Spinal hernia

Herniated disc L4-L5: what is it, signs, symptoms, treatment

Herniated disc l4 l5 is a condition in which the spine is in the process of deformity due to age-related changes or injury. At the same time, the contents of the intervertebral disk come out entirely or partly, the depreciation function of the intervertebral substance deteriorates.

Herniated disc l4 l5 located in the lumbar region, in the lower part of the spinal column. The letter refers to the area of ​​the vertebral column ("l" from the English. "Lumbar" means ridge). Figures number the vertebrae. A herniated disk l4 l5 means that inflammation and the main focus of the disease are found between the fourth and fifth vertebrae.

Why does l4 l5 disk hernia appear?

The main reasons for the appearance of a herniated disc of the l4 l5 intervertebral disk are:

  • sedentary lifestyle (this is the main culprit),
  • continuous pressure, bends and vibration, contributing to the formation of microtrauma,
  • sudden movements, jerks of the head,
  • irregular exercise,
  • osteochondrosis or scoliosis,
  • destructive habits (for example, because of smoking, the level of oxygen in the blood decreases, a few mugs of coffee greatly reduce blood circulation).

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Brief anatomy of the vertebrae and disc

The lumbar spine contains 5 vertebrae connected by an intervertebral disc. 4th and 5th vertebrae are the last in the department, followed by the sacral department. Structures located between the vertebrae are called discs. They perform the function of pressure damping, preventing the vertebrae from touching each other closely, protecting them from destruction.

The disk itself consists of an outer peripheral part and an inner central part. The periphery consists of a fibrous ring, and the inside is made of a pulposus core, which is made of gel-like liquid.

The vertebral column itself consists of 34 vertebrae, in which along their center there is a long canal, where the spinal cord lies. The peripheral part of the nervous system is extremely sensitive to all kinds of damage.

The hernia itself is formed when the peripheral part of the disk is destroyed, and its gel-like part passes through the crack. In the process of forming a protrusion, the disk simply wedges into the spinal cord, causing symptoms of a lesion.

At the physiological level, physical irritation of the nervous tissue occurs, and nerve impulses are artificially generated, which are given in excessive amounts to a specific area of ​​the body.

Stages of formation

During its development, protrusion goes through four stages:

  1. Protrusion stage. A small-sized crack is formed in the zone of the annulus, through which part of the nucleus can pass. If at this time to stop the effects of provoking factors - the "wound" will be delayed. At this time, the diameter of the bulge is up to 3 mm.
  2. The second stage is a disc bulging. The pulpous nucleus begins to partially shift to the region of the intervertebral canal. At this stage, the hernia is already beginning to compress the nerve roots and a little spinal cord. Muscles go into a state of spasm. Dimensions reach 5 mm.
  3. Extrusion - increased protrusion of the disk. The outer shell of the disk is broken. During this stage, the patient experiences severe pain in the lumbar region.
  4. Loss of the central part of the disk - the core. Formed a full hernia. There is a strong compression of the spinal cord and nerve fibers. Appears likely to develop inflammatory processes that can spread to the entire part of the peripheral nervous system. Gradually, the disk undergoes calcification — it hardens, completely losing its function.

Causes of development

There are a number of factors affecting hernia formation:

  • sedentary lifestyle, when the back muscles of a person weaken, atrophy and do not support the skeleton,
  • inadequate back pressure. This mainly concerns people whose life is connected with hard work and professional sports,
  • spinal diseases: scoliosis, kyphosis or lordosis. They manifest themselves with irregular bends to the side, back and forth, respectively,
  • spinal injury or individual vertebra: fracture, contusion, dislocation,
  • overweight, when the load on the intervertebral disc is significantly increased,
  • people whose age is on the segment from 30 to 50 years. With age, the compensatory abilities of the body weaken, ligaments and muscles are depleted,
  • genetic predisposition to weakness of not only the ligamentous apparatus, but also the musculoskeletal system and muscles.

Varieties

Hernia of the lumbar spine is famous for its great variability.

So, there are the following types:

  1. Median disc herniation l4 l5. It is characterized by the median location of the protrusion relative to the central axis of the spinal cord.
  2. Diffuse disc herniation l4 l5. Its distinctive features: uneven distribution of the central part of the disk along the lumen of the spinal canal.
  3. Foraminal disc herniation. This subtype has a specific location. Hernia grows in the place of discharge of the nerve roots from the spinal cord. In clinical practice, symptoms of a lesion are dominated not so much by the spinal cord as by branching roots. Variety: paraforaminal hernia - bilateral protrusion.
  4. Paramedian hernia of a disk. It is characterized by a uniform distribution of hernial tissue relative to the center of the peripheral nervous system. Paramedial pathology can be left- and right-sided. One of the subtypes is the median paramedian hernia.
  5. Circular disc herniation - This is a hernia of the intervertebral disk, parts of which surround the spinal cord at the level of the loins.
  6. Dorsal hernia. Characterized by the direction of bulging toward the canal of the spinal column. Dorsal hernia mates with intimate contact with the spinal cord. Dorsal disc hernia has a number of subspecies, among which there are:
  • dorsal diffuse hernia - uneven distribution of gel-like fluid behind the spinal cord, posterior diffuse disc herniation most often occurs on the background of degenerative bone diseases,
  • dorsal median hernia located just behind the spinal cord along the central axis, the posterior median hernia has a favorable course.

Clinical picture

Symptoms of hernial pathology appear already in the early stages of development. Thus, a person begins to feel pain in the lower back. Pain syndrome increases when the patient is engaged in physical labor, exercise.

There is a direct proportion: the larger the hernia in size, the more pronounced the pain.

In addition, the following features are present:

  • low back swelling, shooting and aching pains,
  • pain syndrome tends to spread to the pelvis and lower limbs, buttocks,
  • all kinds of sensitivity are violated: temperature, tactile, the patient complains that he perceives sensations worse,
  • paresthesia in the form of numbness, tingling, there are crawling sensations on the skin,
  • autonomic disorders: a sharp cooling or warming of the skin, excessive sweating,
  • functional disorders of the pelvic organs: urination disorder, a difficult bowel movement, men’s libido decreases, erectile function is impaired, women have childbearing defects,
  • weakness in extension of the foot.

Diagnostics

The basis of diagnosis is of great importance instrumental methods of diagnosis.

  1. Magnetic resonance imaging.
  2. CT scan.
  3. Radiodiagnosis.
  4. Myelography.

Based on the data after the procedure, the final diagnosis is made and treatment begins.

Disease therapy is based on conservative treatment and surgery. The first type of treatment includes medical therapy and physiotherapy.

Medicines include:

  • painkillers,
  • anti-inflammatory drugs
  • muscle relaxants
  • vitamin complexes,
  • chondroprotectors.

All these substances are aimed at relieving pain, relaxing muscles, eliminating and preventing inflammatory processes. Also, drug therapy is designed to regenerate connective tissue and increase the supply of bone and cartilage tissue.

After the doctors have relieved the pain, the stage of joining secondary treatment methods begins.

  • physiotherapy: treatment of long-wave radiation, the use of ultraviolet rays,
  • occupation in the pool
  • massages, the medical staff teaches the patient self-massage,
  • physiotherapy and gymnastics.

Gymnastics is designed to restore the patient’s muscular balance, which is achieved through a series of exercises prescribed by the attending physician. It is not recommended to do the exercises yourself. Physical therapy involves the load on the muscles of the press, push-ups.

Surgical treatment is to eradicate the cause of the pathology.

Today, these types of surgery are relevant:

  1. Microdiscectomy - removal of the protruding part of the disk. It is believed that this is the most effective method of healing.
  2. Endoscopic intervention options. They are carried out by small punctures, through which small tubes are inserted, through which the surgeon removes the hernia.

Surgery has several advantages over conservative therapy:

  • the operation is painless, the therapeutic effect comes almost immediately, and the patient is on his feet after a few days,
  • the patient quickly gets rid of the suffering
  • the probability of relapse drops to 5%.

The disadvantages of the operation include a slight risk of infectious complications during the execution of the surgical intervention itself.

Causes of disease

An intervertebral hernia in the lumbar spine appears after a previous pathological condition called protrusion.

The disease is the displacement of the pulpal nucleus, which is a cartilage tissue between the vertebral bodies. At the same time, the fibrous ring around the perimeter of the nucleus remains intact and inhibits further movement of the intervertebral disk in one direction or another from the physiological position. Detection of the disease at the stage of protrusion formation is not always possible, because the pathology may not be symptomatic or may not cause clinical manifestations at all.

The main cause of the disease is considered to be dehydration of the disk and the disruption of its normal structure as a result of insufficient intake of nutrients and oxygen. The fact is that the cartilage tissue between the vertebrae does not have its own vascular network, and the delivery of nutrients occurs by diffusion from the surrounding tissues. For adequate metabolism and maintain proper cartilage structure requires regular exercise and proper nutrition. Under the influence of adverse conditions, the disk elasticity decreases, which causes a loss of the shock-absorbing function and further destruction. At the initial stage, the pathological process leads to protrusion, and then causes the formation of a hernia.

Risk factors for disease include:

  • osteochondrosis,
  • dysplasia of the hip joints,
  • scoliosis,
  • excessive exercise (harsh working conditions, professional sports),
  • sedentary lifestyle (hypodynamia),
  • poor nutrition,
  • back injuries
  • hypothermia, frequent colds.

The appearance of a hernia in the lumbar spine is associated with a large axial load on this area of ​​the spine, both during movement and at rest. Sharp body turns, deep bends, and weight lifting against the background of degenerative-dystrophic processes in intervertebral cartilages contribute to the rupture of the annulus with the subsequent displacement of the pulpal nucleus.

Types of intervertebral hernia

Before you begin treatment, you must be examined to identify the tactics of the therapeutic process. Thanks to instrumental diagnostics, it is possible to identify not only the localization of the pathological process, but also the type of hernial defect of the spinal column.

  1. Dorsal hernia - protrusion of the pulpal nucleus occurs in the vertebral canal, as a result of which nerve roots are infringed: the rear midrange (median) squeezes the nerve fibers of the horse's tail, the posterior lateral squeezes the nerve roots on one or two sides.
  2. Foraminal hernia is caused by stenosis of the intervertebral foramen as a result of edema and contributes to the compression of the spinal roots.
  3. Lateral hernia is formed by lateral protrusion of the disk and is characterized by an asymptomatic course.
  4. Anterior hernia has no clinical significance due to the absence of undesirable effects and clinical manifestations.
  5. A free hernia - a fragment of the nucleus protrudes through the posterior longitudinal ligament, but retains an anatomical connection with the disk.
  6. Moving hernia - dislocation of the pulpal nucleus occurs with intense physical exertion and returns to the physiological place at rest.
  7. Sequestric hernia - the separation of a disk fragment, which is dangerous compression of the spinal cord and the development of autoimmune inflammation.

Herniated discs can be primary - to develop after injuries and excessive physical exertion, as well as secondary and appear against the background of the degenerative-dystrophic process in the spine. The most dangerous are median herniation of the L4-L5 disk and sequestration of cartilage, which can cause impaired motor activity and lead to disability.

Medical tactic

At the initial stage of the pathological process, conservative therapy is prescribed, the purpose of which is to eliminate pain syndrome, muscle spasm at the site of damage and inflammation of the tissues.

Treatment of intervertebral hernia includes:

  • bed rest during the acute phase of the disease,
  • muscle relaxants to relax the muscle of the back in the area of ​​the hernia,
  • analgesics for pain and discomfort,
  • nonsteroidal anti-inflammatory drugs aimed at reducing inflammation, swelling, pain intensity.

At the stage of remission of the acute process, physiotherapy, massage sessions, acupuncture courses, laser and shock wave therapy are recommended. To strengthen the muscles of the back, improve blood flow in the spine, and normalize metabolic processes, regular physical therapy exercises are important. Conservative treatment of intervertebral hernias of the lumbar spine is a long and painstaking process. With the ineffectiveness of therapy and the progression of the disease, surgical intervention is carried out, giving preference to low-impact operations.

  1. Microdicatectomy and microlaminectomy are performed using a medical magnifying glass or microscope, while tissue damage is minimized,
  2. Endoscopic surgery - the use of endoscopic equipment, which allows for surgical intervention of a high degree of accuracy.
  3. The use of implants - replace the remote disk and normalize the work of the spinal column.

The advantage of the operation is the effective elimination of inflammation and pain in a short period. The recurrence of intervertebral hernia after surgical treatment is less common than with conservative therapy, and is no more than 5%.

Herniated disc in the lumbar spine should be diagnosed in the early stages of the pathological process. Early treatment improves the prognosis of the disease, prevents the development of complications and severe disability.

Diseases - Spinal disc herniation L4-L5

Spinal disc herniation L4-L5 - Diseases

Intervertebral hernia is a disease of the spinal column, in which there is a displacement of the nucleus of the intervertebral disc with ruptures of the annulus. Herniated disc L4-L5 means that the pathological process appeared in the lumbar region between the 4th and 5th vertebrae. The letter "L" indicates the spine and comes from the Latin word "lumbar", which translated into Russian means "loin", and the numbers - the serial number of the vertebrae. Such localization of the intervertebral hernia occurs in 50% of cases, with untimely

Why is this department always lurks intervertebral hernia?

  • On the one hand, it is the part of the skeleton responsible for maintaining the position of the body, the center of gravity of a person is located here. The pressure on him is always significant.
  • On the other hand, it is the most mobile part in the whole spine. Here he is able to make movements in all directions and with a large amplitude.

Be careful to your back! Lack of physical activity and a sedentary lifestyle puts our health at risk.

How to identify intervertebral hernia?

It is possible to establish the presence of a hernia and exclude other possible causes of pain with the help of modern diagnostic methods. The most informative study to date is MRI (magnetic resonance imaging).

This study allows the specialist:

  1. identify intervertebral hernia,
  2. to establish the stage of hernia development: “age” and value,
  3. establish the location of the disc herniation.

The course of treatment will depend on all these factors.

When making a diagnosis, the doctor will first indicate the location of the hernia and determine it, most likely, as L5-S1 or L4-L5.

Latin letters l and s are used to indicate the location of a herniated disc, the numbers indicate the number of the vertebra.
o L - lumbus (lat.) - loin
o S - os sacrum (lat.) - sacrum
The diagnosis of disc herniation L4-L5 means that it is localized between the 4th and 5th vertebrae of the lower back, and L5-S1 indicates the location between the 5th lumbar and 1st sacral vertebra.

These are the two most common options for the localization of a hernia, they describe more than 90% of cases. Why is that?
These are the vertebrae that remain in the loaded state throughout the day. Even when you are in a prone position, they continue to work - to maintain body weight.
In the case when the disk is compressed, due to primary disorders (with osteochondrosis, with the beginning of the development of a hernia), a protrusion occurs. The disc “protrudes”, but the fibrous ring (peripheral part of the disc) does not break yet.
This process increases the load on the disk and on the vertebrae several times! It provokes further destruction - and the consequences can be serious.

Methods of treating herniated disk l4 l5 intervertebral

Herniated discs are most often formed in the lumbar spine. It is in this area that the greatest load on the spine is observed at the time of physical activity and when exposed to external as well as internal factors.

The resulting protrusion in the lumbar spine is called a herniated disc l4 l5 or l4 s1. These vertebrae are much more likely to undergo a similar disease because they withstand the greatest load.

What is a hernia segment l4 l5?

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In order to better understand what is a herniated disk l4 l5, you must first understand the notation. The letter l denotes a vertebra located in the lumbar region, and the number 4 and the number 5 indicate the place where the intervertebral disk is located. Thus, it becomes clear that the intervertebral hernia l4 l5 indicates that a protrusion formed between the 4th and 5th vertebrae.

Hernial protrusions in the lumbar region account for almost half of all cases of hernias. Also, this pathology often affects the l4 s1 segments, and in the area of ​​the remaining vertebrae, the protrusion of the pulpal nucleus is much less common.

Types of lumbar hernia

Hernias also differ in the direction of protrusion of the contents. As is well known, hernial protrusion is a pathology or a defective condition in which internal fragments from the region of the pulpal nucleus extend beyond the limits of physiological boundaries through cracks in the fibrous ring.

Herniated disc l4 l5 symptoms, which indicate posterior lateral protrusion can be divided into the following subspecies:

  • Foral - formed in the foral foramen in the area of ​​contact between the spinal cord and nerve cells. Foraminal hernia of the l4 l5 disc manifests itself in the form of severe pains, which are very hard to soothe. A person with this type of hernia cannot straighten and needs urgent treatment,
  • Sequestered - the dumping of the contents of the nucleus of the vertebra is directed inside the region of the spinal canal. The sequestered disc herniation l4 l5 is accompanied by a rupture of the annulus and the loss of a disk segment. Accompanied by acute symptoms that occur when lifting weights, stress or sharp corners of the body,
  • Dorzalnaya - protrusion of the intervertebral disc in the lumen of the spinal canal, contributing to the infringement of the nerve endings. This subspecies of hernial protrusion is manifested by pain in the lower back, buttock and hip joint, as well as weakness and numbness of the lower extremities, which significantly complicates walking.

Lumbar hernia treatment

For the treatment of lumbar hernia, official medicine offers several very effective ways. If the presence of protrusion is determined at an early stage of development, the treatment of the pathology can be carried out using conservative methods. Herniated disc l4 l5 treatment, which is carried out with non-steroidal anti-inflammatory drugs, antispasmodics, muscle relaxants in combination with physiotherapy and exercise therapy in more than 70% of cases has a positive result.

The scheme of conservative treatment of lumbar hernia:

  1. Rest assurance - bed rest is mandatory for several days after the onset of the acute stage of the disease. It is peace that allows you to reduce pressure on the region of nerve endings, which significantly reduces pain,
  2. Drug therapy - taking anti-inflammatory drugs helps to reduce tissue swelling in the area of ​​hernial protrusion, as well as reduce the inflammatory process and pain, relieving muscle spasms,
  3. Physiotherapy is a range of therapeutic procedures that include manual therapy, physiotherapy and acupuncture. Perhaps the use of wave and laser therapy.

Conservative treatment is a long-term variant of exposure to the affected area of ​​the spinal column, which requires patience. The disease can be cured quickly only with the help of a protrusion surgery. Most often, this treatment is indicated for patients who are not helped by conservative methods of exposure.

Operations to eliminate lumbar hernia are the following:

  • Radical (laminectomy, diskectomy) - elimination of protrusion together with a modified disk. After removal of the hernia, the spinal segment is replaced by an artificial implant that helps preserve the structure of the spinal column. This type of impact is indispensable for sequestered and true protrusions,
  • Minimally invasive (laser) # 8212, for more advanced stages of hernial protrusion, laser vaporization of the damaged disc is recommended. This technique is based on warming up the disk, but some experts argue that it is not safe, because over time it can cause its destruction.

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Each specialist offers patients with intervertebral hernia to use all possible options for conservative treatment and if they do not give the expected result, then move on to a more serious effect - surgery. A surgical intervention is in any case a certain risk, but it has to be exposed in order to prevent the possible consequences of an intervertebral hernia.

Anterolateral, posterolateral or medial hernia of the l4 l5 disc has a positive prognosis only in the case of promptly initiated treatment. For the advanced stages of the pathological protrusion, the appearance of complications that lead to immobility and disability of patients is characteristic.

Symptoms of disorders in the department L4 L5

One of the most common diagnostic methods used to determine if a patient has a L4 L5 disc herniation is the so-called Lages symptom. The patient is placed on the couch, and asked to raise the leg without bending it at the knee. In the presence of pathology, the patient feels acute pain in the lumbar spine. The pain disappears immediately after the patient flexes the extended leg in the knee.

Treatment of herniated disc L4 L5

In most cases, before recommending to the patient the surgical treatment of a herniated disc of the intervertebral L4 L5, medication therapy and physiotherapy are prescribed. In 95% of cases, this approach is justified and helps to get rid of the problem without performing an operation. Sometimes, even a well-prescribed course of medication does not work. The patient is still experiencing disk compression and pressure in the coccyx, the course of the disease is characterized by severe pain syndromes that limit its mobility. After additional examination and making sure that surgery is necessary, surgical treatment is prescribed.

Causes of L4 L5 medial herniation and treatment methods

Median hernia of the l4 l5 disc is a dangerous disease, as it causes damage to the spinal canal. This type of hernia is often diagnosed in people with a sedentary lifestyle. Also, the disease provokes constant flexion of the spine and its frequent injuries.

What does the diagnosis “Medial hernia of the L4 L5 disc” mean?

Intervertebral hernia is formed when the spinal disc is displaced. If the shift occurs in the middle of the spine, a median (medial) hernia is diagnosed. Often, this process breaks the fibrous ring, it bulges in the anterior or posterior direction.

In half of the cases, violations occur in the fourth and fifth vertebrae, as indicated by the corresponding figures. The letter L means that these vertebrae are located in the lumbar region.

In case of delayed treatment for medical care, the median hernia leads to serious consequences.

The main symptoms of the disease

The medial hernia of the l4 l5 disc has various sizes. At the beginning of the disease, a slight protrusion appears, pains are weak, they start from the lower back and spread to the sacrum and on the sides of the thighs. When the hernia expands, the pain drops below the knee.

Symptoms of the disease usually manifest as follows:

  • aching pain of inconstant character in the loins, with time it increases,
  • pain and numbness in the legs
  • weakness in the extension of the foot,
  • change in posture,
  • marbling of the skin
  • violation of sweating.

Not all symptoms appear after the onset of hernia, they form as they grow.

If, with a small disc herniation, the treatment is not started, it gradually grows and breaks. The posterior longitudinal ligament usually breaks. Because of this, there is a violation of the internal organs, as a result of which the lower limbs can be paralyzed.

Drug therapy

More often the median hernia is treated conservatively. Nonsteroidal drugs are prescribed to reduce inflammation, reduce swelling at the site of protrusion. Also with the help of drugs to achieve the normalization of metabolism. If the pain is strong and intense, apply the blockade.

For several days the patient should lie down. After a month of treatment, massage, manual therapy, mud therapy and special gymnastics are prescribed.

Prescribe physical therapeutic exercises should be the attending physician, because of the irregular load appears restraint hernia.

The condition should stabilize after six months of treatment, usually in ninety percent of patients who sought help in a timely manner.

If there is no improvement, surgery is prescribed.

Surgical treatment

After the hernia is removed, a part of the damaged spine is replaced with an artificial implant in order to preserve the structure of the spinal column.

During surgical treatment, the analgesic effect occurs the day after the operation. But sometimes a relapse is possible. There is also a risk of complications, to prevent them, the patient is given antibiotics.

The median hernia of the l4 l5 disc is a serious disease, a frivolous treatment of it leads to disability. With proper treatment, remission occurs.

Symptoms of disc herniation l4 l5

In the early stages of the disease can occur:

  • pain sensations of varying severity,
  • numbness of the limbs
  • motor impairment (weakness of the extensor of the big toe, less often - the extensor of the foot).

Pain begins from the back or gluteal region, extends into the sacrum and along the entire length of the leg.

  1. If they spread below the knee already, it means that “radicular syndrome” has developed. Hernia has reached a significant size and puts pressure on the spinal root.
  2. Most often it is only about one side of the body. Otherwise, the ponytail syndrome develops - pressure is immediately placed on the bundle of nerve roots.

Numbness of the limb is accompanied by loss of sensation, goose bumps. Other common symptoms include:

  • dry skin
  • disturbed sweating,
  • cold limbs.

The extensor foot weakness is a very bright signal. Try to stand on the heels! If you fail to fulfill this simple request - there are serious violations.

Methods of diagnosis of the disease

It is rather difficult to establish the exact cause of the inflammatory process and pain in the lumbar region without additional examination. In order to make an accurate diagnosis, the following types of diagnostics are usually assigned:

  • Spine radiography,
  • CT scan,
  • MRI,
  • Myelography.

Surgical treatment of herniated intervertebral discs L4 L5

The main task pursued during the operation is to reduce the pressure on the nerve endings located at the base of the damaged disc. In order to achieve this goal, the following types of surgery are performed:

  1. Microdiscectomy. A hernia of the L5 L4 disc is removed, the most traditional treatment method, characterized by the greatest efficiency,
  2. Minimally invasive methods. All manipulations are carried out using an endoscope and through a small incision of 1-2 cm,
  3. Implantation and replacement of damaged vertebrae.Necessary in case of serious spinal injuries,
  4. Nucleoplasty. It is carried out with the help of the EOP.

Prognosis of the disease

A good prognosis of the disease is guaranteed in the following cases:

  • Early diagnosis
  • The use of complex treatment, combining physiotherapy and medication,
  • Strict patient compliance with all doctor's orders.

Provided that all these requirements are met, the probability of complete recovery of the patient is achieved in more than 90% of cases.

Treatment by surgery

As a result of surgical treatment, the improvement comes very quickly, first the symptoms are smoothed out, then they completely disappear. This radical method for hernia of the l4 disk 5 is very effective, since it is not necessary to constantly take pain relief courses. Alas, there are downsides. After surgery, inflammatory exacerbations may appear. At the same time there is a chance of a new hernia.

There are legends about spinal cord injury. The spinal cord is not located in the lumbar region at the level of the fourth and fifth vertebrae. Therefore, it is guaranteed to remain intact.

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Conservative treatment as the most effective way

Before you go under the doctor’s knife, it’s best to think it over and undergo a course of conservative therapy. It is sometimes so effective that allows you to reduce all pain to a minimum. If you turn to a specialist in time, you can eliminate the occurrence of undesirable consequences. With a hernia of the l4 disk 5, the main goal is the elimination of pain, the creation of comfortable conditions for maintaining the fourth and fifth vertebrae in peace.

In most cases, conservative treatment is very effective. After six months, about 90% of patients recover from regular procedures.

At first, bed rest plays an important role, with which nonsteroidal anti-inflammatory drugs are attributed. If muscle spasm is present, relaxers are prescribed to relax.

After the disappearance of the pain syndrome, the attending physician usually prescribes massage, physical procedures and therapeutic exercises.

With their help, it is possible to strengthen the muscular corset and ligament apparatus, to prevent the occurrence of relapse. It is necessary to avoid any exercises for compression, that is, to squeeze the nerve roots. It is important to carry out the stretching, that is, reducing the pressure on the inflamed area. This procedure should be carried out very carefully, under the constant supervision of the attending physician. The main thing is to listen to the doctor's advice and responsibly follow all his instructions.

It is important all the time to think about your ridge, to take care of its safety. It is easier to avoid the appearance of a problem, since it is quite difficult to cure a disease such as a hernia of the spine. Do not give up! Belief in yourself and your abilities is the main thing on the road to recovery.

How to treat a hernia?

A neglected stage of the disease, an unrevealed disc herniation in time often leads to urgent hospitalization.
In rare cases, surgery is necessary. However, in the early stages of the operation is not mandatory! Competent therapy in most cases allows you to save the patient from the manifestations of a herniated disc.

  1. timely diagnosis
  2. immediate treatment.

Contact the Center of Professor Farhat - here you will be able to provide the necessary assistance at the highest level.
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Watch the video: Back Pain: Lumbar Disc Injury (September 2019).