2023-06-20T07:40:43
Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. Schmorl’s nodes 📍 👉 Schmorl's nodes were first described by the pathologist Christian Georg Schmorl in 1927 as a vertical herniation of nucleus pulposus through the cartilaginous and bony endplate into the body of the adjacent vertebra. https://pubmed.ncbi.nlm.nih.gov/23955279/ 👉 The pathophysiology of Schmorl's nodes development is still a matter of great debate. The classical hypothesis states that such lesions would be related to abnormalities of the vertebral blood vessels during development. https://pubmed.ncbi.nlm.nih.gov/2781398/, https://pubmed.ncbi.nlm.nih.gov/23955279/ 👉 Other authors have suggested that Schmorl's nodes may be the final result of ischemic necrosis beneath the cartilaginous endplate, and that herniation of the nucleus pulposus into the vertebral body would be a secondary phenomenon. https://pubmed.ncbi.nlm.nih.gov/12931811/ 👉According to such theory, there would be a close histological resemblance between the pathophysiology of Schmorl's nodes and that of avascular necrosis of the femoral head. https://pubmed.ncbi.nlm.nih.gov/23955279/ 👉 Although some epidemiological studies have previously suggested that patients with Schmorl's nodes may present a higher incidence of low back pain in comparison to the normal population [https://pubmed.ncbi.nlm.nih.gov/22166927/], this finding is not unanimous in the literature [https://pubmed.ncbi.nlm.nih.gov/17530687/]. In fact, there seems to be a small specific subgroup of patients with Schmorl's nodes which tend to present with low back pain. 👉 The pain observed in the presence of Schmorl's nodes is thought to be related to inflammatory changes and cell infiltration induced by the presence of intraspongious disc components in contact with the vertebral bone marrow [https://pubmed.ncbi.nlm.nih.gov/14341081/1], as well as to occult trabecular bone fractures which may further aggravate inflammation and edema [https://pubmed.ncbi.nlm.nih.gov/22166927/]. Picture: https://pubmed.ncbi.nlm.nih.gov/32069076/ Cadaver of 77-year-old woman with Schmorl node. Photograph of anatomic section shows large intravertebral cartilaginous (Schmorl) node (arrow). SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI