Posterior median herniation of the intervertebral disc: treatment and symptoms

In addition, the intervertebral hernia for the patient is the source of countless misfortunes and sufferings.

Symptoms of intervertebral hernia

Most often the hernia protrudes into the spinal canal, resulting in the transmission of nerve roots or spinal cord. The patient has radicular syndrome, accompanied by paralysis of the legs or paresis.

Approximately 20% of patients in need of urgent surgical treatment. In the area of ​​the diseased disc, pain occurs that increase during exercise. Pain is given from the affected side to the shin, thigh and buttock. With tingling and numbness, there is a feeling of weakness.

There comes dysfunction of the pelvic organs, and from it the problems follow:

• with potency;
• defecation;
• by urination.

Pain appears:

• in the shoulder and arm;
• has problems with blood pressure;
• appears dizziness;
• fingers grow numb.

Treatment of intervertebral hernia

Surgical intervention can be used as an extreme measure when all methods of conservative therapy have been tried without significant benefit and the pain syndrome has remained.

Conservative treatment involves a wide range of physical education opportunities. Special sets of exercises are developed.

In the treatment of intervertebral hernia, non-steroidal anti-inflammatory drugs, corticosteroids( ibuprofen, indomethacin, diclofenac) are used.

Sometimes a doctor prescribes a blockade: a solution of novocaine, lidocaine or another analgesic is injected into the tissues surrounding the disc herniation.

Fizprotsedury and massage should be started no earlier than the fourth week from the onset of the disease.

Surgical method of treatment of intervertebral hernia was previously used with the use of laminectomy.

Today, thanks to the use of a microscope, the size of the operating injury has significantly decreased. Using microsurgical methods of treatment, it is possible to significantly reduce the trepanation window.

In addition, it is possible to remove the hernia endoscopically.

The method of microsurgical removal of intervertebral hernia( microdiskectomy) is the most effective way of getting rid of the disease. The operation is performed under general anesthesia, with a minimal risk of complications.

Let's consider the problem of the formation and development of a hernia of the intervertebral disc by the example of written correspondence on the Internet forum between the patient and the experienced doctor.

Valentine:

Hello! I am 35 years old, height 163 centimeters, weight 58 kilograms. She never smoked cigarettes. I indulge in alcohol within reason. I never thought that I would have to face such a problem. A month ago, I bent down, picked up a full bucket of water( 20 liters), and inclined to carry it. By the morning of the next day, my back ached terribly, but I thought that everything would go away by itself. However, by the evening the pain not only did not settle, but, on the contrary, intensified. It was very difficult to endure, muscles twisted with strong spasms. She crawled to the sofa in the corridor and her back fell on him. The pain instantly passed, and the muscles were able to relax only about ten minutes later. I tried again to get up, but this terrible pain again twisted me. Then she lay still, not moving. My husband called an ambulance. The doctor who arrived arrived at the injection, said that I had all this because of weight lifting and prescribed a direction for MRI.She could only walk on the third day, and then, leaning on a ski stick. MRI did in a week. Here is what they wrote to me: "... lordosis of the lumbar zone is smoothed, the signal for T2 and the height of the intervertebral discs are reduced in the segment L5-S1, the remaining discs remain unchanged in height. The posterior median herniation of the intervertebral disc reached a size of 0.9 cm. The observed caudal divisions and the dural sac are marked by a uniform MR signal. The lumen in the vertebral canal narrowed to the dimensions corresponding to the detected changes. Lumbolization( incomplete) S1 ».The doctor at the MRI said that the hernia is new and may decrease in time. In the first four days a district doctor came to me and did injections( milgamma, movalis) twice a day.
It's been 30 days now. I can not wear a corset: it causes painful discomfort. And when my back aches, I immediately go to bed and do not get up. One familiar bicyclist, all in trauma, advised the course vobenzima. I stay in the unknown, drink vobenzym, lie, wait for a second MRT.Tell me, please, what are the consequences of my problems with the lower back? What drugs to drink now? Will my back be normal? Can I drive a car?

Doctor Blagov NA:

Dear Valentine! Clinically, the recent median hernia of the intervertebral disk without neurological complications( pain in the lower part of the leg, reflex disorders) often ends in complete recovery. This process can take from six months to a year. However, with improper motor behavior( sudden movements, load on the spine axis, the concept of weights), the hernia may well increase. The growth of the hernia represents the greatest danger in the first three months of clinical manifestations and decreases in the first six months. In your case, I think, it will be right to observe the mode of motor behavior in the first four months. Admission of your medications can not change much. I advise you to take common NSAID preparations( for example, arkoxia), but this is the priority of the treating doctor. You can not think about a corset, as no scientific project speaks of its usefulness. Forget about incomplete lumbarization of S1.This is not a global development option, found in many people.

Valentine:

Thanks for the clear and prompt reply! When I wrote you a letter, a little pain appeared in the calf of my right foot. I feel the muscle pain that appears when lying down and passes a couple of minutes walk. I still do not feel any pain. With what it can be connected? I'm very worried.

Doctor Blagov NA:

These are quite natural fluctuations of well-being in an acute period. But you can record neurologic symptoms( sensitivity, reflexes) in a neurologist and observe their changes.

Valentina:

Thank you very much for spending so much time with me! Unfortunately, I can not come to your home consultation, because I live in another city. I try to follow all your recommendations: avoid slopes, do not lift weights. Once again, accept my thanks!

Treatment of the median hernia differs little from the treatment of the usual intervertebral hernia.

The treatment procedure includes the removal of the pain syndrome and restoration of the functionality of the whole organism. In addition, you can go to the course of acupuncture in combination with magnetic and vacuum therapy.

The usual course of treatment is an average of about 10 sessions.