Back Problems bother many people. Some because of hard work developing the condition as intervertebral hernia lumbar-sacral spine.
Herniated discs often referred to as severe a condition in which there is a shift of the intervertebral disc from the plane of the spine. Most often, this condition develops as a result of excessive load falling on the spinal column.
Suffer from the disease, mostly men aged 20 to 50 years.
The incidence of this disease is about 100 cases per 100,000 population per year.
The majority of these hernias occur due to physical overload of the spine as a result of labor. Possible manifestation of traumatic hernia after surgeries on the spinal column or in the result of defeat. Rarely, but there are congenital spinal hernia.
The elderly are known cases of development of hernias in the background of the physiological weakness of the ligaments of the spine.
The Greatest prevalence has intervertebral hernia lumbar-sacral spine, because the lower back is the most vulnerable place for the development of this disease.
Under high load falling on the spinal column, there is a gradual compression of the intervertebral disc. Because of this, most often there is a rupture of the outer rim of the disc (outer annulus fibrosus), and then is output the contents of the intervertebral disc outward.
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Released purposee the core can be displaced into the spinal canal and in the side of it. In the first case develops the pinching of the spinal cord, which can lead to irreversible consequences. In the second case may develop radicular syndrome due to compression of the exiting spinal nerves. In place of compression develops aseptic inflammation, there is swelling of surrounding tissues, which further worsens the situation.
As a result of a herniated disc specific symptoms of radicular syndrome (pain, numbness and function of the extremities). Over time, its mobility is impaired in the spinal column.
As you can see, the place where there is often a disc herniation-lumbar-sacral region. Treatment should be appointed immediately as soon as diagnosed a ruptured disc.
In any case, you should immediately begin treatment of a herniated disc. The lumbosacral spine performs a very important function of the body – maintaining balance and upper bodies in an upright position. With the development of a hernia in the lumbar region to perform that function becomes much more difficult because of the intense pain that develops when nerve compression. Condition exacerbated by the untimely reference to doctors.
When the first symptoms should immediately begin treatment of a herniated disc. The lumbosacral spine responds well to non-pharmacological methods such as the use of orthopedic mattresses, massage, the use of cold compresses. These methods have focus purely symptomatic (to relieve the condition of the patient) and can only be used some time in order to avoid complications of a hernia. When aggravation of a condition it is better to make an appointment with a neurologist.
If, however, he developed an intervertebral hernia, how to treat her, not to harm your body? For this purpose, anti-inflammatory-steroidal means. The most widely ointments, gels and creams. In their composition usually are “Substance” (“Ramaker “, “Dikloberl"), “Indomethacin” (“Indomethacin”, “Romace"). The concentration of drugs in these funds allows you to remove the intense pain and inflammation (however, the reception of the same dose of drugs inside may not have the desired effect and also contribute to the development of ulcers of the stomach or duodenum 12).
It is Possible to combine NSAIDs with glucocorticoids.
Glucocorticoids are assigned either inside or intravenously to speed the effect. Used drugs such as "Prednisolone" and "Dex". Treatment with glucocorticoids should be prescribed only in case of ineffectiveness of NSAIDs as chronic administration of corticosteroids bring the body more harm than good.
In the second place by frequency of use is physiotherapy treatment of herniated discs. The lumbosacral spine is one of the most available departments of the musculoskeletal system for use with various vehicles.
According to many specialists, physical therapy can facilitate quicker recovery than when using the medication.
Currently, the most effective method of treatment of intervertebral hernia is the use ofmultifunctional electrodes. The essence of this method – termination of incoming pain impulses using radio frequency waves.
Of the more famous methods are commonly used electrophoresis with analgesics, baths, laser. Electrophoresis and phonophoresis deliver drugs directly into the spine. The effect is often visible after a few treatments.
A relaxing hot bath in some cases may contribute to spontaneous reduction of the hernia in place.
If there has been a deterioration, despite the ongoing events, so complicated disease disc herniation. How to treat it in this situation?
Used With the ineffectiveness of conservative treatment or the appearance of severe neurological symptoms (paralysis of the limbs, disorders of urination and defecation, paresis, paresthesia, intense pain, pain at the back of the lower limbs) should immediately begin surgical treatment.
The Indications for urgent treatment are pinching the spinal cord, compression of the vessels passing nearby.
The Treatment is preferably carried out in specialized surgical wards (often in neurosurgery).
Among the used methods of treatment are the two main groups – endoscopic surgery and traditional microsurgery.
Depending on how the disease, determine the tactics of surgical access.
The Treatment is necessarily performed under anesthesia and with the support of the vital functions.
Before the introduction of microscopes in medical practice, if it was surgical treatment of herniated discs, lumbar-sacral spine is often subjected to various postoperative complications (suppuration, recurrence). The real revolution was the use of optical devices in the treatment of hernias. It is possible to reduce the extensive operational access, which has greatly reduced the frequency of developing complications.
Most Often intervertebral hernia sacral is removed through a microscopic incision (performed laminectomy). Under high magnification it becomes possible to gently remove the hernial protrusion without damaging the adjacent tissues.
Activation of the patient comes the next day. To daily activities the patient is allowed after 10 days in a month and he already can do manual labour without the risk of complications.
Data operations to remove herniated discs are a relatively new area in neurosurgery. They are commonly through a posterolateral endoscopic approaches. Advantages of these methods is more safety in the creation of the wound (sometimes it is done in the usual puncture of the skin). However, this is both the main disadvantage – in this case, limited the possibility of complete excision of the hernia and its removal from the area of the puncture. Difficult hernia, or hernia, accompanied by compression of the spinal cord, such operations are not removed.
The Patient may already be in the day when the operation was performed, lifting, walking. The operation is permitted about a week after discharge from the hospital.
Over time, if the hernia begins to compress adjacent tissue, may develop complications.
If you have developed a regular hernia (herniation), lumbar-sacral region completely loses its function, and lesion of the spinal cord is not observed. Everything deteriorates with displacement of the hernia to the side of the spinal canal.
The Most dangerous of them is the infringement of the spinal cord. This violated the functions of urination and defecation, which poses a threat to life (possible severe intoxication, rupture of the bladder, intestines and urethra). In addition, if the inflammation proceeds to the spinal cord, it is possible to lose and the overlying departments with dysfunction of internal organs, and even death.
Another common complication of herniation is radicular syndrome. With long-term existence significantly worsens the condition.
A More favorable complications are decreased sensitivity and paresthesia.
For the development of hernia, it takes some time (i.e., conventionally it can be called a chronic illness). While respecting the fundamental recommendations you can prevent its development.
To prevent the recurrence of, after removal of intervertebral hernia, should adequately distribute the load during physical work. It is not necessary to overreach, because it could end badly.
Also to prevent hernias is recommended to conduct physical training and exercises, strengthening the muscular frame of the back (e.g., deadlifts with reasonable loads).
At long and hard work in order to prevent it is recommended to take a relaxing hot bath – they contributesmall discrepancy of the vertebrae, which prevents pinching the disc between them.
Rehabilitation after undergoing hernia includes avoiding stress, physical therapy, massages, manual therapy or acupuncture.
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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."
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