What is Herniated Nucleus Pulposus (HNP)?
Herniated Nucleus Pulposus (HNP) is a medically oriented term used for the condition of prolapse of an intervertebral disk because of a tear. In layman’s terms, it is a problem of having rubbery disk between the spinal bones, also known as slip disk. The tear results in pain when the disk intrudes the adjacent nerve root.
Symptoms and Signs
Herniated disks or Slip Disks, often cause no symptoms, or they may cause symptoms and signs in the distribution of affected nerve roots. Pain usually develops suddenly, and back pain is typically relieved by bed rest. In contrast, nerve root pain caused by an epidural tumor or abscess begins more insidiously, and back pain is worsened by bed rest.
The pathologic state of a weakened annulus is a necessary condition for herniation to occur. Most of the cases of such disks involve severe trauma and stress.
When nerve compression occurs, the symptoms can potentially be debilitating. They can include:
- Chronic pain
- Pain traveling the length of a nerve
- Loss of reflexes
Treatment of Herniated Nucleus Pulposus
1.) Conservative treatment initially
2.) Invasive procedures if neurologic deficits are progressive or severe
3.) Immediate surgical evaluation if the spinal cord is compressed
4.) BIM.A Special Formula Dietary Suppplement
Treatment of a herniated disk should be conservative, unless neurologic deficits are progressive or severe. Heavy or vigorous physical activity is restricted, but ambulation and light activity (eg, lifting objects < 2.5 to 5 kg [≈ 5 to 10 lb] using correct techniques) are permitted as tolerated; prolonged bed rest (including traction) is contraindicated. Acetaminophen, NSAIDs, or other analgesics should be used as needed to relieve pain. If symptoms are not relieved with nonopioid analgesics, corticosteroids can be given systemically or as an epidural injection; however, analgesia tends to be modest and temporary. Methylprednisolone may be given, tapered over a 6 days, starting with 24 mg po daily and decreased by 4 mg a day. Physical therapy and home exercises can improve posture and strengthen back muscles and thus reduce spinal movements that further irritate or compress the nerve root.
Invasive procedures should be considered if
- Lumbar radiculopathies result in continuous pain or worsening of neurologic deficits (e.g., weakness, reflex deficits).
- Patients have severe, intractable nerve root pain or sensory deficits.
- Microscopic diskectomy and laminectomy with surgical removal of herniated material are usually the procedures of choice. Percutaneous approaches to remove bulging disk material are still being evaluated.
- Dissolving herniated disk material with local injections of the enzyme chymopapain is not recommended.
- Lesions acutely compressing the spinal cord or cauda equina (e.g., causing urine retention or incontinence) require immediate surgical evaluation.
- If cervical radiculopathies result in signs of spinal cord compression, surgical decompression is needed immediately; otherwise, it is done electively when nonsurgical treatments are ineffective.
BIM.A Special Formula Supplement
Through over 30 years of research & development, it can be proven that TNF-α, IL-6 and IL-17 cause inflammation. This inflammation is what causes Herniated Nucleus Pulposus. The revolutionary health supplement BIM.A is scientifically proven to reduce the production of these inflammatory mediators.
Controlled clinical trials
Volunteers who took 4 BIM A capsules per day for 15 days showed a decrease of TNF-a, IL-6, and IL-17 which lowers the severity of inflammation, which in-turn could be a remedy for Herniated Nucleus Pulposus health condition.
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