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Hernias schmorl of the thoracic spine: treatment - more information

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Schmorl hernia is a destructive abnormality in the intervertebral discs, which under the influence of presumptive factors fall into the spongy substance of the bone. Usually this disease appears before adulthood. Often occurs without bright symptoms, but in the absence of proper treatment can trigger the occurrence of concomitant diseases.

Hernias schmorl of the thoracic spine: treatment

Hernia schmorl of the thoracic spine: treatment

Content of the material

  • 1 Mechanism of the appearance of the disease
  • 2 Hazard of the Schmorl's hernia
    • 2.1 How does the Schmorl hernia differ from the intervertebral?
  • 3 Reasons for
    • 3.1 Who has a predisposition to the disease?
  • 4 Symptoms
    • 4.1 Video - The symptoms of hernia SHmorlja
  • 5 Diagnostics
  • 6 Treatment
  • 7 Drug therapy
  • 8 LFK
    • 8.1 Video - How to treat a hernia SHmorlja, gymnastics and exercises
    • 8.2 giperekstenzija
    • 8.3 abdominal exercises
    • 8.4 Effective strengthening
    • insta story viewer
    • 8.5 Muscle Video - Gymnastics for treatment of chest osteochondrosis and Schmorl's hernia
  • 9 Physiotherapy
  • 10 Features of nutrition
  • 11 Surgical treatment

Mechanism of the appearance of the disease

Herniaetsya abnormalities in the spine from the norm. In a healthy state, the vertebrae contain special cartilages, which reduce the likelihood of bone injury. In medicine, this protective layer is often called a closure plate. In a normal state this element of the vertebral bone should not contain flaws, it has sharp edges, is not subject to changes.

If the structure of the spongy substance changes, the intervertebral discs change the bone. The protrusion of the cartilage is diagnosed. The resulting formation is similar to a triangle. Its apex is inside the affected department.

Formation of Schmorl

Formation of Schmorl's hernia

Hazard of Schmorl's hernia

Intervertebral discs are necessary to keep the vertebrae in the correct position with a certain distance between each of them. If Shmorl's hernia is formed, the cartilaginous tissue enters the structure of the vertebra.

Note! At the first stages of the disease the motor apparatus is not subjected to serious changes, because of what the patient may not suspect of the development of the disease.

If the hernia increases in size, affects the spinal cord, nerve cells, it is possible to form such pathologies:

  1. Curvature of posture, impaired mobility of the spine, reduced flexibility.
  2. Spondyloarthrosis, in which there is a decrease or total loss of mobility of the middle or upper spine. It is formed when the load on the intervertebral joint is increased.
  3. Intervertebral hernia in severe stages, which requires surgical intervention, active rehabilitation.
  4. Compression fractures. The risk of this disorder increases if the patient is actively involved in sports.
  5. Kyphosis, which is noticeable visually.
What is a Schmorl

What is a Schmorl's hernia

How does Schmorl's hernia differ from the intervertebral?

Distinctive features:

  1. It is formed with the participation of intervertebral discs, affects the vertebrae themselves.
  2. It is not manifested by pain syndrome in the first stages of the disease.
  3. Features of localization.
  4. Usually occurs in children and adolescents.
  5. Do not affect the vessels and nerves if subjected to timely treatment.
Schematic representation of Schmorl

Schematic representation of Schmorl's hernia

Reasons for

There are many factors that influence the formation of Schmorl's hernia:

  1. Congenital predisposition.
  2. Change in growth rate.
  3. Pathology in the metabolism. Age features of growth. Excessive workloads, reinforced workouts.
  4. Early manifestations of postural pathologies.
  5. Injuries due to vertical load.
  6. Presence of kyphosis and scoliosis of the thoracic region.
  7. Overexertion of muscles, constant stay in the same position. Often, the hernia of Shmorl appears in people who have been sitting for a long time, having a profession of a salesman, a cook.
  8. Lifting heavy things.
  9. Insufficient amount of calcium or impaired absorption.
  10. Osteochondrosis.
Schmorl

Education of hernia Shmorlja

Who has a predisposition to the disease?

Schmorl hernia is seen in people exposed to a large number of risk factors:

  1. Elderly age, which often affects the strength, bone structure.
  2. Athletes, loaders, other people, lifting heavy objects daily.
  3. Children in the phase of accelerated growth. Accelerated development of soft tissues, in which the size of the bones may not correspond to the parameters, can provoke the formation of voids in the structure of the spine. This disorder affects the change in the position of the vertebral discs, which triggers the onset of the disease.
  4. Frequent jumping from a high altitude. Regular or prolonged compression can affect the formation of Schmorl's hernia.
Hernia of Schmorl

Schmorl's hernia

Symptoms of

The risk of the disease is almost complete absence of typical symptoms in the first stages. The reason for this feature is reflected in such factors:

  1. There is no compression of nerves.
  2. No spasms occur.
  3. No inflammatory reactions.

Note! Schmorl hernia may appear in childhood, but typical manifestations people notice only after a few years.

With the aggravation of the signs of a Schmorl hernia, there are such signs:

  1. Curvature of posture.
  2. Chest pain, sometimes unpleasant symptoms radiate to the upper limbs.
  3. Pain after constant exposure to the same position. This symptom is often experienced by people who work only when sitting or standing.
  4. Pain arising when the body deviates to the side.
  5. Pathology of the circulation in the limbs, which are manifested by a feeling of numbness.
  6. If there are pathologies in the functioning of internal organs, it may form shortness of breath, an increase in heart rate.

Note! With Schmorl's hernia, the pain syndrome can be suppressed if one quickly assumes a prone position.

Video - Symptoms of Schmorl's hernia

Diagnosis

To identify the disease, the following methods are used:

  1. Anamnesis collection. The doctor in detail asks the patient about the nature, location, time of the onset of the pain syndrome. The dependence of pain on the posture of the spine, the exercise of physical exertion is revealed.
  2. Careful examination of the spine in a place where there is noticeable hyperemia, there was a swelling of the tissues. Hernia can be detected at the site of curvature of the spine.
  3. Finding factors that in the past could affect the development of the disease, for example, serious injuries. Exclusion of genetic predisposition. The risk of developing the disease increases if the Schmorl hernia has already been diagnosed in close relatives.

Laboratory diagnostics:

  1. Blood test.
  2. Urinalysis.
  3. Determination of blood glucose. Biochemical examination of blood.
Hernia Schmorl on X-ray

Shmorl hernia on X-ray

Instrumental research methods:

  1. X-ray is necessary for detection of a hernia, its location.
  2. CT allows us to clarify the localization of education, determine the depth of the pathological process.
  3. MRI is necessary to identify the cause of the disease, its stage, the likelihood of development, or the presence of certain complications.

Note! To diagnose a Schmorl hernia, an x-ray is sufficient. CT and MRI are used for differential diagnosis, exclusion of the intervertebral hernia.

If you suspect a Schmorl hernia, you should consult your doctor. A competent consultation can be provided by an orthopedist, vertebrologist, neuropathologist.

Treatment

Treatment methods are selected depending on the characteristics, stage of the disease. If the Schmorl's hernia does not show typical symptoms, physiotherapy is used, the sanatorium-preventive treatment of deterioration is indicated. If negative symptoms occur, medicamentous methods are used, in the absence of efficacy, a surgical operation is performed.

Prognosis and treatment of Schmorl

Prognosis and treatment of hernia Shmorlja

When choosing the best treatment methods doctors pay attention to such factors:

  1. Stage of the disease.
  2. Use of certain treatment methods or failure to correct violations.
  3. Age, sex of the patient.
  4. The presence of pathologies that worsen the course of the underlying disease.
  5. Features of work activity, lifestyle.

In treatment, the following goals are achieved:

  1. Reduces the risk of emergence and elimination of major complications.
  2. Elimination of pain syndrome.
  3. Restoration of mobility of the spine.
  4. Reduced muscle spasms.
  5. Stabilization of metabolic processes in affected tissues.

Medication therapy

If the patient complains of pain syndrome, such medications are used:

Medications Image Features of application
Movalis or Revmoxicam It is advisable to use one of these drugs 2 times a day for 1.5 ml. The treatment is carried out for 10 days, then the doctors recommend switching to tablets. Use suppositories also need two times a day for 15 mg. The course of treatment is about a week
Neurorubin Used once a day, injected 3 ml. Apply it should be a little longer than a week. After that, the patients switch to tablets. In this case, the drug is used three times a day, taken during the month
Medokalm Used for 10 days, administered 2 times a day for 1 ml. When used in the configuration of tablets taken 3 times a day for a month

If a person feels numbness, tingling in the extremities, which indicates the formation of vascular pathologies, the following medicines are used:

  1. Vitamins E and D in suppositories. Accepted several times a day one month.
  2. Pentoxifylline is used 3 times a day. A single dose is 100 mg. To achieve the optimal therapeutic effect, it should be taken within a month.
  3. Dipyridamole is used daily for 75 mg. Practice treatment should be at least a month.

LFK

LFK is used at any stage of the disease, except when surgical intervention is required. Also physical education is necessary for the prevention of the onset of the disease, worsening of the general condition.

Among the physical activities with Schmorl's hernia the most preferable are:

  1. Swimming.
  2. Slow running.
  3. Walking.
  4. Gymnastics, which it is not difficult for a patient to perform.
  5. Actions required for spinal traction.
Exercises with a herniated disc of the thoracic spine

Exercises for a herniated disc of the thoracic spine

If you regularly perform sports exercises, you can achieve the following results:

  1. Correction of the structure of bones, improvement of the muscles.
  2. Stabilization of metabolic processes not only at the local level, but also in all organs.
  3. Activation of blood circulation.
  4. Strengthening of immunity.
  5. Mental health correction.

Note! LFK is indicated to patients at any age. Given the severity of the disease, age and other characteristics are selected specific measures that will help solve the problem in a particular situation. In the first month, exercise therapy is conducted under the supervision of a specialist.

Purpose of doing gymnastic exercises:

  1. Strengthening of muscles.
  2. Normalization of the structure of the joints located next to the spine.
  3. Stabilization of the general condition of the ligamentous apparatus.
  4. Elimination of pathologies due to decreased flexibility of the spine.

Video - How to treat Schmorl's hernia, gymnastics and exercises

Hyperextension

This exercise is carried out on a special simulator containing an iron frame, cushions for the legs and the front surface of the thigh. Hyperextension helps in a short time to straighten the back, strengthen important to maintain a normal posture of the muscle. To perform the exercise, you must take an emphasis lying on the simulator, put the heels under the roller. Lean down, then return to the previous position. It is desirable to make small pauses between approaches.

Exercises for the

press Perform these exercises by monitoring the position of the back. Load on it should be minimal. Take an emphasis lying, raise your legs, bend them in your lap, put your hands behind your head. During the exercise, you must lift only the upper back. Do not press your chin to your chest.

Effective strengthening of the muscles

Lower and raise the shoulders while standing and sitting. On the recommendation of a doctor, you can perform the exercises lying down. To effectively strengthen the muscles, you can use weighting, but before that, it is advisable to consult a doctor. To stabilize the condition of muscle fibers, you can perform pull-ups, gradually increasing the number of approaches.

Video - Gymnastics for the treatment of chest osteochondrosis and Schmorl's hernia

Physiotherapy

To achieve a positive therapeutic effect, use the following measures:

  1. Electrophoresis with Novocaine helps to stop pain.
  2. Manual therapy allows you to increase the distance between the vertebrae.
  3. Acupuncture stabilizes biological processes, demonstrates efficacy when combined with other physiotherapy techniques.
  4. Mud applications improve metabolic processes in tissues.

Power features

To restore the optimal structure of the spine, you need not only to exercise, but also to adjust the diet.

Perform such actions:

  1. Reduce the amount of salt in the diet, it is desirable to completely abandon its artificial addition to food. If the body accumulates a large amount of this substance, the risk of many spine diseases increases.
  2. Eat more milk, as well as dishes prepared with its use. Do not give up protein products, thanks to which you can strengthen the muscles, stabilize the general condition of the musculoskeletal system.
  3. Fish several times a week.
  4. Daily add fresh fruits and vegetables to your food, thanks to which many minerals and vitamins enter the body.
Limit the use of salt

Limit the use of salt

Surgical treatment of

If the disease progresses steadily or is detected in advanced form, a decision is made to perform a surgical operation under general anesthesia. In the process of its elimination, the damaged parts of the disks are eliminated. The vertebrae, on which the pathological process is found, are strengthened with the help of metal inserts, if necessary.

Schmorl hernia of the thoracic spine develops with an incorrect lifestyle, the presence of predisposing factors. This disease does not have a significant effect on the life of the organism, if it is diagnosed and cured at the initial stages. If there are symptoms of Schmorl's hernia, you should consult a doctor and conduct a diagnostic examination. If necessary, use medication, exercise, go through physiotherapy.

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