Osteochondrosis

What is the hernia schmorla spine of the cervical spine

The human spine is composed of individual vertebrae separated by discs. They play the role of shock absorbers, preventing the vertebrae from touching. A healthy vertebra has a protective layer of hyaline cartilage, the so-called end-plate. It has a smooth surface and smooth edges.

Let us see what is Schmorl's hernia of the spine. The vertebra has a spongy structure of the body, when it is softer than the cartilage of the disk, it may be pressed out by it. A cone-shaped protrusion of cartilage forms with the apex inside the vertebra.

Schmorl's vertebral hernia is formed for many reasons:

  • Genetic predisposition to the disease.
  • Growth disorders - too fast or slow growth.
  • Inadequate power load on the spine.
  • Spinal injuries.
  • Poorly developed muscles of the spine corset.
  • Static load at work of the same type.
  • Calcium deficiency in the bones of the body.

Analyze the symptoms

The initial stage of the disease is asymptomatic. Schmorl's nodule forming inside the vertebra, does not touch the nerve roots, blood vessels, muscle spasms and muscle tissue inflammations do not occur.

That and insidious Schmorl's hernia - its symptoms are practically absent. Often problems are detected on x-rays.

In the later stages, back pains begin to bother the person:

  • Increasing painful symptoms due to stress.
  • In cases of prolonged sitting, standing.
  • Feeling tingling in legs and arms.
  • Loss of flexibility in the spine.

Schmorl's vertebral hernia in elderly people arises due to a decrease in the density of the vertebrae, in young people it occurs when a very heavy load is lifted, due to a strong blow.

During the period of active growth of the child, the disc cartilage develops faster than the tissue of the vertebra. As a result of jumping from high objects, the disk can break through the protective layer, violating the integrity of the bone.

Some doctors claim that Schmorl's hernia is not at all dangerous, treatment should not be carried out. But even if there is no strong pain, you should consult a doctor: an orthopedist, a neuropathologist.

All their recommendations will be aimed at preventing further development of the pathology in order to prevent the occurrence of more serious diseases.

The method of treatment consists, first of all, in the elimination of painful manifestations, and together with it is aimed at:

  • Restoration of mobility in the spine.
  • Removing muscle spasms.
  • Improving metabolic processes, bone quality.

When prescribing a treatment, the doctor takes into account the degree of the pathological process, the patient's age, and the diseases that were previously transferred.

Features of the hernia in the thoracic spine

Nodules arise in the thoracic region for the same reasons as in the other parts of the spinal column. First, the disease passes unnoticed.

Over time, degenerative changes may occur in the vertebrae of the thoracic region, leading to other more serious diseases.

Schmorl's hernia of the thoracic spine, its symptoms are expressed by painful manifestations in the sternum: when a person makes a turn, he abruptly waves his arms. Pain may occur with a deep breath, shortness of breath, palpitations.

To clarify the diagnosis, make an X-ray. If the diagnosis of Schmorl's thoracic hernia is confirmed, treatment is prescribed depending on the degree of damage to the vertebrae. In most cases, this is a conservative treatment.

Sometimes, with mild symptomatology of the disease, it is enough to use physiotherapeutic procedures, therapeutic gymnastics. In addition, the patient is advised not to lift weights, he is forbidden to ride a bike, motorcycle. It is also forbidden to jump.

How to treat hernia of the thoracic? With strong pain symptoms prescribed medication therapy, combined with massages, physical therapy.

Special exercises are aimed at strengthening the muscular system of the spine. Physical therapy is shown to people of any age, exercises are selected individually for each.

Schmorl hernia of the cervical spine: features

As is known from anatomy, the cervical vertebral part consists of 7 vertebrae with cartilaginous discs between them. When a disk begins to be pressed into the body of a vertebra, problems arise.

There is a narrowing of the gap between the vertebrae, compressed nerve roots, blood vessels. Branches of the artery supplying blood to the brain pass through the section. When the integrity of the vertebrae is impaired by the discs, the blood circulation of the brain is impaired.

Symptoms of a hernia of the cervical spine: a person often has dizziness, increases fatigue, decreases efficiency.

The patient has a complaint of memory impairment, is disturbed by a noise in the head, often there are headaches. The most prominent symptoms are muscle tension, pain when turning the neck, tingling and itching in the hands.

The treatment includes a whole range of measures combining medication treatment with physiotherapy treatment.

All types of hernias are treatable with special exercises consisting of dosed stretching of the spinal column, recovery of the muscular system.

Schmorl's hernia in the thoracic and cervical regions - the nuances of treatment

The human spine is composed of individual vertebrae separated by discs. They play the role of shock absorbers, preventing the vertebrae from touching. A healthy vertebra has a protective layer of hyaline cartilage, the so-called end-plate. It has a smooth surface and smooth edges.

Let us see what is Schmorl's hernia of the spine. The vertebra has a spongy structure of the body, when it is softer than the cartilage of the disk, it may be pressed out by it. A cone-shaped protrusion of cartilage forms with the apex inside the vertebra.

Schmorl's vertebral hernia is formed for many reasons:

  • Genetic predisposition to the disease.
  • Growth disorders - too fast or slow growth.
  • Inadequate power load on the spine.
  • Spinal injuries.
  • Poorly developed muscles of the spine corset.
  • Static load at work of the same type.
  • Calcium deficiency in the bones of the body.

What is the "Schmorl's hernia"?

Schmorl's hernia refers to conditionally pathological changes localized in the intervertebral discs. This condition manifests itself as a kind of “indentation” of the disc into the segments of the vertebrae (lower and upper).

The difference from this state directly from the intervertebral hernia is that when Schmorl's hernia does not compress (squeeze) the spinal cord and its branches (processes).

There are four types of Schmorl's hernia, classified by process localization. Namely: back, center, front and side. The central and lateral form of the hernia proceeds most favorably, almost never leading to the deformity of the spinal column.

Moreover, these forms of hernia rarely produce any clinical symptoms, so the individual may not even be aware of the problems. As a rule, the central and lateral form of the hernia is detected by chance during routine radiography.

The anterior and posterior forms are much more dangerous and are usually localized in several vertebrae of the lumbar spine. With a large number of hernia lesions, severe symptoms may develop with a characteristic pronounced pain syndrome.

With these forms of conditional pathology, deformity of the spinal column as well as various neurological disorders may occur. However, even with severe symptoms and in advanced cases treatment remains extremely effective.

Exercises for hernia of the lumbar spine

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Degenerative-dystrophic processes in the spine are often diagnosed in an advanced stage. In moments when severe pain interferes with movements in the lumbar region, the patient rushes for medical help. However, the fibrous ring surrounding the intervertebral disc is broken, and the pulpal nucleus is significantly shifted to the side. This is how the most frequent complication of osteochondrosis of the lumbar segment - disc hernia - develops. If the disease affects the structure below, in the region of the sacral spine, then the pain is even more intense, radiating to the leg, which interferes with the function of walking.

Despite the many options for the conservative and surgical treatment of the disease, none of them can do without remedial gymnastics. Many exercises are performed at home. The technique of Sergei Bubnovsky, effective for Schmorl's hernia of the lumbar spine (pushing the spongy substance of the adjacent vertebra with cartilage tissue without breaking the fibrous capsule - pseudo-hernia) is popular. Video lessons presented on YouTube channel where all the exercises can be carefully studied.

Exercise Requirements

The main task of physical activity - to strengthen the frame of the waist. This is achieved by daily dosed loads that stabilize the position of the intervertebral disc. Although all exercises are effective, they are not able to fully cope with the painful condition. Radical hernia treatment - surgery.

All nat. Workouts must meet the following requirements:

  • to be fit for the sick
  • improve blood flow in the lumbar area
  • effectively affect the muscular frame,
  • be simple and convenient to practice,
  • to have effect in the shortest possible period.

There are several groups of physical activity. Therapeutic gymnastics is specially developed by medical specialists, therefore it takes into account the patient's condition in case of lumbar hernia. However, therapeutic exercises have the main disadvantage - they are weak, as they are suitable even for untrained people. Therefore, the strengthening of muscles is achieved for a long time, and the patient needs supporting drugs for pain relief.

Another group of exercises is strength. They require considerable patient fitness, but lead to early results in the formation of a protective back frame. Strengthening the position of the intervertebral disc occurs in the shortest possible time, which leads to the rejection of the introduction of analgesics much faster. But physical exercises are shown only to those people who initially have a good sports form.

But the exercises are not able to cure the hernia of the lumbar spinal column. The displacement of the intervertebral disc will slow down, which will help to reduce pain and increase motor activity. But because of the involutional changes in the organism itself, the problem will again be felt. Therefore, the only option of radical treatment is to perform a corrective operation, and only then stabilize the muscular frame with the help of exercises for the prevention of hernia recurrence.

Prohibited exercise

Despite the apparent simplicity of physical training, some exercises harm a patient with an intervertebral hernia in the lumbar segment. General principles of prohibited exercises - what not to do:

  • sudden movements of the body
  • run with acceleration and deceleration
  • do weightlifting,
  • plan a sharp load on the lower back,
  • to participate in sports competitions
  • lift sports equipment weighing more than 5 kg,
  • bend without bending your knees.

General principles apply to all workouts, but there are also harmful exercises that are undesirable in case of illness. The following are the most dangerous of them, leading to deterioration of the intervertebral disc:

  • jumping on a hard surface. Not enough cushioning for the lumbar spine. Hernia continues to shift, which with frequent repetition of jumps can lead to complications,
  • pulling up or just hanging on a horizontal bar. Despite the popular belief that the spine will spread, this does not happen. The broken fibrous ring is stretched, which accelerates the progression of the disease, increases the pain syndrome,
  • rough self-massage in the lumbar region. Many guides suggest massaging your back after workouts. However, with an incorrectly chosen load, it is easy to further displace the intervertebral hernia, which will lead to a sharp exacerbation of all existing symptoms,
  • twisting the torso. These exercises lead to an uneven load on the hernial protrusion. The result - after 3 days of training, the pain in the lower back and leg will dramatically increase,
  • long jump. This exercise is characterized by sharp overstrain of the lower back muscles, which is absolutely contraindicated in the presence of a hernia,
  • strength exercises for leg training. They are performed supine with the tension of the rectus muscles. This is unacceptable, as muscle strength around the fibrous ring decreases. As a result, the disease progresses.

Proper physical activity is very useful for strengthening the spine. But their implementation must be coordinated with the attending specialist, so that prohibited gymnastics does not fall into the complex of exercises.

Techniques LFK

Therapeutic exercise in case of affection of the lumbar or sacral spine is mandatory. It helps to stabilize the work of muscles in the affected area, which favorably affects the relief of pain or rehabilitation after surgery. The complex of exercises includes exercises of the same type to alleviate the suffering of the patient. However, all methods of physical therapy are divided into 2 large groups: gymnastics in the period of exacerbation, when the level of pain is extremely high, as well as in the period of remission to prevent relapse.

Below are simple exercises used in the period of severe pain reactions. The essence of these activities is the stabilization of the spine by choosing special relaxing positions:

  • pose number 1 - lying on his back, with bending of the legs at the knees at an angle close to a straight line. Under the lower back you can put a rounded cushion to improve blood flow in the affected area. The duration of stay in this position is 30 minutes, but you need to get up very slowly, avoiding twisting the body,
  • posture number 2 - in a position on the stomach, face down. For the elevated position of the waist under the anterior abdominal wall, it is desirable to put a rounded cushion not exceeding 10 cm in diameter. Pose is not suitable for obese people, as in the presence of excess body weight respiratory difficulties are possible. Duration of stay in this position - no more than 20 minutes,
  • deep breathing This simple workout will help improve the oxygenation of the affected area. Lying on your back, you need to take a very deep breath, hold your breath, and after a few seconds breathe out slowly. Repeat up to 15 times. Respiratory movements are best done with the participation of the diaphragm and abdomen,
  • movement stop. Starting position - lying on your back. The legs are slightly apart, and the feet are raised at right angles to the floor. The essence of the exercise: alternately change the position of the feet, lowering and raising them. The number of repetitions - any. It is important that the training is carried out without lumbar effort. The duration of classes - up to 3 times a day for 15 minutes,
  • leg flexion This exercise is a little more difficult, so if you have severe pain in the lumbar area, they will have to be neglected. Standing on your back, you can right in bed. Both legs are unbent and lie on a hard surface.It is necessary to bend the knee joint alternately, but do not remove the heel from the floor or bed. The number of repetitions for the affected limb should be 2 times greater than for the opposite. The total training time is up to 30 minutes per day.

Even with sequestered hernia, when there are indentations of bone tissue, exercises can be used in the period of exacerbation. The pain syndrome will decrease, and the patient’s condition will come easier soon.

With intervertebral hernia in the period of remission or subsiding exacerbation, when the symptoms of the disease are already expressed slightly, there is a more extended range of activities: they will also be suitable for Schmorl's hernia with pain syndrome, since in this situation the fibrous ring does not suffer. The following are the most popular exercise therapy exercises:

  • leg bending. The practical benefits of this uncomplicated workout are obvious: not only the back muscles strengthen, but also the limbs, where the blood flow improves. Starting position is supine, legs folded together and unbent at the knee and hip joint. The essence of the training is alternate elevation of the lower limbs with flexion in the knee and hip joint. The number of repetitions is not important, it is important to withstand the duration of the loads for 20 minutes,
  • torso rises. Starting position - lying on your back. The arms and legs are extended. It is necessary to raise the body, bending it in the lumbar spine before taking a semi-sitting position. Then slowly return to the starting position. The number of repetitions - no more than 20 per day, trained people can increase the intensity of training up to 30,
  • swimming. A great way to restore blood supply to the lower back. The water pressure on the affected department will create an additional burden to stabilize the muscular system. Swimming style is not important, better in position on the abdomen. Duration of classes - up to 40 minutes per day. Open reservoirs have a more effective effect on the spine than chlorinated water in the pool,
  • simulation of riding a bike. Exercise, which is known since childhood. Its essence lies in the slow alternate flexion and extension of the limbs in the knee and hip joints at a rhythmic pace. Performed, lying on his back. Duration of continuous training should not exceed 3 minutes. After each approach you need a break of at least 10 minutes, during this time it is recommended that you perform other exercises,
  • bridge. Starting position - lying on his back. The legs are closed, hands pressed to the floor. The essence of the workout is the lifting of the pelvis with the help of the efforts of the limbs and the lower back muscles. The body takes on an arcuate shape, supported on the heels and upper limbs. It is advisable to alternate exercise with a cycling simulation.

The same exercises can be used for late rehabilitation after a hernia is removed. In the early postoperative period, classes according to the method of Sergei Bubnovsky will do.

Hernia treatment with exercise

Physical training will help to completely get rid of the hernia after its prompt elimination. Regular classes before and after the removal of a hernia help reduce the rehabilitation period and speed up the normalization of the quality of life. The complex of exercises for the formation of the muscle frame, which is optimal for most patients:

  • head rises. Starting position - lying on his stomach. Hands are tucked under the head, a cushion is under the legs in the legs. The essence of the exercise is the lifting of the head with the tension of all the muscles of the spinal column. The number of repetitions - up to 15,
  • sagging back. The starting position is the knee-palmar position, in which the patient rests on bent knees and straightened arms. The essence of the exercise is the movement of the hands sliding on the floor forward while the pelvis is being moved backward. Completed position - hands lie on a solid surface completely, and the head and back rise above them. The number of repetitions - no more than 20 per day,
  • swallow. This difficult exercise is completely unsuitable in the early postoperative period and with sequestered hernia. Position - knee-palmar. The essence of the training is to simultaneously raise the arms and legs with stretching the limbs in opposite directions. If at the time of tension of the waist increases the pain, you should stop doing the gymnastics and consult with an instructor on exercise therapy,
  • crossing legs. Starting position - lying on your back. The right limb is bent at the knee, the left fully extended. The essence of the occupation - raising and holding the heel on the bent knee. Then swap the limbs. Repeat in slow mode up to 20 minutes during the day,
  • extension of the arms and flexion of the legs. Starting position - lying on his back, his arms are located on the chest, legs stretched out, brought together. The essence of gymnastics is the extension of the arms together with the flexion of the legs at the knee joints. Repeat at least 20 times in one workout.

The physical level of training can be increased depending on the condition of the patient. If the exercises cause discomfort, then even with Schmorl's hernia L4-L5 lumbar vertebrae should reduce the load.

When intervertebral hernia is effective yoga. Popular asanas (positions):

  • Apanasana.
  • Pavanmuktasana.
  • Virabhadrasana.
  • Padangushthasana
  • Ardha Schwanasana.
  • Savasana

The use of yoga must be carried out under the supervision of a specialist. In vertebral hernia of the sacral part in untrained patients, pain may increase. Full video of yoga with hernia of the lumbar segment:

Techniques of Sergey Bubnovsky

Author's techniques are quite popular for improving movements in the lumbar spine. The most relevant gymnastics Sergei Bubnovsky. Several exercises by this author:

  • raising the pelvis. Exercise is similar to the bridge. The bottom line is to slowly raise the pelvis with the help of leg muscles, lower back and arm strength. Training is performed slowly, but with a gradual increase in intensity as the pain syndrome decreases,
  • arching the back. Starting position - standing on all fours. It is necessary to bend back in the lumbar section as much as possible downwards and return to the original posture. The number of repetitions does not matter, intensity is important. The essence of all exercises Bubnovsky - strengthening the muscle frame by gradually increasing the load. Therefore, you should start training from 5 minutes, gradually bringing them up to 30 minutes a day,
  • movement of the buttocks. Initially, the patient is sitting on them, legs straightened, and hands are brought to the back of the head. The essence of the exercise - a kind of "walking buttocks", due to the raising of the pelvis by the force of the lower back and lower extremities. Allowed to move across the entire area of ​​the room for training.

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In addition to the method of Bubnovsky, known and gymnastics Dikul. These are strength exercises aimed at the speedy formation of a protective corset. However, such exercises are not suitable for low-skilled people, since considerable physical effort is required. Dikul's classes are not intended for a recovery period after surgery, as they require strong muscle tension.

Not only doctors offer exercises for the treatment of hernia of the lumbar spine. Gymnastics Shamil Alyautdinov, who is the Imam-Khatyb of the Moscow Mosque, also has followers. The essence of the exercises, which are held in position on the abdomen and back - in the expansion of intervertebral spaces in order to alleviate pain. The method has no medical justification, therefore it has not found wide application in medical circles.

Lumbar-sacral gymnastics

Physical therapy - part of the therapeutic process of getting rid of the pathology. She is appointed, both before and after surgery, in order to stabilize the functioning of the lower back muscles. In vertebral hernia, physical therapy is combined with conservative drugs that facilitate the movement of the patient. Loads should be strictly metered, but in the following situations it is better to refrain from classes:

  • acute and subacute period of heart attack,
  • the presence of proven aneurysms of large vessels,
  • ejection fraction less than 30%,
  • the overall serious condition of the patient
  • thromboembolic complications in the postoperative period or a high risk of their occurrence,
  • for some exercises - body weight more than 150 kg, as respiratory disorders are possible.

After removal of the hernia, all loads must be agreed with the doctor. Even the pathology of Schmorl sometimes leads to a serious pain syndrome, but in the absence of damage to the fibrous capsule, physical exercises can not be done sparingly. In this situation, the Dikul technique will be suitable, as it is necessary to quickly protect the intervertebral space.

For the spinal column, the preservation of physiological curves, which are laid genetically, is of current importance. Those activities that do not take into account the natural curvature of the spinal column, are considered to be wrong, so their use is not very reasonable.

Such a formidable name, like Schmorl's hernia, subconsciously causes associations of something serious and incurable. In reality, Schmorl's hernia (nodes) is a pathological change in the intervertebral discs (uzurative defects), as a result of which the cartilage forces the neighboring (higher or lower) vertebra. This is the difference between Schmorl's hernia and ordinary hernia of the spine, where the protrusion goes to the side of the spinal canal or from it and is accompanied by severe pain syndrome.

Schmorl's hernia has no severe symptoms, because it does not lead to compression of the nerve roots, like an intervertebral hernia. However, it is still a pathology and is also to some extent dangerous.

The progression of degenerative-destructive processes in the intervertebral disc leads to its dysfunction. As a result, an ordinary vertebral hernia with all its consequences or a compression fracture of a vertebra can form there. The reasons for such a fracture (increased stress or normal injury) in a healthy spine very rarely lead to such consequences.

This pathology of the intervertebral disc occurs in people with fragile, weak bones of the spine, or rather, the vertebrae. Therefore, most often, diagnosed in adolescence, mainly in the lumbar and lower thoracic spine. In the area of ​​the cervical spine, it almost does not occur.

The identification of Schmorl nodes is rather a bell to the fact that the condition of the intervertebral disc and vertebrae of a certain segment of the spine requires increased attention.

The causes of Schmorl's hernia

Causes of congenital and acquired nature may contribute to the emergence of uzurativnyh defects. An example of the first may be Schmorl's small hernias, due precisely to the congenital design features of the vertebra. Causes acquired in the process of life and leading to the formation of such defects may be as follows:

  • metabolic disorders in the intervertebral disc, including osteoporosis,
  • curvature of the spine (kyphosis, stoop),
  • injuries: a blow or a vertical fall from top to bottom, mostly in young people - their disks are still taut and strong enough,
  • excessive loads on the spine,
  • rare diseases (Scheuermann-Mau disease).

As a reason for the formation of Schmorl nodes in children, it is possible to mention that the bone tissue simply does not keep up with the development of muscular tissue, as a result of which defects in the form of voids are formed in the vertebrae.

Symptoms - where and how it hurts

In most cases, intracorporeal hernia (Schmorl's hernia) is detected by chance, during an x-ray examination for another reason. This lack of clinical manifestations is simply explained: the pathological process captures the disc and bone tissue of the vertebrae, which do not hurt. This pathology does not affect the spinal cord and nerve roots, so the pronounced pain symptoms that ordinary vertebral hernia gives are not characteristic of it.

The pain, if it does, then already with a significant amount of hernia and is slightly pronounced, aching in nature. She is provoked by a long standing in a standing position, with fatigue or after a long walking load. Often pain symptoms are accompanied by a feeling of tiredness in the back and pass in a lying position.

The cause of pain in the lumbar region or in the region of the thoracic spine is not the Uzurative defects in the spine themselves, but the reaction of tired muscles and the tissues around them.

Intracorporeal hernia can also be accompanied by such a manifestation of a violation of posture, such as slouching, swelling of the tissues in the area of ​​their location, a feeling of discomfort and some limitation of spinal mobility.

The progression of a hernia can lead to a pronounced curvature of the spine in the form of kyphosis (in case of a lesion of the disc in the thoracic region) or lordosis (with localization of Schmorl nodes in the lumbar discs).

Depending on the location, Schmorl's hernia is of the following types: central, lateral, anterior and posterior.

  • The central and lateral ones do not lead to the deformity of the spinal column; therefore, they are often not clinically manifest. It is possible to reveal them only by radiological methods of research.
  • The anterior Schmorl nodes are most often localized in the region of the first three vertebrae of the lumbar spine and, like the multiple, give the most pronounced pain symptoms.

The appearance of marked pains in the cervical spine suggests that the causes are most likely not related to the uzurative defects. Since the location in the cervical segment for them is not typical.

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Schmorl nodes can also be a manifestation of Scheuermann-Mau disease. Often, these are multiple hernias accompanied by pathological curvatures of the spinal column: kyphosis in the thoracic region and smoothing of the lumbar flexion.

Diagnostic procedure

The diagnosis is made on the basis of:

  1. patient survey: what does he complain about, is there pain, localization and severity, dependence on physical exertion and pain subsiding in the supine position, were there injuries or excessive loads on the spine and so on,
  2. examination of the spine for the presence of curvature, swelling of tissues,
  3. additional research methods:
    1. X-ray - a fundamental method for diagnosis,
    2. computed tomography and magnetic resonance imaging - are carried out to ensure that the clinic is not given by an intervertebral hernia or other pathology (especially with painful manifestations in the region of the thoracic and cervical spine).

In order for the scheme to be used to treat the patient to be as correct and effective as possible, the doctor may involve other specialists (orthopedist, vertebrologist, neuropathologist) in an advisory procedure.

Treatment of Schmorl's hernia

When and how to treat Schmorl's hernia? The discovery of uzurativnyh defects in the spine - this is the reason to start treatment. Even if the clinical picture is absent, treatment will be aimed at preventing further development of the pathology.

The treatment of Schmorl's nodes is prescribed taking into account many factors: the patient's age, gender and nuances of his professional activity, depends on the degree of manifestation of the pathology and the presence of associated diseases. The reason for their occurrence is also taken into account: if it is a trauma, it will be necessary to treat the injury, if Sheyermann-Mau disease is to cure this disease.

Prescribed treatment has the following objectives:

  • normalization of metabolic processes in bone tissue,
  • anesthesia,
  • muscle relaxation,
  • stimulation of blood circulation and stabilization of the innervation of the back muscles,
  • improvement, restoration of spinal flexibility,
  • prevention of complications.

As treatment methods are used:

  1. Therapeutic gymnastics is one of the most effective methods, including exercises, strengthening the muscular corset of the back, as well as exercises to increase the flexibility of the spine,
  2. Swimming - active water activities and water exercises can also effectively treat this spinal pathology,
  3. Therapeutic massage - in this case, the massage is appointed in order to relieve fatigue and back pain, improve blood and lymph circulation, a good professional massage can also strengthen the back muscles and correct postural disorders,
  4. Manual therapy is no less effective than massage, and is also aimed at improving the blood supply to the affected segment of the spinal column and expanding the intervertebral space,
  5. Reflexology - acupuncture is especially effective in combination with other methods,
  6. Spinal traction (traction) is a hardware treatment that, like manual therapy and massage, increases the intervertebral lumen and improves tissue trophism,
  7. Drugs designed to treat metabolic disorders, relieve pain,
  8. Hirudotherapy, apitherapy - treatment with leeches and bee products also gives positive results.

The restrictions include exercises involving the axial load on the spine, jumping, as well as exercises on strength training equipment and the transfer of weights.

The treatment of Schmorl's knots by folk methods is not very different from the position of official medicine and includes exercises, therapeutic massage and compresses from alcoholic infusions of medicinal plants (dandelion, chestnut flowers) or a mixture of raw potatoes with horseradish.

Schmorl's hernia - how to treat and identify symptoms

Among the multiple pathologies of the spinal column, for some reason, it is Schmorl's hernia that is associated with a formidable and incurable disease. The term "Schmorl's hernia" itself is only an X-ray sign indicating a pathological change in the vertebral discs.

  • Types of nodules
  • The causes of Schmorl's hernia
  • Symptoms of Schmorl's Hernia
  • Diagnosis and treatment of Schmorl's hernia

The changes themselves are characterized by uzurative defects - the formation of irregularities in the locking plates of the vertebrae and the formation of specific pockets (voids) in them. Simply put - the presence of certain causes contributes to the formation of Schmorl's nodular hernias in the cavities caused by intervertebral cartilage pushing the overlying or underlying vertebral bodies.

Nodular neoplasms affect neither the nerve endings nor the spinal cord canal, but cause pathological processes in the discs themselves and affect the bone tissue of the vertebrae. Consequently, they do not contribute to the formation of painful symptoms. This is their significant difference from the usual vertebral hernia.

The absence of painful symptoms does not mean that the treatment of the pathology can be ignored. The progression of the disease leads to dysfunction of the vertebrae, the formation of vertebral hernia and other unpleasant manifestations.

The manifestation of Schmorl's nodular formations is a warning about the condition of a certain part of the spine, which requires close attention. Typically, this pathology is characteristic of the thoracolumbar regions - between the TH11 and TH 12 vertebral discs with lesions of the L3, L4, L5, etc. segments. The formation of pathologies of the cervical spine is a rare phenomenon.

Intervertebral hernia of the thoracic spine - treatment

Inna - Odessa, Odessa Oblast, Ukraine (28.05. At 15:21)

Good day. My mother found a hernia of the cervical C3-C7 in the amount of 4 pieces and different sizes. She was 55 years old. What do we have to do. Do you treat it. terms of treatment and price

Good day. Since age is over 50, in order to undergo treatment we need to reveal how strong your bone system is. We need an analysis of osteoporosdensitometry. If the result is negative, then we will be able to help you, for how much and what the result will be revealed at the in-person consultation. Specify the cost of contact numbers.

Vyacheslav - Magadan, Magadan, Russian Federation (04/19/06 at 06:37)

Good day.
Diseases of the cervical spine MRI from 30.01. (osteochondrosis of intervertebral discs in segments C2-C3, C3-C4, C4-C5, C5-C6, C6-C7 in the second stage. Hernia of disks C5-C6, C6-C7. Acquired spinal canal stenosis).
Diseases of the lumbar spine MRI from 30.01. (osteochondrosis of intervertebral discs in segments L2-L3, L3-L4, in grade II L3-L4, L4-L5, L5-S1 in grade II-III. Hernia of disks L3-L4, L4-L5, L5-S1 Acquired spinal stenosis).
Diseases of the thoracic spine. MRI from 10.06. (Degenerative-dystrophic changes in the segments TH1-TH12. Protrusions of the disks TH5 / 6, TH6 / 7, TH7 / 8, TH8 / 9. Schmorl's hernias in the bodies of the TH8, TH10, TH11, TH12 vertebrae. Spondylarthrosis.
What to do?

In order to answer your question you need specific sizes of hernia, spinal canal, age # 8230. Detailed information about our method of treatment can be obtained by calling the Clinic.

Vera Borodin - Tacoma, WA, United States (17.10. At 05:17)

I have problems with the spine, the sciatic nerve is clamped and my back hurts badly. I am 44 years old. I wanted to know how much it costs and how many weeks the treatment takes.

Consultant: The course of treatment lasts about 10 days, the scheme is chosen individually for each patient. Cost specify by phone.

Lily - Ukraine (08.05. at 16:40)

Hello, I am 36. My chest causes me, I did the heart ultrasound all right. Later I did MIR of the chest and cervical section. Conclusion in the cervical-Median-paramedical sub-ligamental hernia of the disk 5, c 6. Protrusion of the disk 4, c 5. Constriction frontal liquor space at level c 5, c6.In the thoracic-median disc protrusion th7, th8. Is it possible to live with it and not be disabled?

If nothing is done, then there will probably be a deterioration. The first question that needs to be resolved during treatment is # 8212, stop the worsening, then eliminate the symptoms and gradually resolve issues with hernias. Sign up for an in-person consultation for drawing up a course of treatment, the methods are chosen depending on the appropriateness and effectiveness in a particular case. C Respect.

Andrei - Russian Federation (08.11. At 06:55)

Good day!
In May, MRI was diagnosed with a posterior left-sided paramedian hernia with a dorsal size of 3.5 mm, which deforms the anterior chamber of the dural sac at the level of Th3-4, deformation of the Th7 and Th8 bodies.
Can these changes provoke periodic, several daytime pains in the spine under the right scapula with a simultaneous increase in blood pressure to 160 by 110?
Thank,
Andrew, 49 years old.

Consultant: Compression of a hernia on the nerve root causes pain, so # 8212, yes, they can. Pressure can already be directly affected by pain.

Magomed - Russian Federation (24.09. at 22:05)

hello, my father found a hernia for 82 years, please see if you can help him almost never walk without surgery thanks in advance 892880880440

Consultant: Unfortunately, at this age, manual therapy is contraindicated.

Types of nodules

Multiple hernial nodes - often diagnosed in adolescents. They are due to progressive kyphosis or lumbar lordosis. In the initial stage, the symptoms may not appear, but often, multiple Schmorl nodes can cause a violation of the motor abilities of the segments. The likely cause may be:

  • genetic factor
  • calcium deficiency in the body.

Single nodes develop in most patients, without showing any particular symptoms. Only the formation of a few single nodes in different parts of the spine can provoke its curvature and disrupt segmental mobility. In elderly patients, the localization of single formations is characteristic of the lumbar region. In middle aged patients, this is the thoracic region.

Schmorl hernias or nodules come in various forms of manifestation due to a variety of causes. As:

Intracorporal nodes (located inside the vertebral body). Are the result of the destruction of the endplate between the vertebrae. Due to this pathology, structural changes occur in the bone tissue with the formation of osteosclerosis in the area of ​​the hernial node.

  • Hernia of the switching (caudal) plate segment. Occurs as a result of pushing the cartilage covering the disk into the depths of its body. Under the action of force, the depressed cartilage displaces the pulpous nucleus from the disk, creating prerequisites for atrophy of the cancellous bone and destruction of the hyaline plate of the vertebra. The formation of fibrous hernia and the development of intervertebral fusion is possible.
  • Small hernias of small volume, which are the result of congenital abnormalities caused by underdevelopment of intervertebral discs.
  • Deep hernias manifested as a result of deep penetration of cartilage tissue into the vertebral body. The cause may be osteoporosis (decrease in bone density). The development of the disease will certainly lead to the failure of the vertebral disc and non-penetrating compression fracture.

By type of arrangement, nodular hernia formations are of various types:

  • with a central and lateral projection that does not lead to deformation of the vertebrae. Revealed solely by spondylography (X-ray),
  • Schmorl's hernia with anterior localization is formed in the zone of the 2nd and 3rd vertebra of the lumbar region, but may also occur in the zone of the cervical region. It is manifested by more severe pain symptoms.
  • posterior localization of the hernial node due to the penetration into the vertebral body of a detached degenerative ligament that passes along the posterior wall of the vertebra.

Causes of

Before discussing the causes of the development of Schmorl's hernia, it is necessary to become familiar with the anatomical features of intervertebral discs. These discs are needed to perform the stabilizing and cushioning functions of those vertebrae between which they are located.

In fact, intervertebral discs are cartilaginous pads that protect bone tissue from premature destruction (wear).

The disks are a gelatinous liquid core with an outer shell, which is made in the form of several cartilaginous rings, on which two end plates are attached. It is noteworthy that the locking plates also consist of cartilage tissue.

It is with these end plates that the disk literally falls into the cancellous bone of the vertebral bodies in the presence of this conditionally pathological condition.

The specific reasons for the development of this conditional pathology are:

  • slowing the growth of bone structures of the vertebrae against the background of accelerated growth of soft tissues (simply speaking, the spine simply does not keep pace with the muscles),
  • a condition in osteoporosis, when the strength of bone tissue decreases significantly,
  • congenital spinal deformities (lordosis, scoliosis, kyphosis, lateral and anteroposterior deformities, etc.),
  • in rare cases, the development of a hernia on the background of Scheuermann-Mau disease is possible.

In some cases, in the presence of congenital susceptibility, Schmorl's hernia may occur against the background of frequent spinal injuries (even moderate).

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.

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Causes of Schmorl's hernia

Any cause that reduces vertebral bone density can provoke protrusion of an intervertebral disc:

  • children's age (lagging growth of bone tissue from cartilage),
  • genetic predisposition (congenital weakness and inferiority of cartilage tissue),
  • spinal injuries (sprains, fractures), weight lifting (provoke intervertebral tissue prolapse),
  • degenerative processes (osteoporosis and osteoarthritis), which soften the bone tissue of the vertebrae.

Signs of Schmorl's hernia

The course of the disease is latent, that is, there are no symptoms specific to Schmorl's hernia, since the pathology does not cause compression of the spinal roots, blood and nerve bundles. Complaints appear later, as the Schmorl nodule grows.

In the case of the formation of a Schmorl's hernia in the thoracic region, the patient is worried about fatigue and discomfort in the chest and back, especially when coughing and sneezing. Later, due to a malfunction of the heart and lungs, shortness of breath and tachycardia join. Back pain increases, especially after physical exertion, but disappears in a horizontal position.

Schmorl's hernia is called spinal pathology, in which an intervertebral disc tissue protrudes into the spongy bone of the body of the upper or lower vertebra.

Schmorl's hernia is most often formed in the cervical region due to the high elasticity of the cervical vertebrae. In the initial stage of development of the process, the symptoms of Schmorl's hernia are also absent. But as the disease progresses, there is increased fatigue, pain in the cervical spine, which increases with physical exertion.

Diagnostics

The diagnosis includes a thorough collection of scant complaints (they may not be) and a study of the patient's history - the presence of the disease in the family, spinal injuries in the past, and so on.

At an objective examination pay attention to the curvature of the spine, swelling and tenderness of soft tissues. Of the additional methods of examination, an x-ray of the spine is used, which makes it possible to detect not only Schmorl's hernia, but also degenerative processes and spinal curvatures. In difficult cases, CT (computed tomography) and MRI (magnetic resonance imaging) of the spine are performed.

Differential diagnostics is performed with spinal cord tumors and chronic pathology of internal organs.

The treatment of Schmorl's hernia is conservative. The main goal is to improve bone metabolism and strengthen the affected vertebrae. It is recommended that a diet with a high content of calcium (fermented milk products) be taken and, if indicated, calcium preparations (calcemin, calcium D3-nicomed be consumed, D3 calcium supplement) be used.

Also in the treatment of Schmorl's hernia is to limit the load on the spine, the refusal to lift weights and practice certain sports (equestrian sports, acrobatics, aerobics). Sharp movements, turns, bends should be avoided.

Schmorl's hernia is most often formed in the cervical region due to the high elasticity of the cervical vertebrae.

Obese patients are advised to normalize their weight (additional load on the spine). Improves blood circulation in the spine, physical therapy, massage, swimming, reflexology and other physiotherapy.

What is the danger?

The danger of Schmorl's hernia is that against the background of this conditional pathological process, destabilization of the spinal column and various neurological diseases may develop. One of the most serious problems is also pain syndrome.

The pain can be really strong and even interfere with sleep, and its strengthening occurs against the background of a long walk or a long standing. At the same time, it is not so much the spine itself that hurts, but the muscles that are overstrained to decompensate the function of intervertebral discs.

Neurological disorders consist in the development of paresthesias (numbness) of the lower extremities, headaches (usually moderate), and pain in the peritoneal region. In some cases, unsteady gait.

It should be noted that, as such, Schmorl's hernia is not dangerous and its manifestations described above are maximal, and they occur extremely rarely. In the absolute majority of cases, a hernia of this type is absolutely asymptomatic, and its detection occurs by chance.

However, such a favorable course of this conditional pathology should not cause ignoring this process in the back. With a long course of hernia, a favorable background may appear for the development of other diseases of the spinal column.

For example, against the background of this condition, various degenerative-dystrophic pathologies can occur, including osteochondrosis.

Symptoms of Schmorl's Hernia

The main cunning of the disease is the absence of symptoms in the initial period of the disease. The formation of a hernial node may begin in deep adolescence, and manifest itself many years later. As a result of growth of the hernial node, characteristic symptoms appear in the form:

  • pain in the diaphragm or lumbar region, provoked by a long stay of the body in one position,
  • signs of poor posture,
  • muscle pulsation in the area of ​​hernia formation,
  • numbness, shortness of breath, a change in heart rate,
  • heaviness in the lower back, fatigue and feelings of fatigue.

The neglect of the disease, especially caused by intracorporeal hernias in the lumbar vertebrae, is explained by the similarity of symptoms with the mass of diseases in which the following occur:

  • irregularities in the urinary system,
  • digestive problems
  • diarrhea or constipation
  • manifestations of intoxication (nausea and vomiting),

Patients vigorously treat anything they don’t rush to visit a vertebrologist.

Treatment of the cervical spine

All exercises are performed at a slow pace, without sudden movements and muscle tension. Each position is performed from 3 to 5 times.

  1. Sit on a chair and straighten your back. Try as tightly as possible to press your head against your shoulder. Hold for a few seconds, slowly lift your head and try again with the opposite shoulder.
  2. Take a deep breath and slowly tilt your head back. Hold on. Raise your head to its original position and with the next breath, gently tilt your head forward.
  3. Lie on your back, on a hard surface. Raise your legs up and bend at the knees. Strain press for a few minutes, without changing position. Relax and repeat again.

Treatment of the thoracic spine

  1. Take a tight, wide, tight gum. She should play the role of an expander. Its circumference should be such that from the floor it reaches your hips. Step on your feet on the bottom edge of the elastic, and put the top around your neck. Hands on the back of the head in the "castle". Stretching gum, take a flat position.
  2. Legs shoulder-width apart, a gum under the feet. Lean forward. The arms grip the shoulders and the stretching movements are carried out, with the elbows extended as far as possible behind the back.
  3. Take a big elastic ball. Put it under the chest. The legs are aligned and abut the soles against the wall. Hands to connect and lower to the floor. Resting against the ball, dilute, elbows bent, trying to bring the shoulder blades as close as possible.

Lumbar spine treatment

  1. Lying on a hard surface, raise your pelvis. Tighten the muscles of the buttocks and freeze for a few minutes. Relax and level your legs.
  2. Lying on your back, tighten your legs alternately to your chest.
  3. When lying down, bend your knees and rest your feet flat on the floor. Slowly tilt both legs first to one side and then to the other side. Paddles should be tightly pressed to the floor. Inclined movements should be done only by the hips and legs.
  4. It is very useful to hang on the horizontal bar.

Daily exercise therapy exercises help to restore the mobility of the spine and allow you to avoid the manifestation of various complications.

Priority treatments for hernia

When choosing the tactics of treating a chest hernia, it should be borne in mind that it is in this section of the spine that the main nerve bonds are concentrated, which conduct the work of many internal organs. Surgical intervention is allowed only in cases where all conservative methods have been unsuccessful. This is due to the fact that any operation on the spine is an extremely traumatic intervention, the consequences of which can be unpredictable. Drug therapy can only remove certain syndromes and reduce the degree of pain. To return the normal performance of the suffering internal organs and systems of drugs are not able to.

There remains only one effective way, which in recent years has shown excellent results. This is manual therapy. with the help of which thousands of patients return to a normal full life and forever forget about the hernia that has existed.

An experienced doctor will not only conduct a course of rehabilitation treatment with the help of massage. stretching the spinal column and activating biological active points. The patient is recommended an individual method of development of the muscular frame of the spine with the help of physical exercises. But it is worth remembering that during periods of exacerbation, bed rest and complete rest are shown.

If you need an individual consultation, then make an appointment with a specialist of our clinic. Perhaps the emergency elimination of pain.

Trubnikov Vladislav Igorevich

Candidate of Medical Sciences

Doctor neurologist, manual therapist, rehabilitologist, specialist in reflexology, physical therapy and therapeutic massage.

Savelyev Mikhail Yuryevich

A manual therapist of the highest category, has an experience of over 25 years.

Owns methods of auriculo and corporal reflexotherapy, pharmacopuncture, hirudotherapy, physiotherapy, exercise therapy. Perfectly uses osteopathy in both adults and children.

What is Schmorl's node (hernia)

Schmorl's hernia of the spine (or Schmorl's nodule) is not an ordinary disease, since its presence is not accompanied by acute symptoms, and the patient can learn about it after the examination. What makes it different from other similar diseases? This is a pathological change in the cartilage of the spine. Under the action of such a change, the bone tissue of the vertebra is pressed through, which can only be detected in the picture.

Symptoms and diagnosis

In about 75% of cases, Schmorl's hernia proceeds without any noticeable symptoms for the individual. Symptoms may not be even with a long period of hernia, and even if, against this background, the individual goes in for sports and constantly uses the spine and back muscles.

As a rule, Schmorl's hernia proceeds with severe symptoms if the cause of its occurrence is trauma. In this case, the development of a strong pain syndrome, which is difficult to reduce, is possible even with the help of powerful drugs.

In addition, pain may occur with back injuries (even minor) already in the presence of this conditional pathology.

Meanwhile, in some cases it is possible to add symptoms, namely:

  1. Feeling tired and stiff in the back.
  2. Pain in the back (in most cases moderate, but occasionally can be very strong).
  3. Increased pain on the background of long standing or long walking, as well as in general fatigue.
  4. Headaches, light dizziness, squeak in the ears (tinnitus).
  5. Numbness (paresthesia) in the lower limbs or even in the back.

Diagnosis of Schmorl's hernia (cartilaginous nodes) is performed using classical radiography, computer or magnetic resonance imaging. It is impossible to determine this conditional pathology by palpation or visual examination of the back.

Schmorl's hernias, even if there is a sufficiently large number in one individual, are in most cases small, asymptomatic and do not require any treatment. Treatment is prescribed only in cases where there is a pronounced pain syndrome (usually in the lower back or lower extremities) or neurological disorders.

Conservative therapy is used for treatment, which consists in prescribing manual therapy, physiotherapy and physical therapy procedures to the patient.

An individually selected treatment regimen consisting of gentle and easy-to-perform exercises in a fairly quick time allows you to save the patient from the manifestation of a hernia.

In the presence of a large Schmorl's hernia, the therapy is modified and medication drugs and massage treatments are added to it. In addition, in such a situation are added and types of exercises.

The reason for this “aggressive” treatment tactics in this case is simple - the large sizes of Schmorl's hernia are dangerous because they can cause compression fractures during any (usually significant) physical exertion.

Treatment in the form of a surgical operation is almost never applied, and if the operation is still assigned, it is usually against the background of the presence of other diseases of the spinal column.

The most likely causes

In most cases, this pathology is genetically determined, that is, it is hereditary and can be passed on from generation to generation. But, there are other possible factors that influence the appearance of the nodule:

  1. metabolic disease,
  2. violation of posture,
  3. injuries
  4. uneven and very fast growth of the child (with an increase in body size, all soft tissues have time to stretch out, which is not the case with bone. So, in the spongy body of the bone voids are formed into which cartilage tissue is pressed),
  5. atypical loads on the spine (diving, aerobics, shaping, etc.).

Typical symptoms

The main problem of such hernias is that they practically do not make themselves known. As the spinal bone tissue suffers, the patient usually does not feel pain. In some cases, the appearance of the node is accompanied by a feeling of fatigue in the back or back pain:

  • during exercise
  • standing and sitting.

The aching pain is due to the reaction of the back muscles that surround the damaged vertebra. Then the muscles are forced to protect the weakened place, which leads to their rapid fatigue.

But, this is a slight nagging pain that occurs when walking for a long time or standing for a long time. It most often resembles the pain of general fatigue and overwork, so patients do not pay enough attention to it.

Intervertebral disc lesions can be multiple and single. Depending on their location, it is customary to distinguish:

Central, lateral and single lesions are asymptomatic, so it is impossible to detect them yourself. But the multiple and the front are accompanied by a violation of the statics and dynamics of the spine, causing pathological symptoms.

Schmorl's hernia of the lumbar spine is characterized by bulging of the disc from the intervertebral space. Most often, it pinches the nerve roots or even the spinal cord. Even a medium sized nodule can pinch nerve endings.

Very often cases of Schmorl's hernia of the thoracic spine. It becomes inactive and begins to transfer the load to the lower and overlying vertebrae.

Cervical nodules are quite common. They are also called protrusions - protrusion of the intervertebral disk with the possibility of reversal, but without the formation of prolapse of the intervertebral disk. Any such protrusion can have a developed clinical course, therefore, treatment should be started even in cases of patient's well-being.

There are also intracorporeal and intravertebral hernia. Intracorporal nodules (Schmorl) are formed due to the penetration of the pulpous nucleus of the intervertebral disc into the spongy substance of the spinal cord body. Such an introduction is accompanied by the destruction of the locking plate. Because of this, a zone of osteosclerosis is formed around the node itself.
Intravertebral nodules are accompanied by displacement of the tissues of the disk through the anterior vertebrae.

How to cure

Do not panic if you have a diagnosis of Schmorl's hernia. Treatment of such nodules is possible without surgical intervention, but it all depends on its size and stage of development.

Therapy for this disease is aimed at preventing the possible development of a nodule. Patients are under the supervision of a vertebrologist and a neuropathologist. As a rule, to eliminate pain, prescribe anti-inflammatory devices, which stop the inflammatory process and relieve pain. You can also use drugs that improve the nutrition of intervertebral discs.

Pain syndrome is also eliminated with the help of:

  1. acupuncture,
  2. electroanalgesia
  3. parenteral administration of drugs that relieve pain and swelling,
  4. barolaser therapy.

The method of treatment of the disease also involves the introduction of the following procedures:

  • manual therapy
  • massage,
  • spinal traction or autogravity therapy,
  • hirudotherapy
  • physiotherapy,
  • gymnastics NISHI,
  • acupuncture.

For all such procedures, there are special simulators-couches with the surface of smooth moving tubes-ribs that repeat the natural shape of our spine.

All this helps to relax and stretch the vertebrae, making them more mobile. Soon, an increase in the distance between the vertebrae leads to a decrease in the load from the nervous structures, as well as to an improvement in the blood supply to the disks.

Directed treatment helps to avoid serious diseases of the spine, which are accompanied by severe pain. Doing medical gymnastics should be regularly. For better results, it is also necessary to swim in the pool, as this exercise helps to strengthen, as well as preserve the mobility of our spine and build up the muscular system of the back.

Do you take with the disease in the army?

Schmorl's hernia is not a contraindication in the process of selecting applicants for military service. If a young man has a cartilaginous node in the spine, he can still perform the duties that will be assigned to him during the service. But, there is a single rule - to demand from such a young man an ideal physical training is not worth it.

Unlike the intervertebral, Schmorl's hernia is not so dangerous because it is not characterized by direct compression of the nerve endings of the spinal nerves: the disc itself protrudes into the body either below or above the underlying vertebra.

What is Schmorl's hernia?

In fact, the conclusion “intervertebral hernia of Schmorl” means only that protrusions of the intervertebral disk in the body of the upper or lower vertebra were found in the pictures of one or another section of the spine. At the same time, the disc itself does not shift relative to the vertebral bodies and the protrusion that is not formed can in no way affect the spinal cord or nerve roots of the spinal nerves, which come out of the intervertebral holes in pairs.

However, if a patient has a Schmorl's hernia, treatment, or rather, the use of a whole complex of treatment and prevention measures, is necessary, because the appearance of this formation suggests that the patient has certain disorders in the structure of bone tissue that forms the body. vertebra. Such an X-ray finding also indicates that in the future there is a certain risk that a classical protrusion of intervertebral discs and a hernia of the disc will form, for which treatment will have to spend a lot of effort.

Causes of the formation of Schmorl's hernia

Strictly speaking, Schmorl's hernia is not a disease of the body in the classical sense of the word, because its development requires the simultaneous presence of several factors that affect the body as a whole and external provocateurs.

Body pathologies predisposing to the development of Schmorl's hernia:

  • congenital defects of bone tissue, leading to disruption of the normal structure of the endplate of the vertebral body,
  • bone loss that develops during the patient's life - with osteoporosis and impaired bone mineralization.

Environmental factors contributing to the formation of vertical spinal hernias:

  • abrupt momentary significant traumatic force, causing the appearance of several fairly large hernial protrusions, often in different parts of the spine,
  • systematic minor injuries and damage to the spinal column, its ligaments and discs - as a result of this, small Schmorl hernias are formed,
  • weight lifting.

However, the introduction of a vertebral body of a foreign structure, which is the substance of the intervertebral disc, triggers a reaction of reactive inflammation in the bone tissue surrounding this protrusion of the intervertebral disc cartilage itself, which can trigger the development of a classical intervertebral disc hernia.

Schmorl's hernia - symptoms and possible consequences

Often, patients with minimal back pain are referred to an x-ray examination of the spine and Schmorl's hernia is found in them - a photo of this formation recorded on an X-ray film looks like vertical light stripes of various sizes, clearly visible against the background of more dark vertebral bodies. Unlike those cases when the patient has a vertebral retrosis (shifting it back), the anatomical ratio of the vertebrae between them does not change with vertical disc protrusion.

It must be remembered that the lack of comprehensive treatment for this disease can provoke complications, the elimination of which will require enormous efforts on the part of the patient, as well as significant material resources. Complications of Schmorl's hernia are:

  • compression fractures of the vertebral bodies,
  • the development of instability of the spinal column with the development of rapidly progressive neurological symptoms and the formation of a hernia.

The question is often asked: if a patient (and this disease is most often detected in boys or young men of military age) shows Schmorl's hernia - the army is obligatory or this diagnosis will serve as a withdrawal from military service. The current criteria for eligibility for military service suggest that the patient should be registered in the medical card frequent requests for medical care for back pain.

How to treat Schmorl's hernia

In the case when Schmorl's hernia is detected, treatment involves the appointment of complex measures that will necessarily include the physiological extension of the spine and the appointment of drug therapy aimed at suppressing inflammation and concomitant muscle spasm.

In addition, it is necessary to think of an effective program of physical rehabilitation of the patient. In the case when Schmorl's hernia is diagnosed - the exercises will help strengthen the muscular corset of the back and normalize the blood circulation processes in the tissues of the spinal column. This complex can also include swimming, manual therapy and metered exercise. It must be remembered that in the case when Schmorl's hernia is diagnosed - gymnastics should not create an extra load on the spine and exclude a significant one-time force effect. That is why power sports, running, power gymnastics are prohibited.

I am 36 years old. A year ago, she made an MRI - diagnosis: osteochondrosis of the lumbar spine, Schmorl's hernia L1-4 vertebrae. Back pain periodically, back pain in all positions - more than 5 minutes I can not stand, it is impossible to sleep for pain at night, but that’s not all when walking, my right leg hurts in the pelvic region, that is, it does not listen to me, it's hard to podnam it (I drag it, as it were), and I do not feel how much I can lean on it. I had this 4 years ago during the last month of pregnancy. Tell me, please, all these symptoms of my disease or is it necessary for any additional examination?

You should contact your doctor, preferably to the one who made the diagnosis or to another specialist, but only with your medical card. Only an internal examination and consultation will make you understand the cause of the pain, and also the specialist will be able to prescribe the right course of treatment for you.

I'm 43g. Back problems more than 10 years. In 2008 was mde by delete. sequester hernia L4-L5. Last. MRI conclusion. osteochondrosis, spondylosis, spondilarthrosis. Hernia. L3 / L4 on the background of protrusion. Protrusions of L./L5, L5 / S1. Retrolistez L3 cal. Hemangiomas with vys. fat content in bodies Th12, L1pos. Appointed an operation for April 2 to disk L5 / S1, cat. biased circularly to 3.8mm with the spread in the intervertebral holes, to the left to 4.6mm. Deformations and hypertrophilous facet of arcuate girdle joints, which together leads to deformation of the lumen and narrowing of the intervertebral holes and spinal Canal. The symptoms in the left leg are the same as in the previous guest, severe pains were removed for more than a month. And now, after the operation was prescribed, the pain gradually disappeared, but numbness of the upper leg and the left side of the perineum appeared. So I would like to know the opinion of another specialist: in this case, the operation is inevitable? Improvements are temporary? Or it makes sense to refuse. Scary intervention in the spinal canal. But the neurosurgeon noticed that it is unique. way to remedy the situation

I believe that in the described situation, surgical intervention is inevitable - the patient during the examination revealed a pronounced narrowing of the lumen of the spinal canal, both due to disc displacement (protrusion) and due to pronounced retrolisthesis. The absence of pain in this case can only be regarded as a temporary relief of the condition, and the diffuse numbness of the skin on the thigh and perineum is indicative of the damage to the structures of the nervous system. Spinal cord structures located in the spinal canal are not affected during surgery. This is the opinion of our specialist, but this is just a tip.

Watch the video: Tratamiento de la hernia discal L5 y S1 izquierda o quinta lumbar y sacro (September 2019).