Osteochondrosis

Can a spinal hernia resolve?

Many techniques are being advertised that promise a complete cure for hernial disc deformity. But are these techniques effective or just another publicity stunt?

Can intervertebral hernia resolve with conservative treatment? Is it worth paying for such treatments, because they are expensive?

A little about the physiology of the disease

Before answering the question whether the intervertebral hernia is absorbed, it is worth considering how the deformation of the intervertebral cartilage arises and what processes take place at each stage of the disease.

Gradual destruction of the cartilage disc begins. This disc deformity is called osteochondrosis and often does not manifest itself in any way, only the appearance of periodic back pain is possible.

Often, when medical recommendations for prevention and maintenance therapy are observed, the development of the disease at this stage is fashionable to stop the destruction and even partially restore the deformed cartilage.

If the disease was not diagnosed in time, then osteochondrosis cartilaginous changes pass to the next stage - protrusion or pre-hip state, when the portion of cartilage tissue protrudes beyond the limits of the vertebra, but the integrity of the fibrous ring remains.

The newly emerged small protrusions can be adjusted using manual therapy and special techniques for stretching the spine, followed by consolidation of the achieved effect with the help of conservative therapy.

Often, patients who poorly understand the difference between protrusion and hernial deformity, after reducing the protrusion and further reinforcing the effect of the treatment, argue that the intervertebral hernia can dissolve, because it was the technique that they advertised.

Further, the disc bulging gradually increases, the fibrous ring breaks and the nucleus pieces fall into it, a disc prolapse occurs, which is commonly called in medicine called an intervertebral hernia.

In this stage, characteristic symptoms (disturbance of the sensitivity of the extremities, severe back pain) often occur depending on the location of the protrusion, forcing the patient to seek medical help in the hope that all this is treated and the intervertebral hernia is resolved.

Unfortunately, when the prolapse of the disc ring occurred and the pulpal nucleus was displaced, conservative treatment can only stop the further development of the disease.

What are the advertised techniques based on?

The basis of all therapeutic and restorative methods for vertebral hernial changes or protrusions are the following drug and non-drug effects:

  • Manual therapy and massage to relax myospasms in the affected areas of the back and increase the distance between the vertebrae.
  • Spinal traction with various medical devices.
  • Various physiotherapy that promotes local stimulation of metabolic processes in cartilage and muscle.
  • The use of various chondroprotectors, contributing to the partial regeneration of intervertebral cartilage (chondroprotectors are usually used in the form of various ointments or are introduced into the patient's body through electrophoresis, less commonly injectables are used).
  • The complex of therapeutic exercises aimed at increasing the mobility of the vertebrae.

All of the above procedures help to improve the condition of the patient, often this temporary relief causes the person to believe, even before undergoing a medical examination, that the hernial deformity has resolved itself and the spine is now healthy.

What do medical procedures give?

Depending on whether a person has a disc prolapse or only a pre-hip state has occurred, the effect of treatment can vary greatly:

  • During protrusion, especially in the early period of development, it is possible with the help of manual therapy to reduce the cartilage bulging, and further therapeutic measures will help to consolidate the effect achieved. Often, at observance of medical recommendations, re-protrusion of the disk structure does not occur.
  • When prolapse there was a rupture of the fibrous ring and the displacement of the pulpal nucleus. Unfortunately, these changes are irreversible and the disease cannot regress. With the help of medical procedures, it is only possible to increase the distance between the vertebrae by increasing the elasticity of the muscles and ligaments, contributing to a partial decrease in the hernial bulge, as well as to improve the trophism of tissues at the site of cartilage damage.

So do hernias of intervertebral discs dissolve? To believe or not to doctors offering new methods of treatment? The answer is simple - do not believe.

By agreeing to treatment with the help of modern methods, one can only waste money and get a set of conventional medical procedures in conditions of increased comfort.

A selection of my useful materials on the health of the spine and joints, which I recommend you to look at:

Also look at a lot of useful additional materials in my communities and accounts on social networks:

Denial of responsibility

The information in the articles is intended solely for general information and should not be used for self-diagnosis of health problems or for medical purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know exactly the cause of your health problem.

Tell me, can disappear (disappear) herniated spinal disc L5 / S1?

Cryotherapy - treatment with local cooling. It is carried out with the use of liquid nitrogen, causes a strong blood circulation and reduces swelling.

Cryotherapy also promotes tissue repair. As a rule, used in complex therapy.

Please note that in 30-40% of cases, other physiotherapy (ultrasound, magnetic therapy, phonophoresis) can cause complications, as it happens to cause swelling of the nerve trunks.

Spinal hernia treatment

With atrophy of the musculo-ligamentous corset, the entire load falls on the vertebrae with intervertebral discs and facet joints. If at the same time there is excess weight and the person begins to lift weights (say, 30 kg), an impossible task to hold this weight falls on the bone and cartilage (we are talking only about cartilage and bone).

Atrophic muscles and ligaments in this work do not want to participate, because we did not play sports. An excess of adipose tissue in addition and without lifting weights leads to excessive load, and then two buckets of water were also decided to bring to the bathhouse or decided to move the cabinet.

The entire burden falls on the PDS. And what happens in it? The protective mechanism - develops spondylosis and spondylarthrosis, protrusion.

What advantages does hydroplastic give us?

  1. Removes intradiscal pressure
  2. Reduces the risk of hernia growth
  3. Fully relieves pain or reduces it
  4. Promotes faster resorption of hernia m / n disk
  5. Reduces drug load

With conservative treatment, it is recommended not to lift weights for the first month, to take NSAIDs, B vitamins, and muscle relaxants. Also shows the passage of various types of physiotherapy.

The task of all these activities is to remove inflammation from the nerve root. Not a single drug acts on the hernia itself.

It is necessary that the hernia at least ceased to grow.

Everything is in your hands, you choose what to do! Health and good luck!

Only discuss all this with your doctor first! It is possible and in the internet to find a thousand different methods and methods in order to maintain yourself in a normal state, if you want - you will find it!

The process of treatment and recovery is very difficult, as vital structures of the body are affected. It is important to know that the hernia cannot dissolve on its own and as a result, the manifestations of the disease also cannot themselves pass.

Pain, immobility, malaise will persist until serious treatment measures are taken. In the process of treatment can be distinguished conservative methods, surgery and traditional medicine.

The main symptoms of the disease

If it is not a question that the disease will pass by itself, then along with this, the patient is interested in whether the hernias are resolved, i.e. whether shrinkage can occur.

Many people rely on the fact that the affected area resolves with a certain treatment, as a result of which the hernia will significantly decrease in size and the pain will disappear.

The use of nonsteroidal drugs that reduce inflammation: indomethacin, diclofenac, piroxicam, and others. They do not cure a hernia, but significantly alleviate the patient’s condition, giving the opportunity to rest from the pain.

Can a spinal hernia go away by itself or shrink?

Can a spinal hernia go away by itself - dissolve, disappear, dry? Such a question torments a huge stratum of the population, because the modern sedentary lifestyle affects primarily the functionality of the vertebral division. Sitting work and passive rest are bad companions of a healthy body. But the reality is such that with hernia of the spine it is quite possible to carry out active livelihoods. Moreover, it is necessary, because indifference to such a disease may well leave a sick person disabled for the rest of his life. It is enough to follow certain recommendations of specialists and understand the processes taking place inside the body.

How does a hernia appear

Factors preceding the occurrence of vertebral hernia are very often encountered in everyday life:

  • Overweight and obesity,
  • Metabolic disease,
  • Heredity,
  • Curvature or spinal injury,
  • Bad posture,
  • Osteochondrosis,
  • The physical impact of loads on the spinal column (a sharp increase in gravity),
  • The influence of harmful production factors (vibration).

A healthy spinal disc consists of a nucleus - a liquid substance that is surrounded by a fibrous ring. The fibrous ring consists of plates and performs a cushioning function. Thus, there is a formation of a corset, which at the same time is strong enough, but at the same time it can be slightly deformed to ensure active human activity. The nerve endings and the spinal canal are located between the fibrous ring and the vertebra.

When protrusion is the precursor of a hernia, a slight fibrous ring occurs, which does not reach the nerve endings. When making a diagnosis of a herniated disc, the fibrous ring breaks and the unconstrained nucleus has a physical effect on the arteries, veins, and various nerve endings, compressing them and causing pain to their owner.

  • Be sure to read: the danger of spinal hernia?

Lifestyle with hernia diagnosis

If a diagnosis of hernia of the vertebral part is established, then you should not panic. It is important to determine the plan of measures that are strongly recommended to be performed for the natural healing of the body and reducing the hernia. Such a plan you will make only an experienced specialist, which is recommended to be observed during the entire recovery process. He can most professionally assess the positive or negative dynamics of the body's recovery.Will be able to pick up drug treatment, which can not worsen the patient's condition.

Do not expect that the hernia will pass by itself. If at the moment it does not cause pain or inconvenience, this does not mean that there will be no further complications.

In the future, it is possible that fatal changes will occur, and the deterioration of the patient’s condition will become so critical that only an operation can alleviate the situation. Spinal surgery requires highly skilled operating physician, which is sometimes unavailable in villages and small towns.

  • We advise you to read: is it possible to warm an intervertebral hernia?

After surgery, it will take a long time to restore and fulfill various medical prescriptions:

  • It is forbidden to sit down the first 20 - 30 days after the operation,
  • Do not wet the joint area to prevent infection,
  • Sharp movements, deep inclinations and lifting of the load exceeding 5 kilograms are contraindicated,
  • Avoid stress, completely eliminate the use of alcoholic beverages and stop smoking.

How to avoid surgery

In order to avoid surgical intervention, you should pay attention to a number of procedures for restoring and stabilizing the necessary processes in the spine:

  • Medication treatment. During critical periods of the disease, the attending physician prescribes nonsteroidal drugs that can remove the inflammatory process in the area of ​​the hernia. In addition, the patient is given injections directly into the vertebral discs,
  • Sessions of manual therapy. Such specialists are able to influence the hernia from the inside. Such an impact is able to bring temporary relief, and with prolonged exposure provokes resorption, the gradual resorption of the hernia,
  • Acupuncture. The most controversial method. Proponents of acupuncture argue that this method eliminates a hernia completely in a fairly short time,
  • Physical activity and gymnastics. The most accessible and effective way to keep the body in shape, which actively contributes to the reduction of the hernia in size. Properly chosen exercises contribute to the normalization of blood circulation, the gradual restoration of body metabolism and facilitate the patient's condition at the moment and in the longer term,
  • Reflexology. Acupressure, which allows you to relieve tension.

Of course, at a young age, the recovery of vertebral hernia occurs more rapidly than in a mature one. But this does not mean that it is necessary to evade a properly chosen plan for self-restoration. The most optimistic predictions suggest that a hernia can dissolve up to 30% annually! This suggests that with a balanced diet, moderate physical exertion, proper lifestyle, the hernia is able to completely dissolve within 3 to 5 years!

  • We advise you to read: how to get rid of intervertebral hernia without surgery

Age over 60 years becomes a direct indication for prompt removal of a hernia. At this age, all regenerative processes and metabolism occurs at a slow pace. So much so that, in full compliance with all these recommendations, it may take more than 10 years to resolve a hernia. Also, vertebral hernia is difficult to recover when she has not been engaged for more than 5 years.

The answer to the question of whether self-resolving vertebral hernia lies on the surface. Your health is in your hands! It is enough to make an extremely clear diagnosis, find a suitable attending physician who will help create a recovery plan for the months ahead, strictly follow his recommendations and hope that everything will be fine! Health to you!

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How intervertebral disc hernia resolves (disc hernia dries out, disappeared) disc repair

With the diagnosis of intervertebral hernia, surgery is not always required. There are a large number of patients who are convinced of the complete restoration of intervertebral discs, but there are much more people who have a hernia caused a disability. In order to understand how to act so that the hernia disc resolved and to prevent complications, let's look at the topic in more detail.

According to statistics, the worst with such a diagnosis - inaction. Suppose a small hernia (protrusion) was formed and the patient was convinced that an operation should be performed. Naturally, a person does not agree and just tries to forget about the problem. At that time, the years pass, and the hernia grows and increases, the pain appears more and more often. The patient again goes to the doctor and again they are talking about surgery, long-term medications. Trying to forget about the problem, the patient tries to live a normal life, loading his back, not giving symptoms to his relatives, and the hernia keeps growing and growing, aggravating the situation more and more, and when it is too late, it really remains only to operate.

But everything can be changed in the other direction, simply by choosing the right direction, remembering a few simple rules.

  1. The first rule, if you go to an appointment with a neurosurgeon to find out the "verdict" - this is your first mistake. Neurosurgery is a surgical specialization, it heals surgically, and whatever you say, there are only two options: to operate immediately or to operate a little later (there is a clearly diagnosed diagnosis).
  2. The second rule. Anyone who does not want to undergo an operation or received the verdict “to operate a little later” is looking for pills to relieve symptoms first, in order to feel normal and not to notice any restrictions. Thus, the second error is allowed. By hiding the symptoms of pain relief and continuing to load their backs while staying idle, deterioration is guaranteed.
  3. The third rule. Understanding the two upper rules, some go on to the next. Having a problem and trying to somehow fix it without an operation, they begin to try all the methods. Starting from treating with magnets, home exercises, “magic” preparations, etc. And it is absolutely not necessary that this will be done at home, rather, it will look like jogging for doctors, a couple of appointments with a therapist, a couple of shots with a neurologist, a couple of “adjustments”, and a little more. This is a serious mistake, because with back problems, you need to be treated by one doctor who will give results and show positive dynamics. It is very easy to determine a specialist by the presence of a treatment plan. Having a clear plan with painted checklists, the treatment being carried out and the expected results for several years ahead - guarantees you the experience and professionalism of the doctor. Only such a doctor will be able to show pictures with healthy, restored intervertebral discs a few years later. So the third rule - if you can not cope, look for a normal doctor.

You need to understand that the process of recovery disk is not something unique, well studied and far from new. Each of us grows, intervertebral discs grow, increasing in volume, restoring shape, but this process does not occur all of life. The growth of the organism stops at about 23 years, after this age, the mechanisms of aging and recovery are triggered. At the same time, the number of vessels in the intervertebral disk decreases, all metabolic processes slow down, since it no longer needs to grow. Understanding this mechanism, you can make the first conclusion - at a young age, it is much easier to completely cure the spine.

Those who are older than this age can also recover, but much slower. There are other features of intervertebral discs, for example, if a large hernia is resolving more quickly, but that is another story.But the conclusion from this is one - herniated discs are prone to resorption, the body is able to compensate for the problem, or as some say, they "shrink".

In order to understand why some hernias disappear in a couple of years, while others have been tormenting their whole lives, one should present a corresponding picture. Imagine that a hernia is resolving, decreasing in size every day, gradually but decreasing. But on the other hand, a person gives a load on the spine, unevenly loads the disc, has a violation of metabolic processes in this area, thereby causing an increase in the hernia. It turns out that in the year the hernia will decrease by 2 mm but will increase by 4 mm, so we get the difference with which the patient comes to the doctor - an increase of 2 mm. We took the most optimistic figures, in order for the hernia to decrease at such a speed, you need to undergo correction of the spine, do special exercises every day and follow all the recommendations of the doctor. At the same time, if you carry heavy loads, sit around the computer around the clock and in every possible way provoke a problem, then within a year it can increase by more than 4 mm.

The fact is that in weak patients with an exhausted body, even normal walking already causes a strong load on the discs, there is no normal blood circulation near the affected tissues, recovery is out of the question, since without the participation of a doctor it is impossible to stabilize the processes in the body. If even a strong, young patient has an overload on one side of the disk and there is no opposition on the other, the hernia will occur again and again. A distinctive feature of such problems is the presence of not one hernia, but many of them and, as a rule, in all parts of the spine. This is a condition that the doctor corrects, shifting the vertebrae in the right direction and correcting the overload, restores the metabolism of the surrounding tissues. And indeed, in 90% of cases, this is enough to initiate reduction reactions.

If you add to this exercise, which on the one hand will not harm the disks, and on the other to help them absorb nutrients, they will create a reliable support - consider that you have almost reached the goal.

There are many subtleties in the diagnosis and evaluation of results, but the main judge is always the state of health, it is necessary to focus on it.

Dry numbers. After elimination of disk overload, the regeneration process starts, which causes hernia to decrease at a rate of 10 to 30% per year. The speed depends on the loads and factors affecting the person. If the patient behaves correctly, fulfills the recommendations, he can count on the disappearance of the hernia within 3 years (30% X3 years = 90%), if the regime is violated, the problem is provoked in 10 years (10% X10 years) = 100%). Fortunately, this process is almost entirely dependent on the person himself.

There are several situations where a hernia will not change for the better. All 100% who do not respond to the diagnosis will not have improvements, the reasons that caused the hernia will continue to affect it, causing deterioration.

From a medical point of view, over the age of 60 it is extremely difficult to talk about recovery, since the metabolic and recovery processes are extremely slow and at such a pace with the ideal situation it may take more than a dozen years.

There are also situations when the hernia will not resolve anywhere. Unfortunately, this is most common in the cervical region, in about 3-4% of patients. This is a situation where the diagnosis is not entirely correct, namely, there are large bony outgrowths that cause a narrowing of the spinal canal, but on MRI all attention is focused on the affected disc between osteophytes. These are patients who suffer from a hernia for 5-10 years, and then they want to restore the discs, dissolve the intervertebral hernia, but it's too late.

And of course, as we have already discussed, in cases where there is no clear treatment plan for several years and they are treating everyone in a row - “more and more quickly.”

And the last little rule. The diagnosis must be clearly stated, without speculation or guesswork. Even if someone claims that the symptoms seem like 100%, it does not mean anything. You need to perform an MRI and already draw conclusions from the results.

Ignatiev Radion Gennadievich - neurologist, vertebrologist. The article is written to understand the problem of patients.

The most relevant topics: Registration for consultation in the Clinic of Dr. Ignatiev by phone: +38 (044) 227-32-51 + 7 (969) 049-25-06 + 34 684 344 499

Characteristic

Intervertebral hernia is a pathological structural formation of the spinal column, which can greatly affect the patient's quality of life and even lead to disability. For a number of reasons, the fibrous ring of the intervertebral disk is destroyed and its contents extend beyond the anatomical limits of the spine, squeezing structural structures that are located nearby, such as:

  • Arteries.
  • Veins.
  • Bundles.
  • Radicular nerves.
  • And other fabrics.

Clinical symptoms will strongly depend on the size of the hernia, where it protrudes and at what level of the spinal column it is localized. Increasingly, people who are afraid to seek help from doctors are looking for an answer to the question "Can intervertebral hernia part on their own?"

The answer to this question is unequivocal: "No, it cannot." Under the influence of the squeezing force of the spinal column, the whole body weight will press on the damaged part of the back. Elements of protrusion in any way independently are not set. They can only decay, exacerbating the clinic of the disease. For a complete and comprehensive treatment, it is necessary to influence the hernia with drugs, surgery or folk remedies.

Development mechanism

Hernia formation is quite a long process. Normal spinal structures (ligaments, muscles) hold the intervertebral disc between the vertebrae and help to perform their function (shock-absorbing). The intervertebral disc itself consists of:

  • Nuclei (semi-liquid formation in the central part).
  • Fibrous ring (on the periphery). The ring contains several layers of thin plates.

The plates of the fibrous ring during compression have a cushioning effect, since they act in the opposite direction from the compressive force. Thus, a sufficiently strong and stable corset in the form of a ring is formed.

The intervertebral disc is tightly attached between two vertebrae, fixing them with fibrous filaments. If the integrity of the fibrous ring is disturbed, the disk contents are evacuated to the external environment. To form a hernia, the intervertebral disk goes through 2 stages:

  • Protrusion The inner fibers of the disk are damaged, but without breaking the outer shell. The central core retains its position, the liquid part is not yet evacuated (does not leak).
  • Entrusion. There is damage to both the inner fibers and the outer ones. The nuclear part of the disk is shifted and goes into the cavity of the spinal canal, squeezing the surrounding tissue.

The process of the formation of a hernial defect can take a long time without disturbing the patient. But gradually, as the protrusion progresses, the patient will begin to feel discomfort, then pain and stiffness in the damaged segment of the back.

Based on the specific features of the mechanism of the development of the disease, the hernia cannot pass on its own, and the earlier the patient seeks help in the hospital, the more successful the treatment will be.

The process of treatment and recovery is very difficult, as vital structures of the body are affected. It is important to know that the hernia cannot dissolve on its own and as a result, the manifestations of the disease also cannot themselves pass.Pain, immobility, malaise will persist until serious treatment measures are taken. In the process of treatment can be distinguished conservative methods, surgery and traditional medicine.

Conservative treatment

In the later stages, a hernia is treated only with surgery. In the early stages, you can take the following methods:

  • Manual therapy This kind of treatment deals with a manual therapist who, acting on important points of the body, will ease your condition.
  • Acupuncture. Controversial treatment method. If you decide on it, you need to find a specialized clinic and a professional in your business.
  • Therapeutic gymnastics and physical education. Properly chosen exercises will not only ease the condition, but also cure a hernia. It is important to consult with a specialist before class.
  • Reflexology. Exposure of the body to a point massage, which will relieve tension and pain in the body.

To combat the symptoms used drugs, the type of painkillers and anti-inflammatory drugs. Properly chosen treatment technique in combination with taking medications will help to put you on your feet as soon as possible.

Operative intervention

In case of a serious condition of the patient and with a pronounced progression of the disease, it is necessary to resort to more radical methods, such as surgery. But what clinical symptoms and signs will indicate that it is time to have surgery? Among the variety of signs can be identified:

  1. The development of paresis or paralysis of the limb. Symptom occurs due to prolonged compression of the nerve plexus.
  2. The manifestation of pelvic disorders, such as incontinence of urine and feces. Indicates the defeat of the sacrococcystis plexus.
  3. Violation of motor and motor functions.
  4. Strong, constant pain symptom.

When identifying the above signs, you must immediately carry out surgery on the spinal column.

The rehabilitation process after surgery is extremely difficult and lasts about 3 to 6 months. It includes regular exercises to strengthen the spine, taking painkillers, wearing special, supporting corsets and inserts. It is important to follow some rules:

  • You can not sit for 3 weeks after surgery.
  • Do not wet the operative area (high risk of infection of the seams).
  • To exclude sharp movements and deep bends forward, back.
  • Do not lift items heavier than 5 kilograms.
  • Limit alcohol and nicotine intake.
  • Avoid stressful situations.

If these restrictions are observed, you will speed up the recovery period as much as possible and return the former mobility of the spinal column.

Folk methods

These methods are only additions to the main treatment. They cannot be used as main therapy. Traditional methods are excellent in dealing with the symptoms of the disease.

For example, you can use the tincture of the root of the cinnamon as a means for rubbing. To prepare you need 100 grams of chopped root and 1 liter of medical alcohol or vodka. The root is poured and infused for 3 weeks in the dark. For the desired consistency in a tincture add 1 bottle of dimexin 10%.

Ointment on the basis of comfrey root and pine tar. To prepare, you need 0.5 kilograms of comfrey root, pork fat 350 grams and a liter of vodka. Fresh root is crushed and added to melted fat, boiled for 40 minutes, then pour 0.3 ml of vodka. The resulting mass is cooled and insist 3 hours.

It is also effective to use compresses with aloe juice and honey. Fresh aloe juice, honey and alcohol are mixed in a ratio of 1: 2: 3. The resulting mixture to withstand during the day, can be stored in the refrigerator. Ready infusion should be applied to a piece of cloth and tied to the diseased area for 1 hour. Cellophane is placed on top of this area and wrapped in a rug or shawl.

These and other methods of folk treatment should be used as needed, always before consulting with your doctor. If any discomfort, rash, or burning occurs, immediately flush the area with water and seek help.

As it turned out, an intervertebral hernia cannot pass by itself. Only timely medical or surgical intervention can completely eliminate the defect and restore your body's health and mobility.

Can intervertebral hernia resolve?

Intervertebral hernia poses a serious risk to human health. Can this disease go away on its own?

Characteristic

Intervertebral hernia is a pathological structural formation of the spinal column, which can greatly affect the patient's quality of life and even lead to disability. For a number of reasons, the fibrous ring of the intervertebral disk is destroyed and its contents extend beyond the anatomical limits of the spine, squeezing structural structures that are located nearby, such as:

  • Arteries.
  • Veins.
  • Bundles.
  • Radicular nerves.
  • And other fabrics.

Clinical symptoms will strongly depend on the size of the hernia, where it protrudes and at what level of the spinal column it is localized. Increasingly, people who are afraid to seek help from doctors are looking for an answer to the question "Can intervertebral hernia part on their own?"

The answer to this question is unequivocal: "No, it cannot." Under the influence of the squeezing force of the spinal column, the whole body weight will press on the damaged part of the back. Elements of protrusion in any way independently are not set. They can only decay, exacerbating the clinic of the disease. For a complete and comprehensive treatment, it is necessary to influence the hernia with drugs, surgery or folk remedies.

Development mechanism

Hernia formation is quite a long process. Normal spinal structures (ligaments, muscles) hold the intervertebral disc between the vertebrae and help to perform their function (shock-absorbing). The intervertebral disc itself consists of:

  • Nuclei (semi-liquid formation in the central part).
  • Fibrous ring (on the periphery). The ring contains several layers of thin plates.

The plates of the fibrous ring during compression have a cushioning effect, since they act in the opposite direction from the compressive force. Thus, a sufficiently strong and stable corset in the form of a ring is formed.

The intervertebral disc is tightly attached between two vertebrae, fixing them with fibrous filaments. If the integrity of the fibrous ring is disturbed, the disk contents are evacuated to the external environment. To form a hernia, the intervertebral disk goes through 2 stages:

  • Protrusion The inner fibers of the disk are damaged, but without breaking the outer shell. The central core retains its position, the liquid part is not yet evacuated (does not leak).
  • Entrusion. There is damage to both the inner fibers and the outer ones. The nuclear part of the disk is shifted and goes into the cavity of the spinal canal, squeezing the surrounding tissue.

The process of the formation of a hernial defect can take a long time without disturbing the patient. But gradually, as the protrusion progresses, the patient will begin to feel discomfort, then pain and stiffness in the damaged segment of the back.

Based on the specific features of the mechanism of the development of the disease, the hernia cannot pass on its own, and the earlier the patient seeks help in the hospital, the more successful the treatment will be.

The process of treatment and recovery is very difficult, as vital structures of the body are affected. It is important to know that the hernia cannot dissolve on its own and as a result, the manifestations of the disease also cannot themselves pass.Pain, immobility, malaise will persist until serious treatment measures are taken. In the process of treatment can be distinguished conservative methods, surgery and traditional medicine.

Conservative treatment

In the later stages, a hernia is treated only with surgery. In the early stages, you can take the following methods:

  • Manual therapy This kind of treatment deals with a manual therapist who, acting on important points of the body, will ease your condition.
  • Acupuncture. Controversial treatment method. If you decide on it, you need to find a specialized clinic and a professional in your business.
  • Therapeutic gymnastics and physical education. Properly chosen exercises will not only ease the condition, but also cure a hernia. It is important to consult with a specialist before class.
  • Reflexology. Exposure of the body to a point massage, which will relieve tension and pain in the body.

To combat the symptoms used drugs, the type of painkillers and anti-inflammatory drugs. Properly chosen treatment technique in combination with taking medications will help to put you on your feet as soon as possible.

Operative intervention

In case of a serious condition of the patient and with a pronounced progression of the disease, it is necessary to resort to more radical methods, such as surgery. But what clinical symptoms and signs will indicate that it is time to have surgery? Among the variety of signs can be identified:

  1. The development of paresis or paralysis of the limb. Symptom occurs due to prolonged compression of the nerve plexus.
  2. The manifestation of pelvic disorders, such as incontinence of urine and feces. Indicates the defeat of the sacrococcystis plexus.
  3. Violation of motor and motor functions.
  4. Strong, constant pain symptom.

When identifying the above signs, you must immediately carry out surgery on the spinal column.

The rehabilitation process after surgery is extremely difficult and lasts about 3 to 6 months. It includes regular exercises to strengthen the spine, taking painkillers, wearing special, supporting corsets and inserts. It is important to follow some rules:

  • You can not sit for 3 weeks after surgery.
  • Do not wet the operative area (high risk of infection of the seams).
  • To exclude sharp movements and deep bends forward, back.
  • Do not lift items heavier than 5 kilograms.
  • Limit alcohol and nicotine intake.
  • Avoid stressful situations.

If these restrictions are observed, you will speed up the recovery period as much as possible and return the former mobility of the spinal column.

Folk methods

These methods are only additions to the main treatment. They cannot be used as main therapy. Traditional methods are excellent in dealing with the symptoms of the disease.

For example, you can use the tincture of the root of the cinnamon as a means for rubbing. To prepare you need 100 grams of chopped root and 1 liter of medical alcohol or vodka. The root is poured and infused for 3 weeks in the dark. For the desired consistency in a tincture add 1 bottle of dimexin 10%.

Ointment on the basis of comfrey root and pine tar. To prepare, you need 0.5 kilograms of comfrey root, pork fat 350 grams and a liter of vodka. Fresh root is crushed and added to melted fat, boiled for 40 minutes, then pour 0.3 ml of vodka. The resulting mass is cooled and insist 3 hours.

It is also effective to use compresses with aloe juice and honey. Fresh aloe juice, honey and alcohol are mixed in a ratio of 1: 2: 3. The resulting mixture to withstand during the day, can be stored in the refrigerator. Ready infusion should be applied to a piece of cloth and tied to the diseased area for 1 hour. Cellophane is placed on top of this area and wrapped in a rug or shawl.

These and other methods of folk treatment should be used as needed, always before consulting with your doctor. If any discomfort, rash, or burning occurs, immediately flush the area with water and seek help.

As it turned out, an intervertebral hernia cannot pass by itself. Only timely medical or surgical intervention can completely eliminate the defect and restore your body's health and mobility.

Can intervertebral hernia resolve?

Whether the hernia of the lumbar spine can resolve, interested patients who have been given a similar diagnosis. Many rely on the independent disappearance of the disease, as the prospect of complex surgical intervention with long-term rehabilitation is very frightening. But can a hernia really go away by itself?

Can intervertebral hernia of lumbar spontaneously disappear?

On the question of whether a hernia of the spine can dissolve, many orthopedic doctors unanimously answer in the negative. The myth that a hernia can disappear on its own is based on a peculiar cyclical nature of the disease.

As a rule, the severity of the manifestations of the disease may vary. The painful period lasts about 6 weeks. It is after all this time that a clear relief of the condition comes, and most patients believe that the hernia resolves on its own. However, this view is wrong. After some time, the symptoms resume with a new force.

Medical workers argue that it is necessary to start therapy immediately after the first symptoms occur, and not to wait for remission. This need is due to the fact that with each new stage of relapse calcification of the intervertebral neoplasm occurs. That is, the hernia hardens and begins to put more pressure on the spine and nerve endings, which leads to irreversible destructive processes in the body. In addition, overpressure can lead to clamping of blood vessels and disruption of metabolic processes in the area of ​​the affected segment.

The method of treatment by traditional methods

There are ways of medical treatment of lumbar hernia. Most often resort to therapy with injectable nonsteroidal anti-inflammatory drugs, which the patient is injected directly into the lesion. Such treatment allows:

  • eliminate puffiness
  • relieve soreness

As a consequence, there is a reduction in neoplasm. Quite often, local treatment with hormonal drugs is used for this purpose.

The therapy with multifunctional electrodes is also quite effective. The presented type of treatment allows you to interact directly with the painful focus. The waves that the machine emits affect the hernia, thereby anesthetizing the damaged area and slowing down the inflammatory process. In the course of this type of therapy, the degree of symptoms is reduced, but the cause of the pain - the intervertebral hernia - is not eliminated.

A radical method of treatment is surgical excision of a neoplasm. However, this procedure is resorted to only in extreme cases, if neurological disorders began to develop, or the pain syndrome exceeded the permissible limit. In addition, the operation requires extreme caution, since the affected segment of the intervertebral space is completely removed. This can be fraught with complete or partial loss of the functions of the spine.

Thus, deciding on the operation, you must consult with your doctor and weigh the pros and cons.

Alternative treatment options

Alternative methods of treating intervertebral lumbar hernia have become increasingly popular among patients. One of the most effective is considered to be manual therapy.This type of treatment, unfortunately, is not able to completely start the process, during which the hernia is absorbed. However, such effects can significantly alleviate the general condition of the patient and prolong the period of remission.

The chiropractor kneads the damaged area. The main difference of this type of treatment from conventional massage is that the manual does not affect the muscles, but directly on the ridge and its components.

During the procedure, the therapist gently removes reflex spasms and returns the disk to the anatomically correct position. Thus, the hypertonus of a muscle that has been reborn into an intervertebral hernia is reduced.

It is important to remember that only a qualified therapist, whose skills are confirmed by the relevant document, should conduct sessions of manual therapy. This need is due to the fact that the actions of amateur can lead to an even greater displacement of the intervertebral disc and aggravate the clinical picture.

Supportive measures for intervertebral hernia

In order to maximally prolong the period of remission and reduce the likelihood of discomforting symptoms in intervertebral hernia, it is necessary to create favorable conditions for the loins.

The first and basic rule of supporting activities is absolute comfort and peace. The damaged area must provide optimal conditions for ultimate relaxation and rest. In addition, you should take care of some physical aspects.

In order for an intervertebral hernia of the lumbar region to be less disturbing, the following rules must be observed:

  1. Follow the posture. To ensure a comfortable position for a damaged waist, you should keep your back as straight as possible. If a patient has difficulties with spinal spine straightening and fixing it in such a position, it is recommended to resort to wearing orthopedic corsets.
  2. Decreased physical activity. Sharp bends and turns must be avoided so that the hernia is reduced,
  3. Relaxation. If you feel tired in the lower back or any other discomfort, you should immediately take a break and rest. At night, you need to organize the right place to sleep: a hard elastic mattress, without relief.

The fact that the intervertebral hernia of the lumbar can disappear on its own is an illusion. Such a thought must be abandoned by every patient to whom this diagnosis was made. In case of revealing even a small protrusion, it is impossible in any case to let the illness go to chance. Without proper therapy, intervertebral hernia can worsen and lead to even greater problems with the musculoskeletal system. Do not bring the disease to this stage! Take care and be healthy!

Go under the knife or not?

Surgery for vertebral hernia is the fastest way to get rid of annoying pain and many other disorders. But this method has unpleasant consequences, because adhesions and scars are formed at the site of injured tissues, which can lead to a further restriction in mobility, and there is also a high probability of losing sensitivity. In addition, the operation does not save from possible relapses.

Conservative treatment takes much more time, effort, and patience. It is very important that the patient is aware of the complexity of the treatment and was ready for pain during the achievement of the goal. Still need perseverance and confidence in their abilities and capabilities of the doctor.

Properly constructed treatment with this method will gradually relieve not only pain, but also help to look at life with different eyes. A cured person learns how to feel his spine, learns how to behave properly, so that the percentage of disease relapse drops to the very minimum.

The first thing to eliminate the pain

There is a list with the necessary points that will help in the first stage along the way of recovery.

  • The use of various drugs that will help reduce inflammation, get rid of debilitating pain and improve microcirculation.
  • Physiotherapy with ultrasound radiation. Various thermal treatments, underwater massage and acupuncture.
  • Laser treatment has proven itself well in recent times and is used separately or in conjunction with physiotherapy.
  • It is necessary to relax the muscles to ease the tension of the muscles of the spine.

We help nerve structures

In the second course of treatment it is necessary to reduce the pressure inside the vertebral discs. This part of the technique is carried out after removing the painful sensations.

  • While the hernia has an acute form, it is necessary to observe bed rest using orthopedic mattresses.
  • To reduce the load on the spine, you must use a bandage or semi-rigid corset.
  • Application of spinal stretching using a special mattress.
  • It is very useful to carry out massage of the hands and feet during the acute course of the disease.
  • It is necessary to constantly relax the tension of the affected muscles with the help of manual therapy.
  • Movement treatment is one of the best methods of dealing with spinal disease. Today there are a large number of special exercises, you only need to choose a more suitable one.
  • It is important to learn the correct movements in order not to harm the spine in the future.

Reduce the size of the intervertebral enemy

In addition to the operative removal of the hernia of the spinal column, reducing its size is also possible with a conservative method by injecting homeopathic medicines directly into the root of the problem. You can also soften and reduce the hernia with the help of special physiotherapy.

To achieve the desired effect, it is necessary to include all three directions in the treatment, so the process will go much faster than when using them separately.

Based on all of the above, you should not be afraid of the diagnosis and look for the best surgeons in the country. It is much more correct to cure an intervertebral hernia without surgical intervention, if only the state of the disease is uncritical. It is only necessary to take a deep breath, to instill confidence in oneself and to go to the goal without stopping.

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Methods of conservative treatment of intervertebral hernia without surgery

The widespread belief that the presence of a herniated disk inevitably leads the patient to surgery is erroneous. In fact, the percentage of those who are clearly shown surgical treatment is not so great - only 3%. And these are patients in whom a nerve root or vertebral artery is compressed due to an intervertebral hernia. In this case, the patient has long-lasting severe pain, not passing from painkillers, paresis, numbness of the limbs and even the functions of the pelvic organs are disturbed.

The main question for patients is whether spinal hernia treatment is possible without surgery?

In each case, it is necessary to accurately determine the size of the hernia, its localization and the danger of influencing the nerve roots and the spinal cord. This information can only be given by the “gold standard” - magnetic resonance imaging (MRI), and the functional impairment caused by disc herniation will be determined by the doctor during an objective examination and hearing of the patient's complaints. Only after that it is possible to decide whether the patient is treated for a spinal hernia without surgery.

Methods of conservative treatment of hernia

Surgeries involving the removal of intervertebral hernia, bring quick relief from pain and other neurological disorders. But trauma to the tissues in the spine subsequently leads to the formation of adhesions and scarring, limitations in mobility and sensitivity.In addition, there are frequent cases of disc herniation in the same place or the formation of new ones in other intervertebral spaces.

Conservative treatment of hernia is a much longer method, sometimes painful, requiring patience, courage, perseverance and confidence in achieving the goal from the patient and the doctor.

Properly constructed tactics of conservative treatment not only relieves pain, but also contributes to the development of a new lifestyle. As a result, a person learns the rules of "safety" when dealing with his own spine: learns how to walk, run, sit and stand up correctly, lift weights, and the percentage of disease relapses decreases.

The main principle on which non-operation treatment of intervertebral hernia is based is that it should be comprehensive. And in this complex there are three main areas that use certain methods and techniques of therapy.

The first direction - the elimination of pain, inflammation, stimulation of blood and lymph circulation

  1. Anesthesia and removal of inflammation is carried out with the help of tablets, blockades, pharmacopuncture, using drugs of the NSAID group - ketorolac, diclofenac, meloxicam, and others. Local injections of anesthetics (blockade) and glucocorticoids are also used.
  2. Pentoxifylline and xanthinol nicotinate drugs can improve the microcirculation of drugs.
  3. Physical therapy in the form of ultrasound with hydrocortisone, the use of diadynamic currents, electrophoresis with drugs in the area of ​​the affected intervertebral disk. Thermal physiotherapy, underwater massage, acupuncture are carried out.

Laser treatment, laser phoresis with the use of medications, which have recently been successfully applied also act as physiotherapy.

  1. To relieve the tension of the vertebral muscles in pain syndrome allows the appointment of drugs that relax the muscles - sirdalud, mydocalm, baclofen.
  2. For disc herniation in the cervical spine, the vertebral artery supplying the brain often suffers. In this case, Actovegin is prescribed to improve microcirculation and better glucose uptake.
  3. Antioxidant therapy also helps to improve the condition of the nerve structures in the intervertebral region of compression.

The second direction - reducing the trauma of nerve structures

  1. Bed rest in the acute period, the use of positional position treatment, the use of orthopedic mattresses.
  2. Wearing semi-rigid corsets, bandages, to reduce the amount of movement in the spine at the level of the lesion.
  3. Methods of traction (traction) of the spine, including with the help of special mattresses that provide prophylactic traction.
  4. Massage and manual therapy are very effective methods, but their use must strictly take into account the stages of the disease, for example, in the acute period, massage in the area of ​​the hernia is prohibited, but numb and painful hands or feet can be massaged, but also useful.

In case of chronic pain, massage is indicated, but the patient needs to be trained in the correct behavior after the session - how to stand up correctly, use a corset so that the protective muscular tension does not work again.

Defanotherapy - a type of manual exposure allows you to relax strained muscles in the affected area with the help of massage, reflexology, and in addition, instills the patient the skills of correct movements in terms of spinal health.

  1. Movement treatment - from exercise therapy under the guidance of an instructor in the clinic to kinesitherapy in the medical center on special simulators.

There are many sets of exercises developed by specialists involved in diseases of the spine - S. Bubnovsky, V. Pilyuyko, V. Dikul, Yu. Popov and others.However, in order for conservative treatment of intervertebral hernia to bring relief, an experienced doctor should choose the exercises individually for each patient, taking into account the manifestations of his disease, the nature and nature of the environment.

  1. Teaching patients the right movements that do not harm the spine. This is no less important than the use of medications, since, even having achieved a positive effect from massage, manual and drug therapy, a person can again cater to the hospital bed, simply getting it wrong from the chair.
  2. Psychological correction. A patient undergoing treatment for herniation of the intervertebral hernia has to largely change his life and habits, learn not only to endure, but also to overcome pain, not to be lazy to regularly follow the doctor's recommendations. All this is the key to the success of therapy, and psychological assistance to such patients is necessary.

The third direction - reducing the size of intervertebral protrusion


In addition to the operation in which complete removal of intervertebral hernia is performed, conservative treatment can be carried out by the local injection of homeopathic remedies. Special physiotherapy is also used - electrophoresis of medicines that soften and reduce hernia of the intervertebral disk.

Therapeutic effects should include at least two directions, and preferably all three. As a result of this approach, not only relief of pain, reduction of inflammation processes is provided, but also microcirculation is enhanced, stimulating the removal of decay products and the improvement of tissues in the affected area of ​​nerve structures in the intervertebral region.

Thus, having heard the formidable diagnosis, do not panic and look for a surgical clinic. To treat a herniated disc without an operation is not only possible, but preferable for everyone who does not have a critical condition. It is only necessary to be patient and steadily strive towards the goal.

How to cure lumbar spinal hernia?

Before talking about the treatment of any disease, you need to know what it is. Let's start with this:

A herniated disc is the displacement of the disc nucleus, which occurs due to a rupture of the annulus. Basically, the causes of intervertebral hernia are physical overload, injuries, spinal cord injuries, fatigue, stress and vitamin deficiency of the whole body.

The most common disease is a hernia of the lumbar spine, which is found 92% more often than others. Less common is a hernia of the cervical spine, and even less often a hernia of the thoracic spine. They are found both among people of middle and old age, and among the younger generation - among young people. But more often, vertebral hernia affects the back of people 30-35 years old and older.

Today, the treatment of each of these diseases begins with the use of non-invasive methods, thanks to which improvement occurs within a month. A month later, most patients completely relieve pain, other symptoms of spinal hernia. Thus, up to 95% of patients recover within six months!

Lumbar spinal hernia - what is it?

As we already mentioned, this disease occurs most often. But what is the reason? And the thing is in the functionality of the lumbar region of the back. That it is the center of our body and it has the entire load. You run, sit. go or sleep - everyone feels lumbar intervertebral discs!

In general, the discs in this section of the spine are different from other vertebral discs. They are much higher, which contributes to their frequent loss. Also, the lumbar region is characterized by narrow and weak longitudinal ligaments that cannot prevent the formation of a hernia.As you can see, anatomically, the body cannot prevent the formation of a herniation of the lumbar spine discs, so we must help it: conduct an active lifestyle, walk more in the fresh air, do exercises, eat right and smile more!

If the disease overtook you, immediately contact a specialist! To do this, remember the following:

Main symptoms and signs of lumbar spinal hernia:
  • severe pain in the lumbar region
  • increased pain during movement
  • the spread of pain in the gluteal region,
  • pain in the back or side of the legs,
  • decrease (disappearance) of knee and Achilles reflexes,
  • violation of work in the pelvic organs (with severe disease).

Why does the disease appear?

The causes of hernia of the lumbar spine are unambiguous: it is a passive or overly active lifestyle. As a rule, the disease occurs in people who move a little (sit a lot, walk a little, do not do exercises ...), or people who move too much (for example, in professional sports, at work with hard physical labor ...).

The intervertebral disk itself is not “equipped” with blood vessels, it cannot independently saturate itself with nutrients. Only neighboring tissues feed it, and only in the process of diffusion. And diffusion occurs precisely when a person moves. If you move a little, the disk loses its strength and its immunity to various diseases!

Movement is the strength and health of the spine!

The main thing is not to forget - everything in moderation! Excessive loads will not make your spine stronger, but rather add to it stress, fatigue and loss of integrity.

Conservative treatment

Lumbar spinal hernia can be treated without surgery. Nowadays, there are many quite effective and useful ways to treat it: medicines, massages, gymnastics, exercises ... The main objective of this non-surgical treatment of intervertebral hernia is the elimination of pain and the prevention of recurrence of the disease.

In the acute period of the disease, the patient is prescribed bed rest for 3-5 days, analgesics for pain relief and nonsteroidal drugs for relieving inflammation. Other drugs may be prescribed, but this is at the discretion of the physician. Injections to the area of ​​inflammation are also possible, but this procedure is not approved by all doctors. It is believed that this is an additional irritant to the spine, which leads to slower recovery. But such issues are resolved only by a doctor according to the diagnosis of the disease, symptoms and the general health of the patient.

When the patient becomes better, there is no pain, movement is facilitated, conservative treatment begins with the help of therapeutic gymnastics, massages, special exercises for lumbar spine hernia, and also physiotherapy procedures are applied. All this restores the condition of ligaments, back muscles, improves blood circulation, fills the spine with essential trace elements, vitamins, making it durable and reliable.

Do not forget that exercises, gymnastics with lumbar spinal hernia and exercise therapy should be carried out regularly! It is not difficult # 8212, choose a convenient time for you, a place (home or gym), a technique and start to do it! (the method should be developed by a specialist doctor).

Surgical treatment method

Surgery for hernia of the lumbar spine is rarely performed, only in extreme cases:

- if the pain syndrome does not recede,

- if the work of the pelvic organs is disturbed.

Previously, surgery was performed according to the classical scheme: a trephination window was created, the hernia was removed. The only drawback of such an operation is damage to the muscles, which are restored for a long time and relapses of the disease recur.

In order to reduce muscle injury during surgery, new techniques were developed.So today such a surgical treatment of a herniated disk, like microdiscectomy, has appeared. The operation is performed with a head magnifier or with an operating microscope, the incision is up to 3-4 centimeters, which speeds up the healing and recovery of the patient.

Another popular surgical treatment is endoscopic hernia repair. in which the incision reaches only 2.5 cm, the risk of complications is minimal, the patient can move the very next day, and be discharged from the medical institution after 4 days. There are many positive aspects, but there is one disadvantage of this method - the limitation on the size and location of the disc herniation.

Necessarily all the methods, methods of treatment of hernia of the lumbar region of the spine, the purchase of orthopedic items (mattresses, mattress covers, chairs, chairs, corsets ...) Speak with your doctor! Do not experiment with this disease! Take care of your health!

Methods of conservative therapy

In order to relieve pain and relieve acute inflammation in the back area, a conservative treatment of spinal hernia can consist of the following measures:

  • taking medicines (anti-inflammatory non-hormonal ointments and creams are prescribed to the patient, as well as tablets and injections to eliminate all pain symptoms. Most often, doctors prescribe such drugs as Ibuprofen, Diclofenac, Indomethacin, etc.),
  • restriction of mobility (in the acute stage of the development of the disease it is recommended to observe bed rest and exclude any activity),
  • physiotherapy (depending on the condition of the person and the severity of the disease itself, the patient may be given magnetic therapy, electrophoresis, ultrasound, phonophoresis and other procedures that allow faster restoration of blood circulation, relieve swelling and tissue inflammation),
  • acupuncture (pain can be relieved by the use of thin medical needles on specific bioenergy points on the human body located in the affected area),
  • bandages and corsets (such devices help relieve the spinal column: relax muscles, relieve pressure on the discs, release a pinched nerve root. But you should not wear them all the time. It is recommended to wear a bandage or corset only a few hours a day),
  • massage (therapeutic relaxing massage helps relieve muscle spasm and restore the body's motor functions, the full course of such manipulations should be at least 10-15 sessions).

Additional hernia treatments

Conservative treatment of hernia of the spine includes some methods about which doctors often do not have a common opinion. In our opinion, they can be useful in the case when a person has learned to live with a hernia, i.e. he is occasionally disturbed by some painful symptoms, but no hernia surgery has been performed. These methods of maintenance therapy can be harmful if used in the acute condition of the patient.

  • manual therapy (working through special zones on the back by a specially trained doctor will also help relieve spasms and pain arising from chronic hernia),
  • therapeutic exercises (simple exercises, the purpose of which is to strengthen the muscles and stretch the spine, can be prescribed by a doctor only if the nerve roots are not pinched, otherwise this method will have the opposite effect).

Hernia treatment includes a whole range of measures. However, exactly how to combine them and what is suitable for each individual patient can determine the doctor. It is not recommended to prescribe any type of therapy for hernia.

When is surgery necessary?

Despite the fact that conservative treatment of intervertebral hernia is quite effective, in some cases, without surgical intervention simply can not do.Most often, an operation to remove a collapsed intervertebral disc is prescribed, if all of the above measures do not give any results. Conservative therapies can be used for up to 12 weeks. If after this period there is no improvement, the patient begins to be prepared for surgery. Surgical intervention can be done earlier. This is done in cases where the pain syndrome and pinching of the nerve roots becomes unbearable for a person, and the effect of painkillers is not observed.

Methods of treating disc herniation

Treatment of spinal hernia is aimed at eliminating pain and preventing complications. This is achieved through the use of drugs, physical methods and gentle load on the back.

For the patient, the main goal of therapy will be to reduce pain and return to the usual life without constant discomfort and fear of damaging the hernia. The task of the doctors will be to create all conditions for the normal functioning of the patient without the risk of complications.

It is impossible to completely cure the intervertebral hernia, the destruction of the disc is an irreversible process, and in severe cases, when there is a threat to health, it is necessary to resort to its removal, followed by prosthetics.

How to cure spinal hernia:

  1. Conservative treatment methods. These are medications, physiotherapy, spinal traction, diet and many other activities.
  2. Surgical disc removal. This is a radical way, but this is the only way to cure a vertebral hernia at the stage of sequestration, when the spinal canal may at any time suffer from migrating particles of torn pulp.
  3. Rehabilitation after surgical removal of hernia. This is a set of measures during the recovery period after removal of the damaged intervertebral disc.

Conservative methods

Non-surgical treatment of intervertebral hernia is a difficult task, but feasible in terms of maintaining the state of the disk during the protrusion or hernia stage. This is important to prevent squeezing of the nerve roots and the appearance of sequesters. Some neurosurgeons, upon hearing a hernia diagnosis, are immediately referred for surgery, but many other doctors strongly disagree with this decision. Surgery is the last measure, because any surgical procedure harms the spine and may result in a number of serious consequences.

Treatment of vertebral hernia differs at different stages of the disease. During the expressed pain syndrome, the doctor prescribes strong painkillers, spinal blockade, and gentle load. At the same time, anti-inflammatory therapy is carried out, agents are assigned to relax the muscles and improve the nutrition of damaged tissues.

During the period when symptoms subside, the patient undergoes physiotherapeutic procedures, uses traditional medicine methods if desired, wears a supportive bandage and is regularly examined by a neurologist.

Comprehensive treatment of vertebral disc herniation necessarily includes taking nonsteroidal anti-inflammatory drugs. They relieve pain well and reduce the inflammatory process in the area of ​​the infringement of the nerve root. To reduce the compression of the tissues surrounding the disk, anti-edema drugs are used, which also relieve pain.

Pain syndrome is treated with drugs:

  1. Corticosteroids - Decadron. They reduce inflammation, promote anesthesia, but they last for a short period, and with prolonged use they cause side reactions.
  2. Muscle relaxants - Mydocalm. They relieve muscle spasm, improve blood circulation and nutrition of the damaged disc.
  3. Nonsteroidal anti-inflammatory drugs - Ibuprofen, Nimesil. Pain and relieve inflammation.
  4. Antidepressants. Appointed exclusively by a doctor to normalize sleep and reduce pain.
  5. Narcotic analgesics.They are taken as prescribed by a doctor for severe pain that cannot be relieved by analgesics and NSAIDs.

How to treat intervertebral hernia at home, tell the doctor after the examination. To select a treatment regimen, you need to undergo a number of studies, including an MRI. Diagnostics will have to be repeated again after some time, and if it is magnetic resonance imaging, you should not be afraid of harm to health, this method does not use X-rays and can be performed right from birth.

The doctor will recommend taking not only NSAIDs and analgesics, but also vitamins of group B. They improve the conductivity of the nerve impulse, but it is difficult to predict exactly when they will be useful. Vitamins will help your relaxing effect, reducing the swelling of the nerve and its recovery.

Physiotherapy

Among physical methods of therapy, electrostimulation and spinal current treatment with pulsed current are more often used. A useful procedure would be electrophoresis, when you have to constantly take the medicine inside, and this can not pass without a trace for the stomach. To reduce the risk of medical ulcer or exacerbation of gastritis, the doctor will suggest electrophoresis or phonophoresis. Such drug delivery is more efficient and safer.

What other techniques are used for disc herniation:

  • magnetic therapy
  • laser therapy
  • magnetopuncture,
  • acupuncture,
  • postisometric relaxation,
  • spinal traction,
  • massage, manual therapy.

Most of these physiotherapy techniques help half of patients with intervertebral hernia. Postisometric relaxation is useful for almost everyone. This method quickly relieves muscle spasm, reducing the pressure on the destroyed disk and strangulated nerve roots. This procedure alone is enough to remove the symptoms of the disease for a certain period.

Can the spine be cured with physiotherapy:

  • physical methods improve metabolic processes in the area of ​​disc bulging, without damaging healthy tissues,
  • there is anesthesia due to the introduction of drugs or exposure to certain points,
  • relieves muscle spasm, which removes stiffness and constant discomfort,
  • microcirculation improves, nutrients get faster and in larger quantities get to the diseased area,
  • physiotherapy relieves the symptoms, but cannot become the main treatment for intervertebral hernia.

Acupuncture is a good method. She removes pain and muscle spasm. An important condition for the effectiveness of the procedure will be the professionalism of the doctor. An experienced specialist can achieve long-term remission of the disease. An approximate course of treatment is from 5 to 15 procedures with an interval of 2 days.

Enzyme therapy involves the use of enzymatic resorptional agents that reduce the amount of hernia in the spine. The drugs are injected by means of galvanic current under the skin. During the course of treatment, the protrusion is reduced by 40-50%.

Hirudotherapy is also practiced for diseases of the spinal column, and is evaluated by physicians as an effective way to improve local blood circulation and resorption of the pathological focus. For this purpose, medical leeches are used, which secrete a set of enzymes necessary for tissue repair and reduction of hernia.

Nutrition matters during recovery of the spine with drugs and after surgery. An even more important condition for the health of the disc and cartilage is to maintain water balance. When a herniated disc is important to drink plenty of fluids, not taking into account coffee, tea and juice. Only pure water will help the body to stop the pathological process and maintain the condition of the damaged disk.

Nutritionists and neuropathologists distinguish the following harmful products for hernia:

  • sugar and flour,
  • sweet soda,
  • salt and spices
  • spicy and fatty
  • smoked meat and canned food.

Special support corset is extremely important for vertebral hernia. The bandage protects the back from accidental injury, sharp turns, which can be a factor in complications.

During the treatment of hernia, the bandage has several advantages:

  • supports the spinal column - it needs to be worn during physical work, simple exercises that will prevent damage to the disc and even more destruction,
  • fixes the patient department - during the period of exacerbation, it is recommended to immobilize the damaged part of the back, such a bandage is used for injuries for complete immobilization until bone and cartilage tissue is restored,
  • reduces pain and relaxes - the corset takes on part of the load, but it can also hurt, with constant wearing of the bandage, the muscles atrophy.

The bandage should not be considered as a permanent measure, because the back muscles will weaken, which will be a factor in aggravating the disease. Doctors recommend using it only during a period of severe pain, during physical work and after surgical treatment.

Manual therapy

Massage and manual therapy have many contraindications. Before treating hernia with these techniques, you should consult with your doctor. Manual therapy involves a rough, and even aggressive effect on the spine, which can lead to the operating table. The doctor may recommend such a method at the protrusion stage in combination with displacement of the intervertebral joint.

With a herniated disc, the specialist still tries to act gently and gently, but then the meaning of manual therapy is lost, and it is better to abandon it altogether.

Therapeutic massage can even hurt with disc herniation, increasing the pain. Only a slight stroking and rubbing for a while will relax and relieve from stiffness.

Spinal traction

Traction (extension) is carried out in water or on special devices in the physiotherapist. The procedure is effective in locating a hernia in the cervical spine, given the low muscle resistance in it. When the disk is bulging, the method is useful; if the pulp falls out of the core, it is not. Traction therapy can be considered for osteochondrosis and disc protrusion, that is, conditions preceding the hernia.

In the acute period of the disease, it is necessary to completely abandon any medical procedures other than anesthesia.

Surgery

There are severe cases when a conservative treatment of a herniated disc proves to be an ineffective measure and the patient’s condition only worsens. This will be an indication for surgery. Before treating a vertebral hernia in a radical way, the doctor will prescribe a number of studies to exclude contraindications. It may take a long preparation to remove the damaged disk.

The main indication for surgery is partial or complete paralysis with impaired function of the internal organs. Radical treatment is considered after 4-6 months of ineffective conservative therapy, when muscle weakness increases. The operation is carried out necessarily in identifying sequestered hernia.

Rehabilitation after surgery

After surgical treatment, rehabilitation includes a set of measures:

  • massage,
  • Exercise therapy,
  • hirudotherapy
  • micropharmacopuncture,
  • electrostimulation.

Bed rest after surgery is observed for 7-21 days, after which you can begin restoring activity with walking, then turn on moderate exercise and remedial gymnastics. Within a few months after the removal of the hernia, you can return to the usual life and forget about the previous illness.

Watch the video: How to Tone Your Core with a Herniated Disk (September 2019).