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

VIJAY INSTITUTE OF MEDICAL SCIENCES

College OF Physiotherapy
Affiliated to NTR University of Health Sciences, Vijayawada, Recognized by Govt. of A.P. Durgapuram, Rokallapalem, Vijayawada-520003, Andhra Pradesh, South India.

Ph: 2430171.

College OF Physiotherapy
Affiliated 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..2003 as partial fulfillment towards the completion of his/her course.

Project Incharge Date: Seal:

Principal

Examiner

ACKNOWLEDGEMENT
I would like to thank Dr. 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 guide Dr. 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 thank Mrs. NEELIMA, Librarian of our college and Mr. BHAVAN NARAYAN, A.O who helped me in gathering the needed information. Words are not enough to express my profound gratitude to my parents, my sister SOUJI and brother SRINU 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.

B. ANNAPURNA.

PHYSIOTHERAPHY MANAGEMENT FOR INTER VERTEBRAL DISC PROLAPSE

Project Report Submitted By B.ANNAPURNA

LIST OF CONTENTS
S.No. 1. INTRODUCTION 2. ANATOMY 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. BIOMECHANICS LUMBAR DISC PROLAPSE AETIOLOGY PATHOLOGY CLASSIFICATION CLINICAL PRESENTATION INVESTIGATIONS DIFFERENTIAL DIAGNOSIS MEDICAL TREATMENT PHYSIOTHERAPY ASSESMENT PHYSIOTHERAPY TREATMENT SURGICAL TREATMENT POST OPERATIVE TREATMENT CASE STUDIES CASE-I CASE-II CASE-III TOPICS Page No. 1

2 22 38 39 41 42 44 52 55 56 57 69 88 92 99 104 108

17. 18.

CONCLUSION BIBILOGRAPHY

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