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

July 15, 2010

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

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  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.

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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?  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  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  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.

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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.

Galina Romanenko


Article Tags:
  • intervertebral hernia

Treatment of osteochondrosis - correct posture and dosage physical activity - The resort

November 12th, 2013

  • Treatment of osteochondrosis - correct posture and dosage physical activity
  • In a sanatorium

 treatment of degenerative disc disease in a sanatorium

Treatment of osteoarthritis in a sanatorium

Sanatorium and resort treatment of degenerative disc disease is carried out during the pain subsided to eliminate residual effects and prevention of exacerbations. Showing mud, ozocerite baths, RPMA, hydrogen sulfide, radon baths.

Therapeutic baths with osteochondrosis occupy a special place in a spa treatment. Baths with osteochondrosis have on the patient's unique effects that can be divided into mechanical (improves blood circulation), chemical (depending on the composition of mineral water saturates the body with mineral salts) and thermal (active influence on blood circulation and metabolism). When osteochondrosis fit following therapeutic baths:

  • hydrogen sulphide and sulphide bath - under the action of hydrogen sulfide and sulfide accelerates metabolism, improves blood circulation, increases the metabolic rate Metabolism: The basis of life of all living things  Metabolism: The basis of life of all living things
 , Resolve inflammatory lesions;
  • radon baths - contain radioactive noble gas radon and its decay products; Exposure on the body formed by the action of alpha radiation from the decay of radon; they activate chemical processes that stimulate the production of enzymes and hormones; by immersing the patient in the bath there is a narrowing of blood vessels, which then gives way to their extension - relieves pain, inflammation, improves blood circulation, metabolism, enhanced inhibition of the central nervous system (calming effect);
  • salt bath of plain or sea salt - improves blood circulation and metabolism Improves metabolism and losing weight without dieting  Improves metabolism and losing weight without dieting
   tissues;
  • herbal baths (such as pine) - relieve tension in the muscles of the back, resulting in reduced pain in the spine.

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New in the treatment of degenerative disc disease

Osteochondrosis - is a very common disease that brings a lot of suffering patients. Therefore, there are new ways to treat it. Such methods include:

  • carboxytherapy osteochondrosis - method of treatment with subcutaneous injections of carbon dioxide, which causes instant vasodilatation, a sharp increase in local blood circulation a significant increase in the concentration of oxygen in the tissues; This leads to a rapid withdrawal of cramps and muscle tension, elimination of stagnation, the disappearance of inflammation, swelling and pain;
  • Interstitial electrostimulation (VTES) - Exposure to electric current directly to the affected area, which greatly increases the effectiveness of treatment; VTES course includes several procedures, after which comes the obvious relief of the patient, and the complete elimination of pain;
  • osteoarthritis treatment method Bubnovskogo (physiotherapy) - treatment on special simulators mainly on decompression without providing an axial load on the spine and joints, but trains the muscles; this process leads to the restoration of blood circulation and metabolism in the spine; treatment for osteoarthritis Bubnovsky - is to restore the health of non-drug methods.

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Surgical treatment

Indications for surgery in spinal osteochondrosis Osteochondrosis - Causes and symptoms  Osteochondrosis - Causes and symptoms
   are symptoms of compression of the spinal cord and roots, accompanied by urination and defecation disorders, severe bilateral pain and paresis (temporary movement disorders), irreducible hernia disc in violation of current cerebrospinal fluid, as well as severe pain, not amenable to conservative treatment within three months

In such cases, surgery is performed, which eliminates compression of spinal nerves, most often it is the removal of disc herniation.

How is low back pain? Is there a cure low back pain? These questions can be answered as: low back pain Osteochondrosis - learn how to properly distribute the weight  Osteochondrosis - learn how to properly distribute the weight
   treated by a doctor, and only he can make an individual prognosis for the patient.

Galina Romanenko


Article Tags:
  • Treatment of osteochondrosis




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