Spinal hernia

Disc hernia

Low back pain can cause spinal disc herniation. This is a condition in which the lining of the intervertebral disc is destroyed, and its contents are released into the spinal canal. This herniated disc is not so simple. It is necessary to undergo treatment, because edema, squeezing of nerve endings, detachment of the ligaments between the vertebrae, violation of vertebral mobility, various inflammatory phenomena are possible otherwise. Possible complications include paralysis of the lower body.

Causes of disease

Hernia can appear both in adults and in children. People older than 40 usually develop disc protrusion, which is equivalent to a hernia.

The disease manifests itself with significant loads, falling from height on the buttocks or legs, improper weight lifting. If the fibrous ring has already been damaged and its fibers have weakened, even minor loads are dangerous.

The released pulpous nucleus affects the nerve endings and causes not only their mechanical, but also chemical irritation. As a result, pain, numbness of a part of the body, goosebumps, muscle weakness, and the absence or decrease of reflexes occur.

Diagnosis of a hernia

Correct diagnosis quickly determines herniated disc. Treatment will depend on its severity. First, the doctor asks the patient questions about injuries, the form of pain, weakness and others. Based on the answers, a diagnostic method is selected.

  1. X-ray. Gives information about the severity of degenerative-dystrophic processes in the spine, excludes diseases with similar symptoms. An indirect sign of a hernia is a reduction in the height of the disk.
  2. Magnetic resonance imaging. Informative, painless method that does not cause side effects.
  3. CT scan. For a complete picture, the doctor gives directions for contrasting myelography, which is combined with computed tomography. These methods are designed to distinguish hernia from spinal stenosis and other diseases of the spine.
  4. Electromyography. Detects damaged nerves.

Often a hernia requires only observation of the symptoms and rest. If pain, weakness and numbness do not diminish, you need to reduce activity, take days off, try to rest for a few days. Then you need to gradually increase the load.

The following drugs are used to relieve pain syndrome: diclofenac sodium, tizanidine, celecoxib, tetrazepam, ibuprofen, as well as chondoprotectors, vitamins.

Severe pain is relieved by blockades - hormonal anti-inflammatory injections in combination with a local analgesic. They quickly relieve pain and reduce inflammation.

Many people understand the seriousness of the diagnosis of a herniated disc. The treatment is used both traditional and innovative. Osteopathy, acupuncture, craniosacral therapy, reflexotherapy, hirudotherapy, homeopathy, and careful manual therapy are good. However, if the pain has passed, it does not mean that the hernia has gone. The treatment is further based on the implementation of special therapeutic exercises, alternating exercise and rest.

In severe cases, conduct operations. Surgically remove the hernia, the destroyed disk, release the spinal cord and spinal nerves from pressure, create conditions for the fusion of two adjacent vertebrae.

Every pain indicates to us a problem in the body. Do not wait for all to pass by itself - contact a specialist on time. After all, it is your health!

Clinical manifestations

Clinical manifestations of degenerative changes in the intervertebral disc in the lumbosacral spine:

  • local pains in the area of ​​the projection of the affected disc - in the lumbosacral region (lumbodynia), aggravated by exercise,
  • pain radiating to the buttock, on the back, back of the thigh and lower leg on the affected side (ischalgia),
  • numbness and tingling in the area of ​​innervation of the affected roots, weakness in the lower limb,
  • weakness and impaired sensitivity in both legs
  • dysfunction of the pelvic organs - urination, defecation and potency, numbness in the perianogenital area.

Clinical manifestations of degenerative changes in the cervical spine:

  • pain radiating to the shoulder or arm
  • dizziness
  • blood pressure rises
  • a combination of headaches with elevated blood pressure and dizziness
  • numbness of fingers

Clinical manifestations of degenerative changes in the thoracic spine:

  • constant pain in the thoracic when working in a forced posture
  • combination of pain in the thoracic spine with scoliosis or kyphoscoliosis

Survey

The method of choice for diagnosis of herniated intervertebral discs is currently magnetic resonance imaging (MRI). If necessary, non-invasive MR myelography or invasive CT myelography is performed.

Treatment of degenerative spinal lesions complex, if necessary, operational.

Among non-operational methods, the following are distinguished:

  • Motor techniques that allow you to develop the muscular torso, to develop and develop immunity. This is achieved through heavy exercise. However, there is a risk of a sharp deterioration up to the need for an emergency operation. Efficiency and durability of results are different.
  • Manual techniques (manual therapy, chiropractic, etc.) are aimed at changing the tension of the spinal muscles and reducing the load on the disc.
  • Physiotherapy techniques include passive methods for the patient (reflexology, massage "only in a gentle performance", mechanical (physical education).

Indications for surgical treatment of disc herniation

Surgical treatment of herniated discs is performed predominantly with the development of neurological disorders and pain syndrome resistant to conservative therapy. When a cauda equina compression occurs (severe pains on the back of the thigh and lower leg, severe pain in the lower abdomen, aggravated by coughing, incontinence of urine and feces, impaired potency), emergency surgical intervention is necessary.

Microsurgical removal of intervertebral disc herniation

Microsurgical removal of an intervertebral disc herniation is an effective method of surgical treatment. At the same time, disc herniation is removed with minimal traumatization of the paravertebral muscles, maximum possible preservation of the bone-bonded apparatus using the operating drill and micro nippers, careful hemostasis, delicate preparation of the nerve structures inside the spinal canal, under a large increase in the operating microscope. A cosmetic seam is applied to the skin. The operation is performed under general anesthesia in the position of the patient on the abdomen, with a skin incision of 3-4 cm. The risk of postoperative complications is minimal. The patient can walk on the day of surgery or the next day Discharged from the hospital for 4-5 days after surgery.

Endoscopic hernia repair

The use of the endoscope allows you to keep the same access and the same technique of operating on the spine, as in the case of microsurgical removal, but the size of the incision and the entire access are reduced to 1-2.5 cm, the risk of postoperative complications is less. The patient can walk on the day of surgery or the next day, is discharged from the hospital on day 3 after surgery. This type of intervention provides faster rehabilitation and resumption of previous work activities.

ENDOSPINE by Dr.Destandau

  • Center for minimally invasive neurosurgery
  • Danilov I.M. Postoperative complications and recurrences of herniated intervertebral disk
  • Danilov I. M. Herniated disk is treated - it is a fact!

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See what is "hernia disk" in other dictionaries:

HERNIA INTERACUTABLE DISC OF THE NECK AND BREAST DIVISION OF THE SPINE - honey. Herniated intervertebral disc of cervical and thoracic spine, protrusion or prolapse of intervertebral disc fragments (respectively in cervical or thoracic region) into the spinal canal resulting from osteochondrosis ... ... Diseases Reference Book

HERNIA INTERCUTAL DISC OF THE LUMBAR DIVISION OF THE SPINE - honey. Herniated disc of the lumbar spine, protrusion or prolapse of the intervertebral disc of the lumbar spine into the spinal canal resulting from spinal osteochondrosis (spontaneous dilesis), injury and ...

herniated intervertebral disc - rus hernia (g) of the intervertebral disc, displacement (c) of the vertebrae, spinal cord hernia (g) eng slipped disc fra glissement (m) vertébral, rétrolisthésis (m) vertebral, ... ... Occupational safety and health. Translation into English, French, German, Spanish

Intervertebral disc hernia - The consequence of a degenerative dystrophic process in the intermembodial disc, which, in osteochondrosis of the spine, prolapses (extends) back towards the spinal canal. At the same time, he can punch the posterior longitudinal ligament and then ... ... Encyclopedic dictionary on psychology and pedagogy

disc herniation - (h. Disci intervertebralis) G., in which the gelatinous nucleus of the intervertebral disk protrudes into the spinal canal ... Large medical dictionary

Schmorl's hernia - The introduction of the cartilage tissue of the degenerated intervertebral disc through the endplate into the spongy tissue of the body of the vertebra adjacent to this disc. Indirect radiological sign of osteochondrosis (see) ... Encyclopedic dictionary on psychology and pedagogy

Hernia of the intervertebral disc - (slipped disc) a colloquial term that refers to a prolaped intervertebral disk ... Medical Dictionary of Medicine

Intervertebral hernia - MRI image of intervertebral hernia in the L4 L5 segment. ICD 10 M51.251.2 ... Wikipedia

Watch the video: Back Pain: Lumbar Disc Injury (September 2019).