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Mechanical stress
( compression,
fusion, HPN,
rotational forces.) Aggravated by age -Decreased fluid in
due to degenerative Decreased in the annulus.
changes thus protein contents -Dehydration of the
resulted in weak (oncotic agents) annulus.
muscles. -weakening of the
annulus, thus less
Men gender are elastic, thus prone to
mostly predisposed to tearing.
-Increased uptake of
fluid in the nucleus
pulposus.
Erosion of vertebral body by -Increase pressure in
bulging disk teared annulus. the nucleus pulposus.
Stimulation of new
Local bone growth
tenderness accompanied by
vertebral spasm. PAIN
Ligament
thicken Accompanied by:
Increased
Autonomic responses:
tension
-inc. v/s
-papillary dilatation
Calcification -diaphoresis
Replacement of
nucleus
Results in neutral
obstruction
Decrease flow of
blood in the
affective area
Compression of
spinal nerve Numbness occurs
Impaired
mobility