The treatment of intervertebral hernia: what is preferable - conservative or surgical?

July 15, 2010

  • The treatment of intervertebral hernia: what is preferable - conservative or surgical?
  • Causes

 treatment of intervertebral hernia
 The primary goal of treatment of intervertebral hernia - a relief of pain and other symptoms associated with this disorder. Therefore, a treatment plan must be drawn up individually, taking into account the intensity of the symptoms and the patient's overall health. Usually, the patient is recommended to start with conservative methods of treatment, and if they prove ineffective, consider the option of surgery.


Treatment of the lumbar intervertebral hernia

  • Conservative treatment

As a rule, for the treatment of hernias of the lumbar intervertebral use a combination of the following methods:

  1. Physiotherapy: special exercises and gentle stretching of the spine, to relieve pressure on pinched nerves.
  2. Alternating hot and cold compresses to relieve pain.
  3. Nonsteroidal anti-inflammatory drugs such as ibuprofen Ibuprofen: anti-inflammatory drug  Ibuprofen: anti-inflammatory drug
 Naproxen or COX-2 inhibitors.
  4. Prescription opioids - for very severe pain.
  5. Oral steroids to reduce inflammation and pain.
  6. Epidural injections of painkillers and anti-inflammatories.
  • Surgical treatments

If conservative treatment methods (as a rule, it takes four to six weeks) is not effective, surgery to decompress the spine may be considered as a treatment option. Microdiscectomy - minimally invasive species of such an operation.

While this procedure deletes the part of the disc that compresses the nerve root.

Usually mikrodisektomiya very effective for the treatment of intervertebral hernia. Although take several weeks or months before the nerve root is completely healed, the pain goes away almost immediately after surgery, and the discomfort is largely reduced. Its complications can be a leak of cerebrospinal fluid (this occurs in 1-2% of cases, and does not affect the results of the operation), nerve root damage, incontinent, bleeding and infection. These complications, however, are very rare.


Treatment of the cervical intervertebral hernia

  • Conservative treatment

It uses the same techniques and drugs, as in the treatment of the lumbar intervertebral hernia. The course of treatment lasts no more than six weeks and, if it does not give the expected result, it is necessary to use other methods.

  • Surgical treatments

For the treatment of hernias of intervertebral cervical spine can be used discectomy - removal of the intervertebral disc through an incision in the front of the neck. Another option is an operation posterior cervical laminectomy, which is carried out through an incision in the back of the neck. The advantage of this surgery is that it allows you to make an incision larger and postoperative scar will be easy to conceal hair or collars. However, a review for physicians when such an operation can be worse than during the discectomy.

Complications of surgical treatment of the cervical intervertebral hernia can be an infection, bleeding, severe pain, and spinal instability.

Massage in scoliosis - an important stage of treatment

May 5, 2014

 Massage for scoliosis
 Massage for scoliosis is a required component of complex treatment. Properly conducted massage strengthens muscular frame back and abdomen, improves blood circulation in the spine, which leads to better nutrition (trophism) tissues of the spine and promotes healing.


Therapeutic massage for scoliosis

Lateral curvature of the spine - scoliosis Scoliosis - when the spine is curved  Scoliosis - when the spine is curved
   always accompanied by unnecessary tension at the beginning, and then atrophy of the muscles that support the spine. Therefore, all patients with scoliosis along with physiotherapy always prescribe a course of massage therapy.

Massage Therapy - a set of techniques of mechanical dosed for various parts of the surface of the human body produced by the hands of the masseur or special devices. When scoliosis preferred hand massage, which in turn is divided into classical and segmental-reflex.

During the massage therapy is an influence on the complex interconnected reflex, nervous, endocrine and metabolic processes regulated by the central nervous system. Massage for scoliosis helps to strengthen the muscles that support the spine (back muscles and abdominals), partial or complete (depending on the type and degree of scoliosis) eliminate deformation of the spine and improve posture. A course of massage, conducted by a qualified massage therapist, along with physiotherapy can improve the blood supply, innervation and trophism (nutrition) tissues and prevent the progression of scoliosis.


Massage technique for scoliosis

What is it, and how to do massage at a scoliosis patient to a particular physician decides. Depending on the nature, extent and prevalence of disorders of the spine, as well as the availability of various complications of pelvic and thoracic cavity appointed classic or segmental-reflex massage.

Massage for scoliosis to qualified experienced masseur as wrongly held massage can lead to the progression of scoliosis. For the same reason for scoliosis can not do self-massage.

The technique of massage for scoliosis has its own characteristics. Thus, the therapist always take into account the direction of the arc spinal deformity: a place concave and convex arc using different massage techniques. Back massage for scoliosis concave side of the arc is carried out with the help of relaxation techniques as well as the muscles in this area are stretched. On the side of the convexity of the arc is carried toning massage as the muscles are, on the contrary, stretched, flaccid and weakened.

Massage in scoliosis of 1 degree Scoliosis 1 degree - can be eliminated completely  Scoliosis 1 degree - can be eliminated completely
   It is essentially preventive in nature - effects on muscular frame prevents further progression of scoliosis. Massage in scoliosis of 2 degrees Scoliosis 2 degrees - correction of spinal deformity  Scoliosis 2 degrees - correction of spinal deformity
   It has already pronounced therapeutic character and combined with physiotherapy, whose aim is the correction of spinal deformity. The use of therapeutic massage in this case significantly increases the effectiveness of treatment.

Massage for scoliosis 3 degrees Scoliosis 3 degrees - may need surgery  Scoliosis 3 degrees - may need surgery
   (as well as the degree and 4), accompanied by deformation of the chest, carried out more intensively and continuously on the convex side of the curvature of the techniques of deep kneading and tapping. It shows young children and in the progression of scoliosis.

Massage in the s-shaped scoliosis (when there are two arcs of curvature in the thoracic and lumbar spine with the apex pointing in different directions) requires special skill of the masseur. The fact that spin in this type of scoliosis is conditionally divided into four sections - two infants and two lumbar. Each of these areas has features and requires the use of "their" massage techniques. Wrong choice of methods may not lead to an improvement, and to the deterioration of the patient's condition. When s-shaped scoliosis massaged the muscles of the back, chest, abdomen, pelvis, back of the thigh to the convex side of the arc of curvature of the spine.

Massage for scoliosis in children also requires special training. All tissues of the child, including bone, is not yet fully formed and very plastic. Therefore, the child better and faster than an adult to treat. But at the same time, the child's body and easily hurt, which is why infant massage for scoliosis perform massage therapists with experience in children's orthopedic and neurological departments.

Manual therapy for scoliosis can be very effective, especially in the small curvature of the spine. But this type of treatment has its contraindications, which are determined by the doctor.

Today issued a special simulators for the treatment of scoliosis - this kind of therapeutic exercise called kinesitherapy. Physiotherapy for scoliosis is often used in conjunction with massage course, increasing thus the overall effectiveness of treatment.

Galina Romanenko

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  • Treatment of scoliosis