According to statistical data, the most frequent localization of the hernia of the spine, or rather the intervertebral disc, is the lumbosacral department.
Causes degenerative changes leading to the emergence of an intervertebral disc herniation, are features of blood supply and metabolism spine.
In adults, cartilage intervertebral discs can be powered only through osmosis from their surrounding tissue, so in case of violation of this process in cartilage begin to develop sclerotic processes, homogeneous structure breaks down cartilage and creates conditions for the development of a hernia, ieprolapse of the intervertebral disc fragment into the vertebral canal.
If you develop a stenosis of the spinal canal, you need an urgent consultation with your doctor and its treatment. About how seriously pinching the nerve in the waist will tell in detail in the article.
Symptoms of the intervertebral hernia in the lumbosacral
The hernia of the disc in the lumbosacral spine is manifested by restriction of movements, compensatory posture, severe pain and neurological disorders such as
numbness or burning in the innervation zone of the compressed spinal nerve root,tonus and progressive atrophy of the muscles of the lower limb.In the case of disc protrusion can show signs similar to traumatic spinal cord injury, up to paresis and paralysis .
In the photo you can visually see the intervertebral hernia, the size and localization of it may be different. Embodiments
treatment - conservative
In the case of an acute attack, all patients assigned medication, comprising antiinflammatory and analgesic agents, angioprotectors, optionally epidural injection of corticosteroids, as well as the assignment fixing braces, physiotherapy and physical therapy.
In most cases, with conservative treatment for six weeks, there is a remission of the lumbar hernia, i.e.the symptoms of the illness subsiding, and surgical intervention is not required.
- operative( surgical)
Surgical treatment of hernias of intervertebral discs produced in the event of serious neurological disorders and resistance to conservative treatment of pain.
Until recently, the removal of herniated intervertebral discs was carried out by carrying out a special operation - laminectomy .
Recently, it has become possible to reduce surgical trauma and to remove herniated intervertebral discs by intralaminar microsurgical removal of herniated disc.
Further development of optics and medical equipment and optics has led to the emergence of many variants of endoscopic removal of vertebral hernias.
exercises and gymnastics at Gymnastics
herniated discs, including in the lumbosacral region, for each patient should be administered individually depending on the degree of disease severity.
During exacerbations, gymnastics is contraindicated, and as it abates, training helps to restore various groups of back muscles, thus creating a kind of muscular corset.
In addition, the muscles stretch the vertebral column, increasing the intervertebral distances.
When doing the exercises, you must observe the following basic rules:
- If pain occurs, exercise should be more careful. If there is a sharp pain, the exercise should be stopped immediately and put the gymnastics off for a while.
- Gymnastics should not include torsion elements of the trunk.
- Sharp and shock movements should also be avoided.
- The complex of exercises is preferably divided into three procedures that are performed at different times.
Consider two exercises that a patient can perform independently, without risking himself harm. In any case, they will not be worse, but as a rule, they can improve their condition in terms of reducing the severity of the pain syndrome to the patient:
It is recommended to begin treatment of vertebral muscles as early as possible. In such cases it is possible not only to completely get rid of the pain, but also to restore the mobility of the lumbar spine, conduction of the spinal root, and prevent the development of irreversible changes.