Radicular pain.Is characterized by unilateral radicular pain as a knife, pain dermatome. It is exacerbated by coughing, sneezing, Valsalva maneuver and stretching the spine. Closure leads to stretching the legs and spinal nerve root irritation of the lumbar and sacral.Passive flexion of the neck extends cervical roots. Extension and lateral flexion of the spine also trigger pain. Pain is common and rare lesions in the intramedullary rod.Other clinical signs of nerve root damage.Clinical signs may include hyperesthesia or hypoesthesia dermatome, segmental paresis, amyotrophy, fasciculations and changes in reflexes. If the patient suffering from lumbar disc hernierii sphincter dysfunction and radicular pain. Signs and symptoms of bilateral looks like protrusion is central. If patients have herniated cervical neck pain which is exacerbated by neck movement. Headaches at the base of the neck is common.Pressure on a nerve and cause numbness or weakness, burning sensation in his arms and hands.
Sciatica pain.Locating a herniated disc cause picture of the patient. Most are torn lumbar discs and causes back pain. If he presses a nerve, pain may be in the buttocks, legs and soles. This pain affects only one leg and is called sciatica. Pressure on the cervical spinal cord causes weakness in the feet, electric shocks to the column length, poor coordination. Lateral hernia cause changes in reflexes, motor and sensory signs affecting a region that corresponds to a nerve root. Most affected are C7 and 6.Spinal pain.It is characterized by localized pain spasms in the affected disc. A result of compression and is accompanied by joint pain. It is common in injuries such as herniated vertebral disc rod, malignancies and inflammatory lesions.
Myelopathy.Appears as a result of several physiological factors. They are statico-mechanical, dynamic-mechanical, ischemia and spinal cord injuries associated with stretching. As the hernia progresses space is reduced with the development of spinal cord myelopathy.
Disease progression.Radiculopathy or nerve root compression secondary inflammatory process affecting the nerve roots, neural. Symptoms are the result of a herniated disc through the ring hernierii its weak or cracking.When the spinal cord is damaged cervical or lumbar level appears myelopathy.Disc herniation is more common in the lumbar region from neck.hernia may or may not be clinically significant. Moderate herniated lumbar and cervical common and are discovered by accident in patients over 20 years. Some suint symptomatic patients, while others remain totally asymptomatic. The incidence is high in the cervical radiculopatiilor C7, C6. Disc herniation can occur in any direction. It is a common condition once worn with age and vertebral joints.
Herniated disc cause severe morbidity characterized by chronic pain syndrome, segmental paresis, atrophy, changes in reflexes, sympathetic dystrophy with regional disautonomie and sphincter dysfunction. The upper cervical disc herniation is a respiratory compromise. A cervical disc herniation with myelopathy cause paraparesis, spasticity, hyperreflexia, clonus, sensory disturbances in the legs and sphincter dysfunction. These processes along with complications associated with immobility and intercurrent infections increase mortality.
No comments:
Post a Comment