Pathophysiology

Modifiable
Non-modifiable
Occupation (jobs that involves
Age lifting)

Trauma, injury, accident (fall and

repeated minor stress such as
lifting incorrectly)

Degenerative Trauma / Injury/ Immediate

changes due to Accident symptom
Aging is short-
lived and
Fibrocartilage do not
Loss of protein appear for
becomes dense polysaccharides in
and irregularly months or
the disk years
shaped
It decreases water
content of the nucleus Cartilage
pulposus injured

Development of
radiating crackles in
the annulus

Weakens resistance
to nucleus herniation

Protusion or rupture of the nucleus

pulposus

Allow the nucleus pulposus

to be pushed back against Capsule pushes back into the
the dural sac or against a spinal canal
spinal nerve as it emerges
from the column

Produces pain due to

radiculopathy

Continued pressure in the involved If managed:

nerve
Recovery
Changes in sensation and deep tendon
reflexes