Intervertebral hernia

Intervertebral hernia

What is it?

Intervertebral hernia— The offset of the strain of the intervertebral disc. The most frequent location of hernia — the lumbar spine.

Most often the disease occurs between the ages of 20 to 50 years and are one of the most common causes of temporary disability, and often the patient's disability.

What's going on?

Herniation of intervertebral discs are serious complication of spinal osteochondrosis.

The disease occurs due to rupture of the intervertebral disc. Formed in this hernia, bulging back and to the side, pressing on the nerve root at the point of exit from the spinal canal and causes inflammation, accompanied by edema. This explains why the pain and loss of sensation may not appear immediately after the onset of illness.

Strangulated nerve root in the brain sends pain impulses that are perceived as a man pain in the region, sensitivity which is provided by this nerve. Also in this area is disturbed motor coordination and muscle strength.

What way?

The main complaint is pain. Typically, the pain occur after moderate exercise, an uncomfortable situation at work or in bed, when you lean while turning to the side, often in combination with weight lifting. Then, during the day there pain and weakness in the area of innervation. When moving, coughing, sneezing or straining the pain intensifies and often become so severe that the person is in need of bed rest.

When a disc herniation in the lumbar pain are often lampasny character (spread over the outer surface of the leg) may be permanent or transient.

In addition to pain sensitivity disorder can be defined, such as hypoesthesia (reduced sensitivity) and anesthesia (lack of sensitivity), rarely — hypersensitivity (sensitivity).

Observed autonomic dysfunction in the form of lower skin temperature, slack edema (pastosity) varies sweating, increased dryness of the skin. Sometimes patients can not straighten the leg because of pain. Neurotrophic disorders may occur in the affected area as a weight loss (due to atrophy of the muscles).

Diagnosis

The diagnosis is a neurologist or neurosurgeon in the presence of the described symptoms. To clarify his use of the following methods: computed tomography, spondilography, radiography.

Treatment

Generally the disease extends beyond2-3 months, subject to bed rest and relaxation — the best conditions for a speedy recovery with no complications.

Just as with other diseases of the lumbar spine, it is recommended to lay on his back with raised or laid down on the pillow, changing the position of the body and finding a comfortable position without pain.

In order to mitigate the severe pain can receive painkillers and anti-inflammatory drugs. Through 3-4 weeks of pain is usually much weaker, but the damage to the drive itself has no cure, so in order to avoid possible complications such as chronic lower back pain need peace even for a whole month. Surgery is indicated in a pain resistant to treatment, or when expressed as movement disorders.

Another method of treatment of intervertebral hernia in the acute stage — spinal traction. This is a very old way of the interest in which has recently increased again. Stretching creates a pressure in the intervertebral space, which leads to the return of a protruding portion of the disk to its original position. It is necessary to find the right direction and pick an appropriate impact force to prevent damage spine an even greater extent. With the proper conduct of the procedure pain should decrease, not increase.

After the acute phase of the disease to strengthen the weakened muscles of the back and the return of normal mobility of the spine should start physiotherapy sessions. More rapid and complete recovery helps massage.

Sometimes the reduced sensitivity in some places legs and a feeling of weakness in it is observed after cessation of pain. This is due to the fact that the damaged nerve root is still not restored its function. The range of motion at the same time, as a rule, remains normal.

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