THE CORRELATION BETWEEN HERNIATED NUCLEUS PULPOSUS AND LOW BACK
PAINBy:Sarah Margareth Felicia030.10.070
What is Herniated Nucleus Pulposus?
What is Herniated Nucleus Pulposus?
What causes Herniated Nucleus
Pulposus?TRAUMAHERNIATERUPUTUREPRESSURE ON THESPINAL
NERVESPAINNUMBNESSWEAKNESS
What is Low Back Pain?Low back pain is any back pain between the
ribs and the top of the leg from any cause
What causes Low Back Pain?LBPORGANIC DISEASELIFE
STYLEENVIRONMENTBMIAGEBODY SHAPE
EPIDEMIOLOGYThere is no data about Herniated Nucleus Pulposus
epidemiology, because it is not an epidemic diseaseLow back pain is
the second most common disease after common cold. Waddle proclaimed
that low back pain was an epidemic disease in 20th century. It
usually occur to people from 21 to 65 of ages. In 70% of cases, low
back pain has no obvious etiology of pathogenesis.
How does HNP cause LBP? TRAUMAHERNIATERUPUTUREPRESSURE ON
THESPINAL NERVESNUCLEUS PULPOSUS BURSTING OUT OF THE DISCLOW BACK
PAIN
SIGNS AND SYMPTOMS1Herniated Disc in the lower back:Intense pain
in the buttocks, thigh, calf, and sometimes part of the foot.3
Numbness and tingling in the body part served by the affected
nerves.2 Weakness of the body part that affected by the nerves.This
may cause you to stumble, or impair your ability to lift or hold
items.
DIAGNOSISPHYSICAL EXAM:Numbness or loss of feelingMuscle
reflexes (slower of missing)Muscle strength (weaker or not)Body
posture (Curves spine or not)EMG may be done to determine the exact
nerve root that is involved.Myelogram may be done to determine the
size and location of disk herniation.Nerve conduction velocity test
may also be done.Spine MRI or spine CT will show that the herniated
disk is pressing on the spinal canal. Spine x-ray may be done to
rule out other causes of back or neck pain. However, it is not
possible to diagnose a herniated disk by a spine x-ray alone.
TREATMENT1. MEDICATIONNSAID for long term pain controlNarcotics:
for severe pain
2. STEROID MEDICINE INJECTIONS
3. DISKECTOMYRemoving all parts of the injured disc.4.
EDUCATIONLifestyle changesDiet and exercise to decrease back
pain.Go to therapist and learn how to strengthen muscle that
support the spine.Avoid heavy lifting or twisting your back for the
first 6 weeks after the pain starts
