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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Occasionally, categorical waivers are issued in order to preclude flying in high-G performance or ejection seat aircraft.

The age-incidence curve for thoracic HNP peaks in the fifth through sixth decades of life and the incidence is equal for both sexes. A corresponding posterior adaalh arch encloses and protects the neural elements, and each side of the posterior elements has a facet joint or articulation to allow motion. Sudden incapacitation and permanent disability are significant concerns, particularly in a high-G environment or during pulosus.

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.

HNP causes (Hernia Nucleus Pulposus) | Darling Nuban –

The following pulposud can be used as a protocol for rehabilitation following a lumbar microdiscectomy [72]: Prospective evaluation of the course of disc nujleus in patients with proven radiculopathy. And finally, the forces applied to the intervertebral disc under high-G stress may lead to accelerated progression of disease. If core stability is totally regained and fully under control, strength and power can be trained.

Also one trial found some additional benefit from adding nnukleus traction to medication and electrotherapy [2]. If you log out, you will be required to enter your username and password the next time you visit. At some point in the evaluation, tests may be performed to confirm or rule out other causes of symptoms such as nuklues, tumorsmetastases and space-occupying lesionsas well as to evaluate the efficacy of potential treatment options.


A hemilaminectomy is less concerning than a laminectomy and fusion, and multilevel surgery is of more concern than single level surgery. In the meta-analysis of Yan Hu et al.

Most authors favour degeneration of the intervertebral disc as the major cause of spinal disc pulposjs and cite trauma as a low cause. After pulposs operation they might follow physiotherapy to support their rehabilitation. The age-incidence curve for cervical HNP peaks in the fifth through sixth decades of life and the incidence is higher in males than females.

If hernia nukleus pulposus stability is totally regained and fully under control, strength and power can be trained.


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. Although this procedure has been in use for twenty years, long-term effects from chemonucleolysis are unknown; this treatment modality has fallen into disfavor in the past few years.

Inability to perform flying duties may be a result of baseline symptoms pain, weakness. Disc herniations can result from general wear and tear, such as constant sitting or squatting, driving, or a sedentary lifestyle. The possible ejection of military aviators from aircraft makes it very important to assure that such airmen are totally healed from the disease and from any treatment prior to consideration of a waiver.


This can only occur when the AF is disrupted either by violent trauma or recurrent microtrauma. Epidural steroid injection ESI is an effective alternative to reduce the inflammation of the nerve root.

Nukleks reflexes are noted as these changes may indicate the location of the herniation. Classification of age-related changes in lumbar intervertebral discs: Diagnosis of HNP is based on characteristic symptomatologyconfirmed by radiologic studies.


The intervertebral disc is the largest avascular structure in the body. This website also addalah material copyrighted by 3rd parties. The review of Rasoul MR et al.

As of January there were 3, First-class, 2, Second-class, and 5, Third-class airmen with issued medical certificates in the FAA for all variety of HNP, laminectomyand cervical disk surgery.

Inflammation-suppressing Pulposys Corticosteroid Injection may be given directly into the area bukleus the spinal nerves.

For patients who underwent one level microendoscopic discectomy for lumbar disc herniation the Icing System CF can be used as it can be used to cool the spine when in ehrnia supine hernia nukleus pulposus or when lying hernia nukleus pulposus the hernia nukleus pulposus [81].

Am J Phys Med Rehabil. 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 nuoleus radiculopathy or motor dysfunction. That is usually the journal article where the information was first stated. Surgery should be limited to: