Herniated - or protrusion of an intervertebral disc prolapse into the spinal canal fragments resulting from of osteochondrosis, Injury and leads to compression of neural structures.
Herniation of the cervical intervertebral discs usually occur after injury (sometimes well after the injury) with concomitant degenerative process.
Symptoms of a herniated disc
Intervertebral hernia present with pain in the spine. Pain in the spine unstable, aching, located on the rear surface, accompanied by muscle tension, increases at cornering, when approaching the chin to the chest, by coughing and sneezing.
At the side of a herniated disc pain spreading to the arm or leg on the affected side, there numbness and tingling, weakness of innervated muscles of the affected spine, as well as the reduction or loss reflexes.
Depending on the level of destruction herniated disc can mimic pleural pain, angina and pain in diseases of the abdominal cavity.
spinal cord compression is possible at any location of the hernia. Normally, intervertebral hernia occurs rapidly due to injury, but it is possible and gradual development.
Diagnostics
Most often to diagnose a herniated disc of the spine using X-rays.
Treatment of intervertebral hernia
Conservative therapy often gives a good effect.
- Avoid sudden turns and awkward postures. Gentle perform any movement;
- Showing thermal and physiotherapy;
- Therapeutic exercise, massage, spinal stretch;
- Procaine blockade;
- Pain relievers, muscle relaxing agents with effect (diazepam, tizanidine), antiinflammatories (Ortophenum, diclofenac, ibuprofen, indomethacin);
- Wearing a soft corset.
Surgical treatment is indicated after failure of conservative therapy. The essence of the operation - reducing the pressure on the spinal root and spinal cord; removal of the central parts of the disk, bony outgrowths other factors compression. Then - spine fixation.
Forecast
Relatively favorable prognosis, but somewhat worse with hernias of the cervical and thoracic spine, because often accompanied by loss of blood supply of the spinal cord.
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