EHR520 Lecture Notes - Lecture 5: Spinal Disc Herniation, Intervertebral Foramina, Lumbar Vertebrae
Document Summary
Week 5 tutorial management of the spine. As people age, the annulus loses volume and its elasticity, the nucleus pulposus has been invaded by collagen tissue, which may be denser in some areas compared to others. Because of this, there is no even-distribution of pressure on intervertebral disc itself and thus causes herniation. Prevalence ratio of male to female = 2:1. 19-27% of individuals present asymptomatic disc herniations upon mri. Observation: a lateral pelvic shift: back pain followed by paresthesia radiating to the leg. Often, the pain in the leg is more pronounced than the back. Acute pain during flexion and rotation of the lumbar spine. Phase 1: advice and education about injury, management of inflammation (if applicable) Identification of which directional preference loading strategy to use for home exercise program. Phase 2: specific motor control strategy, commencement of ta, multifidus and pelvic floor training.
