Herniated disc l5-s1: treatment without surgery and surgical

Herniated disc L5 S1: treatment without surgery, conservatively

The vertebral column consists of the following sections: cervical, thoracic, lumbar, sacral, coccygeal. All of them include a certain number of vertebrae, in the cervical 7, in the thoracic 12, in the lumbar 5, in the sacral 5, and in the coccygeal 4-5.

To protect against the wear of the vertebrae, evolution has placed between them an intervertebral disc (it consists of a pulpous [nucleus] nucleus and a fibrous ring), and so as the disk is not provided with blood vessels, but for functioning it is necessary to feed, the body of vertebrae from above and from below is covered with cartilage that provides.

The biggest load, it turns out, is just on the area of ​​the lumbar region to the sacral.

All vertebrae of the lumbar regionare designated "L", which from Latin stands for "lumbar" - "lumbar and "S" - "sacrum" - "sacral".

Thus, L 5 is the last vertebra of the lumbar region, and S 1 is the first sacral vertebra. And it is on this intervertebral disk, the greatest load. Moreover, even being in a lying position, the disk will experience tension.

So, the more this is the load department, the more tightly the cartilage becomes denser, which leads to a decrease or even disruption of the disk supply. As a result, the core loses its damping properties and protrudes.

Classification of herniated intervertebral disc L 5 S 1 is performeddepending on the side of the protrusion of the center of the disk (core):

1. Paramedic (right or left of the spinal cord [CM])
2. Dorsal (in the region of the spinal nerves)
3. Median (from the center to the spinal canal)
4. Circular (on the surface of the spinal canal)

What are the reasons for its origin?

Main - inmetabolic disorders, with such a disease as osteochondrosis.

• untreated scoliosis
• spine trauma
• obesity
• increased physical load on the spinal column
• congenital diseases of the spine
• anatomical structure of the angle of the lumbosacral section

More oftenthe symptoms are classified according to the types of hernia:

1. Paramedic - strong, burning pain and numbness in the groin; rapid urination and, at the same time, severe urination and defecation.
2. Dorsal - pain, giving to the gluteal region, hip joint, with complication down to the fingers; inconvenience sitting; "Lumbago" at the time of sneezing, laughing or coughing; legs quickly become tired, gait changes, lowering of the calf muscles and hips.
3. Median - pain from the waist, down the thigh to the foot; decreased libido, leg control; violation of urination and defecation.
4. Circular - pain in the lumbar region, even in rest, weakness and tingling in the lower limbs; difficult urination and defecation; in severe cases, paralysis of the lower extremities.

Herniated Disc L5 S1: Treatment

• Conservative treatment (without prescribing surgery)
• Surgical treatment (when there are indications for surgery, including if there is progress of the disease with adequate treatment)

Conservative treatmentpresupposes the use of drug groups, such as:

• Anti-inflammatory (reducing inflammation and pain), (Diclofenac, Movalis, Revmoxicam, Voltaren, etc.)
• Muscle relaxants (relaxing muscles that relieve spasm), (Midokalm, Spasmalgon, Sirdalud, Baclofen, etc.)
• Antiedematous (relieve local edema of tissues in the area of ​​the hernia), (L-lysine, Lasix, etc.)
• Chondroprotectors (restoring the cartilaginous structure), (Alflutop, Mukosat, Chondroxit, Hondrolon, etc.)
• In the hospital, a novocaine-glucocorticoid blockade is carried out, which reduces local pain, the drug is injected into tissues located near the hernia
• Preparations of vitamin B1, B6, B12 (improving the holding of impulse on the pinched nerve, as a result of a hernia)

Procedures for the treatment of herniated discs

• Physiotherapeutic treatment (magnetotherapy, electrophoresis, ultrasound, electromyostimulation) - leads to an improvement in local circulation, removes edema. But in some cases, it increases the pain syndrome, so it's worth to carefully and carefully treat this procedure.
• Massage- enough 8-10 sessions, soft massage to improve the condition. The main thing, when it is carried out, there should be no sharp and severe pain. With an increase in pain in the area of ​​the hernia, the procedures are terminated.
• Physiotherapy exercises are exercises in the form of slopes, rotations, turns, but are used only after removing the acute period of manifestation of the hernia and eliminating pain.
• Manual therapy is more effective if, in addition to a herniated intervertebral disc, there is a displacement of the intervertebral joint, and in combination with post-isometric relaxation. It is enough from 2 to 8 sessions. But it is important that all manipulations with the spine are as soft as possible, otherwise, it is possible to damage the hernia even more, which will not lead to recovery, but will add complications. It is necessary to carefully choose a specialist.
• Pharmacopuncture- point introduction of medicinal products, to acupuncture points. The places of introduction are determined by a certified specialist individually, which increases the efficiency of the procedure.
• Postisometric relaxation - when carried out by a competent specialist, after the first session, pain decreases, due to relaxation of muscles.
• Hirudotherapy is a fairly effective procedure. The use of medical leeches favorably affects the treatment due to the enzymes that it injects during the session. They allow to dissolve that part of the hernia that has fallen into the spinal canal, and also improve metabolism and local blood circulation, which contributes to the restoration of damaged structures vertebrae.
• Enzyme Therapy- allows to dissolve the components of the hernia (up to 50%) as a result of the introduction of polycomponent enzymes. It is important to turn to an experienced specialist, the effectiveness of the outcome depends on this.
• Acupuncture - is aimed at reducing or completely eliminating pain in the back. If properly carried out by qualified personnel.
• Cryotherapy is the use of liquid nitrogen for local cooling. Increases the function of tissues to restore, speeds up blood circulation in the affected area, which reduces edema, improving the patient's condition. To increase the effectiveness of this procedure, you can use it in conjunction with other methods.
• Laser therapy is a safer method, less effective than other resorptive hernias.
• Auxiliary therapy with corset, in acute conditions

Do not try to use all of the above methods on your own without referring to a specialist. To make a diagnosis and determine the most sparing regimen, it is necessaryconsultation of a qualified doctor.

With proper treatment, the intervertebral hernia can be forgotten for a long time. While self-medication can lead to irreparable results and complicated complications that end in a fatal outcome.

A source: http://artrit.guru/bolezni-spiny-i-sustavov/gryzhi/gryzha-mezhpozvonochnogo-diska-l5-s1-lechenie-bez-operacii.html

Herniated disc L5 S1: treatment without surgery using manual therapy

The modern possibilities of therapy of various pathologies of the vertebral table impress with their diversity.

Official medicine offers a conservative pharmacological effect and surgical interference, various manufacturers of household electromagnetic devices - "magic" devices, putting on their feet.

Our clinic of manual therapy offers treatment of herniated disc L5 S1 without surgery by methods of restoring physiological diffuse nutrition of cartilaginous tissue.

In medical terminology, the letters L and S denote vertebrae, respectively, of the lumbar and sacral parts of the spine. L5 is a lumbar vertebra, conjugated to the first sacral vertebra.

This is the most common place of development of the lumbosacral disc hernia.

It is diagnosed approximately in half of all patients who treat complaints of pain in the lumbar region lasting more than 5 weeks.

The reasons for the prevalence of this pathology are commonplace - an increased physical load, which is enhanced by static tension even when lying down. This department has a so-called center of gravity - then all axial loads converge with any motion.

Therefore, if a person leads a sedentary lifestyle and does not care about his diet, work and rest, sooner or later the cartilaginous tissue wears out and develops hernia L5 S1, treatment without surgery at which it is possible only with a long application of the efforts of the chiropractor and the patient himself.

How is the treatment of herniated disc L5 S1 by the methods of manual therapy?

Before you understand the process of therapy, you should return to the root causes of the pathology. Inside the spine is the spinal cord. It is under constant barometric pressure.

This value can vary depending on the degree of fatigue, physical fitness, time of day and many other factors. With an increase in the amount of CSF, an excessive internal pressure occurs.

The protrusion of the pulpous core prevents the elastic tissue of the fibrous ring. In the event that it is damaged due to the violation of diffuse food, there are no restraining factors.

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Any excess physical effort with axial and longitudinal load on the lumbar spine can provoke the appearance of a hernia.

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Most often the clinical picture develops sharply after a sharp straightening of the body or lifting of gravity.

There is a sharp painful lumbago with the possibility of irradiation on the inner or outer side of the thigh.

Straighten or bend yourself is not possible. Any movement causes severe pain.

This can be the radiography of the lumbar and sacral parts of the spine in several projections.

With insufficient effectiveness of this method, a CT scan is assigned.

If the diagnosis of herniated disc L5 S1 is established, then the treatment can be carried out in several ways:

• conservative medical tactics includes a course of muscle relaxants to relieve tension in the anterior axial and longitudinal back ligaments supporting the spine, chondroprotectors, non-steroidal anti-inflammatory drugs and a course vitamin therapy;
• surgical intervention to remove the damaged area of ​​the fibrous ring (immediately performed in case of infringement of the hernia and development of clinical signs of the "ponytail" syndrome);
• manual therapy, allowing without potent pharmacological drugs and surgery to restore the health of the spine and restore the joy of freedom of movement.

Let's look at how the hernia of the L5 S1 disk is treated by the methods of manual therapy in our clinic. First of all, during the initial admission, the doctor strives to eliminate the pain syndrome as soon as possible and more effectively.

To do this, traction traction can help to relieve excess pressure inside the spinal cord of the vertebral spinal canal. This reduces the pain syndrome, removes the compression of the intervertebral disc and radicular nerves. A person experiences an investment.

But we can not dwell on this. Long-term restorative treatment is required.

The fact is that at the heart of the pathology lies osteochondrosis - a degenerative disease, which is based on a metabolic disorder and diffuse feeding of the cartilaginous tissue. To restore them, you need to conduct coursework for therapeutic massage and physical education, osteopathy and reflexology.

The duration of treatment depends on the general condition of the patient and is determined strictly individually. To clarify all the details it is possible during the initial free consultation in our clinic of manual therapy.

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Herniated disc L5-S1: treatment without surgery and surgical

The lumbar spine is often subjected to various pathological changes.

Many patients turn to doctors with complaints of back pain, and the overwhelming number confirms the vertebrogenic nature of the symptoms. And the source of discomfort is often the hernia of L4-S1 disks.

Therefore, it will be superfluous to be guided in the causes of the development of pathology, its types, the main diagnostic and therapeutic measures appointed by the doctor.

Basic information

The axial skeleton performs extremely important functions, without which human life is impossible. The spine is the support for the entire body and the receptacle of the spinal cord.

And the most massive department is lumbar, because he has to bear the greatest weight. It consists of five vertebrae (L1-L5).

Between their bodies, as well as the first sacral (S1), are located cartilaginous pads or disks, designed to serve as a kind of shock absorber statodynamic loads.

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They consist of two parts: a pulpous core and a fibrous capsule. The latter is formed by a dense ring of connective tissue fibers, which keeps within its boundaries an internal jelly-like matrix.

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The vessels are not suitable for the intervertebral disk (MP). It feeds on the diffusion of substances from neighboring tissues, mainly the body of the vertebrae.

The latter have a spongy structure, and therefore are well supplied with blood.

In the general structure of the axial skeleton, the disks play a stabilizing role, supporting, along with joints, ligaments and muscles, the spine in an upright position and giving him the necessary freedom movements.

Causes and mechanisms

To form an intervertebral hernia, a combination of several factors is necessary.

Disks are exposed to external influences and at the same time are dominated by internal processes.

Both these and others can disrupt normal anatomical and functional relationships, causing the development of hernial protrusion. The following factors can be considered as such factors:

• Excess physical activity.
• Lack of mobility (hypodynamia).
• Incorrect posture.
• Traumatic injuries.
• Curvature of the spine.
• Obesity.
• Osteochondrosis.
• Bad habits.
• Age changes.
• Metabolic disorders.
• Heredity.

We can say that the herniated intervertebral disc L5-S1 is a multifactorial disease that occurs due to local disorders in the motor segments and against the background of general disorders in the body.

It is in the place where the low back ends and the immobile sacrum begins that the main biomechanical stress arises with redistribution of the load, which creates the risk of hernia formation.

Especially dangerous in this respect are the movements with simultaneous tilting and turning of the trunk.

And under the influence of dystrophic processes in the nucleus (loss of water, lack of nutrients), the matrix loses its elastic properties, provoking a decrease in the height of the intervertebral space.

In the fibrous ring, microcracks are formed first, and then it breaks down. After that, the nuclear substance rushes outward, forming a hernial protrusion.

Formation of a hernia of the lumbosacral department is a process of more than one day. Pathology is formed gradually under the influence of many factors.

Classification

Each disease has certain varieties, which are reflected in the clinical classification. This also applies to the lumbar hernia.

The following characteristics of the pathology are taken into account: size and degree of development, localization, direction of protrusion and its composition. Most often, a herniated disc L5-S1, as a segment that is most stressed.

Pathology is localized and at the level of L4, and the overlying elements suffer much less often. Given the degree of development and the size of education, distinguish:

• 1 - protrusion (protrusion 1-3 mm).
• 2 - prolapse (protrusion 3-6 mm).
• 3 - a hernia (protrusion of 6-15 mm).

The hernial sac may contain various tissues. Most often there is a pulpous nucleus, but there are cartilages and even bone fragments (from osteophytes).

If the substance that forms the base of the protrusion is separated from the disc and falls into the subglottic space or the spinal canal, then one speaks of a sequestered hernia.

It can lead to violations at a level different from the location of the primary process. By the direction of the protrusion, these types of hernias are distinguished:

• The anterior (ventral).
• Posterior (dorsal).
• Lateral (lateral).

The first variety is relatively favorable. And the most dangerous is the posterior hernia, when the protrusion is oriented in the direction of the central canal of the spinal cord and nerve roots. Considering it in more detail, you can define several options:

• Median (median).
• The paramedian.
• Foraminal.

There is also a circular hernia of the L5-S1 disc, when the protrusion is uniform (in a circle) and covers several locations at once.

In addition, the classification should take into account the clinical syndromes that are detected in the patient.

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This makes it possible to obtain a holistic perception of pathology by looking at only one diagnosis.

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Classification of intervertebral hernias includes various characteristics: the size and extent, localization and direction of protrusion, its composition.

Symptoms

Any herniation of the lumbar region will sooner or later manifest itself. And most often it happens quite suddenly: during some awkward movement or when carrying gravity.

Hernia L4 L5 or the pathology of segment S1 give a similar clinical picture, so it's not easy to figure out which part is affected based on the symptoms.

But a significant part of the diagnosis is still made up of primary activities: a survey and a physical examination.

1. Lumbago - acute lumbago in the lower back.
2. Lumbalia is aching and deep.
3. Lumboschialgia - pulling, giving away from the buttock in the leg (on the back surface to the foot).

The second part of the symptomatology of hernias is a disorder that occurs in parts of the body innervated by the affected fibers. The motor, sensory and autonomic functions suffer, therefore the hernia of the intervertebral disc also manifests itself:

• Numbness, tingling, burning.
• Decreased sensitivity.
• Muscular weakness.
• Changing tendon reflexes.
• Blushing of the skin, sweating.

In addition, the function of the pelvic organs is impaired.

Herniated MP discs often lead to persistent constipation, urinary incontinence or retention, violation of female reproductive function and impotence in men.

This can lead patients to receive other specialists, although the source of the problem is in the spine.

At the local level - in the lumbar region - muscular spasm is recorded, nerve exit points are painful. The physiological lordosis is reflexively reflexed, i.e., the back becomes practically without a lower bend.

The function of the affected spine is certainly impaired. Patients who have a herniated L5-S1, it is difficult to perform simple daily movements: bend, sit, get out of bed, walk.

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And if there is compression of the spinal cord, then serious neurological disorders occur in the form of paresis and paralysis.

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Hernia of the spine is manifested by radiculopathy with pain, reflex, neurologic and vegetative-vascular disorders.

Additional examination

Diagnosis of hernias necessarily includes instrumental examination.

Visualization methods allow to accurately establish the degree and localization of pathology, so that in the future it is possible to conduct adequate treatment.

The most common study in such cases is tomography (magnetic resonance or computer). But the condition of soft tissues allows you to evaluate the ultrasound of the spine.

Treatment

When the hernia of the L5-S1 disc is detected, the treatment should include various means, since the greatest effectiveness should be expected from a complex effect on the pathological process. It is extremely important to eliminate factors and mechanisms of disease progression, in parallel, correcting the symptoms.

General recommendations

Patients with a hernia are contraindicated with increased load on the lower back, which must be taken into account in professional activities and everyday life. You should take seriously the normalization of weight, which will help a special diet.

As a general improvement and increase immunological resistance, it is useful to take walks in the fresh air, swimming, visiting the bath. It is necessary to fight with bad habits: smoking and drinking alcohol.

It is important to consult a doctor in time for back pain, because only he knows how to treat a hernia.

Medicines

Drug therapy is needed for relief of acute symptoms, especially pain, normalization of nerve conduction and trophic processes inside the disc. This is done with the help of drugs:

1. Non-steroidal anti-inflammatory (Xefokam, Arthrosan, Orthofen).
2. Miorelaxants (Midokalm).
3. Vitamins (Neuromax).
4. Vascular (Actovegin).
5. Chondroprotectors (Teraflex).

First, drugs are used in injections, then in tablets, and lastly - local forms (ointments, creams, gels). Sometimes it is necessary to carry out even blockades with Novocaine and hormones (with intense and persistent pain).

Physiotherapy

Treatment of a herniated intervertebral disc L4 L5 is not without gymnastics. This is a prerequisite for any diseases of the skeletal system, including the spine.

First, the patient lies on a rigid shield and gradually performs light exercises. For each patient, the doctor appoints his own lumbar complex, which helps relax the muscles and stretch the spine.

It may include the following:

• Lying on his back, lean forward, touching his straight forehead.
• From the same position, raise your straight legs upwards, carry them "scissors hold them in one position.
• Exercise "bicycle".
• Sitting on a chair, put your hands behind your head and bend down.
• Standing with your hands on your waist, alternately raise your straight legs.
• Hanging on a gymnastic wall or crossbar and lifting your legs to the level of the belt.

Exercise should be done regularly, at least 4 times a week. But it should be remembered that gymnastics with extension of the trunk and inclinations is shown only when acute symptoms are eliminated, otherwise the condition may deteriorate.

Gymnastics is an important component of conservative treatment, which, with the right approach, can even do without surgery.

Massage

In the subacute stage, the treatment is supplemented with a massage.

Diseases of the spine, including herniated disc L4-L5, often require manual exposure, which reduces pain, improves blood flow and metabolic processes in tissues, restores nervous function, contractions and trophic violations. Using stroking, rubbing, kneading and vibration, the waist, the sacrum and the zone of the sciatic nerve are massaged.

Physiotherapy

As an additional component of hernia therapy, physical methods are used. Like massage, they help to eliminate symptoms and improve tissue processes. Such procedures can be appointed:

1. Electrophoresis.
2. Magnetotherapy.
3. Laser treatment.
4. UHF-therapy.
5. Cryotherapy.
6. Balneotherapy.

What kind of complex will suit a particular patient, the doctor will say. With his appointment, the physiotherapist takes into account the characteristics of the pathology and the characteristics of the organism.

Operation

If conservative methods do not give effect, then there is a need for surgical correction. The basis of treatment is the decompression of the nerve roots. It is carried out in two ways: discotomy or laminectomy.

And all other techniques are in fact their modifications. The rehabilitation program after surgery includes the methods already listed.

But, despite the means used, one must remember: the main thing in treatment is its early onset and clear implementation of the doctor's recommendations.

»More information on the topic: http://moyskelet.ru/bolezni/osteoxondroz/gryzha-diska-l5-s1.html

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Intervertebral disc herniation L5-S1

Article tags: hernia, treatment, surgery, symptoms

The progressive herniated intervertebral disc L5 S1 is the destruction of the fibrous ring and the outlet of the pulp into the intervertebral space.

L5 is the fifth vertebra of the lumbar region, S1 is the first vertebra of the sacral segment of the spine. Thus, the hernia L5 S1 is located in the lumbosacral spine, in the place where the greatest burden on the back occurs.

This localization of protrusion is common, but it is inferior to the lesion of the L4 L5 disc and refers to dangerous diseases requiring immediate treatment.

The lumbar spine assumes the greatest load, and the L4 L5 drives are the most mobile and with a large amplitude of movements.

Causes of hernia

In medical practice, lesions of the lumbosacral spine are often found, which is associated with several negative factors:

1. Physiological load: the natural function of L4 L5 S1 disks can become the true cause of a hernia, which often occurs in people with increased physical exertion. The more movement occurs in the lumbar-sacral region, the higher the risk of rupture of the fibrous ring of the disc and the exit of the pulpous nucleus outwards;
2. Anatomical features of the spine of an individual: the greater the angle between the vertebrae of L5 S1, the greater the likelihood of the appearance of pathology. This also applies to the small angle between the vertebrae, then the disc will have a pathological shape;
3. Congenital anomalies of connective tissue: violation of strength of tendons, ligaments, muscles;
4. Excess weight increases the load on the vertebrae of L4 L5 S1, which wear out more quickly and lose their function.

Symptomatic picture

Symptoms of the intervertebral disc damage are associated with the squeezing of soft tissues and nerve endings.

Primarily, the spinal nerves are affected, the structures are compressed and the integrity is compromised, which is especially pronounced when there is a sequestered hernia of the L5 S1 disc.

Irritation of tissues begins, which is associated with a violation of anatomic integrity, there is swelling, an inflammatory local process, and this only exacerbates the disease.

The hernia of the L5 S1 disc has specific symptoms of impairment, manifested by the following conditions:

1. Neurological symptoms: a violation of sensitivity in the lesion, numbness, pain along the sciatic nerve, burning in the region of the shin;
2. Muscle symptoms: the affected tissues become denser, and on one side of the back there is swelling, which is due to frequent muscle contraction and inflammation of the nerve roots;
3. Pain syndrome: the hernia pain constantly accompanies the disease, changing the character and localization. At the initial stage of the disease, pain appears in the lumbar region of a pronounced nature. As the pathological processes increase, irradiation occurs on the lower limbs and other parts of the spine. Any movement causes an intensification of painful sensations, and more often it occurs on the right side of the spine.

Types of hernias

Often a herniated disc L5 S1 occurs when the posterior or posterolateral part of the fibrous ring is ruptured, but there are other types of hernias, depending on the location:

1. Medial (medial) disc herniation L5 S1: the spread of the pathological process inside the lumen of the canal of the spinal cord. This pathology accelerates the squeezing of the roots, which is accompanied by neurologic symptoms, and a violation of the sensitivity of both legs;
2. Sequestered posterior or medial hernia characterizes the degree of lesion of the disc. This is the last stage of the destruction of the intervertebral disc, when the nucleus flows into the canal of the spinal column;
3. The paramedial right-sided hernia of the L5 S1 disc is localized not in the central part, but along the anterolateral wall. Irritation of the nerve roots occurs on the one hand, which provokes neurologic and pain symptoms;
4. Foraminal: localized at the point of exit from the vertebral canal of nerve endings, manifested by a violation of one nerve.

The posterior intervertebral hernia is often found at the level of L4 L5, less often this lesion of the L5 S1 disk. The medial hernia always causes severe pain symptoms in the lower limbs, especially when moving.

Methods of treatment without surgery

Treatment of hernia L4 L5 and L5 S1 is performed conservatively or surgically, depending on the severity of the pathological process. Sequestered pathology can almost always be radically removed, since there is a risk of sequestering, which can result in paralysis.

The posterior medial intervertebral hernia is maintained for a long time: physiotherapy, medical treatment, manual therapy:

1. Immobilization of the spine with a special corset;
2. Ingestion or administration of intramuscular anti-inflammatory drugs: Movalis, Diclofenac;
3. Treatment with drugs that promote the regeneration of cartilaginous tissue: Collagen complex, Alflutop;
4. Anesthetic treatment: blockade at vertebrae level L4 L5 or L5 S1, taking analgesic preparations;
5. Spasmolytic treatment with Medocamm, Spasmalgon;
6. Physiotherapy treatment: electrophoresis, laser treatment, acupuncture, massage in the vertebrae area L4 L5 and L5 S1.

Surgical treatment is performed in extreme cases, when there are pronounced neurological disorders, damage to all spinal roots, paralysis, inconclusive, conservative treatment for half a year.

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Herniated disc l5 s1

The overwhelming majority of the herniated intervertebral disc occurs on the site l5 s1, where l, lumbar (lat.) - the lumbar spine, s, sacrum (lat.) - sacral department.

That is, the diagnosis of "herniated disc l5 s1" indicates the location of the disease: between the first sacral and fifth lumbar vertebrae.

Radicular syndrome

Why in these discs the intervertebral hernia arises most often, explain the peculiarities of the structure of the spine: this department accounts for the bulk of all the loads.

The intervertebral hernia is characterized by the prolapse of the pulpous core of the disc beyond the fibrous ring. A special danger is the possible compression of the nerve root disk.

The pressure on the 5 th root of the waist causes soreness, which changes with time the weakness of the muscles supporting the back. "Radicular syndrome" is a serious and frequent complication of disc hernia. It threatens a number of degenerative-dystrophic changes in the spine and dysfunction of the pelvic organs.

How to treat a herniated disc l5 s1?

Unfortunately, such a simple step is too often postponed until later.

"Then" comes when the available painkillers stop acting and the pains become, in the most literal sense, intolerable.

When a patient reaches a specialist, the latter often only has to write a direction for an unscheduled operation.

If there is an opportunity to operate with a specialized surgeon, a professional with high-quality equipment and owning modern methods of surgery in the area of ​​disc herniation - consider that the patient is lucky, she will get rid of the hernia without consequences.

But it happens that the time to choose a doctor and clinic does not remain.

Risks of complications are high, the recovery period is long and painful, the probability of recurrence of herniated disc is great.

Treat with conservative methods!

Do not bring the body to a critical state, then do not have to resort to extreme measures.
Herniated disc is an insidious disease, so it is necessary:

• treat under expert supervision
• adhere to all recommendations (including diet and lifestyle changes)
• Do not forget about routine inspections and examinations.

How not to treat a herniated disc l5 s1?

We will analyze the popular methods that are used in the fight against the hernia of the disk l5 s1. Folk remedies in the form of broths, tinctures and ointments are basically safe. But they are unlikely to bring good.

More serious measures should not be resorted to independently.

Moreover: address to those experts to whom the surgeon will direct you.

With a disc herniation, a trip to an amateur masseur without research and appointment is equated with self-treatment and entails the most harmful consequences for the organism. "Spread" the intervertebral hernia of the disc is extremely dangerous!

Manual therapy is one of the main methods of combating herniated discs, but only under certain conditions:

• There is a picture of MRI, from which the "manualist" understands the location and direction of protrusion, its size and features.
• The specialist is experienced enough, has a specialized education and has repeatedly faced exactly with this disease.
• Herniated disc is not in the acute stage of its development.

But remember: the only task that this method solves is the alleviation of suffering. "Extension of the spine at home" - a frequent query in the search engine, but the expert, he horrified.

Structures reminiscent of the instruments of the Inquisition can be easily ordered on the Internet. That's just a similar procedure, even "at home can several times accelerate the processes that destroy intervertebral discs.

You will probably come across the fact that each specialist is an adept of some "his" method. This is something that he can accomplish: he has the necessary tools, conditions and good experience.

Often, a doctor, having tested a method (perhaps, at the very beginning of his career) and having obtained a positive result, stops at it and applies this method again and again.

The therapeutic course should be selected taking into account many factors, among which even the predispositions and preferences of the patient play not the least role.

It is one thing to treat a long-distance truck patient whose spinal disorders are due to constant position of the body, sitting in one position behind the wheel, endless roads and no less endless traffic jams.

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And it's quite another to choose a course of treatment for an athlete whose hernia is the result of permanent microtrauma of the spine and for which it would be a torture to stay in bed for a day without movement.

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Therefore, he does not limit himself or the patient to one or two options.

Therapeutic and medicinal methods, sparing procedures, muscle strengthening exercises, anesthesia with drugs and minimally invasive intervention - there are always options. It remains only to use them competently in the process of preparing a treatment program.

The course is selected based on the MRI indications (or other research, if it is impossible to perform an MRI scan), the results of the examination, and the analyzes. Are taken into account:

• department of the spine
• size and direction of protrusion
• narrowness of the canal
• reactions of the nervous system, degree of their weakening
• intensity of pain
• presence of radicular syndrome
• presence of other complications
• age of the patient
• body type
• general condition of the body
• and so on.

Conservative methods do not bring relief within 5-6 months? This is a direct indication for surgery!

Minimally invasive methods

There is an intermediate stage between therapeutic measures and surgery: these are minimally invasive techniques. The most progressive among them:

• intraosseous blockade
• hydroplastic
• laser vaporization

All these methods stop painful manifestations, are used when ineffectiveness of anesthesia with drugs. They do not get rid of the underlying disease, but are able to return the quality of life to the patient, allow him to forget about the torments for a long time and return the joy of movement.

This is surgical manipulation. Each of these procedures should be performed only by an experienced surgeon!

Symptoms

Clinical manifestations, which you should always pay attention to:

• Pain in the leg
• Numbness
• Tingling, needles
• Weakness, feet ache
• Gait changes
• Movement of the foot.

The intensity of all manifestations varies significantly: from slight discomfort to unbearable torment.
Hernia can not be manifested in the lumbar region. Moreover, the lower the legs (feet, fingers) ache, the more likely that the cause is in this disease.

A source: http://xn80aa1cjgi.xnp1ai/lechenie/gryzha-diska-l5-s1/

Lumbar herniation of the intervertebral disc L5 S1 - causes and treatment

Herniated disc L5 S1 is one of the most dangerous diseases of the spine.

And if at the beginning of the change show themselves only with shooting or aching pain in the lower back, with time due to the inflammatory process can limit the movement of the patient and even lead to paralysis and its disability. What provokes the appearance of a hernia, indicates the presence of the disease, and what methods of treatment are used?

Causes of hernia

The contraction of L5 S1 signifies the vertebra, which is the epicenter of the onset of pathology. For the lumbar spine use L. In turn, the sacral vertebra has a contraction of S.

The digit indicates the sequence number and location. Consequently, a herniated intervertebral disc S1 L5 appeared between the first sacral vertebra and the fifth lumbar.

According to statistics, the hernia is formed most often in the sacral-lumbar region. In some cases, there is a multi-hernia.

In this case, the symptoms are superimposed one upon another, and it is quite problematic to make an accurate diagnosis. It is for this reason that it is recommended to undergo additional diagnostics with the help of radiography and MRI.

To the reasons that provoke the appearance of a hernia, the following factors can be attributed:

• Injuries
• Physical exercise
• Sedentary work
• Osteochondrosis
• Scoliosis
• Bad habits, stresses
• Metabolic disorders

An interesting fact is that the frequent cause of the appearance of a herniated intervertebral disc L5 S1, are seat belts. More precisely not themselves, but a strong inhibition of the human body in the event of an accident. Usually the first symptoms of the disease appear in a person later, -3 years after the accident.

Symptomatology of the disease

In 90% of cases of all the hernias occurring in the lumbar region are on the L5 S1 disk. This is due to the anatomical features of the human body.

The fact is that this area of ​​the spine is under constant strong pressure.

All changes in the structure of the human body associated with radiculopathy, lumbago, sciatica, inflammation, and the appearance of osteochondrosis affect this part of the spine.

The main symptoms that indicate the presence of pathology are:

1. Painful sensations in the knee and ankle region
2. With the development of pathology, the pain syndrome begins to increase along the inner side of the thigh
3. There is numbness in the legs
4. Individual symptoms

The symptomatology of the disease is often conditional and depends on the concomitant diseases and individual anatomical features of the patient.

In case of suspected intervertebral hernia of the lumbar department of L5 S1, additional tests are required to clarify the diagnosis. The purpose of the treatment, determining whether the operation is necessary in this case is determined only after the patient has undergone a general examination, including MRI and radiography.

What treatment for lumbar hernia is the most effective

The effectiveness of treatment depends primarily on early diagnosis of the disease. It is the responsibility of the attending physician not to miss the moment favorable for drug treatment.

Conservative method and prevention of pathology is the most justified method of struggle especially in the early stages of a hernia.

The purpose of drug treatment is to eliminate the pain syndrome, which is significant discomfort and limits the motor functions of the patient, as well as eliminating the inflammation of nerve endings.

After the therapy, the main emphasis is on creating a muscle corset and strengthening the correct location of the spine. This is achieved through therapeutic gymnastics and physiotherapy procedures.

During discectomy, the muscles are excised along the damaged part of the spine, after which the disk is partially or completely removed. The danger of possible complications is much greater than the effect from the operation itself.

That is why in the world practice, first of all try to eliminate the problem in a conservative way. Only after the various treatment options have failed, an operation is prescribed.

The choice of treatment is most often left to the discretion of the patient himself, and, unfortunately, doctors are most often interested in performing surgical removal of the hernia. Often this method is presented as the only true one. Surgical treatment has a large number of minuses and is fraught with serious complications in the patient's well-being. Agree to such treatment is necessary only in extreme cases!

The hernia of the L5 S1 disc is well amenable to complex treatment. Given the early diagnosis of pathology and timely access to a competent specialist, the probability of a full recovery is quite high.

A source: http://ponchikov.net/health/pozvonochnik-i-sustavi/311-gryzha-mezhpozvonochnogo-diska-l5-s1.html