PIVD (Slipped or Herniated Disc) Physiotherapy Treatment

Abstract

A prolapsed disc is commonly known as ‘slipped disc’, where a disc does not actually slips but the part of the inner softer part of the disc bulges out or herniates through a weakness in the outer part of the disc.
The prolapsed intervertebral disc is also known as herniated disc.

STAGES OF PIVD:
(1) Bulging: At this early stage, the disc is stretched and doesn’t completely return to its normal shape when pressure is relieved. It retains a slight bulge at one side of the disc. Some of the inner disc fibres could be torn and the soft jelly ( nucleus pulposus ) is spiling outwards into the disc fibres but not out of the disc.
(2) Protrusion: At this stage, the bulge is very prominent and the soft jelly centre has spilled out to the inner edge of the outer fibres, barely held in by the remaining disc fibres.

(3) Extrusion: In the case of a herniated spinal disc, the soft jelly has completely spilled out of the disc and now protruding out of the disc fibres.

(4) Sequestration: Here some of the jelly material is breaking off away from the disc into the surrounding area.

Visit: www.bhaskarhealth.com
#BhaskarHealth
#DrRohitBhaskar
#Physiotherapy

Full text

Bhaskar Health
Physiotherapy
www.bhaskarhealth.com
Follow @bhaskarhealth
DISC HERNIATION ( PIVD)
@drrohitbhaskar

A prolapsed disc is commonly known as
‘slipped disc’, where a disc does not actually
slips but the part of the inner softer part of
the disc bulges out or herniates through a
weakness in the outer part of the disc.
The prolapsed intervertebral disc is also
known as herniated disc.
Defination
Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth

Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth
Causes
Some children may often suffer from
prolapsed disc due to birth defect or injury.
During adolescence
Repetitive lifting and twisting.
Postural stress.
obesity.
Poor and inadequate strength of the trunk.
Sitting for long hours.
Increasing age.

Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth
Symptoms
Pain &/or numbness
Pain that extends to the arms from your neck OR
pain that extends to the legs from the lower back
(sciatica pain)
Pain worsening at night while asleep or with certain
activities that defines the pressure on your discs
Pain worsening on standing/sitting
Pain on walking specific distances
Muscle weakness in higher degree of disc
involvement
Tingling, aching or burning sensation in the affected
area

Stages of Disc Herniation
Disc bulging
Protrusion
Extrusion
Sequestration
www.bhaskarhealth.com
Follow: @bhaskarhealth
Bhaskar Health

Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth

Diagnosis
Xray
CT Scan
MRI Scan
EMG Study
Physical Evaluation
SLR test
Laesegue test
Bowstring test
Femoral stretch test
Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth

Treatment
(a) Rest: Rest and Anti-inflammatory and
analgesics.
(b) Reduction: Continue bed rest and traction for 2
weeks may reduce the herniation in over 90% cases.
(c) Chemonucleolysis: dissolution of the Nucleus
Pulposus by percutaneous injection of a proteolytic
enzyme (chymopapain). This enzyme has the
property of dissolving fibrous and cartilaginous
tissue.
Conservative Management
www.bhaskarhealth.com
Follow: @bhaskarhealth
Bhaskar Health

Operative Management
(a) Hemilaminectomy/Partial laminectomy
(b) Laminectomy: Laminae on both sides with
spinous process are removed. Such wide
exposure is required for big, central disc
producing cauda equina syndrome.
(c) Microdiscectomy
(d) Fenestration: Ligamentum flavum bridging
the two adjacent laminae is excised and spinal
canal at affected level exposed.
Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth

Physiotherapy
Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth
Cryotherapy
TENS
Ultrasound Therapy
SWD
STM
Traction & Manipulation
Spinal Extension & Flexion Exercises
Cat & Camel Exercises
Bridging Exercises
Piriformis Strech etc.
By Using Modalities
Exercises

Thanks for reading!
If you know someone who might find
this helpful, please share it:-)
Bhaskar Health www.bhaskarhealth.com
Follow: @bhaskarhealth
If You Want to read It in details then kindly
visit bhaskarhealth.com or the link mentioned
in description.