebral disc herniation, protrusion, and extrusion. It also discusses prolonged flexion posture and its relationship to disc issues. Signs and symptoms of disc lesions are outlined. Additional pathologies covered include spondylosis, rheumatoid arthritis, ankylosing spondylitis, and Scheuermann's disease.
INTERVERTEBRAL LESIONS.pptxxxxxxxxxxxxxxxx
1. Intervertebral discs are located between vertebrae and consist of an outer annulus fibrosus and inner nucleus pulposus. Degenerative disc disease and herniated discs are common pathologies that affect the discs.
2. Degenerative disc disease involves the gradual drying out and thinning of discs over time due to normal aging. It often causes low back pain but is asymptomatic in many cases.
3. A herniated disc occurs when the nucleus pulposus ruptures through the annulus fibrosus, commonly in the lower lumbar spine. It can place pressure on nerves and cause radiating pain. Both conditions are typically diagnosed via MRI and treated initially through conservative measures.
Inter vertebral disc prolapse
This document discusses intervertebral disc herniation. It begins by describing the anatomy of the lumbar spine motion segment and intervertebral disc. It then discusses the causes, risk factors, symptoms, diagnosis and management of intervertebral disc herniation. Common locations for herniation are the L4-L5 and L5-S1 discs. Symptoms can include back pain and radicular leg pain. Diagnosis involves physical exam, imaging like MRI, and ruling out other conditions. Management includes conservative options like physical therapy and injections initially. Surgery is considered if conservative options fail or if neurological deficits are present. Microdiscectomy is a common surgical procedure for disc herniation.
Cervical spondylosis.pptx
Cervical spondylosis is a degenerative condition affecting the cervical spine that commonly occurs with aging. As the cervical discs lose hydration and height, bone spurs and other degenerative changes can occur that result in compression of nerves or the spinal cord. While aging is the primary risk factor, repetitive neck movements from activities like texting or occupations involving manual labor can also contribute. Common symptoms include neck pain and stiffness, headaches, arm or hand numbness, weakness or tingling. Diagnosis involves physical examination and imaging tests like x-rays or MRI to identify the areas of involvement and damage.
Intervertebral disc prolapese
The document discusses intervertebral disc prolapse. It provides a brief history of discoveries related to the intervertebral disc and disc prolapse. It then covers the anatomy of the lumbar spine and intervertebral discs. It discusses the pathophysiology and stages of degenerative disc disease. The presentation also outlines the epidemiology, etiology, clinical features, investigations, differential diagnosis, and treatment options for lumbar disc prolapse, including conservative and surgical approaches.
Spine Examination And Scoliosis
The document summarizes the examination of the spine and scoliosis. It discusses inspection and palpation of the spine, range of motion tests, and special tests like compression and distraction. Neurological examination of the upper and lower limbs is described. Scoliosis is defined as a lateral curvature of the spine. Postural and structural scoliosis are distinguished. Idiopathic scoliosis is the most common type and adolescent idiopathic scoliosis is described in detail clinically. Treatment options like bracing and surgery are outlined.
LUMBAR DISC HERNIATION CAMPBELLS ORTHOPEDIC
1. Lumbar disc disease can cause back and leg pain from conditions like herniated discs and degenerative disc disease. Signs include paraspinal muscle spasm, reduced range of motion, and positive straight leg raise test reproducing radiating leg pain.
2. MRI is the most useful imaging test to diagnose herniated discs. It can show disc protrusions, extrusions, and nerve root compression.
3. Initial treatment is usually non-operative, including rest, ice, oral anti-inflammatories, muscle relaxants, physical therapy and epidural steroid injections. Surgery is considered if conservative measures fail to provide relief of symptoms such as radicular leg pain, weakness or
Ivdp
A herniated or prolapsed disc occurs when a tear in the outer ring of an intervertebral disc allows the soft inner material to bulge out. This most commonly affects the lumbar region. Symptoms include back pain and pain radiating into the legs. Diagnosis involves physical exam, x-rays, CT scans and MRI. Treatment options range from non-surgical approaches like medication, physical therapy and injections to surgical procedures like discectomy, laminectomy or spinal fusion. The goal of treatment is to relieve pressure on nerves and reduce pain.
Spinal disc herniation
A spinal disc herniation occurs when a tear in the outer ring of an intervertebral disc allows the soft central portion to bulge out. Most herniations occur in the lumbar region and cause pain that may radiate into the legs. Diagnosis is made based on symptoms and physical exam, and may include imaging tests. While minor herniations may heal on their own, severe or persistent cases sometimes require surgery.
Low back pain
Low back pain is usually caused by mechanical issues like lumbar spondylosis, herniated discs, or spinal stenosis. The lumbar spine consists of 5 vertebrae that are larger than other vertebrae to carry body weight. Between each vertebra is an intervertebral disc that acts as a shock absorber. Common causes of low back pain include lumbar spondylosis, herniated discs, and spinal stenosis. Lumbar spondylosis occurs from wear and tear on the joints between vertebrae and can cause pain from bone spurs and disc narrowing. Herniated discs occur when the gel-like center of a disc bulges out, pressing on nerves and causing pain. Spinal stenosis results
Plid
The document discusses prolapsed lumbar intervertebral disc (PLID), which occurs when the soft central portion of an intervertebral disc bulges out beyond the damaged outer rings. It causes severe back and leg pain. Key points include: PLID most commonly occurs at the L4/L5 level. Common symptoms are radiating pain, numbness, and weakness. MRI is the preferred imaging method to detect herniations. Treatment options include conservative measures like NSAIDs, physical therapy, and epidural injections or surgery for severe/progressive cases.
Presentation on back pain.pptx
1) Lumbar disk disease is a common cause of back pain and occurs most often at the L4-L5 and L5-S1 levels. A ruptured disk can cause back pain, limited movement, radicular pain, or neurological deficits.
2) Examination may reveal limited flexion, muscle spasms, or positive straight leg raise test. Imaging like MRI or CT can identify disk herniations.
3) Other potential causes of back pain include muscle strains, osteoporotic fractures, tumors, infections, and referred pain from abdominal or pelvic organs. A thorough examination is needed to determine the cause and guide treatment.
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Hnp
- 1. HERNIATED NUCLEUS PULPOSUS Michelle A. Suguitan, RN, MSN
Editor's Notes
- The spine is divided into several sections. The cervical vertebrae make up the neck. The thoracic vertebrae comprise the chest section and have ribs attached. The lumbar vertebrae are the remaining vertebrae below the last thoracic bone and the top of the sacrum. The sacral vertebrae are caged within the bones of the pelvis, and the coccyx represents the terminal vertebrae or vestigial tail.
- The spine is made of bones (vertebrae) separated by soft cushions (intervertebral discs).
- Herniated nucleus pulposus is a condition in which part or all of the soft, gelatinous central portion of an intervertebral disk is forced through a weakened part of the disk, resulting in back pain and nerve root irritation.
- The sciatic nerve is located in the back of the leg. It supplies the muscles of the back of the knee and lower leg. The sciatic nerve also provides sensation to the back of the thigh, part of the lower leg, and the sole of the foot. Partial damage to the nerve may demonstrate weakness of knee flexion (bending), weakness of foot movements, difficulty bending the foot inward (inversion), or bending the foot down (plantar flexion). A person's reflexes may be abnormal, with weak or absent ankle-jerk reflex. Several different tests can be performed to find the cause of sciatic nerve dysfunction.
- hen the soft, gelatinous central portion of an intervertebral disk is forced through a weakened part of a disk, it is a condition known as a slipped disk. Most herniation takes place in the lumbar area of the spine, and it is one of the most common causes of lower back pain. The mainstay of treatment for herniated disks is an initial period of rest with pain and anti-inflammatory medications followed by physical therapy. If pain and symptoms persist, surgery to remove the herniated portion of the intervertebral disk is recommended.
- The spinal cord ends in the lumbar area and continues through the vertebral canal as spinal nerves. Because of its resemblance to a horse's tail, the collection of these nerves at the end of the spinal cord is called the cauda equina. These nerves send and receive messages to and from the lower limbs and pelvic organs.