With the development of modern diagnostic methods, a herniated intervertebral disc is detected ten times more often than it was twenty years ago. Often the disease is asymptomatic. That is, not all patients have pain syndrome. Therefore, treatment of the intervertebral hernia is often prescribed untimely.
At the time of hernia formation, the defect in the disc is critical. The same condition can be a month later, because the fibrous joint that was formed is not so strong and can be damaged at the slightest load. Therefore, the patient should be careful with his spine, thereby helping the recovery process.
In this period, the hernia can squeeze the nerve root. This leads to discogenic radiculopathy. Any physical exertion can provoke exacerbation of pain, further damage to the nerve root, affect also hernia. Vascular compression causes persistent hypoxia. As a result, even coughing or sneezing can provoke acute pain. Therefore, the treatment of intervertebral hernia, in addition to the appointment of medications, includes the implementation of strictly motor conditions.
Conservative treatment of the intervertebral hernia
Conservative treatment has the following objectives:
- restoration of blood circulation in the damaged part of the spine due to the formation of new vascular connections;
- improved blood flow in the compressed vessels. This reduces soft tissue swelling.
Treatment of intervertebral hernias includes medical therapy, movement regimen, physiotherapy exercises, physiotherapy procedures, massage.
Before starting the exercises, remember that they are physical exertion, the excess of which can lead to complications. You need to determine for yourself the level of physical fitness and start with sparing exercises, gradually, step by step increasing the load.
The correct complex for patients with intervertebral hernia includes exercises that shorten, relax and stretch the deep muscles of the back and abdominal muscles. Very carefully perform exercises for the neck, because a sharp or awkward movement can lead to compression of the vertebrae and cause neurological complications.
A good therapeutic effect gives treatment in a sanatorium. Treatment of the patient is carried out in a complex way with the appointment of proper nutrition, motor mode, exercise therapy, physiotherapy procedures, massage. Depending on the patient's condition, the complex includes mud therapy, hydrotherapy, acupuncture. It should be noted that the entire period of stay in the sanatorium patient is under the supervision of a doctor.
Operative treatment of hernia
The fragment of the nucleus, which went beyond the fibrous ring, the body perceives as an alien. Therefore, it tries to make it as invisible as possible. This explains the fact that the core "calcifies".It is on the strength of the immune response that a person depends: whether the patient will operate or not.
With a strong inflammatory response that does not lend itself to conservative treatment for two months, the patient is recommended an operation. Continuation of treatment with only medications in this case increases the risk of sudden neurological complications. If a patient has a progression of pathological processes, he is recommended an urgent operation. Otherwise, deterioration of blood supply in the spine can lead to disability.
In case of progressive disorders of the pelvic organs( incontinence or difficulty urinating), the performed operation in time can prevent irreversible disturbances.
Indications for emergency surgery for hernia are:
- Traumatic hernia.
- Hernias that compress the nerve roots of the terminal parts of the spinal cord( "ponytail").
Recommendations for patients after surgery:
- Compliance with gentle motor conditions.
- Get out of bed not earlier than on the second day after the operation.
- You can not sit down for the first three weeks. It is allowed to sit down with a straight back.
- Sleep on a hard bed.
- Baths should be taken 4 weeks after the operation( only the shower in standing position).
Methods of treatment and prevention of herniation of the intervertebral disc
The early recovery period after the operation lasts two months. During this time, edema disappears, blood circulation normalizes, changes and the tone of the muscles of the spinal column returns to normal. However, if the motor regime is not complied with, complications can arise: increased pain, numbness, etc. These symptoms should be told to the treating doctor.
The late rehabilitation period begins six months after the operation. At this period, adaptation processes in the spinal column are completed.
Alternative methods of
There are alternative therapies: hirudotherapy and laser.
Treatment of a herniated intervertebral disc by laser occurs by the method of evaporation of disks. Due to this, the intervertebral disc decreases in size, which leads to a decrease in pressure on the surrounding soft tissues and a decrease in inflammation and edema. However, clinical studies have shown that the laser is ineffective if the hernia compresses the nerve root. Therefore, laser treatment is prescribed for small protrusions. By its therapeutic effect, laser treatment is equated to conservative non-surgical treatment.
Hirudotherapy with intervertebral hernia
Treatment with leeches with intervertebral hernias can significantly improve the patient's condition. In the saliva of medicinal leeches there are several tens of enzymes that relieve inflammation, swelling, muscle spasm and eliminate stagnant phenomena. As a result of hirudotherapy, favorable conditions for recovery are created.
After surgery during late rehabilitation, in the absence of contraindications, treatment with leeches can prevent the formation of new hernias, the formation of adhesions and scars. Before applying hirudotherapy, a doctor's consultation is absolutely essential.
What happens to a hernia after treatment?
Even if there was no surgical intervention, and effective conservative treatment was performed, the hernia can be reduced in size by 20%.This is due to the loss of water, that is, the hernia "dries up."After that, it becomes saturated with calcium and further its decrease in growth stops. Such changes take place over a long period of time.
The hernia itself can not completely disrupt the blood flow. This is due to inflammation and swelling of the soft tissues. During the rehabilitation period, the puffiness decreases and the blood circulation begins to partially recover.