about herniation of nucleous pulposus

Nursing Students Student Assist

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hi!!!

im hoping that someone here can explain me about the disease of my patient.. we are now having our clinical rotation in the orthopedic ward and my patient is suffering from HNP. She was confined because of severe low back pain.. that was two weeks ago and has been in the wheelchair and bed since then. she is now preparing herself for a laminectomy..

what im confused about is that upon my assessment, she said she is not experiencing any pain although no analgesic was given to her and her muscles in both her calf atrophied..

can anyone explain to me how that happen...

thanks in advance..

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Specializes in med/surg, telemetry, IV therapy, mgmt.

you can find information about hnp by searching the weblinks i've posted on the thread i'm listing for you. they are the same links i would search to find the information for you. there's no reason why you can't do the searching and find the information for yourself.

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hi daytonite..

i already looked up to those links but i just cant find the answers to my question...they only explain why the patient suffer from severe pain but never said anything about the reason why the legs of the patients become numb..

as much as possible.. i dont ask for help to anyone with regards to this kind of stuff because i think i will retain the information longer if i found them myself..but it just happened that i cant find the information myself.... so pls be a little considerate... im sorry if im not as good as you... anyway thanks for the links..

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Specializes in med/surg, telemetry, IV therapy, mgmt.

Why do you think she would have pain related to the HNP? What would cause neuropathic pain (that is your real question)? Think about the possibility that the ruptured disc may NOT be pressing against any nerve that would be causing a pain response. There are many different types of nerves. Those that detect pain are only one type. There are other types of nerves that will lead to other types of symptoms and damage and you need to research this.

Your attitude in the way you respond to help that you are given is why I do not particularly like to respond to your posts.

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i wont argue with you anymore...because its useless....

its not the first time that your reply to a thread is indifferent and sounds unfriendly..

i think i just have to find it out on my own...

thanks anyway!

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Specializes in med/surg, telemetry, IV therapy, mgmt.

My dear, you argue with everyone who tries to help you. So, yes, find it on your own. HINT: look up information on the spinal nerves and what areas of the body they innervate and how. That is where you will find the answer to your question.

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