Prolapsed intervertebral disc Flashcards

1
Q

Definition

A

Where the nucleus pulposus, ruptures out of the annulus fibrosis.

Can be degeneration, prolapse, extrusion, sequestration

L4/L5/S1 most commonly affected

Good prognosis <25% requiring surgery

20-35 age group

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2
Q

Treatment

A

Analgesics

Muscle relaxants

Gentle early mobilisations

Acupuncture

Surgical discectomy

Chemonucleolysis (chymopapaiu injections into the disc with the aim of dissolving the nucleus pulposus).

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