Date of Award
Spring 2024
Degree Name
Master of Medical Science (Physician Assistant)
Department
Physician Assistant; College of Health Sciences
First Advisor
Dr. Kevin Basile
Abstract
Herniated nucleus pulposus (HNP), commonly referred to as intervertebral disc (IVD) herniation, is the second most common cause of neck and back pain, and most common cause of radiculopathy. The purpose of this CME article is to provide guidance on the medical management and secondary prevention of HNP in athletic populations, and highlight the pathophysiological process of mechanical overload putting athletes at a proportionately higher risk of the disease. It will address the unique pathophysiology of overuse-related HNP, as opposed to underuse, with the mechanical overload on vertebral discs associated with many sports. It will also review, with more emphasis on the lumbar region, when and what diagnostic imaging methods are necessary, pharmacological, physical, and surgical treatment options, return to play protocols, and primary and secondary prevention.
Recommended Citation
Massel, Elizabeth G., "Herniated Nucleus Pulposus Radiculopathy in Athletes" (2024). Capstone Showcase. 94.
https://scholarworks.arcadia.edu/showcase/2024/pa/94
Included in
Emergency Medicine Commons, Family Medicine Commons, Interprofessional Education Commons, Musculoskeletal, Neural, and Ocular Physiology Commons, Orthopedics Commons, Sports Medicine Commons, Sports Sciences Commons
Herniated Nucleus Pulposus Radiculopathy in Athletes
Herniated nucleus pulposus (HNP), commonly referred to as intervertebral disc (IVD) herniation, is the second most common cause of neck and back pain, and most common cause of radiculopathy. The purpose of this CME article is to provide guidance on the medical management and secondary prevention of HNP in athletic populations, and highlight the pathophysiological process of mechanical overload putting athletes at a proportionately higher risk of the disease. It will address the unique pathophysiology of overuse-related HNP, as opposed to underuse, with the mechanical overload on vertebral discs associated with many sports. It will also review, with more emphasis on the lumbar region, when and what diagnostic imaging methods are necessary, pharmacological, physical, and surgical treatment options, return to play protocols, and primary and secondary prevention.