PIVD or Slip Disk Physiotherapy Treatment
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What Is A PIVD or Slip Disk?
A slipped disc or prolapsed intervertebral disc often common causes severe lower back pain. The disc often presses on a nerve root which can cause lower back pain and other symptoms in a leg.
What Are The Symptoms Of A Prolapsed Disc?
The pain is often severe and commonly comes on suddenly. The back pain is generally eased by lying down flat and is often made worse if you move your back, cough or sneeze.
Nerve Root Pain (Usually Sciatica)
Nerve root pain is pain that occurs because a nerve coming from the spinal cord is pressed on (trapped) by a ‘slipped’ (prolapsed) disc, or is irritated by the inflammation caused by the prolapsed disc.
Other Nerve Root Symptoms
The irritation or pressure on the nerve next to the spine may also cause pins and needles, numbness or weakness in part of a buttock, leg or foot. The exact site and type of symptoms depend on which nerve is affected.
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PIVD or Slip Disk Treatments –
a) Rest: Rest and Anti-inflammatory and analgesics.
b) Reduction: Continue bed rest and traction for 2 weeks may reduce the Herniation in over 90% cases. If no improvement in rest and traction, epidural injection of corticosteroid and local Anaesthetic are given.
c) Chemonucleolysis: Dissolution of the Nucleus Pulposus by Percutaneous injection of a Proteolytic enzyme (Chymopapain). This enzyme has the property of dissolving fibrous and cartilaginous tissue.