About hernias in general

Manual therapy for hernia of the lumbar spine: advice from doctors

Manual therapy for intervertebral hernia is the only way to relieve painful sensation in one of the most complex forms of osteochondrosis. If the patient does not start treatment in time, he may lose his ability to work at all, bring himself to a disability. By applying for help to a manual therapist in time, you can not only protect yourself from complications, but also get rid of painful sensations.

The essence of manual therapy

Unlike conventional massage, manual therapy for hernia of the spine involves the use of several methods of exposure, including acupuncture, as well as the use of hot stones, paraffin, and so on. The main task of a specialist is to first warm up the muscles along with the vertebrae, and then try to return the “sprung” cartilage to the site with careful pressure, and also to eliminate the pain of pinching the nerves.

If you have already firmly decided to seek help from a chiropractor, have determined the necessary number of sessions and are ready to begin treatment - do not rush to begin the procedure without a preliminary examination by a doctor.

Any public clinic will provide you with a similar inspection. It is necessary to take X-ray pictures of the problem area of ​​the spine, it is important that they were made from several angles (then the hernia can be seen more clearly and from several planes). Once all the results of the examinations are in your hands, you can go to the first session to a specialist.

As a rule, the first visit is an acquaintance. Here, the chiropractor listens to your complaints, becomes acquainted with the recommendations of the doctors and, based on all this, offers a set of treatment procedures. Before each manipulation, the specialist specifies the nuances with the patient and does everything to ensure that he is confident of a positive result.

The first and only sign that treatment is carried out in the right way is to reduce the level of spasms.

When conducting the first session, the patient should feel the pleasant warmth that spreads throughout the body and drowns out the pain. Sharp spasms in the hypochondrium, on the contrary, testify to the irregularity of treatment. The average number of procedures required to achieve a long-term result is 10. Usually, each session repeats the previous one, it is important that the technique be approximately the same and determine the nature of the impact on the affected areas.

Results of therapy

What changes does the patient observe after completing the course with a chiropractor:

  • Pain symptoms at first become weaker, and then disappear altogether,
  • Muscular tension is fading away,
  • The former mobility of the spine is restored, confidence in gait returns,
  • The blood supply to the affected area is normalized, and sharp point pains stop.

  • Be sure to read: spinal traction with hernia

In most cases, all diseases are treated with the help of medicines and in case of their ineffectiveness, people will remain forever in the body. Manual therapy is essentially a lifeline for such situations. It allows you to return healthy and healthy bones and joints without long waiting for the effects of drugs. There is enough dexterity of the hands of this master so that a person can forget about the disease.

Manual therapy for hernia of the lumbar spine is a very complex treatment method. Here the coordinated work of not only the specialist, but also the patient himself is important. Therefore, to increase the effectiveness of the technique, doctors often recommend additionally performing a set of exercises in the gym under the supervision of rehabilitation therapists.


Manual therapy for hernia of the spine may also be contraindicated in some patients, despite the wide range of advantages of its method. The reasons for not giving up manual therapy are as follows:

  • Oncology (forbidden even if a patient is suspected of having cancer)
  • Inflammation (even minor inflammation of the lymph nodes),
  • Hypertension (thrombosis and other diseases of the circulatory system),
  • Infections (manual therapy may contribute to the rapid spread of infection throughout the body).

Many people think that massage helps to treat an intervertebral hernia as well as manual therapy, so they turn to this method without consulting with a doctor beforehand. Today, doctors cannot say with full responsibility that massage is a guarantor of the treatment of a hernia of the spine. Many surgeons are skeptical about this method of treatment. However, it is impossible to deny the positive effects of massage, affecting the affected areas of tissues and muscles, it essentially “sucks” the hernia in its place. Especially this method is effective for Schmorl's hernia.

Regular massage with hernia of the lumbar spine helps only at the initial stage of the disease. If a hernia is observed in a patient for a long time, it is worth referring to other methods of treatment, including manual therapy. If necessary, in rare and difficult cases, the doctor prescribes surgery or laser treatment.

Is massage enough?

In medicine, it is not uncommon to use manual therapy for hernia of the spine. The pains go away by themselves and there is no need to resort to the help of specialists. In fact, such a reaction of the body can be deceptive - a sudden decline in pain after a long observation at the doctor does not always indicate a “self-healing”. Over time, the disease can develop into a more serious form and even lead to paralysis, which is no longer treatable. Especially such changes in the state of health with intervertebral hernia are dangerous for the elderly.

Watch your health and be sensitive to all changes, visible and not visible, occurring in your body. It is known that timely access to a doctor can save a lifetime!

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Endoscopic spinal hernia removal

What is manual therapy?

The consequence of osteochondrosis and other factors that cause hernia is a loss of disc elasticity and its ability to recover. Due to the pressure of the adjacent vertebrae, the disc cells begin to rub off, which can lead to the appearance of cracks.

Excessive load gradually pushes the gelatinous core beyond the edge of the fibrous ring. After some time, the edge of the intervertebral disc extends beyond (protrusion).

Mechanism of action

Although manual therapy is recognized as an effective tool in the treatment of many diseases, there is still no universal description of a clear mechanism of its action. To describe the effect of manual therapy on the human body can be on its focus:

Peripheral action

The peripheral action of the procedure occurs in soft tissues. The chiropractor works to restore normal blood circulation in muscle tissue, relieve tension from them, and establish normal blood circulation in cells.

This part of manual therapy is very important, as it provides instant relief in the body, the patient begins to feel better, perhaps even a feeling of dizziness due to the strong flow of blood to the brain.

It should be noted that the relaxation of muscle tension also occurs due to the interaction with the skeleton skeleton, and not only with soft tissues.

Types and principles of the impact of manual therapy

Now there are several types of manual therapy available:

  1. Artro-vertebral. An impact is made on the desired structural fragments of the musculoskeletal system.
  2. Carnial. Specific movements aimed at specific points of the skull.
  3. Skin myofascial. Palpation of an inflamed or problematic surface can be both healing and preparatory.
  4. Visceral Used for therapeutic effects on certain organs.
  5. Defanotherapy. The use of traction, impulse movements.

To influence the tumor in the lumbar spine, the latter method is often used. The specialist can affect the protrusion of a herniated disc, significantly reducing the manifestation of inflammation. The chiropractor works with the bones, muscle and binding segments, which significantly reduces the level of pain. After the procedure, the patient begins to form a correct posture and strengthens the muscular base of the body.

How is hernia treatment performed

Before you decide on the required methodology, you should accurately find the place of hernia localization. For this, the patient is offered services of a computer tomography or MRI. Only after determining the zone of impact can one begin the procedure of getting rid of the symptoms of the disease or preventing complications.

Contraindications to manual therapy:

Since one of the effects after manual treatment is an increase in blood flow to a specific area, this exacerbates the course of cancer.

Due to the increase in blood flow, the metabolism of nutrients in the body tissues is accelerated, which stimulates the growth and progression of the tumor. Also, cancer processes in the red bone marrow are often hidden under the guise of hematological disease, which makes it possible to explain their contraindications.

In the mechanism of the development of inflammatory and infectious diseases, illnesses with multiple lesions of the joints, a common link is the presence of the inflammatory process at different stages of these diseases.

The inflammatory process is accompanied by increased synthesis of inflammatory factors, the action of which is aimed at killing cells in the lesion, and their concentration is achieved by increasing blood flow.

After this type of therapy, there is a significant increase in local blood circulation, which can lead to more and more damage to both infected and unchanged cells.

After completing the full course, positive therapeutic effects are noted, the main of which are:

Treatment of intervertebral hernia with manual therapy techniques is effective when the hernia is combined with displacement of the intervertebral joints. Approximately seventy percent of patients have this combination.

It is for such patients that one can get from three to seven sessions of manual therapy (only a mild impact), combining it with post-isometric relaxation.

Many patients report a decrease in pain after the first session. Subsequent procedures are aimed at improving and consolidating the achieved position.

Good results are explained not only by reposition of the concomitant hernia offset, but also by reflex relaxation of spastic muscles of the back, located nearby, and partial restoration of impaired blood circulation in the adjacent vertebral segment.

How to enroll in the procedure

Manual therapy is carried out for the treatment of diseases of the musculoskeletal system. The average duration of the procedure is about half an hour, in some individual cases or according to the recommendation of a specialist, the time can vary both up and down.

In order to achieve the maximum effect, it is necessary to undergo a full course of manual therapy, which is assigned individually for each individual case and depends on the severity and neglect of the disease.

After completing a full course of manual therapy in our centers, the patient will feel much better. First of all, the pain syndrome will disappear, the mobility of the joints will recover, the anatomical location of the vertebrae will return to normal.

In this case, the patient will be able to get rid of many unpleasant symptoms and pathologies, for example, headache, intervertebral hernia in the cervical region, etc. So if you decide that you need to do manual therapy in Moscow, call us, we work daily.

Prices for one session of manual therapy can vary greatly, depending on the center where the treatment is carried out.

The range of the cost of one session in different cities is:

Signs of a hernia in the lower back

The main symptom of this disease is a change in the position of the fibrous membrane of the cartilage or its damage; as a result, gelatinous liquid flows out of the disc. This process proceeds in several stages:

  • Prolapse. Slight displacement of the disk, without the influence of external factors, the cartilage rises back.
  • Protrusion. Minimal change of position leads to a subsequent shift, all processes occur between the vertebrae, without going beyond the natural limits significantly.
  • Extrusion and Sequestration. The nucleus comes out, hangs down in the area between the vertebrae, then breaks, and its contents spill out.

Symptoms: reflexes in the ankles worsen, there is lameness, numbness in the feet, burning, spinal muscles are strained, shooting occurs, sweating, urinary incontinence, and potency worsen.

How is intervertebral hernia treated in the lower back?

Such problems should be addressed to specialists as soon as possible. To avoid conservative treatment during surgery. During therapy, it will be possible to stop the development of the pathology, to prevent complications. The main task for hernia in the lumbar region - the localization of painleading to discomfort and obstructing movement. What can be treated hernia?

Drugs help to eliminate inflammation and symptoms. Medications can inhibit the secretion of enzyme activity, which causes lower back pain. These drugs reduce the sensitivity of nerve tissues, stimulate blood flow. When eliminating a hernia in the lower back, blood-stimulating medications are used. They can eliminate puffiness and stabilize the blood supply to the inflamed area.

Chondroprotectors can stimulate cartilage repair. Naturally, it will be difficult to do without ointments and other topical drugs.

The principle of manual therapy

Unlike simple massage, manual therapy for hernia involves the use of certain methods of treatment, including acupuncture, hot stones, heated wax, etc. The main task of a specialist is to heat the muscle tissue in the problem area, then correct the deformed cartilage, reduce pain as a result of pinching.

If you have a firm decision to contact a chiropractor, you need to find out the number of sessions, start treatment, you need to start the procedure without a medical examination.

In each medical institution, you can carry out such a procedure. It is imperative to perform x-rays in the damaged areas of the spine., you need to do them from several angles. After the examination results can be examined, the patient is sent to the therapist.

In the first session, the manual therapist examines all complaints, advice from doctors in the conclusions, determines the list of suitable procedures.Before all exercises, the patient is consulted for greater confidence in a favorable result.

Treatment results

What transformations are observed by specialists after a course of manual therapy:

  • Painful symptoms subside and then disappear over time.
  • Body stress decreases.
  • Mobility of the spine is resumed, gait becomes more confident.
  • Blood supply to the affected area is stabilized, point pains stop.

Most examples of pathology are treated with drugs, if the drugs do not give the desired result, the condition remains unchanged.. In such situations, massage treatments are a real salvation. They make it possible to return the joints and bones to a normal state without long waiting times and the effect of the drugs. There is enough therapist's dexterity to rid the patient of the problem.

Varieties of manual therapy

There are several types of manual therapy, which differ from one another technique. Below are the types of treatments for intervertebral hernia. Defanotherapy is a special kind of manual therapy aimed at regeneration and restoration of the mobility of the damaged spine. It features the use of impulse and traction movements.

Visceral - this type of therapy is used not only for vertebral hernia, but also to stimulate the functioning of internal organs. Often prescribed in the treatment of gastroenterological disorders. Skin-myofascial: palpation of the damaged area on the back is performed. The procedure is performed in the form of treatment and preparation before other methods of treatment.

Cranial - one of the methods of manual effects on the body, which is the observance of certain movements. The peculiarity of this therapy is that it is used to restore the mobility of bone tissue in the skull.

In the process of carrying out such manual exposure, a specialist conducts decompression of pinched roots, while restoring the natural anatomical position of the spinal column. The procedure is performed to stimulate the spine and organs.

Indications and Contraindications

Consider the main indications for performing manual therapy for spinal hernia:

  • Pain with palpable disc bulging.
  • Mobility of the damaged part of the spinal column is worsening.
  • Pain syndrome.
  • Muscle spasms, neuralgic signs or disc position changes.
  • Atrophy of the lower back and muscle tissue.
  • Prolonged pain affecting quality of life.

  • The instability of the vertebrae in the lower back.
  • Pregnancy.
  • Complications of arthrosis.
  • Anatomically incorrect formation of the spinal column.
  • Characteristic symptoms for hernia.

Diagnostic measures are carried out before the appointment of a course of manual therapy. The following procedures are performed: ECG, MRI, CT, X-ray, ultrasound. If contraindications are not found, you can proceed to the manual therapy.

Features of the treatment of the lumbar spine

For the lumbar spine, manual therapy is diverse. Muscle tissue should be completely relaxed, otherwise the massage will not be any good. The musculature on the back is always powerful, it is not easy for a specialist to overcome such resistance.

The main method of exposure is traction or stretching. In the case of posterolateral hernia, the patient is located on the abdomen, it is held by the legs and the spine is pulled out. This requires to observe rhythm. After some time, a break. After that, more powerful stretching is performed. The procedure must be performed after one day. Often the painful symptom goes away, the crunch stops.

A directional push is performed when the gentle procedure does not work, the vertebrae remain in place. This method involves risk, so the chiropractor will first have to make sure that it is necessary.

The course of such therapy will last up to 15 sessions.. Only after 2 weeks is allowed to repeat all the procedures again. To improve the results of therapy during the year, at least 3 courses should be conducted. Sessions are organized in orthopedic clinics or institutions where specialists of the appropriate profile work.

Features of the lumbar hernia

The composition of the spine includes separate vertebrae, which are interconnected by special cartilage tissue (disks). The main objective of these disks is to depreciate the skeleton during movement, which provides the body with mobility. Under the influence of various pathological factors, the destruction of intervertebral discs occurs, which is accompanied by unpleasant symptoms.. Most often affected discs in the lumbar spine, because they are subjected to a heavy load.


The development of osteochondrosis often leads to disruption of the vertebral discs, which are not able to repair damaged cells. As a result, with constant contact between the discs begin to wear out. In this regard, the height of the spinal discs decreases, and microscopic cracks form on their surface.

The increased pressure that occurs during movement contributes to the indentation of the gelatinous nucleus into the cavity of the fibrous ring, or rather, into its edges. The pathological process does not stop until the gelatinous core passes the border of the spine. The result is a hernia or protrusion of the spine.

Characteristic symptoms

The development of pathology is accompanied by the appearance of the following symptoms:

  • pain in the lumbar region, having a sharp character. As a rule, this symptom manifests itself during movement, although the pain often disturbs patients at rest,
  • partial or complete loss of sensation in the affected area, numbness of the lower limbs,
  • problems with the work of the digestive system,
  • dysfunction of the bladder or genitals,
  • gradual transition of pain to the thigh.

Along with this, the patient may notice additional symptoms, the occurrence of which indicates serious violations (damage to the nerves):

  • urination problems,
  • desensitization
  • numbness of the lower limbs around the hip,
  • general weakness of the body
  • paralysis of the whole body (occurs in rare cases),
  • change the gait of the patient.

To avoid serious complications, you should immediately contact your doctor if you experience suspicious symptoms indicating a spinal hernia. It is recommended to conduct a diagnostic examination, even if you experience unpleasant sensations or pain in the lumbar region. This will allow to identify a possible pathology at an early stage.

Manual exposure as a treatment method

The formation of a hernia in the lumbar region is dangerous in that this pathological condition may be accompanied by pinching of the vessels, veins and arteries, which will only worsen an already difficult situation. To avoid all these symptoms, doctors prescribe manual therapy, the main task of which is to alleviate the symptoms of hernia, restore spinal mobility and relieve pain.

During the procedure, the doctor performs the following tasks:

  • increased blood flow to the affected area,
  • relieving tension from muscle tissue and ligaments,
  • return of the displaced vertebrae to its original state,
  • elimination of increased compression (increase in intervertebral distance).

On a note! Proper manual therapy contributes to self-locking and compacting the damaged disk. Due to fibrotization (as the process of self-fixation is called in medicine), spinal mobility returns. The duration of the rehabilitation process is an average of 1-4 years, but if the patient has two hernias at once, then the fibrotization period increases.

Types of manual therapy

There are several types of manual therapy, which differ from each other not by the purpose of application, but by the technique used. Below are the types of therapy that are used for intervertebral hernia most often.

Table. The main types of manual therapy.

Among all these varieties of manual exposure, the first method is the most common. Its use eliminates the protrusion of lumbar hernia and relieve inflammation. Regular execution of the treatment procedure helps to strengthen the muscular frame and the formation of correct posture.

Performance technique

In the first place, during a manual effect on the body, the doctor directs his actions to eliminate the functional blockade, that is, to relieve spasm, pain, and restore mobility of the spine. After that, causal factors that contribute to the appearance of a hernia are eliminated. During therapy, the doctor increases muscle tone in the lumbar region.

On a note! Many often confuse manual therapy with regular massage. But in reality, the massage therapist affects only the skin and affected muscles, and the manual operator affects the skeletal system (individual vertebrae, cartilage tissue, joints, etc.).

To avoid unpleasant consequences or aggravation of injury, it is necessary to contact only a qualified specialist, therefore, before starting treatment, you need to make sure that the doctor has sufficient experience in this field and professional skills. As noted earlier, the duration of the manual course of therapy may be several years. But on completion, patients are advised to regularly perform therapeutic gymnastic exercises that will keep the muscular corset and spine in good shape.

Only an experienced manual worker is able to select a therapeutic course for hernia of the lumbar spine in such a way as to avoid the need for surgery, which is considered to be the generally accepted radical method for this kind of pathological condition.

If you want to learn more about the technology of manual therapy for osteochondrosis of the cervical spine, you can read an article about it on our portal.

What can be complications

Improper therapeutic manipulations or non-compliance with medical recommendations can lead to the development of serious complications, including:

  • unstable vertebral condition,
  • ligament damage
  • damage to the roots of the spinal cord or blood vessels with an osteophyte (bone growth) or the hernia itself.

In order for the spine to function flawlessly, it is necessary to apply to it carefully, therefore all manipulations should be carried out by a qualified specialist who knows his business well. Trust your health only to the best specialists!

How does manual therapy help with lumbar hernia?

Each patient at the beginning of any treatment is interested in how and how the technique helps, what changes will occur in the body. As psychologists say, patient awareness of these issues often helps in the treatment of various diseases. Therefore, we decided to talk about how manual therapy with hernia of the lumbar spine helps.

We should start with the fact that with the help of manual exposure, an experienced specialist, knowing the anatomy of the spine, is able to activate the hidden reserves of the human body. But there are other aspects. First of all, you need to understand that a hernia is accompanied by systemic pathological changes in the surrounding lumbar tissues. There is a gradual transformation of muscle tissue. On the one hand, it can undergo dystrophy due to the violation of its innervation process. On the other hand, on the contrary, compensatory hypertrophy develops. This negative process can lead to a compensatory curvature of the spine. The posture is violated, the innervation of the internal organs of the abdominal cavity, the infringement of the root nerves occurs.

To correct such a situation and prevent its further development is the task of the manual therapist. With a mild impact on certain points, there is a gradual relaxation of intense muscle groups. After that, it is possible to reposition the vertebrae. To consolidate the result obtained at the end of the session, the necessary muscles are stimulated, their work is activated. After the first session, many patients notice a significant improvement in their condition. However, for full-fledged treatment, a course action in combination with therapeutic gymnastics, massage, reflexotherapy and traction traction is required.

Consultation with a doctor for free. You do not know to what doctor to you, call +7 (495) 505-30-40 we will tell.

The peculiarity of manual exposure

Manual therapy is a system of various manual techniques that are designed to correct the pathological processes in the spinal column. Among the main directions of this kind of impact are:

  • Spinal treatment
  • Restoration of the anatomically correct position of the intervertebral discs,
  • Restoration of the position of the vertebrae
  • Restoration of blood circulation in the affected area.

Manual techniques allow you to distance the articular surfaces from each other. But the impact should be dosed on specific areas, otherwise the therapeutic effect will not be achieved.

Features manual impact on the spine

By and large, manual therapy is a whole medical system, so the manual specialist must have the highest qualifications. This technique at first glance resembles a well-known massage. However, the difference between these two methods of manual exposure is quite significant. When using traditional massage, the therapeutic effect extends to a wide area of ​​the body, and during manual therapy, the doctor acts on a point and with a strictly defined force. The main tasks of a specialist manual are to decrease the pressure of the cerebrospinal fluid (CSF) in the spinal canal, relieve swelling, improve blood circulation in the affected area, eliminate pain, protrusion (protrusion) and destructive changes in the tissues of the intervertebral disc.

Of course, manual therapy on the lumbar spine is never performed without prior consultation with a neuropathologist, as well as without a thorough examination of the hernia using X-ray and magnetic resonance imaging. Manual intervention on a herniated disc can only be carried out by doctors with relevant experience and knowledge, and at the same time in the field of neurosurgery, orthopedics and neurology. For this reason, it is rather difficult to describe the manual therapy technique without special training. There are a great many methods, and it is strictly forbidden to use them independently. The therapeutic effect on the protruded intervertebral disk is carried out gradually by a specialist-manual gradually. To achieve positive results, you will need to spend at least 20 sessions.

How is the procedure?

At the first stage, with the help of special techniques, which point to the affected area of ​​the body, the doctor removes the pain syndrome. Manual techniques include stretching the spine, transverse friction, pressure on trigger points, pulse-impact effects, and many other techniques.At the next stage, the manual "works" directly with the intervertebral disk, restoring the flow of spinal fluid into it. After all, it is because of the partial loss of cerebrospinal fluid that the disk begins to thin and dry. To this end, a specialist normalizes muscle tone and applies a special technique, which is called “tensile load”. When the doctor achieves a sufficient supply of CSF to the displaced intervertebral disk, he gradually returns it to the site. At the final stage, the venous congestion that has arisen is eliminated in the affected area, normal blood circulation is restored, which makes it possible to improve the metabolic processes in the pathological focus. Thus, with manual exposure, the following results are achieved: pain, inflammation and muscle spasms disappear, the joints become mobile again, the disk returns to the intervertebral space.

Impact upon hernia and protrusion of the spine

Before starting to work, any specialist of this type needs confirmation of the diagnosis using X-ray or MRI, as well as determining the type of spinal dysfunction. Without determining the extent of damage and localization, it is simply impossible and even dangerous to carry out the procedure.

Treatment of hernia MTD is directed primarily to the elimination of symptoms, and in parallel is carried out and prevention of exacerbations.

Manual therapy when properly performed by an experienced specialist can give significant advantages even over a regular massage. These include:

  • Elimination of muscle tension
  • Elimination of pain,
  • Restoration of mobility of the affected part (lumbar, cervical),
  • Elimination of point pains,
  • Restoration of normal gait, the amplitude of movement of the limbs,
  • Restoration of blood supply in the affected department.

Basic techniques for hernia and protrusion

In general, for a spinal hernia, the chiropractor uses the following methods of exposure:

  • Muscle and energy, in which the vertebrae return to their anatomical location. Used in this case, relaxation, mobilization, massage.
  • The manipulation involves the return of the vertebrae in relation to the axis of the spine. Quite a sharp impact with sharp jolts, tapping. May end up with improper performance with severe pain.
  • Postisometric relaxation is a method used to eliminate the symptomatic state complex. helps to dissolve hematomas, eliminate pain and swelling. It usually becomes the final stages of each session.
  • Craniosacral osteopathy consists of a complex effect on the spine as a whole. It is considered the safest way to restore the functionality of a column with minimal risks.
  • The release of the musculo-fascial consists of techniques that help return the spine flexibility. Usually it is soft movements that do not bring uncomfortable sensations. This method is used at any age and in all patients.

What is the essence of manual therapy

Manual therapy for hernia of the spine is different from the usual therapeutic back massage. This type of therapy is a specific set of techniques for adjusting the spine. The task of this technique is the restoration of the original disc and vertebral structure.

The initial stage of the specialist will be preheating the muscles and vertebrae. Further, the application of methods of manual therapy implies that the specialist clicks on specific points on the body with a certain effort. At the expense of it influence on deep muscular layers is carried out, cartilages come back to place, muscular clips and pressure upon the nervous terminations are eliminated.

After several sessions of manual therapy, the intervertebral hernia returns to the site, and the patient feels better. It is interesting to read - spinal traction with hernia of the lumbar spine.

How to do

Before undergoing the course, the patient is advised to consult a neurologist and undergo a medical examination: a computer or magnetic resonance imaging. This will help identify the affected area, determine the nature of the course of the disease. From this information depends on the choice of individual treatment techniques.

If the patient has a strong pain syndrome, exacerbation of the condition, then the manual man selects a sparing technique. After the first procedure, the pain is reduced. After eliminating the sensation of pain, the manual therapist proceeds to repair the damaged disk that has jumped out of the intervertebral space. Using certain techniques, the therapist regulates muscle tone in the affected area. Thus, the pressure on the diseased disc is reduced. Then, with the help of other techniques, the manual worker normalizes the blood supply in this area.

The first sessions of therapy are carried out with minimal intensity. On each subsequent procedure, it gradually rises. This is done so that the patient's body is accustomed to the procedure, and the body is in the most relaxed state. When the vertebrae are relaxed, the specialist will fix the adjusted vertebrae in the desired position.

Many patients are interested in whether it is possible to do manual therapy for a hernia of the cervical spine. This is possible, but therapy should be done only by a qualified technician. Inaccurate and uncertain movements of the manual during manual therapy for hernia of the cervical spine will result in impaired blood flow in the vessels of the head, which is fraught with oxygen starvation of brain cells. Also, the impact on the cervical region is possible only at the initial stage of the disease, otherwise there is a risk of pinching the nerves, and this is fraught with paralysis.

Manual therapy has several varieties:

  • Muscle and energy. With the help of this technique, the vertebrae return to their original position, the blood flow is resumed, and the elasticity of the muscle fibers increases. The movements of the therapist are slow and smooth at this stage.
  • Impulse Master applies accelerated movements, tapping, pressing. This is the most effective technique, although it is considered risky because of a possible painful attack.
  • Mobilization. The therapist uses slow movements to maximize the relaxation of the spinal muscles.
  • Postisometric relaxation. This technique is used to relieve swelling and get rid of pain. Usually used after completing a course of manual therapy as a final stage.
  • Muscle-fascial release. Smooth movements manual shaker returns the spine.
  • Craniosacral. The specialist works on all parts of the spine.

The choice of a technique is at the discretion of the specialist.

General recommendations

Before starting a session, usually the chiropractor is warming up the muscles. This is a prerequisite for a successful session. In addition, this method allows you to increase blood circulation in the area of ​​manipulation. Depending on the method chosen, there is an additional positive effect on the body.

Sessions are usually held with breaks of 1-2 days. Thus, the body has time to recover and get used to the results of previous manipulations.

How to choose a specialist

To choose a specialist, it is better to focus on the feedback from the wizard's clients. And it is better to rely on the opinion of friends, or search the Internet for comments on third-party resources.

Manual therapy may require various kinds of effects - acupuncture, paraffin therapy, acupressure, and so on. Therefore, it cannot be a regular office.

Ideally, it is better to select a clinic where there is appropriate equipment, as well as the possibility of first aid if necessary.

Efficiency and reviews

Manual therapy is a rather controversial method of exposure for hernia. It requires a large amount of knowledge and experience from a specialist, which is not always possible to meet in average cabinets of this type. With the right work in general, it is possible to eliminate the symptoms of the condition and create conditions for the gradual recovery of the disk, as far as possible.

But here two factors should be taken into account - manual therapy itself without treatment of a hernia MTD or Schmorl's hernia will not give pronounced effects, but will enhance the effect of other treatment methods, as well as the fact that without correction of the patient's lifestyle, the result cannot be achieved in most cases.

Features of manual therapy for spinal hernia, see our video:

Watch the video: Lower Back Exercises for Back Physical Therapy : Physical Therapy (April 2020).