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PHYSIOTHERAPY MANAGERMENT

FOR

INTER VERTEBRALDISC PROLAPSE

Project submitted to University of Health Sciences

In Partial Fulfillment of the Requirements for the

Degree of Bachelor of Physiotherapy

By

B. ANNAPURNA

VIJAYINSTITUTEOF MEDICAL SCIENCES

College OF PhysiotherapyAffiliated to NTR University of Health Sciences, Vijayawada, Recognized by Govt. ofA.P.

Durgapuram, Rokallapalem, Vijayawada-520003, Andhra Pradesh, South India.

Ph: 2430171.


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College OF PhysiotherapyAffiliated to NTR University of Health Sciences, Vijayawada, Recognized by Govt. of A.P.

Durgapuram, Rokallapalem, Vijayawada-520003.

CERTIFICATE

This is to certify that Mr. / Ms.B. ANNAPURNA

studying in Bachelor of Physiotherapy course

has successfully completed and submitted

the project report on 5TH

NOV..2003as partial fulfillment towards the completion

of his/her course.

Project Incharge Principal Examiner

Date:

Seal:


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ACKNOWLEDGEMENT

I would like to thankDr. M. VIJAY KUMAR, MPT, Principal

VIMS College of Physiotherapy, Vijayawada for his encouragement and

valuable guidelines in bringing opportunity to do this project.

I express my sincere and wholehearted gratitude to my guideDr. R. Kamal Kumar, PT for his constant support and encouragement in

completing my project work.

I am also thankful to Dr. JOHN DIAMOND SON, PT,

Dr. Y. PRAVEEN KUMAR, MPT, Dr. A.V.ARUMUGAM, PT,

Dr. P. SRI VISHNU, PT, Dr. SOUNDARA RAJAN, PT,

Dr. RAMESH, PT, for their valuable suggestions towards this project.

I would like to thankMrs. NEELIMA, Librarian of our college

and Mr. BHAVAN NARAYAN, A.Owhohelped me in gathering the needed

information.

Words are not enough to express my profound gratitude to my

parents, my sisterSOUJI and brotherSRINU for encouraging me and without

whose support the completion of this would not have been possible

Last but not the least, I would like to thank my friends and my

seniors whose encouragement gave me a tremendous positive influence on

successful completion of my project work.


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B. ANNAPURNA.

PHYSIOTHERAPHY

MANAGEMENT

FOR

INTER VERTEBRAL DISC

PROLAPSE

Project Report Submitted

By

B.ANNAPURNA


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LIST OF CONTENTS

S.No. TOPICS Page No.

1. INTRODUCTION 1

2. ANATOMY 2

3. BIOMECHANICS 22

4. LUMBAR DISC PROLAPSE 38

5. AETIOLOGY 39

6. PATHOLOGY 41

7. CLASSIFICATION 42

8. CLINICAL PRESENTATION 44

9. INVESTIGATIONS 52

10. DIFFERENTIAL DIAGNOSIS 55

11. MEDICAL TREATMENT 56

12. PHYSIOTHERAPY ASSESMENT 57

13. PHYSIOTHERAPY TREATMENT 69

14. SURGICAL TREATMENT 88

15. POST OPERATIVE TREATMENT 92

16. CASE STUDIES 99

CASE-I

CASE-II

CASE-III

104

108


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17. CONCLUSION 11318. BIBILOGRAPHY 114


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