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HNP terjadi ketika struktur cincin annulus fibrosus pada bantalan antar ruas tulang belakang mengalami robekan sehingga jaringan nucleus pulposus yang terdapat di dalam cincin itu menonjol dan menekan saraf yang ada di dekatnya.

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Penekanan pada saraf itulah yang memunculkan gejala seperti nyeri, baal, hingga kelumpuhan pada area pinggang hingga tungkai.

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