- 1How is the treatment of intervertebral hernia in the lower back during an exacerbation?
2Exacerbation of the intervertebral hernia (lumbar spine): what to do? Treatment
- 2.1What is an exacerbation of the intervertebral hernia?
- 2.2Causes of exacerbation: when and why is it manifested?
- 2.3How is the exacerbation of the hernia manifested?
- 2.4Exercises for disc herniation (video)
- 2.5Than it is dangerous?
- 2.6What to do if you have an exacerbation of the intervertebral hernia?
3What to do when exacerbating a lumbar hernia
- 3.1Emergency help and diagnostics
- 3.2What can I do by myself
- 3.3Features of therapy
- 3.4Denial of responsibility
4Exacerbation of intervertebral hernia: what to do, how to treat with the help of manual therapy
- 4.1Treatment of intervertebral hernia in the lower back during an exacerbation: what to do?
- 4.2What should I do if my lumbar intervertebral hernia becomes worse?
- 4.3Treatment of recurrence and exacerbation of the intervertebral hernia
5Treatment of vertebral hernia: 11 effective methods
- 5.11. Physiotherapy
- 5.22. Medicines
- 5.33. Massage
- 5.44. Manual therapy
- 5.55. Physiotherapy
- 5.66. The regime of physical activity and rest
- 5.77. Wearing a corset for the back
- 5.88. Diet
- 5.99. Eastern medicine
- 5.1010. Folk ways
- 5.1111. Operation
6Treatment of intervertebral hernia by non-surgical methods
- 6.1Non-surgical treatment of intervertebral hernia, is it possible?
- 6.2Methods of non-surgical treatment
- 6.4Ultrasound treatment
- 6.5Manual therapy
- 6.7Extension of the spine
- 6.10Folk remedies
How is the treatment of intervertebral hernia in the lower back during an exacerbation?
Treatment of intervertebral hernia in the lower back during an exacerbation is an important issue for most men after 40 years. The way of life of many of them is sedentary, with a long sitting in front of the monitor. It does not contribute to the strength of the spine.
The emergence of a hernia is a process that is stretched in time, which is chronic. Therefore, the aggravation of this disease can occur quite suddenly. The doctor will have to diagnose it already at the first examination.
To understand the processes occurring in this case, it is necessary to consider the causes and symptoms of the disease.
It should be remembered anatomy: between the vertebrae are placed disks of cartilaginous tissue, working as a shock absorber due to elasticity.
The disk consists of several layers: an outer dense shell (fibrous ring) and a soft inner part (pulpous core).
When cracks appear on the disc, the inner layer first deforms, creating a protrusion, then flows out, pressing the nerve endings.
The pain arising in this case, indicates a bad situation in the support apparatus and is very strong.
Loss of support, the body responds to the violation of the internal organs, changes in the sensitivity of the limbs or those or other parts of the body.
What can affect the unique structure of the human spine?
There are several reasons, and their knowledge helps the patient to understand exactly what is happening to him and how to act in the period of exacerbation..
One of the main causes of the disease is trauma, lifting of gravity, which is very often the case with young active men. The second is the weakening of the blood supply to the dorsal muscles in connection with a sedentary lifestyle..
Disks do not have their own power system and function due to the closest tissues - the muscles of the back.
In this case, such a scheme works: a sedentary back - there is no necessary blood supply - the disk is starving, becomes less strong - it is cracked.
Vertebral hernia can occur with individual characteristics of the body - defects in connective tissue.
Hernia in the lumbar region gives the following symptoms: there are aching pains in the lower back, giving up in the leg (the part of the foot and the shin become insensitive, there is a pain in the back, sharply increasing when turning and walking). A person strives to be in one position, being afraid of another attack of pain.
The provoking factors are: osteochondrosis (it is considered the initial stage of the intervertebral hernia) and heredity. Hernia can cause:
- oncological and gynecological diseases;
- broken and displaced vertebrae;
- change of hip bones as a result of inflammation.
At the first stage, a person tries to relieve pain with medications - tablets, ointments, compresses. The doctor is most often treated in an advanced stage of the disease, when the process has escalated.
When visiting a doctor (neurologist or orthopedist) with complaints of pain in the back, numbness in the limbs, radiography of the spine is prescribed.
The intervertebral hernia of the lumbar region develops in 2 stages:
- the first - degenerative changes in this part of the spine, cracks, swelling, pain in the tense muscles;
- the second - at this stage the pain affects already the roots of the vertebral nerves, there is a loss of sensitivity and a diagnosis is made - a hernia.
The status of the disks is estimated from the clearance in the picture.
For more accurate diagnosis, a discography is prescribed - approximately the same as radiography, but with the introduction of a contrast medium in a suspicious area.
Ultrasound with herniated lumbar spine will not be effective. The best method of diagnosis is magnetic resonance imaging with the use of contrast agents.
At the first stage of the intervertebral hernia in the period of its aggravation, medications are prescribed to relieve inflammation and pain. Medications can be in the form of ointments, injections or tablets..
A very good result is given by physiotherapeutic procedures - massage, acupuncture, UHF, electrophoresis, laser treatment. All these tools relieve pain, but do not remove the problem..
Without surgical intervention, you can manage in 2/3 cases of exacerbation of the intervertebral hernia of the lower back, but with numbness in the legs, periodic severe pain in the lower back, violation of the pelvic organs, surgical treatment is inevitable. It is necessary if the frequency of exacerbations is fixed once in 90 days and the pain is not removed.
With conservative therapy of exacerbations of such hernias, traditional medicine and folk recipes are used.
They relieve pain quite well, but treatment requires at least two weeks of time and a large number of drugs.
They irritate the shell of the stomach and duodenum, affect the kidneys and liver, can provoke an allergy. If you have gastritis and ulcers, you can not take them.
For drug therapy of exacerbations, the following apply:
- anesthetizing ointments Diclofenac, Movalis;
- injections or tablets Naproxen, Indomethacin, Tenoxicam.
If the patient already knows his diagnosis and is experiencing another exacerbation, he needs to take the following measures to stop the pain:
- go to bed, the damaged lower back and spine can not stand the weight of the body;
- you need to make the bed hard, try to take a pose, in which the pain is the smallest due to less tension of the roots, you can raise your legs on the support;
- Wear a fixing belt so that it is impossible to make sharp movements, which will provoke the resumption of pain;
- learn non-traumatic rising: on the floor, first slowly lower your legs, then you need to get up, lean on your hands, sit on the edge and, holding the trunk evenly, get up;
- to correct food, excluding abundant, fatty and spicy food;
- to refuse from sexual contacts: they assume mobility in the lower part of the spine;
- apply prescribed medications - anti-inflammatory and analgesic ointments Action Finalgon, Diclofenac, Indomethacin, injections of antibiotics, vitamin complexes.
With a reduction in pain, exercise therapy is prescribed. The doctor will also recommend massage, physiotherapy, acupuncture and acupressure.
All these effects are carried out only between the attacks of pain and under the supervision of a physiotherapist. With reduced pain, the patient can exercise independently.
The basic rules to be observed:
- minimum physical stress;
- small amplitude of movements;
- exercises can be performed on a bed with a padded cushion, on the back or side and stop when the pain resumes;
- follow the sequence of tension-relaxation;
- the first exercises are performed for healthy parts of the body: it is required to begin with the legs and hands, while the lower limbs are on the bed;
- classes last for 10-15 minutes for 3 sessions a day;
- bends on the bending of the spine are forbidden: the sections of the discs are innervated by a multitude of processes, and even the slightest pressure intensifies the pain;
- you can not lean too low, stretching exercises are shown along the spine, while nerve roots are released.
Physical exercises during remission should be done very carefully to avoid pinching and relapse.
If such treatment does not work, then hospitalization with intensive therapy or surgical intervention is necessary.
Advantages of surgical intervention:
- 1. Quickly the pain in the limbs is removed and the discomfort in the spine considerably decreases. It takes 1 day against two months of drug therapy.
- 2. Such treatment removes the cause of the pathology and permanently relieves patients of pain, in contrast to the conservative method of therapy, in which the exacerbations are periodic and every year stronger.
- 1. Often requires re-intervention. But against the background of hospitalization of "conservative" patients 3-4 times a year is not a problem.
- 2. The risks of the operation itself - inflammation, scars - are treated with the introduction of antibiotics and gels.
There is a large number of recipes of traditional medicine used to treat exacerbations of the intervertebral hernia - "lumbago". Here are a few of them:
- 1. Honey and fir oil: loosen the loin with oil, then honey is applied to the same area (it needs to dissolve the mummy, which is diluted in 1 h. l. water). You should pat the affected area with your hands, the skin should stick to your hands, there may be strong pain. After finishing, Finangel's remedy is rubbed into the back and wrapped up warmly. Duration of treatment is 30 days. Before such a massage, the skin should be lubricated with a tincture of a saber, with St. John's wort oil, with decoction of birch leaves.
- 2. Garlic (300 g) is twisted in a meat grinder, add 150 g of vodka. Infusion should be kept for 10-14 days in a dark place. The mixture is applied to the hernia, a warm cloth is placed on top, all wrapped with a film. It takes 60 minutes, cleanse the skin with a dry cloth, do not drench with water. Do this for 1 month. The medicine is used according to the following scheme: 1 day - compress, 1 day - turpentine bath.
Intervertebral lumbar hernia - a common disease, during an exacerbation reducing the patient's standard of living. His reason is the wrong way of life. Observance of physical activity and rules of work with weights will help to prevent its occurrence.
A source: http://spina-health.ru/mezhpozvonkovaya-gryzha-v-poyasnice-lechenie-period-obostreniya-chto-delat/
Exacerbation of the intervertebral hernia (lumbar spine): what to do? Treatment
Exacerbation of the herniated spine proceeds very violently, with severe pain syndrome, stiffness in movements and in some cases fever.
Treatment of an attack of the intervertebral hernia should be started as soon as possible. For this, various medicamental anti-inflammatory and analgesic agents are used. If the back still hurts - prescribed nyxes of powerful analgesic medications.
The most severe is the exacerbation of the vertebral hernia of the lumbar spine. The cervical section is somewhat weaker, but in the thoracic region the exacerbation of the hernia does not proceed at all in moderation.
What is an exacerbation of the intervertebral hernia?
What is and how to survive exacerbation of the intervertebral hernia? During a conditional remission (when the disease has practically no manifestation itself, or manifests itself minimally), the spinal column is more or less stabilized.
Compensatory mechanisms are included, which are designed to reduce the effects of having a hernia on the entire musculoskeletal system. The muscles of the back are connected to work (to reduce the load from the spinal column).
Stages of formation of vertebral hernia
During an exacerbation (it seldom happens in itself - usually there is a provoking factor) all this "stabilization" is broken. Often there is a displacement of the vertebra, and it can be so serious that there will be compression (infringement) of the vertebral nerves..
With this complication, a pronounced pain syndrome develops. Pain can be so strong that the patient can not even fall asleep. The larger the size of the hernia and the more serious the factor provoking it (for example, trauma or stretching of the back) - the more agonizing will be the aggravation..
How long the exacerbation of the intervertebral hernia lasts is an individual question. In some patients, it may last several hours. In others, the pathology stretches for several days, which already requires a visit to the doctor (or calling him at home).
to menu ↑
Causes of exacerbation: when and why is it manifested?
What causes exacerbations of intervertebral hernias? What are the provoking factors? In fact, any sloppy body movement can cause an aggravation, but there are several common reasons.
When exacerbation of the vertebral hernia, severe pain occurs
Causes of exacerbation of the intervertebral hernia:
- Household trauma. Enough inaccurate sharp movement of the body - even this is enough for the emergence of pathology. But overall, light injuries and sloppy movements do not often become the main cause.
- Severe injuries often lead to an exacerbation of the hernia. For example, a blow in the back, or fall even from a small height.
- Excessive physical activity. Workers of many labor professions are forced to continue to engage in it even with a hernia. As a result, the progress of the disease and frequent exacerbations.
- Stretching of the spine. It is enough to carry out prohibited exercises with rotational or axial loads on the spine - and the disease will manifest itself again.
- Relatively rare, but still there are exacerbations due to hypothermia of the body. Both local (only in the field of pathological process), and systemic (for example, walks in winter weather along the street).
- Lifting weights. And it can even be small (TV, an empty nightstand, a package with products).
to menu ↑
How is the exacerbation of the hernia manifested?
What can not be confused is the exacerbation of the intervertebral hernia, especially if it is localized in the lumbar spine. Symptoms are growing rapidly, flowing so strongly that the patient can fall for a few days of life.
Dilation of the vertebral disc with exacerbation of the vertebral hernia
Symptoms of exacerbation of the intervertebral hernia:
- strong, painful pain in the area of the pathological focus with irradiation (giving) to the lower or upper extremities, less often - into peritoneum or thorax (development of temporary intercostal neuralgia);
- the occurrence of fever in response to increasing inflammatory processes in the tissues of the spine and individual vertebrae (the temperature can rise up to 38 degrees);
- stiffness in the movements of the back, stiffness of the muscular corset (especially strongly spasm is expressed in the cervical region);
- when trying to tilt or turn the torso, severe pain or intensified already exists - up to the point that the patient can lose consciousness;
- possibly the development of nausea and even vomiting, but usually such symptoms occur with severe large hernias;
- when localized in the cervical region may develop dizziness and severe headaches, giving into the bridge of the nose (because of that the patient can not look at the light), it is also possible the occurrence of photopsy (visual artifacts in the form of flares, lightning).
to menu ↑
Exercises for disc herniation (video)
to menu ↑
Than it is dangerous?
To any fatal consequences, exacerbation of the intervertebral hernia can not lead. An exception are isolated cases in which the patient has congenital anomalies and defects in the structure of the vertebral arteries and the vertebral column itself.
But there can be many health problems. First, the pain itself can interfere with normal life activity. Patients can normally live only under the powerful painkillers, and in this case they usually do not get enough sleep due to constant awakening amid inflammation and pain.
Secondly, the inflammatory process in the tissues of the spine acts as a catalyst for pain. He strengthens and supports it. And in itself inflammation leads to some complications: nausea, vomiting, puffiness, fever.
Thirdly, even after the reduction of painful sensations and inflammatory phenomena (3-4 days after exacerbation), some symptoms may remain. For example, stiffness in the movements of the body and spasm of the dorsal musculature.
Prolonged intervertebral hernia and frequent complications are fraught with damage to the nerve nodes and spinal canal. And this can lead to disability of the patient (for example, to partial or complete paralysis of the lower extremities).
Therefore, treatment of the disease should be done in a timely manner. In the early stages it is usually limited to conservative (non-surgical) therapy.
to menu ↑
What to do if you have an exacerbation of the intervertebral hernia?
What to do with an exacerbation of the intervertebral hernia? It is important here not to try to engage in any physical exercises (even therapeutic LFK is forbidden!) Or try to "level" the back. This will lead to no good, on the contrary - the symptoms will intensify and the aggravation will take longer.
In the first days of exacerbation of vertebral hernia all sports are prohibited
It is important to provide maximum comfort to your body. Need bed rest with the most optimal for the patient's pose (so that he was comfortable, and the pain felt as weak as possible).
Treatment is carried out using the following methods:
- Non-steroidal anti-inflammatory and analgesic medications are prescribed. With moderate pain syndrome, the usual Paracetamol (he also removes inflammation), with serious - Ketanov and its analogs.
- Warming of the affected area (risky, but often helps). You can use warming ointments and gels, or special products. For example, tourmaline belt or a belt of dog hair.
- Consumption of large amounts of liquid and increased food intake. What for? To restore the resources of the body and give him "strength" to combat inflammatory processes.
- As soon as the symptoms subside by half - you can do general gymnastics, but in a very gentle mode. Rotational and axial loads are prohibited, like lifting weights / jumping / running, and sharp and deep torso torso.
A source: http://osankino.ru/gryzha/obostrenie-mezhpozvonkovoy-gryzhi.html
What to do when exacerbating a lumbar hernia
Development can take a long time without symptoms - there is no pain syndrome and other unpleasant sensations.
That's why many people go to the doctor late - only when the pain becomes harsh and difficult to bear. And if this all the same has occurred, it is necessary to understand how to treat a lumbar hernia in the period of exacerbation.
Emergency help and diagnostics
The transition of the disease into an acute form can be triggered by any careless movement and even a single increased burden on the back.
With hernia, back pain is not local - usually the clinical picture corresponds to which spinal nerve is affected by the protrusion of the intervertebral disc.
Severe pain in the lumbar region gives off in the limbs, neck or shoulder blade, in severe cases there is a disruption of the motor functions and the work of the pelvic organs, the limbs become numb. This is an urgent situation in which important:
- emergency (especially if the exacerbation occurred for the first time, then you need to know exactly what the problem is in the intervertebral hernia);
- observation of a doctor (sometimes in a hospital).
The neurologist should draw up a diagnosis plan based on the evaluation of the clinical picture, the severity of the pain syndrome during exacerbation, and the duration of the disease. Basic diagnostic methods, in addition to MRI:
- (taking a cerebrospinal fluid to measure its pressure, which grows at the point of deformation);
- electromyography (assessment of motor ability of muscles);
- ECG (to exclude the pathology of the heart).
What can I do by myself
With acute pain in the back, especially giving away to other parts of the body, the call of the doctor is mandatory, since it is necessary to distinguish the pathology of the spine from severe diseases of the internal organs.
In some cases, timely application for medical help saves one's life. Before the doctor comes, the following actions should be taken:
- lie on the floor or on a hard bed: on the back, putting the bent legs with the legs to the elevation, or on the stomach with the pillow under it;
- Limit the movements that cause pain;
- do not panic, take an available pain medication, apply irritating (for example "Finalgon") or an anti-inflammatory ointment (eg indomethacin);
- if possible, provide dry heat for the waist.
Features of therapy
Treatment for exacerbation of a hernia is primarily a withdrawal of the pain syndrome. What is recommended for this:
- keep bed rest for about a week (hospitalization possible);
- use medicines (analgesics, antispasmodics, diuretics,), and (for intravenous administration of drugs);
- To address to the manual therapist (in the presence of pictures MRI) - after removal of an exacerbation.
All these measures allow you to remove pain and inflammation, reduce muscle cramps, improve nerve conduction and nutrition of intervertebral discs in the lumbar region, and reduce pressure on them.
Approximately six months later, the disc begins to recover, but a recurrence of the hernia is possible. Therefore, for example, exercise without contraindication.
After eliminating acute symptoms, sanatorium procedures can be recommended, for example. Their effect is based on the absorption of nutrients into the skin..
After a while after exacerbation, after reaching remission, on the recommendation of a doctor it is applied, as well..
The first lessons should be conducted with a specialist who controls the correctness of the exercises.
Initially, the load should be small, with a slight amplitude, preferably in a lightened position - on the abdomen, on the back, on the side. It should alternate with complete muscle relaxation.
- excessive extension of the lumbar region (increased pressure on the posterior sections of the discs, ligaments, nerve roots, which is fraught with the appearance of pain);
- Deep tilts (more than 20 degrees - the pressure inside the disc increases, it moves, muscles stretch too much).
A good effect is provided by those exercises in which the spine is stretched, as the spacing between the vertebrae increases, this facilitates the release of nerve roots and vessels.
At the end of the treatment, in order to prevent exacerbation of the intervertebral hernia, it is important to visit the attending physician regularly, twice a year. It is necessary to observe the prescribed way of life (the mode of work, sleep) and not to stop.
Denial of responsibility
The information in the articles is intended only for general reading and should not be used for self-diagnosis of health problems or for therapeutic purposes.
This article is not a substitute for medical advice from a doctor (neurologist, therapist).
Please consult your doctor first to know the exact cause of your health problem.
I will be very grateful if you click on one of the buttons
and share this material with your friends 🙂
A source: http://osteohondrosy.net/chto-nuzhno-delat-pri-obostrenii-poyasnichnojj-gryzhi.html
Exacerbation of intervertebral hernia: what to do, how to treat with the help of manual therapy
The presence of osteochondrosis in 80% of the population in the age group over 30 years is practically not contested. And patients get used to the constant stiffening pain in the waist.
But it is necessary to understand that osteochondrosis causes, though gradual, but progressive destruction of the intervertebral discs.
It is not impossible to develop a rupture of the fibrous ring, resulting in a hernia.
You can also learn to live with this state. Especially, if at the moment of hernial protrusion in the clinic, the therapist was prescribed non-steroidal anti-inflammatory therapy.
Acute symptoms completely stop, a person returns to his usual life and fulfilling his professional duties. And the intervertebral disc continues to collapse.
The spinal column loses some of its cushioning ability. After 2-3 years after the surgery, a relapse occurs in the projection of other intervertebral discs.
Meanwhile, the treatment of intervertebral hernia in the period of exacerbation can be carried out so that the patient will be completely rid of osteochondrosis and thus the anatomical structure of the spine will be preserved. How to do it - we will understand later in the article. Most often, such a disease suffers from the lumbosacral spine. Therefore we will understand on his example.
Treatment of intervertebral hernia in the lower back during an exacerbation: what to do?
The first thing to do to treat an intervertebral hernia during an exacerbation is to create conditions for excluding the risk of infringement of radicular nerves.
Their compression can lead to a complete disruption of the innervation of the controlled areas of the body.
This will cause paralysis and dysfunction of some organs of the abdominal cavity and small pelvis.
Typical symptoms of exacerbation of the intervertebral hernia in the lower back may be as follows:
- acute piercing pain;
- pain along the sciatic nerve along the inner or outer side of the thigh and lower leg;
- impossibility to move freely in space;
- severe weakness of the muscles of the lower limbs;
- syndrome of muscle fibers tension in the lumbar region;
- violation of the process of bowel and bladder emptying;
- stagnation of bile and lack of appetite.
Begin the treatment of intervertebral hernia in the waist in the period of exacerbation with the elimination of compression of radicular nerves. To do this, it is most effective to use traction traction of the spinal column.
If there are contraindications, you can use osteopathy.
Without such manipulations, restore the normal position of the vertebral bodies that squeeze the cartilaginous disc and flatten it before the rupture and the appearance of a hernial protrusion.
Use at this stage anti-inflammatory drugs and chondroprotectors in principle is useless. Until the normal position of the vertebral bodies is ensured, the hernia can not be cured.
To eliminate the pain syndrome, other methods of influence can be used, such as acupuncture and massage, reflexology and kinesitherapy.
If you have a strong pain syndrome against the background of exacerbation of the intervertebral hernia, we advise you to register for a primary consultation with the manual therapist in our clinic.
This consultation is free of charge. During the reception, the doctor will be able to recommend procedures that will quickly relieve you of pain. Also, information will be provided on the ways and prospects of treating this disease.
What should I do if my lumbar intervertebral hernia becomes worse?
Exacerbation of the intervertebral hernia of the lumbar spine is a very dangerous condition in the prognostic plan. Compression of the radicular nerve can lead to disability.
Therefore, the first thing to do when exacerbating the intervertebral hernia at home, is to try to eliminate any physical and mechanical stress on the spine. It is necessary to lie on your back on a hard surface and call a doctor. It is not recommended to move in such a state on your own feet.
It is necessary, at least, to remove the painful attack and to normalize the condition of the muscular backbone..
After stretching, it is necessary to remain in a lying position for some time. And when pulling after the descent from the horizontal bar there is even greater return compression..
Also, do not try to massage yourself. The protrusion of the pulpous nucleus from the rupture of the fibrous ring is a congestion of the nerve fiber.
Therefore, any unprofessional exposure can significantly worsen the patient's condition.
The algorithm of the patient's actions with exacerbation of the intervertebral hernia is as follows:
- lie on a hard surface and try to relax the tight muscles in the waist;
- apply cold to the most painful place (warm in no case impossible);
- call a doctor;
- When moving, use a rigid orthopedic framework for the waist.
If at present there is no way to seek safe and effective care in the clinic manual therapy, it can be recommended to make 1 injection intramuscularly "Baralgina" or Diclofenac.
Treatment of recurrence and exacerbation of the intervertebral hernia
Many patients who have already gone through surgical methods of treatment know that the operation does not save from osteochondrosis. Namely this disease causes total destruction of cartilaginous discs.
Recurrent intervertebral hernia occurs in the next 3 to 5 years after surgery for a disc resection.
This is due to the fact that after changing the anatomical structure of the spine, its amortization capacity is lost and the rest of the intervertebral discs begin to disintegrate at a tremendous rate.
To begin treatment of an intervertebral hernia at an exacerbation is quite real. With the help of some techniques, our doctors will quickly eliminate the compression, pain syndrome and correct the hernial protrusion of the intervertebral disc.
And after that, a full-fledged treatment will begin. It will not cause the patient any pain.
The result will be a completely healthy spine without signs of osteochondrosis and a threat of recurrence of the intervertebral hernia.
Is the material useful?
A source: https://freemove.ru/health/lechenie-gryzhi-v-period-obostreniya.php
Treatment of vertebral hernia: 11 effective methods
Treatment of vertebral hernia is done in two ways: 1) by surgery and 2) conservatively.
Contrary to the prevalent opinion among patients, surgery for a disc herniation is not mandatory and is only indicated if the symptoms develop compression of roots of spinal nerves (loss of sensation, movement in limbs, involuntary urination and defecation and other). In all other cases, conservative therapy is preferable: medication, gymnastics, massage, manual therapy, physiotherapy.
Eleven main ways to treat intervertebral hernia (links in the list below are clickable - this is a small article content):
The optimal scheme of treatment in each case is chosen by a neurologist after a detailed examination, and in case of violations of the functions of the extremities and (or) pelvic organs, consultation is also necessary a neurosurgeon. Treatment of vertebral hernia is not an easy task, and it will require not only a competent specialist, but also the active participation of the patient himself.
Long-term stable positive effect is provided by regular complex treatment, and not isolated or single use of separate areas of therapy.
So, even after the operation to eliminate the hernia in order to avoid the return of the disease in other parts of the spine and the development of postoperative Complications of the patient should follow recommendations on physical activity, wear a fixing corset, perform special exercises, take courses physiotherapy.
In the absence of indications for surgery, treatment of hernia of the spine can be successfully carried out at home conditions: to observe the regime of the day, diet, daily exercise gymnastics, take medicines.
Supplement the treatment at home can be folk methods, but carrying out physiotherapy, massage, manual therapy and techniques of Oriental medicine is best entrusted to medical specialists in this field, conducting them courses.
In a hospital, conservative treatment of a hernia is performed only in cases of severe disease: with acute unbearable pain or with the development of neurologic symptoms (impaired functions of pelvic organs, motor and sensitive violations). In the latter case, inpatient treatment is the preparatory stage for the subsequent operation.
Methods of treatment of a hernia of the spine as the condition worsens
Treatment for vertebral hernias is unthinkable without holding a gym. Special exercises of daily performance give a tremendous result: relieve pain, return mobility of the spine and the ability to have strong, active movements, improve overall well-being and mood.
- The most effective exercises for traction: visas on the crossbeams, smooth bending-stretching from the supine position and other techniques of the so-called "traction gymnastics."
- In addition, perform exercises to strengthen the muscles of the back and chest.
- Classes in the pool have an excellent therapeutic effect.
- Performing gymnastics is highly desirable under the supervision of a physician in physiotherapy or a coach. If this is not possible - go through at least one consultation with a specialist in exercise therapy, which will give you detailed recommendations on the technique of performing gymnastics and will advise the most useful exercises.
With the drug treatment of hernia, the following 8 groups of drugs are used:
(if the table is not completely visible - turn it to the right)
Massage is also an obligatory component of complex treatment of intervertebral hernias. It is prescribed in any period of the disease (exacerbation or remission), but depending on the patient's condition, the massage therapist will use different techniques and techniques of massage.
Professional massage courses for 10 days every 2-3 months can significantly improve the patient's well-being.
Existing types of massage. Depending on the patient's condition, one or another of its forms is used. Click on photo to enlarge
4. Manual therapy
With regard to the advisability of using manual therapy for hernias of the spine, the opinions of the doctors differ: some are convinced of its effectiveness (and indeed, the initial stages of some patients managed to get rid of a hernia without surgery with the help of manual therapy), others categorically against manual therapy and consider it dangerous.
Unequivocally, one should not use manual therapy for patients who develop neurological disorders.
In other cases, if you are able to perform manual therapy, consult your doctor and contact only to real experienced professionals, preferably to neurological doctors with an additional specialization in manual therapy. It is difficult to find such a doctor, but you can only entrust complicated manipulations with your spine to a qualified specialist.
When intervertebral hernias use a variety of methods of physiotherapy: medicinal electrophoresis, magnetic field, laser, diadynamic currents, therapeutic mud, showers, baths etc.
Each of the methods has its own specific indications and limitations to the application, so the specific the physiotherapy scheme is selected by the neurologist on an individual basis, depending on the stage and phase disease.
Laser therapy is becoming more popular in the treatment of vertebral hernia
6. The regime of physical activity and rest
The regime of exercise and rest is an important component of the successful treatment of vertebral hernias.
(if the table is not completely visible - turn it to the right)
7. Wearing a corset for the back
Wearing a corset with a flexible but dense base is an excellent preventive and curative measure for intervertebral hernias.
People who are not used to watch their posture during the day are constantly "forgotten stooped, wrongly bent back.
The corset also fixes the spine in the correct position, while retaining sufficient freedom of movement.
And after surgical treatment of vertebral hernia, wearing a corset is mandatory - to speed up recovery and prevent relapses.
You can buy a corset in a specialized orthopedic shop.
Compliance with the diet in the treatment of vertebral hernia is important if the patient has excess weight. Obesity is one of the main factors provoking the appearance of a hernia and aggravating its course. Such patients should understand that without normal weight, successful treatment is impossible.
For weight loss, low-calorie meals are prescribed, divided, with restriction of digestible carbohydrates (sugar, confectionery, bakery, pasta) and rationing foods with high the content of plant fiber, which, with low nutritional content, gives a feeling of saturation, absorbs cholesterol and stimulates the work of the intestine (bran bread, whole grains, fresh vegetables).
And with normal and overweight, salt should be limited or completely eliminated in the diet (enhances edema), smoked, pickled, spicy foods and meals, alcohol (increase pain, swelling).
9. Eastern medicine
Eastern medicine is a relatively new direction for Russia, in the efficiency of which many representatives of classical, traditional medicine, including neurologists, doubt.
However, many patients give good feedback on acupuncture, su-jok therapy, zhen-chiu and other techniques, noting the excellent analgesic and therapeutic effects.
10. Folk ways
Treatment of hernia spinal folk recipes - this is an additional tool. A good result is given by tinctures for rubbing with medicinal herbs (golden mustache, etc.), turpentine baths.
There are several types of operations with intervertebral hernias.
Malotraumatic and highly effective - microsurgical interventions (with access through a small incision and removal of only damaged tissue) and endoscopic surgery, when removal of the disc hernia is carried out with the help of an endoscope (a special device providing the surgeon an overview and the possibility of manipulating surgical instruments), introduced through a small incision.
Also today, operations are carried out with the installation of implants that perform the functions of a remote disk.
Surgical treatment of the vertebral hernia makes it possible to completely eliminate the hernia, but does not prevent its appearance in other parts of the pathologically altered spine. Therefore, even after the operation, you must follow the regime, wear a corset, and perform exercises.
Remember that self-medication and treatment only folk methods with intervertebral hernia are unacceptable - this is fraught with aggravation of the severity of the patient's condition and the occurrence of severe complications, which can no longer be eliminated without surgery it will turn out.
Scheme of hernia treatment is a neurologist strictly individual, depending on the severity of symptoms, the presence or absence of neurologic symptoms, the size of the hernia and other factors.
(the block below can be scrolled to the right to the end)
A source: http://GryzhiNet.ru/pozvon/gryzha-pozvonochnika-lechenie-073.html
Treatment of intervertebral hernia by non-surgical methods
From diseases of the joints and the spine, more than half of the world's population is affected and every year these figures only increase.
Doctors say that these ailments increasingly affect the younger generation, which indicates an unfavorable prognosis of the spread of these diseases in the future.
First, we will understand what the intervertebral hernia is and what are the main methods of its treatment, and then we will dwell in detail on ways to get rid of the disease without surgery.
Intervertebral hernia is a defect of the intervertebral disc, which develops as a result of rupture of the fibrous ring and protrusion of part of the nucleus located at the center of the intervertebral disc. This protrusion is able to squeeze the nerve roots and, depending on the magnitude of the defect, lead to serious health consequences.
There are a lot of reasons for the development of the disease, it can be neglected forms of osteochondrosis, trauma and specific connective tissue diseases that promote the development of a hernia.
Given that the greatest burden is on the lumbar spine, the intervertebral hernia is most often localized in this department..
At the same time, men and women aged 30 to 55 are equally at risk. Very rarely, intervertebral hernias occur in children, usually a congenital pathology..
In elderly people, the risk of developing the disease decreases with age, in view of the loss of elasticity intervertebral disc, which naturally leads to a decrease in the motor function in vertebral column.
Non-surgical treatment of intervertebral hernia, is it possible?
As shown by medical practice, operative treatment of intervertebral hernias is shown only in 5% of cases, in others it is perfectly treated by conservative methods, we will dwell on them in detail.
Like any other disease, a herniated intervertebral disc contains a period of exacerbation and a period of remission.
In the acute phase, intense pain is observed due to pronounced edema of the herniated nerve defect, accordingly, the treatment is directed primarily at the elimination of local pain syndrome and inflammatory process.
The recommended drugs in this case are non-steroidal anti-inflammatory drugs and muscle relaxants that relieve local muscle spasm, thereby reducing local pain and edema.
They help to relieve the pain of new cancer blockades, their only negative, they do not have a long-lasting effect (the pain disappears only for 30-45 minutes). In especially serious cases, steroid drugs are prescribed.
Always recommended to eat vitamins, especially group B. Given the specific nature of the herniation process, it is expedient to designate chondroprotectors, they contribute to the elimination of degenerative processes in tissues.
A positive effect is given by preparations from the group of antioxidants, which improve the state of nerve fibers in the area of pinching.
Methods of non-surgical treatment
It must be remembered that any kind of treatment should be started immediately after the acute phase of the illness, when the pain syndrome is completely eliminated.
Always contact a qualified physician for an in-depth examination and an accurate diagnosis. Any incompetent measures can lead to complications of the disease.
Illiterate treatment can cause surgical intervention, as the only possible option.
Acupuncture is the traditional methods of Chinese medicine, in which special needles are used to influence the human body. One of the most effective treatments for vertebral hernia is acupuncture.
The principle of its action is to accelerate the recovery process by point stimulation with the needles of certain zones on the body.
This method is actively used for several millennia, but it is important to approach the activation of the body's internal reserves to be weighed..
Modern methods of acupuncture are very diverse, so they should be selected exclusively by a specialist. To date, acupuncture is successfully used in combination with the reception of pharmacological drugs..
Another well-proven method is laser acupuncture, which allows use of a laser beam, to effect on biological points of the body without damaging the cutaneous cover.
This technique has unique properties that allow increasing body temperature in the application area, which helps to reduce edema in tissues, and the effect of powerful ultrasound waves on muscle tissue speeds up metabolic processes. All this in aggregate gives a wonderful positive result, in the absence of an acute phase of the disease.
Manual therapy is gaining increasing popularity in our country, however, not all of it is shown. It can only be carried out after a comprehensive examination and taking into account all possible risks and complications.
Based on the results obtained, a qualified manual therapist can save the patient from periodic pain, correct the partial displacement of the vertebrae and reduce the pressure of cerebrospinal fluid (cerebrospinal fluid liquid).
The course of massage procedures is shown exclusively outside the phase of exacerbation, in order to strengthen local blood circulation and improve metabolism in tissues, which facilitates muscle relaxation in the area of pinching of the nerve roots, a significant reduction in inflammation and removal of pain syndrome. For today, there are several effective types of massage: classical, point, can, reflex and other varieties. The expediency of using any kind is determined by the doctor.
Extension of the spine
Extension of the spinal column is considered a rather old method. However, for many years of its successful use, it has not lost its relevance.
The essence of the technique is the artificial creation of traction in the spine, thereby eliminating muscle spasm, disc displacement and pain syndrome.
The most gentle and productive method is the underwater version of the traction, water contributes to an additional relaxation of the muscles, which gives a more pronounced effect.
The procedure is carried out not only with the use of ordinary water, sometimes baths with mineral waters are used for this. The maximum therapeutic effect this method can have on the lumbar spine.
Non-surgical treatment of the spine is impossible without a complex of physical therapy, individually matched to the patient, taking into account the features of the course of the disease and exclusively during remission ailment.
Optimum for these purposes, swimming is suitable, it has no age limits and perfectly removes muscle spasms from the spinal column, relaxing the nerve structure and eliminating the local inflammatory process..
To assign a personal complex of exercises, it is best to contact the rehabilitation centers..
They specialize in these problems, which means they have a variety of modern equipment and highly qualified specialists who are able not only to pick up a personal training course, but also correctly show, how to implement them.
The therapeutic course of medical leeches allows you to eliminate the acute inflammatory symptom. Hirudin, contained in the saliva of leeches, contributes to a natural anticoagulation effect.
This course of therapy makes it possible to strengthen local tissue regeneration, improve immunity, and remove inflammatory and pain syndrome.
Hirudin promotes active saturation of blood with oxygen, which increases metabolism in tissues, reducing their swelling.
Traditional medicine does not give a quick effect, especially if it is used as an independent method of treatment, but in combination with various methods it can work miracles. Basically folk remedies are applied topically, in the form of lotions, ointments and compresses.
- An excellent healing property is Kalanchoe Degremona. The plant is characterized by the ability to relieve tissue inflammation at the site of hernia localization. For use, take one leaf, remove the top film from it and place it on the area of the spine where the hernia is located. On top of the plant you need to cover with cellophane and fix it with adhesive tape, optimally do it for the night.
- Fir tree oil in combination with honey mixed with mummies will help to eliminate the symptoms of the disease. Initially, a small massage with fir oil should be done, this will allow local strengthening of blood circulation. Next, you need to rub a mixture of honey and mummies into the affected area of the spine, if necessary, add a little water to the mixture.
- A good therapeutic effect gives the use of horse fat. Preliminary it is necessary to crush fat thoroughly. Then put it on an afflicted place, cover with food film or cellophane, then fix it with adhesive tape and bandage if necessary. Keep the compress for two days.
During the period of acute illness, strict bed rest is the effective means, it is better to buy a special orthopedic mattress for this purpose.
In addition, it is recommended to wear a corset or bandage, which fixes the spine in the correct position, thereby allowing to relieve muscle tension, and with it pain syndrome.
When the exacerbation is successfully overcome, complex treatment, including a combination of different methods, should be used, only in this way it will be possible to avoid surgical intervention.
on this topic :
A source: https://yourspine.ru/lechenie-mezhpozvonkovoj-gryzhi-bez-operatsii.html