Sequential hernia of the spine( sequestration) is the most complex variant of development of the intervertebral hernia.
This is a dangerous disease, which in many cases leads to paralysis, severe pain.
To prevent serious consequences, surgical treatment is required in most cases.
Contents of the article
Symptoms and manifestations of the disease
- Danger of sequestered spinal hernia:
- Frequent symptoms of hernia at level L5-S1:
- Conservative treatment approach - life without surgery:
- An operative approach to treatment is to remove the sequestered hernia?
Symptoms and manifestations of
The manifestation of this disease is much more than than with a normal hernia, because the effect is on the spinal nerves. Often sequestered hernia of the spine develops in people who suffer for a long time and
are not engaged in treatment of protrusion( herniated disc).The first symptoms of the onset of the disease are always acute so most patients accurately remember the moment when this kind of hernia began to disturb them.
The first symptom is a sharp and very severe pain.
Provokes the first symptoms of the presence of a sequestered hernia stressful situation, lifting of weights, hypothermia. The patient feels the strongest pain in the lumbar region. There is a restriction of movement, up to loss of leg mobility.
Pain also accompanies neurological syndromes: the reflexes on the leg disappear, the legs become weak, a feeling of numbness appears.
The similarity of the symptoms of a sequestered hernia and a normal hernia in the discs of the lumbar region is not difficult to see. But the difference here is exactly the rate of development of symptoms of .In addition, the usual hernia very rarely leads to paralysis of the legs and complete limitation of the motor activity of a person.
Danger of sequestered spinal hernia:
- The risk of paralysis arises from the transmission of a herniated spinal nerve;
- Kernels trapped in the spinal canal carry an additional danger. They contain a large number of protein molecules capable of causing an inflammatory reaction;
Symptomatic features in the most common locations of hernia
The most vulnerable back area, when it comes to the hernia of this species, is the lumbar .
Especially, in those cases when a person lifts weights, this department has a maximum load. Also the spine in this place is the most mobile.
The most common is the sequestered hernia of the disk l5 s1 ( 48% of cases), a bit less often - hernia of the disk l4 l5 .
These intervertebral discs have the maximum load.
In the acute period of manifestation of the disease in the lumbar region there will be severe pain. At this time, it is necessary to take measures for complete anesthesia and ensure a constant bed rest.
Frequent symptoms of hernia at level L5-S1:
- Severe permanent pain in the lumbosacral spine;
- Because of lifting weights, hypothermia, the pain intensifies;
- The nature of the pain is piercing and burning. Pain occurs in the hip joint and gradually passes into the foot;
- Cough: a person experiences severe sharp pain in the leg when sneezing or coughing;
- Paresthesia is distinctly discernible, manifested in running through the leg, the feeling of cold, burning, etc.
A modern approach to the treatment of sequestered hernia
The problem in the treatment of this disease is associated with the dislocation of the hernia.
This type of hernia causes inflammation, which contributes to a decrease in blood flow in the affected area. As a result of this, the spinal column nutrition decreases sharply.
The most common of the hernia is hidden by , which creates additional problems in its treatment.
All of the above does not exclude attempts at conservative therapy, but if it does not help, the doctor prescribes surgical treatment.
Conservative approach to treatment - life without surgery:
- Treatment without surgery is to take non-steroidal anti-inflammatory drugs( NSAIDs).Their goal is to eliminate the inflammation, which manifests itself in the injured root. This allows you to eliminate pain. Drugs are not able to eliminate the hernia itself. Admission of such drugs should not last more than two months, because it is possible to develop side effects. An example of drugs in this group is Movalis.
- As conservative treatment methods, physiotherapy is sometimes prescribed. It does not help in all cases and should only be used according to the doctor's prescription.
- To eliminate painful muscle spasms during treatment, a physician can prescribe muscle relaxants. Novokainovaya blockade of the diseased segment of the spine for this type of treatment is one of the most common methods. It is able to relieve spasm, reduce swelling. The plus is a quick effect and a validity of up to three weeks. You can repeat the blockade at a frequency of once a week.
- When a hernia is accompanied by a combination of intervertebral joints( a frequent phenomenon), then the effective appointment of manual therapy. It is important to consider the inadmissibility of gross manipulation.
Also sometimes, patients are assigned lumbar bandage .It is used during the acute phase of the disease. In this case, the patient should be only in an upright position, while resting the bandage should be removed.
Medical gymnastics is useful only after the complete disappearance of the pain syndrome.
This article will shed light on the features of a massage with a hernia of the spine. About the choice of ointments that help to relieve pain symptoms read here. For general principles of treatment of different types of herniation of the spine read here - http: //osteocure.ru/bolezni/osteohondroz/ kak-lechit-mezhpozvonochnuyu-gry-zhu-simptomy-vidy-i-sposoby-lecheniya.html An operative approach to treatment is to remove the sequestered hernia?
In many cases, surgical treatment is required in a situation where a piece of cartilaginous tissue detached from the hernia itself. If you do not correct such a sequestration in time, it can lead to severe neurological disorders.
If the conservative treatment method is followed by an improvement period that is followed by a period of dramatic deterioration, an operation is also assigned.
In cases where conservative treatment does not help, make an operation.
Modern surgical operations are neurosurgical .They make it possible to minimize the traumatic nature of the operation.
