- The treatment of intervertebral hernia: what is preferable - conservative or surgical?
Why are there intervertebral hernia and symptoms
The spine or vertebral column is the backbone of the human body. It consists of thirty three vertebrae which are joined together in such a way that on the one hand created durable stability, and on the other side - a certain flexibility and mobility. Achieving this helps the joints and intervertebral discs.
Intervertebral discs - a gasket
Feminine pads - talk about wings
between the vertebrae that allow the vertebrae do not hurt each other. This disc is a fibrous ring, inside of which is located a little deflated nucleus pulposus. Dense fibrous ring nucleus does not go beyond it. In case of accident or metabolic disorders and thinner fibrous ring of the nucleus pulposus pressure comes out, forming a protrusion of the spine. This is an intervertebral disc herniation.
Intervertebral hernia usually develops in middle age (the elderly the risk of such hernias is reduced due to the reduction of elasticity of the nucleus pulposus) as a consequence of injury, metabolic disorders, infections, poor posture, hereditary predisposition. The disc extends beyond the spine as a result of heavy physical exertion, a sharp turn of the trunk, injuries, falls, and so on.
As a result, the output of the intervertebral disc of the spine beyond the compressed spinal cord extending from the spinal nerve roots, become inflamed and swollen surrounding tissue. There is a strong pain in the hernia and in the course of nerve entrapment. It can be broken motor coordination and muscle strength. It confirms the diagnosis by means of X-ray, computed tomography and magnetic resonance imaging.
Conservative treatment of intervertebral hernia
Conservative treatment of intervertebral hernia, and today is a major preferred. First of all, held analgesic therapy - appointed painkillers and removes soft tissue swelling drugs, usually nonsteroidal anti-inflammatory drugs (for example Nice). In the course of the spinal nerves make chipping (blockade) novocaine
Novocaine - why it is so popular in medicine?
and other analgesics. Bring relief and physiotherapy, for example, electrophoresis with novocaine. Thermal procedures used with caution, as they may exacerbate the pain.
To relieve the spine to hold it traction. So when a herniated disc in the cervical spine shows a rest (superimposed fixing bandage), stretching with a special halter in a sitting position with a load ranging from 2 kg and gradually reaching 6 kg daily for 8-10 minutes, just up to 10 treatments. Various types of traction applied and hernias in other parts of the spine.
Held restoration of spinal movements and sensitivity to the modified parts of the body. The therapeutic effect is fixed physiotherapy and massage, strengthens the back muscles, as well as time wearing a medical corset or bandage.
Widely used methods of acupuncture
Reflexology - a policy of non-drug therapies
(effects on specific points on the body surface, which allows you to influence the state of the spine), manual therapy
Chiropractic: the main thing - to choose the competent expert
(restoration of special hand techniques normal position and the ratio of tissue), spa treatments (underwater traction, baths, mud, etc.). Conservative treatment can reduce the load on the disc changes, strengthen the back muscles and restore the function of the spine.
Operative treatment of intervertebral hernia
Operative treatment of intervertebral hernia applies only if conducted conservative treatment is ineffective and the patient's condition deteriorates. The absolute indication for surgery is the squeezing of nerve roots, innervating the organs and tissues performing vital functions. So, while squeezing the lower part of the spinal cord (cauda equina) appear severe pain on the back surface of the femur and tibia in the lower abdomen, worse when coughing, incontinence, violation of potency - is an indication for urgent surgery behavior. It carried out a partial or complete removal of the modified portion of the intervertebral disc. Today, there are methods of operations, allowing to reduce the possibility of postoperative complications to a minimum, such as endoscopic method in which the operation is performed using a special device - an endoscope.
After the operation must be conducted rehabilitation treatment, which includes gymnastics, massage, physiotherapy and spa treatment.