What is Pathology - Herniated Nucleus
Pulposus Pathophysiology The intervertebral discs or cushions between the vertebrae serve as stress absorbers and keep the nerve roots away from the bony areas. Disks may protrude beyond their usual boundaries, and the annulus fibrosus may rupture. The interior part (nucleus pulposus) protrudes and presses against a nerve root. The cervical and lumbar regions are the most frequent locations. Evaluation and Diagnostic Results • Neck spasm, pain, and (in some instances) migraine headaches are symptoms of cervical disc herniation in addition to tingling and numbness in the affected limb. • Lumbar disc herniation results in limb discomfort, tingling, and numbness. Muscle spasms are frequent. Due to discomfort, heel-toe walking is not feasible. The only kind of herniation that could result in leakage is a severe one. • An MRI with and without contrast will reveal a disc protrusion. Complications include bleeding after operation, nerve root injury, reherniation, and altered mobility. • An infection following operation. Medical Attention and Surgical Procedure • Corticosteroid injections into the disc region, analgesics, muscle relaxants, physical therapy, minimally invasive balloon vertebroplasty, TENS device, skin traction, and physical therapy. • Surgical laminectomy (lumbar posterior approach; neck frontal approach). • After operation, report any numbness or mobility issues. • Report shivers or other infection-related symptoms. Range of mobility will be restricted by spinal fusions. • Keep track of the neurovascular health of the legs, bladder, and bowel or the limbs (in cases of cervical surgery). (lumbar surgery). • Roll the patient in a log after operation. • Keep an eye on your CBC and your capacity for pain-free ADLs.
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