Lumbar HNP
Definition:
Herniated nucleus pulposus (HNP) in the lumbar spine is a type of spine degeneration that can cause lower back pain and sciatica. The intervertebral discs that normally cushion the spine are thick, spongy pads. The outer layer of these discs is a tough fibrous material, known as the annulus fibrosis, and the inner layer is a gel-like fluid called the nucleus pulposus. When a disc weakens and a tear develops in the outer walls, the nucleus pulposus can rupture into the spinal column, potentially causing pain if the material comes into contact with the spinal cord or a nerve root.
Symptoms- Pain in the low back
- Deep buttock pain
- Numbness in lower extremity
- Weakness in the lower extremity
- Radiating pain into the lower extremity (usually on one side)
- Pain worse with coughing, sneezing, or laughing
Causes- Trauma
- Repetitive heavy lifting
- Motor vehicle accident
- Age related degeneration
- Strenuous physical activity
Treatment- ROM and stretching
- Posture program
- Core stabilization strengthening
- Lower extremity strengthening
- Possible surgical intervention
Lumbar HNP Phase I
- Sitting Posture
- Standing Posture
- TA Supine Alt Knee Raise
- Prone Spine Extension
- Wall Squats
- Side Lying Lumbar RR RL
- Q Ped UE LE Lift
- Sit Up Squat
- Gait II
- Kneeling Hip Flexor
- WalkFit Program
Lumbar HNP Phase II
- Stairmaster X 20 Minutes
- Lumbar Circuit
- Plank Hold
- Side Plank On Elbow
- Superman Holds
- Warrior
Lumbar HNP Phase III
- Plank Hold
- Straight Leg Sit Up
- Single Leg Bridge
- Superman Holds
- Side Plank On Elbow
- Plank Hold Alternate UE LE
- Lunge Walk Med Ball Rotation
