The leading symptom of a herniated cervical spine is pain. Most often, it radiates to the hand. This happens due to compression of the cervical plexus.
There may be a decrease in skin sensitivity, expressed as numbness and crawling, tingling of the upper limbs.
A distinctive feature of the hernia of the cervical spine is a relatively small size, the proximity of the location of the spinal cord. Even with small sizes of hernial protrusion, characteristic symptoms develop, which can be presented in the following form:
With the appearance of a hernial protrusion in the thoracic (thoracic) spine there is pain, aggravated by coughing, sneezing, awkward movements, deep breathing. The pain may be shingles. In addition, numbness of hands, crawling, difficulty breathing (shortness of breath) appear.
Hernia can "mask" under the pathology, completely unrelated to the spine. The differential diagnosis is carried out with any diseases that cause pain syndrome of the specified location (heart attack, coronary artery disease, intercostal neuralgia, pneumonia, tracheitis, esophagitis, gastric ulcer). To do this, the doctor finds out the relationship of clinical manifestations with food intake, exercise, hypothermia, sudden movements, stressful situations. With a hernia, the pain is not relieved by nitroglycerin, is not associated with food intake, triggered by weight lifting.
Symptoms of hernia of the spine vary depending on its size and location (central, lateral, central lateral). At a central location, squeezing of the spinal cord can lead to numbness, and then paresis or paralysis of the lower extremities. The lateral location of the hernia causes pain in the chest and abdomen. Central-lateral location causes mixed symptoms.
The main symptom is pain in the lumbar (lumbar) region. Until the hernia has increased to a large size and does not protrude into the region of the spinal canal, the disease is in its initial stage. In this phase, the pressure of the hernial protrusion on the roots is insignificant, the symptoms are mild.
The pains in this period are inconstant, aching. Intense physical exertion (weight lifting, doing gymnastics), coughing, sneezing, straining during an act of defecation leads to an increase in the painful symptom of spinal hernia.
An increase in hernial protrusion leads to an increase in pain intensity. It becomes sharp, shooting through, amplified by changing the position of the body, lifting weights. Irradiation to the thigh, gluteal region, groin is possible. When pain gives up, it, like current through wires, runs along the sciatic nerve - ischialgia occurs (pain resulting from exposure to the sciatic nerve).
In addition to pain, herniated lumbar spine can manifest symptoms such as numbness that spreads to one or both lower limbs. It is accompanied by paresthesia, tingling of the legs and indicates the displacement of the roots of the spinal cord with hernial contents. In addition, there may be stiffness in the lumbar region, the muscles become tense, and the posture is gradually disturbed.
How does a hernia arise
Before the appearance of tumors, intervertebral discs are erased, and minor cracks may appear on their surface. Because of this, the fibrous ring begins to deform, and with increasing load it is broken. The pulpous nucleus extends beyond, squeezing the nerve endings or part of the stem of the spinal cord.The first signs of intervertebral hernia of the lumbar spine are protrusions that may not cause discomfort and pain. (See also: causes of hernia of the lumbar spine).
After some time, the size of the pathological neoplasm increases, so the doctor will be able to diagnose a preliminary examination. Sometimes the protrusion can not be seen, since the pulpous nucleus emerged from the inner side of the spine. It is necessary to conduct a number of additional studies (ultrasound, computed tomography, MRI, etc.) to make an accurate diagnosis.
There are many causes of this disease:
- Old injuries.
- Excessive loads.
- Poor nutrition (vegetarianism and obesity).
- Drinking dirty or insufficiently saturated with trace elements water.
- Pregnancy (rapid weight gain significantly affects the lumbar load).
- Sedentary work.
- Long delay in anatomically wrong position for the spine.
- Pathological conditions (congenital diseases, changes in cartilage tissues, problems with the central nervous system, etc.).
- Bad habits.
The disease can be divided into several streams: pain, vertebral and radicular syndromes. Each of them manifests itself specifically, depending on the size of the tumor and associated complications.
Features of the flow of a symptom
Signs of a lumbar spine hernia always begin with unpleasant pain. This syndrome is not only characteristic of the entire period of the disease, but is considered the main one. With further development, the painful sensations will change the character, intensity, location, etc. Lumbalgia can be an independent symptom or be accompanied by other sensations.
The first stages, with inconspicuous protuberances, are characterized by pain in the lumbar region, and the localization site is limited only by the damaged segment. The pain is usually dull and aching, but with the additional load it can increase or “shoot through” with more acute sensations. Sharp movements can provoke intensified seizures, which disappear when a horizontal position is taken (most often, on the back or on the side).
These signs of intervertebral hernia of the lumbar spine can even last for several years. People rarely seek qualified help, thinking that they simply “overworked” or “torn” their backs. Most often, treatment consists of taking analgesics and using painkillers and warming ointments. Independent diagnosis in the future can only aggravate the condition, since early adequate treatment contributes to stabilization and increase the chances of a full recovery.
Experts, having studied the symptoms, history and the results of the survey, will be able to block the progression of the pathological neoplasm and choose the right treatment complex. The increase in size increases lumbodynia, since the roots are compressed more strongly, while localization and the cause of the change:
- With oblique movements of the head - designing on the problem disk.
- Fixing a straight leg at a height - the place of squeezing the spine.
- Contact pains on interspenting spaces, etc.
The progression of the disease will change the nature of the pain shooting and aching. Depending on the damaged segment, painful sensations spread to the heels, thighs, big toes, buttocks, etc. Such simple processes as sneezing, various movements, riding over bumps, coughing, etc. can contribute to strengthening. Pain stopped in the prone position, as a rule, the healthy side and flexion of the sore leg are usually successful.
Features of vertebral syndrome
Over time, muscle spasms are attached to the disease, which significantly increases the painful symptoms of intervertebral hernia of the lumbar spine.It is difficult for the patient to turn to the sides and sometimes even to straighten the back completely. He tries to redistribute the main part of the load on the healthy side, so the symptoms are added to:
- Warping torso.
- Gait disturbance.
- Change in posture.
- Lack of stability when moving, etc.
The size and area of localization of the neoplasm affects not only the pain, but also the accession of associated diseases. Lateral squeezing of the nerve endings of the spine can lead to a malfunction of the organs for which the damaged area is responsible (pelvic organs, kidneys). The back of the hernia leads to the infringement of the spinal cord stem, which entails unpleasant consequences from the central nervous system.
Signs of a hernia in the lumbar spine may be different, it depends on the damaged segment. As a rule, a neoplasm appears in the lower part of the lower back - discs of the lumbar or sacral vertebrae in the gap L4-L5 or L5-S1. Problems with L5 are noticeable by pains on the outside of the thighs, the back of the foot, thumbs, and the surface of the lower leg. Pinching of the nerve fragments of the sacral segments is manifested by unpleasant sensations in the area of the buttocks, lower lumbar region, dorsal surface of the thigh, heels and little fingers.
In some cases, the patient has symptoms from different areas of the lumbar regions. In this case, the specialist should conduct diagnostic studies using modern technologies, because it is quite possible that a patient will show up several tumors.
Features manifestations of radicular syndrome
Many signs of intervertebral hernia of the lumbar spine are associated not only with squeezing of nerve endings, but also with the death of the roots. Surrounding tissues no longer receive enough nutrients, which leads to:
- Weakening of the muscles. The patient hardly rises on steps, cannot sit down deeply or stand on tiptoe, jumps cannot be executed. These symptoms are characteristic of the early stage of this syndrome.
- Loss of muscle tone. Hips, legs and feet can not bear almost any load.
- Muscular atrophy. Most often, external changes relate only to the sore side, therefore, the asymmetry of the figure is visually noticeable: the legs become thin, and the gluteal fold is gradually smoothed.
- Impaired sensitivity. A patient may notice a number of discomfort:
- "Crawling goosebumps."
- Chilliness, etc.
- Thermal failure. The problem area begins to sweat excessively or, conversely, to dry out.
- Paralysis In this case, a person may become disabled.
The bulging of the hernia toward the spinal cord stem is accompanied by special symptoms:
- Functional disruption in adjacent organs (urinary incontinence, constipation, diarrhea, etc.).
- Decreased sensitivity.
- Intermittent claudication. It is very difficult for the patient to walk, periodic rest is required.
With the running form of this pathological condition, various complications can manifest themselves. In the first place, shootings in the lower back are increasingly observed (lumbodynia). Acute pain causes the patient to fix in a certain position for a long time. Any sudden movement can stimulate another attack.
Intervertebral hernia of the lower back can significantly affect a person’s life, and a neglected form can lead to social limitations. Therefore, it is important to monitor health and seek qualified advice in a timely manner, rather than just trying to dull the pain.
When diagnosing a hernia of the spine, the doctor should listen to the patient's complaints, assess the nature of the pain, and also exclude other pathologies. It is very important to check muscle strength and impaired reflexes. After the location of the spine hernia is determined, additional examinations are scheduled.:
- CT scan.
- Magnetic resonance imaging.
Since the human body has an amazing ability to heal itself, this disease can go away after 2-3 months of bed rest. The doctor usually prescribes the use of painkillers and anti-inflammatory drugs, which speeds up recovery and reduces pain.
Particular attention should be paid to the treatment of hernia of the cervical region, since it is difficult for him to ensure complete rest. Painkillers do not always allow to eliminate the pain syndrome, and therefore inflammation is very slow. That is why it is often necessary to remove a hernia of the cervical region. However, diseases of the thoracic or lumbar spine may also require surgery.
It should be borne in mind that the operation is carried out only if there are serious indications. In a hernia of the lumbar spine, intervention is performed only when the patient has incontinence or fecal incontinence. Also, the operation is indicated if the person loses mobility for more than two months.
However, most often, conservative therapy is used to eliminate a hernia of the cervical, lumbar or thoracic region. It consists of anesthesia, the observance of bed rest, the elimination of the inflammatory process. Quite effective methods of treatment are massages and manual therapy. In simple cases, physical therapy is applied, which is aimed at restoring the muscular system..
A fairly effective method of treating a hernia of the cervical, thoracic or lumbar spine is the use of spinal traction. However, this procedure is carried out only under strict indications, otherwise there is a risk to aggravate the situation.
To prevent the development of spinal hernia, it is necessary to engage in the prevention of this disease.:
- Regularly undergo medical examinations.
- Properly lift weights, evenly distributing the load.
- Do not get involved in strength exercises.
- Avoid drafts and hypothermia.
- Do not make sharp turns, lifting weights.
Spinal hernia is a rather unpleasant disease, which is accompanied by severe pain and significantly impairs the quality of human life.. That is why it is so important to contact a specialist when the first manifestations of the disease occur - this will allow you to cope with the pathology without serious health consequences.
What are the symptoms of spinal hernia and stage of development?
In the initial stages of hernia formation, a person may feel mild pain in the affected area. However, over time, the fibrous ring lends itself to erosions and cracks, strength, as well as the height of the intervertebral disk falls, and the pulpous nucleus protrudes forward. This immediately leads to the development of edema, the blood flow in the affected area is disturbed, and hypoxia of the spinal root occurs. Already at this stage, the pain becomes intense, are permanent. This leads to muscle tension and dystrophic regression phenomena in the affected area. The above symptoms of a hernia of the spine, regardless of the site where it was formed, are the general characteristics of the progression and manifestation of the disease.
If proper treatment is not provided at this stage, the disease will progress to a different level. The so-called radicular syndrome, accompanied by nerve compression, inflammation and edema. Then the pain decreases, becomes less intense, but is accompanied by paralysis, paresis, or trophic disorders, which are caused by muscle atrophy.If you ignore these symptoms, the hernia will inevitably lead to paralysis, loss of sensitivity of all limbs and serious disturbances of the pelvic organs.
Hernia lumbar spine symptoms
The lumbar region is the most vulnerable place affected by a hernia. The primary characteristic feature of its appearance is pain in the area of the buttocks, lower back, legs, and feet. Pain can increase the intensity at the time of sneezing, coughing, as well as during exercise. Over time, people begin to be disturbed by mobility disorders in the lumbar region. This symptom is formed due to excessive muscle tension, which in turn prevents straightening of the back, twists. With hernia of the lumbar spine, posture is often broken, and lordosis is also formed. If you do not provide proper treatment, then sciatica forms, as the root syndrome progresses.
Shooting pains at the moment of sharp movements, when lifting weights, are the surest sign of muscle tension.
Other symptoms include:
- Loss of sensation in legs
- Muscle weakness, fatigue,
- Tingling and numbness.
Symptoms of a hernia of the cervical spine
Hernias of the cervical spine are not uncommon, as the way of life is conducive to the appearance of stagnation in the neck. She can declare herself hypertension, migraines, sharp or aching pains in the neck. Their intensity increases when they cough or sneeze. Symptoms of burning, stinging, or numbness in the area of the neck and forearm, which even go to the shoulder blades, are common. A characteristic is weakness in the limbs, which appears even under minor loads, for example, at the time of a handshake. All this may indicate a progression of a hernia of the cervical region, the symptoms of which very often remain without proper attention.
Hernia sacral spine symptoms
The most dangerous, than the formed hernia of a sacral department can threaten - paralysis of the lower extremities and full incapacity. This results in compression of the nerve roots.
Sharp pain, the intensity of which increases with increasing activity, stress, sloppy movements - the main symptoms of a likely hernia.
Also characterized by burning or stinging for earlier stages. Herniation of the lower spine, the symptoms of its development are of a similar nature and are accompanied by more lumbago in the pelvic region.
Schmorl's hernia (spinal) symptoms
Schmorl's hernia is a degenerative lesion of the intervertebral discs. It develops most often due to microtraumas, as well as from the structural features of the vertebrae. Very often she is of hereditary nature, can manifest itself already in childhood at the time of intensive growth of the child. The structure of tissues is modified, special voids are formed in the spongy body, which after a while are pressed through by the plates of the vertebrae.
The danger of the disease is a high probability of destruction of intervertebral discs, which are the basis of the spine. Sites affected by the disease are vulnerable to compression fractures - with bruises along the axis. Schmorl hernia spinal symptoms:
- Severe pain in the back with inaccurate movements, with physical exertion and twisting,
- Pain in a sitting position, as well as prolonged standing,
- Decrease in pain in a prone position.
Spinal hernia symptoms and treatment
When the first painful symptoms appear in the back, numbness, weakness or tingling, as well as burning or sharp lumbago, you should consult a specialist. Since such a symptom complex may indicate a hidden course of a disease such as a hernia. The sooner it is diagnosed, the less consequences the body will suffer.
At the initial stage of development of the pathology, the symptoms of a hernia of the lumbar spine are very scarce: only weak back pains, but over time, new signs of illness appear. The clinical signs of lumbar hernia are:
- pain (aching and dull), arising suddenly and passing after a while,
- increase pain,
- increased pain during movement, coughing, muscle tension and weight lifting,
- dull pain (persistent) at one point,
- the appearance of pain when bending and turning the body,
- tingling sensation in the legs, numbness of one leg,
- muscle weakness.
A characteristic feature of the hernia of the lumbar spine is the repeated exacerbation of the disease within a few years.
Pain and crunch in the back and joints over time can lead to dire consequences - local or complete limitation of movements in the joint and spine, up to disability. People who have learned from bitter experience use a natural remedy recommended by the orthopedist Bubnovsky to cure joints. Read more »
Symptoms of Schmorl's hernia
In most cases, this spinal pathology, the symptoms of which the patient does not feel, is detected by chance, during X-ray examination for another reason. The fact that there are no clinical symptoms is easy to explain: the process affects the bone tissue of the vertebrae and the disc, the damage of which does not cause pain. The spinal cord and nerve endings are also outside the pathology.
With a significant amount of hernia, pain may still appear, but they are weak. Exhaustion, prolonged standing or walking can provoke such pain.
The pain in Schmorl's hernia is accompanied by a feeling of fatigue in the back and goes away after resting in the supine position.
Schmorl's hernia can be a companion of such a violation of posture, as a stoop. Without proper treatment, the hernia leads to lordosis (curvature of the spine in the lumbar region) or kyphosis (in the thoracic region). Schmorl nodes can be one of the signs of Scheuermann-Mau disease. This is a multiple hernia, accompanied by pathological curvature of the spine.
After it became clear what symptoms of a hernia indicate a pathological process, it is necessary to remind you that you should consult a specialist if any signs of illness appear. Timely examination and treatment will help prevent complications.
Spinal hernia # 8212, diagnosis, treatment, symptoms
Spinal hernia (intervertebral / intervertebral hernia) - protrusion of the intervertebral disc with a rupture of the fibrous ring. In medical practice, it is most often about intervertebral hernias that bulge towards the spinal canal or nerve roots.
You can undergo treatment of intervertebral spinal hernia at the Clinic of Dr. Ignatiev. Experienced neurologists will help you understand the essence of the problem and choose the most optimal treatment method. Admission is by appointment!
Causes of intervertebral hernia
The causes of intervertebral hernia are usually attributed to spinal injuries, overload, the presence of diseases preceding hernia. Most often, hernia of the spine occurs against the background of a thriving osteochondrosis. scoliosis or kyphosis. Often, intervertebral hernia is a consequence of untreated protrusion.
With age, susceptibility to an intervertebral hernia increases and the probability of its occurrence is higher.
Sitting work or frequent injuries, as well as spinal overload, lead to microtrauma of the spinal disc, and a hernia is formed.
Diagnosis of intervertebral hernia
The most frequent localization of the intervertebral hernia is the place of L5-C1, lumbar, cervical, and much less often # 8212, thoracic spine.
For the diagnosis is required to conduct a neurological examination, check reflexes and collect anamnesis. Based on these complaints, the patient is referred for an MRI of a certain part of the back and further confirms the diagnosis.
MRI should be performed in all cases where there is a suspicion of spinal disease with the following goals:
1) Is there a hernia or other disease (tumor, hemangioma, etc.)?
2) What are the sizes and volumes of the hernia, what is the exact localization ?!
3) Is there any compression of the spinal cord, what processes occur in the affected area ?!
4) Are there any developmental anomalies of soft and hard tissues ?!
No other method is able to answer all these questions except MRI of the spine.
Treatment of intervertebral hernia of the spine
In the clinic of Dr. Ignatiev, there are a number of methods that can be used for hernia, with the exception of neurosurgical treatment.
- Manual therapy
- Exercise therapy,
- Drug treatment,
- Acupuncture, reflexology,
- Laser therapy, ozone therapy, cryotherapy, etc.
Specifically, what results can be achieved in a single case will be known after consultation and full diagnosis.
Sign up for a consultation with a neuropathologist in Kiev. Patients are admitted to the clinic of Dr. Ignatiev by appointment by contact phone numbers.
How spinal hernia develops, its symptoms, types and treatment
In our time, a disease such as osteochondrosis has become very widespread. In practice, it can already be compared with the epidemic. Previously, only older people were exposed to osteochondrosis. And now they are already sick of middle-aged people and even young people. A common manifestation of osteochondrosis is a hernia of the spine, which often greatly interferes with a person’s normal life. Most often, due to the nature of the human structure, a hernia of the lumbosacral spine appears.
But first, in the earlier stages of the development of osteochondrosis, an intervertebral disc protrusion appears. This is a form of dystrophic disorders, which most often occurs in the lumbar spine, because it accounts for the largest load. Protrusion, in turn, is an early stage in the development of a disease such as vertebral hernia. But this is not a sentence. Protrusion of the disc is treated mainly by conservative treatment methods. Most importantly, in time to identify it, because it proceeds, as a rule, asymptomatic, until there is a pinch of those nerve endings that are nearby.
Occurs protrusion of the disc due to age-related changes or due to injury. Over time, the disc wears out, then bulging occurs beyond the normal limits. Disc protrusion is characterized by the fact that the bulging of the pulpal nucleus does not yet go beyond the limits of the fibrous ring, but already protrudes into the spinal canal. And then vertebral hernia begins to develop.
It so happens that the concepts of protrusion and herniated disc are used as similar. However, the diagnosis sometimes needs to be detailed. When a protrusion (bulging) of a disk occurs in a small space of the spinal canal, the spinal cord and roots are affected.
Disc protrusion can manifest very different symptoms, from numbness of the fingers or toes to chronic back pain. It depends on which disk is affected. Depending on where the protrusion is located, there will be an impact on the roots and the spinal cord. Symptoms are most common:
- pain that gives off somewhere or migrating pain,
- chronic local back pain
- lumbosacral radiculitis (when the protrusion is localized in the lumbar spine),
- burning sensation (sensation of heat),
- feeling of numbness or tingling in the legs and arms,
- feeling weak in muscles.
If a protrusion is not treated in a timely manner, the protrusion of the disc increases, the fibrous ring breaks and then a hernia of the intervertebral disc is diagnosed or, as it is also called, a spinal hernia. Then there is pain in the back, which can give to the arm or leg.
If a vertebral hernia is found, this does not mean that it requires treatment. She is still not a sentence. After all, it may still not compress the nerve roots. And if the vertebral hernia still causes pain, then the first thing to do is to reduce physical exertion and begin to take painkillers. Often the pain goes away without special treatment. But you should still be examined, because sometimes vertebral hernia, if not taken appropriate measures, can cause irreversible changes and lead to serious violations of the spine.
To find out exactly what causes vertebral hernia, doctors still have not succeeded. But it is known that vertebral hernia, oddly enough, can equally develop with an excess and with a lack of physical exertion. In either case, there is a violation of blood circulation and metabolism of the muscles and cartilage tissues around the spine.
Symptoms of intervertebral hernia
Signs of spinal hernia vary depending on its location, size, stage of development.
The main symptom that is characteristic of diseases such as vertebral hernia, is pain in the back and lower back, which even bothers when coughing, sneezing, running and other physical activities.
If the hernia increases, the pain increases, gives to the legs, thigh, buttock. In addition, there is a numbness of some areas on the legs.
If there are vertebral hernia, then often there is a restriction of mobility in the lower back. The pain causes the muscles of the back to strain, the person can not fully straighten. As a result, posture is disturbed. There is a feeling of numbness, weakness, tingling in the legs. It may even break the stool (constipation, diarrhea), urination, sometimes impotence.
The following signs of vertebral hernia are still observed:
- stiffness in the lower back during physical exertion, difficulty in independent movements,
- temperature change of one of the legs,
- impaired muscle tone of one of the legs, progressive atrophy or malnutrition,
- compensating body poses that a person unconsciously adopts.
Vertebral hernia is divided into two types.
- Sequestered hernia of the spine, which is characterized by the prolapse of the pulpal nucleus of the disk in the spinal canal, where it pinches the spinal nerves.
- Schmorl's hernia when an intervertebral disc bulges into the body of the overlying or underlying vertebra without affecting the spinal cord.
Traditionally, vertebral hernia is treated conservatively and surgically. Naturally, all possible ways to cure a disease such as a vertebral hernia, without surgery, are applied first. First of all, nonsteroidal anti-inflammatory drugs are prescribed to relieve inflammation, swelling, and reduce the compression of nerve endings. After applying these medications, pain subsides. All of these drugs have an unpleasant side effect, they disrupt the gastrointestinal tract. Therefore, the doctor tries to prescribe the minimum effective dose.
Even now, the newest approach to the treatment of diseases associated with dysfunction of the musculoskeletal system, developed by Sergei Mikhailovich Bubnovsky, has become widespread. It is based on the treatment with correct movements, while using specialized treatment and rehabilitation simulators.SM Bubnovsky is the author of the book “Hernia of the spine - not a sentence”, where he offers a set of exercises, specially developed according to his method. The essence of gymnastics, which helps to cure vertebral hernia, which Dr. Bubnovsky recommends, suggests proximity to the natural processes occurring in the body. The basic principle is “do no harm”.
If a person who has a vertebral hernia diagnosis performs a set of exercises developed by Dr. Bubnovsky, biochemical processes are normalized in the intervertebral disk, blood flow in the affected area will increase, which will help the recovery process of the affected disk, and the hernia will begin to decrease, even to disappear. Dr. Bubnovsky gave hope that vertebral hernia can be cured without the use of drugs.
An effective remedy for back pain exists. Follow the link and find out what the doctor of medical sciences Sergey Mikhailovich Bubnovsky recommends.
Symptoms of spinal hernia
For a patient with a "silent" hernia of the spine, moderately shifting toward the spinal canal, it may be dangerous to attempt to lift a heavy object in front of him on the floor. In this case, when straightening the back from the position bent over, a sharp displacement of the disc tissue backward with perforation with the hernial tissue of the posterior longitudinal ligament is possible - symptoms of spinal hernia occur.
A hernia penetrating into the epidural space causes pronounced irritation of the receptor apparatus of the tissues located in it. And as for the structures of the epidural space, the hernia tissue is an autoantigen, it causes the development of aseptic autoimmune inflammation in it. At the same time, there are characteristic symptoms of hernia of the spine # 8211, a pronounced pain syndrome, which usually acquires a protracted, persistent character, and a sharp reflexive muscle tension, leading to spinal deformity.
An example of symptoms of spinal hernia
Thus, in one of our patients aged 38 years, having a “sleeping” dorsolateral hernia of the intervertebral disk, advanced 4 mm towards the spinal canal, and the diagnosis “chronic lumbosacral discogenic radiculitis in the remission stage”, a sharp exacerbation of the process occurred during an attempt being on straightened legs, raise a three-year-old child standing in front of her. It was assumed that the resulting sharp back pain was caused by perforation of the posterior longitudinal ligament and its penetration into the epidural space. Subsequently, this diagnosis was confirmed by MRI and surgery. Analyzing the pathogenesis of exacerbation of pain in this case, we then called it “cherry bone” syndrome (the analogy with the “shot” with a moist cherry bone sandwiched between the terminal phalanxes of the index and thumb). Subsequently, we had to meet a similar syndrome with complications of spinal osteochondrosis at the level of the lumbar vertebral motor segments.
Main symptoms of spinal hernia
The posterior longitudinal ligament of the spine is thicker and stronger in its middle part and thinner towards the edges. Its diameter resembles a crescent. Therefore, perforation of the posterior longitudinal ligament often occurs with herniation of the intervertebral disc with dorsolateral orientation.
The main symptom of spinal hernia is # 8211, acute severe local pain, accompanied by reflex tension of the muscles involved in straightening the spine. Perforation of the posterior longitudinal ligament may be accompanied by sequestration of a herniated disc. Separated from the main mass of hernial tissue, the sequester penetrates into the epidural space, where, along with aseptic epiduritis, the sequester disc that has separated from the hernia may shift towards the cauda equina, causing intense pain in the sacrum and anogenital zone.
Compression of the herniated intervertebral disc of the spinal cord is rare. However, it usually affects the spinal cord through the dura mater. Very rarely, a herniated disc, following the posterior longitudinal ligament, perforates the dura mater.The result of the compression of the herniated intervertebral spinal cord in both cases can be a persistent damage to the spinal cord, which qualifies as compression myelopathy, and neurosurgical treatment is usually indicated.
Penetrating into the intervertebral foramen, a herniated disc may cause irritation of the spinal nerve, less often # 8211, spinal roots, which usually manifests intense pain radiating to the corresponding segment of the body (its dermatitis, myotomy, sclerotome). Compression of the vascular-radicular complex (spinal nerve and the accompanying radicular artery) with complications of osteochondrosis usually occurs against the background of previous radicular pain. It can cause an acute or subacute "off" function of the spinal nerve. At the same time, radicular pain disappears in the zone of its innervation and motor and sensory disorders with a minus sign in the corresponding segments of the patient's body come to the fore. The combined compression of the spinal nerve and the accompanying radicular-medullary artery leads to the fact that, along with signs of ischemia of this nerve, myeloischemia (dyscirculatory myelopathy) occurs, which usually results in an almost complete transverse lesion of the spinal cord, with the exception of its posterior cords and adjacent him areas of the posterior horns.
If the symptoms of a hernia in the cervical spine suffer from vertebral arteries, this can lead to insufficient blood supply to the cervical spinal cord, as well as to hemodynamic disorder in the vertebrobasilar arterial pool, through which approximately 1/3 of the arterial blood flows into the brain, providing nutrition to the brain.
With complications of osteochondrosis, various neurological manifestations occurring at different stages of its development are possible. They can be single rare “bursts” of rapidly passing clinical signs, as is the case with lumbago or cervicago. However, there may be perennial, undulating manifestations of subjective and objective pathological signs that significantly affect the patient's quality of life. If, at the same time, the effectiveness of the conservative therapy provided to him is insufficient, sometimes the question arises about providing the patient with neurosurgical care. In some cases, complications of osteochondrosis can cause disability.
Certain prophylactic measures may be useful to prevent this kind of spinal hernia symptoms, and to assist patients with such complications # 8211, use of methods developed by clinicians for conservative, and if necessary, neurosurgical treatment.
Formation of a herniated disk # 8211, one of the typical complications of spinal osteochondrosis. Hernia is shifted back to the side of the spinal canal. Usually in the pubertal period there is a decrease in hydrophilicity and a gradual flattening of the nucleus of the intervertebral disk. Later, a fibrous ring is stretched, radial cracks may appear in it, sometimes connective tissue bundles are torn. Moreover, in the lumbar, cervical spine, such changes often occur in the most narrow, and therefore particularly vulnerable, posterior fibrous ring adjacent to the posterior longitudinal ligament. The back of the ring, the posterior longitudinal ligament contain many pain receptors, and their irritation leads to the manifestation of primary, local nociceptive, as well as secondary, reflected (reflex, neuropathic) muscular pain and other symptoms of spinal hernia. If the degree of protrusion of the disc stabilizes, then after a while, the receptors may adapt to the irritant factor. In this case, the pain gradually subsides.Thus, the exacerbation of the pathological process can be replaced by remission, the duration of which is largely determined by the patient's motor regime and the occurrence of additional precipitating factors. However, in such cases, in the period of remission of symptoms of hernia of the spine, when pain is practically absent, with disc herniation in the cervical or lumbar spine, lordosis often remains flattened (a possible sign of a "sleeping" hernia). Such a flattening of lordosis in the lumbar region with a slight protrusion toward the back ligament of the hernial tissue can be a kind of protective posture. If the disc is significantly elevated towards the longitudinal ligament, an attempt to sharply straighten the back, especially after its previous flexion, may be accompanied by the appearance of a perforation of the ligament of the spine.
How intervertebral hernia of the lumbar spine manifests itself: symptoms and effects
In order to avoid the occurrence and development of a hernia, it is necessary to strengthen the back muscles, try to maintain a straight posture. Useful swimming, walking, cycling. It is necessary to lead an active lifestyle, but to observe and know the measure.There are various reasons that provoke the development of a hernia. This may be injuries of various kinds of origin, the consequences of road accidents. The disease can also occur as a result of heavy physical exertion, the wrong method of lifting heavy objects. Congenital pathologies of the musculoskeletal system, degenerative changes in bone tissue, scoliosis, osteochondrosis, hip dysplasia, overweight, bad habits - all these factors contribute to the development of this disease.
A set of exercises is developed individually for each patient and is aimed at the treatment and prevention of intervertebral lumbar hernia. Performing gymnastics for the lower back helps to avoid stiffness, pain and reduce the severity. A balanced set of exercises must necessarily include a combination of aerobic exercise, stretching and muscle tension.
Weakness and sensory disturbances in the legs, numbness and tingling in the area of the affected nerve roots,
How does a hernia appear in the lower back?
In the leg - it happens, it appears a few days after the manifestation of lumbar pain, or occurs independently.
Significant limitation of mobility in the lower back due to strain on the back muscles. After some time, the patient's posture is disturbed, lordosis or scoliosis is formed.
Photo: squeezed roots between disks
There is a strong pain syndrome (it increases with any torso movement). Over time, the pain may move to the area of the buttocks and legs (often patients experience shooting pain spreading to the toes and feet)
Leg muscles susceptible to hypotonia, progressive unilateral reduction of muscle mass and muscle atrophy,
Pain is the first symptom
At first, this slight protrusion is the first harbinger of a hernia. But since it does not cause serious problems, it is rather difficult to notice these symptoms. Over time, the manifestation increases, vertebral hernia grows. Its size is the main indicator in identifying the stage of the disease.
Manifestations of radicular syndrome:
An adult spine is able to withstand a vertical load of 400 kg. If we lift weights on outstretched arms, then this load increases by 20 times. The lumbar region accounts for the majority of the entire weight load, since this is the most mobile part of the spine, and there is also an equilibrium center.
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This is the elimination of pain with medication. Mostly used analgesic drugs, nonsteroidal anti-inflammatory drugs.Also, if necessary, spasmolytics or muscle relaxants can be prescribed. With severe pain, blockages with drugs can be applied. In this method, the patient segment is cut off from several sides. However, some doctors believe that the blockade is carried out in the inflamed area of the spine and therefore they cause additional irritation, which slows recovery. So only the doctor after numerous researches and diagnostics can appoint blockade. When the pain can be eliminated, then prescribed treatment with traction, massage courses and physiotherapy.
A person loses the ability to move independently
Violations of urination (urinary incontinence, urinary retention), defecation (constipation, diarrhea) and potency (impotence). These problems may be associated with the compression of the "ponytail", the so-called lowest part of the spinal cord.
The main sign of the appearance of this type of hernia is a protrusion that can be detected by palpation of the lumbar spine. Over time, the hernia begins to grow, accompanied by a pronounced symptomatology. Patients begin to experience discomfort during movement, and at a later stage of the disease - unbearable pain.
As the disease progresses, the patient may lose the ability to move independently,
Compensatory body poses.
Often there are cases when a hernia of the spine appears in several places at the same time, as a result, their symptoms merge into one.
- Muscles of hips, legs and feet weaken. The patient loses the ability to squat, stand on tiptoe, climb the high steps and jump. All these signs characterize the compression of the spinal roots at an early stage.
- In connection with all of the above factors, intervertebral hernia of the lumbar spine may develop, the symptoms of which will be discussed further.
- One of the effects of intervertebral hernia of the lumbar spine is considered sciatica. Radiculitis in colloquial speech is called lumbago. It occurs when a cartilaginous disc falls into the spinal canal. This disease represents inflammation of the nerve fibers. Affected fibers, nerve roots cause severe pain. The pain is exacerbated by any changes in body position or movement.
- Also, with a lumbar spine hernia, a special belt helps to prevent the progression of the disease. It is prescribed only by a doctor and such a product is selected for the individual characteristics of the spine. Before prescribing a belt, an orthopedic doctor, a traumatologist or a vertebrologist carry out a full examination in order to fully check the degree of deformity of the spinal column.
- Then the back pain may recede, but there will be a shooting pain in the gluteus muscles, the front and rear surfaces of the legs, with recoil (irradiation) in the foot and toes,
- It occurs when a person turns over on the other side during sleep.
The diagnosis is made on the basis of an examination, a thorough collection of anamnesis and complaints, as well as the performance of a number of studies (X-ray, magnetic-nuclear scanning). Neurological examination reveals weakness in the limbs or loss of sensation.
- The first signs of a hernia in the lumbar spine should be taken seriously by patients and encouraged to make an emergency visit to a medical institution.
- Loss of sensation in the lower limbs,
- Over time, the roots of the spinal cord are compressed and gradually die off. As a result, the nutrition of the tissues deteriorates, and the following characteristic symptoms are observed, which develop during the whole disease:
- Signs of intervertebral hernia of the lumbar spine are divided into three types: pain symptoms, radicular and vertebral symptoms.
What complications can develop with lumbar hernia?
This muscle group is losing its tone.
Hernia in the lumbar spine arises, because of the loads intervertebral discs that perform the function of a shock absorber, they wear out earlier than in other departments.
The more dangerous consequences of intervertebral hernia, compared with radiculitis, are muscle weakness in the affected areas and paralysis of the limbs. They develop as a result of severe neglect of the disease, its late diagnosis. At the same time, the spinal cartilaginous disk bulges into the spinal canal for a long time. This creates chronic pinching of the nerve fibers. Gradually, they are subject to inflammation more and more. In the end, the nerve fibers lose their normal functional abilities.
The belt resembles the cartridge case and is fixed on the body with the help of lacing or velcro. This product has elastic inserts in the back and front parts. This creates strength and rigidity of the model. In vertebral hernia of the lumbar spine, a medium hardness belt is recommended. The product qualitatively relieves the damaged part of the spine, redistributing the load on healthy segments. The belt provides reliable correction of the injured segments, returns the vertebrae to their permanent place.
Reflexes of Achilles and knee tendons decrease,
How does a hernia of the lumbar spine manifest
Sometimes pain is expressed by tingling or numbness, "goosebumps", burning.
Treatment of a herniated disc always begins with conservative methods, except when there are neurological symptoms.
When the primary symptoms characteristic of a lumbar hernia appear, patients should seek medical help. At the reception, the doctor will interview the patient, collect a history of the disease and prescribe an additional hardware examination:
The muscles of the thighs, shins and feet are becoming increasingly weak - the spinal roots are compressed,
The first precursor of a hernia is pain. It will remain the main, almost continuous symptom of the presence of a lumbar hernia. Throughout the development of the disease, the strength of the pain, their manifestation and location will increase. In most cases, pain is accompanied by other symptoms.
Pain - it's time to think
Muscle atrophy begins: the legs become thinner and weaker, they cannot perform the necessary movements. Smoothing of the gluteal fold and figure asymmetry are observed.
The intervertebral discs of the lumbar spine are different from others in their structure: in the center there is a gel-like nucleus, which is held by a dense fibrous ring.
By its natural purpose, the spine bears the maximum load of the entire human body. Especially this load falls on the lumbar region. It is the most mobile part of the spinal column, in addition, in the lumbar region is the center of balance.
The manifestation of radicular syndrome
There is a decrease in the Achilles reflex,
- Gradually these muscles will atrophy, the legs lose their ability to move,
- In men and women, vertebral hernia can cause various problems. Women over time face diseases of the ovaries, uterus, as well as the occurrence of hormonal imbalance. Men can observe a decrease in potency, problems with ejaculation and a decrease in libido. Infertility may be caused in young people.
- The patient feels dry or, conversely, excessive sweating of the skin that falls into the area affected by the damaged root.
- When it breaks the disc contents pour out and squeeze the roots of the spinal cord or its trunk. The result is a hernia, otherwise known as a bulging of the intervertebral disc.
- As a result of the developing disease, a person cannot live a normal full life. In addition, intervertebral hernia provokes changes and disturbances in the functioning of the pelvic organs. In particular, abnormalities occur during bowel and bladder emptying, and the genitals lose their sensitivity. In men, impotence develops. In women, the menstrual cycle is disturbed, there is a threat of infertility.
- First of all, it is necessary to abandon various loads, since lifting weights invariably leads to an increase in pressure in the intervertebral disks. When transferring various relatively heavy objects, it is recommended to use the equilibrium rule, to take approximately the same amount of load in both hands in order to balance the spine. It is not recommended to often bend or stay for a long time in a bent position. In the presence of an intervertebral hernia, it is strictly forbidden to perform sharp movements, turns, jumps and the like. Riding a bike and running, too, must be excluded at least for the period of treatment. It is undesirable to remain in a sitting position for a long time; you need to perform special gymnastic exercises prescribed by your doctor at least once every half hour. Women are forbidden to wear shoes with heels.
Sometimes a hernia can bulge and press into the body of a nearby (lower or higher) intervertebral disk. This is the so-called Schmorl's hernia, or Schmorl's lump. She, as a rule, does not require treatment, since she does not squeeze the nerve roots, but her presence already signals about problems with the spine. In the future, may occur and the usual intervertebral hernia. To stop this process should be engaged in strengthening the spine and muscles that support it. As prevention, you can use spinal stretching courses, special gymnastics and swimming. Exclude strength training, shaping, aerobics.
Sensitivity in the legs,
Symptoms of hernia of the lumbar spine: signs, symptoms, causes, diagnosis, treatment
Skin sensitivity becomes more and more disturbed: toes begin to tingle, toes are chilly and numb,
At first, pain is localized in the lumbar region, in the damaged disc. It increases with sudden movement, with prolonged sitting and when lifting weights. The pain disappears as soon as you take a horizontal position, that is, the vertebral load decreases. At this stage, it is still realistic to quickly stop the development of the spinal disease, in a timely manner to consult a doctor.
Phasis of hernia formation
Perhaps the appearance of paralysis. The patient becomes problematic to move, he is socially limited. In many cases, complete disability is possible.
- Initially, a hernia of the lumbar spine has no symptoms, except for a slight protrusion. Bulging for some time does not cause significant problems.
- In the case of an intervertebral hernia, there are such consequences as disturbances in the functioning of the stomach, heart, lungs, and pancreas. In addition, the blood supply to the brain is impaired, which is a prerequisite for a stroke.
The most favorable and harmless hernia is Schmorl's hernia. It is transmitted by inheritance and does not cause any harm to a person. It is also not necessary to treat it. The main thing to lead a relatively benign lifestyle. Do not overload the spine, perform special exercises and constantly monitor your well-being. If you follow all the instructions of the doctor, you can protect yourself from the appearance of a full-fledged intervertebral hernia.
- Of course, before choosing a treatment, it will be necessary to undergo a full range of examinations in order to rule out any other diseases, to clarify all the details. These will be manual and neurological examinations.Going full history, as sometimes there may be contraindications. Based on all the facts collected, the doctor together with the patient will choose a treatment and recovery plan.
- Urination difficult (urinary incontinence or delay),
- Partial destruction of the shock absorber is called vertebral hernia. The direction in which the prolapse of the cartilage tissue has lost its structure depends on the type of problems that this phenomenon identifies.
- Any hernia is a protrusion of the anatomical formation in a cavity that is not characteristic of its location. Intervertebral hernia is a protrusion of the intervertebral disc in the spinal canal. This pathology is one of the most dangerous diseases of the spinal column, as it leads to compression of the nerve roots, and sometimes the spinal cord. Back pain during hernia significantly reduces the ability to self-care and the quality of life of a person, in some cases, can cause disability.
- Weakness appears in the legs (knees are weakened because of the disturbance of the tendon reflexes),
- The skin area that covers the damaged root becomes either very dry or sweating increases,
- If you miss the onset of the disease, the vertebral hernia begins to grow and the roots of the spinal cord contract more and more.
- If the hernia protrudes backwards, a compression of the spinal trunk appears. During sudden movements, as well as during weight lifting, complete compression of the spinal cord is possible, leading to severe paralysis or fatal conditions. Such hernias have particular symptoms:
- Over time, the manifestation increases as the hernia itself grows in size. Size is the main criterion in determining the stage of the disease.
- The most serious consequence of intervertebral hernia of the lumbar spine is the disruption of the normal operation of the knee and hip joints.
- In most cases, hernia treatment is performed in a conservative manner, and only five or ten percent of cases require surgery. According to statistics, about eighty percent of people with hernia of the lumbar spine experience significant relief and improvement in their general condition after ten to twelve weeks of treatment. According to statistics, more than ninety percent of all patients recover after treatment.
- Diagnostic instrumental methods of research include:
Feeling of numbness in the crotch area,
Hernia right or left can create conditions for the oppression of the radicular nerve. Loss of a hernia with a shattered part back is dangerous with spinal cord oppression.
- Disc hernia on x-ray
- There is a protrusion of a lipoma,
- Paralysis may occur.
- At the same time, pain in the lumbar spine becomes stronger when the head is tilted, when the straight leg is raised along the side of the compressed root, and also when the interspin gaps are pressed. Knocking on the spinous processes of the damaged vertebrae, there is a sharp pain in the leg.
- The pelvic organs are not functioning properly. The incontinence of feces and urine and their delay alternate.
- Symptoms are divided into 3 large groups: pain, vertebral and radicular syndromes. Let's consider the order in which they appear.
This leads to paralysis of the legs, which makes a person an invalid and condemns to an immovable lifestyle.
Most experienced doctors are of the opinion that novocaine blockades lead to additional irritation of the inflamed area and significantly slow down the healing process, so it is recommended to visit a doctor before using them.
Ultrasound. This is not the main method of the study, since due to the too high density of the spinal bone tissue it is impossible to obtain a sufficiently clear and contrasting image of the bone structure.
How does the formation of intervertebral hernia
Sensitivity in the pelvic area is disturbed.
Of all the symptoms, pain comes first. It is also the main and constant symptom of a hernia in the lumbar region. With the development of the disease will change the power of pain, their nature and place. Pain syndrome can be both independent and accompanied by others, but all stages of the disease are associated with painful sensations.
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Standard conservative treatment includes relief of pain, as well as the prevention of secondary occurrence of the disease. In particular, patients with lumbar intervertebral hernia are prescribed a three-day bed rest, anti-inflammatory nonsteroid drugs and analgesics are prescribed. Sometimes doctors add to the standard treatment of muscle relaxants.
Causes of intervertebral hernia of the lumbar spine
X-ray A fairly painless procedure in which bone structures are displayed on special paper using X-rays. This is the main research method, which allows to determine the traumatic or non-traumatic nature of the lesion of the vertebrae. X-rays are performed in three projections (straight, oblique and lateral), as well as in the positions of flexion and extension. Radiography shows changes in the spine such as: a decrease in the distance between the vertebrae, instability of a segment of the spine during flexion or extension, bone growths.
Herniated intervertebral discs are, perhaps, one of the most severe and frequently occurring consequences of osteochondrosis complications. This disease is much younger compared to the beginning of the twentieth century and now affects even young people under 25, but quite rarely. It is mainly manifested in people 25-45 years. A hernia is formed when the gelatinous pulpous nucleus of the intervertebral disk bulges through a broken fibrous ring. The cause of the rupture may be a spinal cord injury upon impact, fractures, falls, a sharp weight lifting.
- Long sitting in a sedentary pose. This may be, for example, students and office staff. Such a factor is especially bad if the back is hunched. For sedentary work, you must have a comfortable chair and sit backed up.
- Diagram, drawing - herniated disc
- When bulging a hernia inside, organs can be damaged and severe pain may occur (sometimes a hernia is fatal),
Diagnosis of the disease
They resort to surgical intervention only in critical cases when the disease adversely affects the functioning of the internal organs, when the pain syndrome becomes unbearable, and conservative treatment does not help. Modern methods of surgical treatment of hernia minimize surgical injury to the back muscles, making the disease less likely to recur, and the patient recovers more quickly. Previously, standard surgical surgery was used to remove an intervertebral hernia of the lumbar spine, but later microdiscectomy was invented. This is, in fact, an ordinary neurosurgical operation. The doctor uses a special operating microscope and an operating magnifying glass during the operation. All this allows him to remove a hernia through a minimal skin incision, not exceeding four centimeters.
Hernia of the lumbar spine - what are the features of this problem
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In order for the disc to have sufficient nutrient intake, it is necessary to perform a moderate number of spinal movements.During motor manipulations, a pressure drop is created around the disc and diffusion delivery of power is improved. A slow-moving lifestyle leads to degenerative phenomena in the spinal shock absorbers. And this is a prerequisite for the creation of a hernia.
What is intervertebral hernia in the lumbar spine
Most often, intervertebral hernia is localized in the lumbar spine, since the most significant load falls on this department.
Swelling of surrounding tissues and muscles, etc.
Hernia / Intervertebral hernia of the lumbar spine / Symptoms of hernia of the lumbar spine Symptoms of the hernia of the lumbar spine 23/01/2015
Symptoms and signs
The disease osteochondrosis potentially carries the possibility of a hernia.
Most intervertebral hernia in the vertebral department occur in people of working age, in the elderly, they are less common. In children, such hernias are usually congenital.
Symptoms of a hernia of the lumbar spine may also manifest as problems with defecation (constipation or diarrhea) or urinary retention or incontinence.
- L2-L3 - pain in the joints of the knees, urinary and genital organs begin to cope worse with their work.
- One of the complications of intervertebral hernia in the lumbar spine is lumbodynia, that is, backache in the lumbar region. When it is observed acute pain, which increases dramatically even with the slightest movement. The patient may be in this state for up to several weeks.
The larger the hernia becomes, the more the sheath and roots of the spinal cord are compressed. As the disease progresses, patients notice an increase in pain in the lumbar region, if they tilt their heads, if they lift a straightened leg from the side of the spinal compression, and also if they press on the intestine spacing. When tapping on the spinous processes of the vertebrae in which the disc is damaged, the patient feels a sharp severe pain in the leg.
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- If the intervertebral hernia is not treated for a long time, serious complications can develop. For example, it can be paresis, that is, an arbitrary weakening of the body during movement, and paralysis of the muscular system of the lower extremities. Violation of the sensitivity of the limbs is also a complication of this disease. There also include violations in the work of the internal organs caused by hernia. A strongly started hernia can lead to a wheelchair at all, so its treatment should not be delayed.
- Myelography is a diagnosis using a special contrast agent introduced into the spinal canal. It is also one of the leading research methods.
The next stage is called entrusion. The gelatinous nucleus extends beyond the fibrous ring into the spinal canal. This stage is considered the completion of the process of the formation of an intervertebral hernia.
- Spinal injuries create an environment for the appearance of a hernia. Lumbar hernia often occur after an accident. When braking abruptly, a quick movement of the head in the form of a nod forward-backward can cause a “whiplash injury” and provoke a hernia of the waist.
- In osteochondrosis on the background of metabolic disorders, an increase in pressure inside the intervertebral cartilage occurs. At the same time, its membranes are destroyed, and the pulpal nucleus bulges into the spinal canal of the spine.
- The main reasons for the appearance of a hernia in the lumbar spine include the following:
Lumbar spine hernia: symptoms cause treatment
L3-L4 - sciatica and lumbago, the prostate gland begins to function worse, there are trudnosti with urination, knee joints and feet become very painful, limited mobility.
With hernia in the lumbar region, the function of the knee and hip joints may be impaired.Because of this, a person's ability to move independently decreases significantly, which leads to early disability.
Main phases of hernia formation
- As the disease progresses, the nature of the pain changes. If not treated, it becomes aching and shooting. Damage to the roots of different segments of the spine adds pain in the hips, buttocks, heels, legs, thumbs, or backs of the feet. When sneezing, coughing, various movements, or when driving on uneven surfaces, pain sensations increase. The pain recedes if you lie on a healthy side and bend the aching leg in the joints.
- After establishing an accurate diagnosis, the attending physician determines treatment therapy. The important point of treatment is to start it as early as possible, to prevent the neglect and further development of the hernia. In the early stages of the disease, it is possible to avoid surgery. Certain conservative therapeutic methods will suffice. These include primarily the removal of pain. Then you need to strengthen your back muscles with the help of medical gymnastics. For this there is a selected complex of special physical exercises. The establishment of the balance of the joints of the musculoskeletal system, the elimination of vertebral prolapse also belongs to medical therapy. To conservative methods of treatment also include massage, manual therapy, acupuncture.
What could be the consequences of intervertebral hernia of the lumbar spine and what is it? Intervertebral hernia is the displacement of a portion of the defective intervertebral disc. The most common shift, localization of the hernia is observed in the lumbar region.MRI (magnetic resonance imaging), Accurate, highly informative method of research, in which the image is obtained using electromagnetic waves. This is a completely safe method and can be used many times in one person.
- Hernia of the lumbar spine is the most common due to the fact that this department is the most mobile and is experiencing the greatest load. At first, a hernia of the lumbar spine will be imperceptible and asymptomatic, without giving anything away. However, gradually it squeezes the corresponding part of the spinal cord, blood vessels, nerve roots, and then the symptoms of the disease begin to appear gradually.
- During the MRI, hernias are sometimes detected, which the person did not guess. This suggests that they do not give any signal, asymptomatic. However, these phenomena often cause many problems.
- Weight lifting from the ground.
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In the lateral direction, due to the compression of the roots of the spinal cord, organ damage is observed, for which the damaged part of the spine is responsible. Posterior protrusion is characterized by manifestations associated with compression of the spinal trunk.
From drugs, the doctor may prescribe chondroprotectors. They help in the speedy restoration of tissues in cartilage. These drugs include chondroxide, aroxia, struktum. B vitamins are a good supplement in drug therapy.
Lumbar spine hernia: symptoms
The most important symptom of intervertebral hernia of the lumbar spine is severe pain. They appear literally from everything. This may be minor physical exertion, lifting small weights, turning or bending the body, staying in a fixed uncomfortable position. Even sneezing or coughing causes excruciating pain. A person is afraid to make an extra movement in order not to feel pain once again.
Surgical removal of an intervertebral hernia
At the first stage of lipoma development, fibrous ring is injured. In the cavity of the hernia is going jelly-like substance, in which the pulpous nucleus is located.
Slight physical exertion leads to a feeling of stiffness in the back, independent movement is difficult and sometimes impossible,
The most important role for the human spine is to support the entire body. The vertical load on the spine can be 400 kg. The loin receives the main load, since it is the most active part of the spine, besides here is the center of balance. Naturally, the lumbar part of the spine is most exposed to various diseases, including hernia. In almost 90% of cases, the disease will be recorded in the lower back.
Signs of a hernia of the lumbar spine appear exclusively in certain places, since each segment is associated with any part of the body and is responsible for its work. In 90 percent of cases, a hernia in the lumbar region appears in the lower sections. As a rule, these are disks of the lumbar vertebrae (L) or sacral (S) between L4–5 or L5 – S1.
There are cases when the disease has gone too far, the treatment has not been started in time, the size of the hernia is large. If the treatment undertaken does not bring positive results, the doctor prescribes a surgical operation to remove the hernia.
Pain sensations are periodic or permanent, they spread on the surface of the legs, give to the heel.
Consequences of an intervertebral hernia
Numbness, burning and pain in the area of the spinal nerve roots - painful attack, sciatica on the side of the affected disc,
Vertebral hernia of the lumbar spine occurs due to pressure on the intervertebral discs, which serve as shock absorbers, wears them much faster than other parts.
If the roots of the L5 segment are damaged, then symptoms appear on the outer surface of the thighs, the anterior outer surface of the legs, and also on the back of the feet or in the area of the thumbs. Infringement of the roots in the sacral (S1) region causes symptoms in the gluteal or lumbosacral region, on the posterior surface of the thighs and legs, as well as in the heels and little fingers. With several hernias, the manifestation of symptoms will not have such clear outlines.
There are also symptoms such as a decrease in body temperature, excessive sweating, disturbance and decrease or lack of sensitivity, dry skin, swelling.
A new technique - the installation of titanium implants in the intervertebral gap.
Symptoms of this disease are:
Lower back pain is the main symptom. At the onset of the disease, the size of the hernia is still small, and it is not so much pressure on the spinal cord roots. The main complaint of the patient is unstable, dull back pain (lumbago). Lower back pain increases with physical exertion, coughing, running, sneezing and prolonged standing or sitting. With the increase in the size of the hernia, or with its sudden breakthrough, the pain increases, gives to the thigh, buttock or legs (sciatica). At the same time, severe shooting pains (sciatica) are noted.
Spinal hernia: symptoms and treatment
Medical professionals know that each country has its own specification of the designations of diseases and their names. So in America, hernia of the spine, whose symptoms can quickly indicate the onset of the disease, is called intervertebral hernia or disc damage. This option more clearly describes the situation occurring in the human body.
Together with the displacement of the pulpous nucleus of the disk located between the vertebrae, the fibrous ring breaks. According to statistics, a hernia of the cervical spine, the symptoms of which are quite specific, occurs much less frequently than changes in the lumbosacral region.
Some types of changes occurring in the spine due to injuries, heavy loads, and overstrain are very rare. These, diagnosed only in 1-2% of cases, include a hernia of the thoracic spine, the symptoms of which manifest themselves in the form of pain that spreads throughout the upper back. Discomfort can be localized in the ribs and gradually increase, turning into strong pain impulses. The occurrence of a hernia in this area can cause imaginary pains in the stomach, heart. If symptoms are found, ECG and gastroscopy must be performed to rule out ventricular disease.
As a rule, a hernia of the thoracic spine, whose symptoms are quite specific, is determined quickly if the specialist prescribes all the necessary checks. If studies show a normal state of the stomach, the problem must be sought in the spine. Only in 1% of cases the doctor, after the patient has undergone a course of recovery and treatment, prescribes surgery. Surgical intervention may be needed if the hernia begins to affect the spinal cord, compress it. The problem may be sudden weakness in the legs, frequent urination or constipation.
Schmorl hernia of the spine
Some specific cases of deformation of the intervertebral discs get their names. This is exactly what caused the hernia of schmorel of the spine, the symptoms of which consist in rarely arising pains, abnormal development of the spine, which can begin in early childhood and can be detected on radiographic images. The essence of the problem lies in the fact that cartilage tissue is pressed into the cancellous bone, directly into the lower or upper vertebra.
In almost 70% of cases the disease is hereditary, it can also occur during the period of active growth of the child in
early childhood. If the soft tissue has time to quickly form, then the bone tissue lags behind a little, which is why voids begin to appear in the spongy body of the vertebra. Currently, a schmorl hernia of the spine, the symptoms of which will be detected by any specialist who has received an x-ray of a patient, is considered an unserious disease. If the intervertebral disc fails completely, it can disrupt the entire system. However, subject to the rules, regular exercise physical therapy, you can maintain the state of health in good order.
In case of loss or protrusion of individual parts of the intervertebral disc into the spinal canal, a hernia of the cervical spine is formed, the symptoms of which appear quite vividly in comparison with similar diseases of other departments. In most cases, the disease is found in males who are actively engaged in workouts and perform heavy physical work. Constant tension, cutting motion, incorrect position of the neck in a dream - all this can cause a hernia.
The beginning of the manifestation of the disease is characterized by aching pain that occurs on the back of the neck. Turns of the head are given to a person with difficulty, causing a lot of unpleasant sensations, ranging from light stretching and ending with a sharp pain that is difficult to endure. Insufficient access of oxygen and impaired blood flow affect the brain and cause headaches, frequent dizziness, and uncertain movements.
It is necessary to correctly understand which symptoms of herniated spine become an obvious reason to consult a doctor.. Specialists, most often, insist on conservative treatment, but in cases where the hernia threatens the normal functioning of the person, a surgical way can be chosen.
Main symptoms of spinal hernia and treatment options
Since the disease implies a change in the state of the intervertebral disc, it becomes not too difficult to answer the question of what symptoms in case of hernia of the spine. First of all, such changes can be seen in the pictures taken in the X-ray room or on an MRI examination. Constant back pain, giving away to other parts of the body, changing coordination, aching sensations, sleep disturbance, lack of oxygen, feeling of pressure on the neck, lower back or the whole spine as a whole are disturbing calls that should make a person turn to a specialist.
Today, spinal hernia treatment and symptoms of which can be found both in medical reference books and on the Internet is a disease that can be cured without the intervention of surgeons. The sooner a person goes to a doctor, the easier it will be for a specialist to carry out all the necessary procedures. The most characteristic symptoms of a hernia include numbness of the extremities, which occurs with local pain in any part of the spine.
Almost always, hernia of the spine is treated and the symptoms of which begin to cause inconvenience and gradually become the cause of severe pain, depriving a person to lead a normal life. Do not postpone the visit to the specialist because of the fear of surgical intervention. Operations are not assigned immediately, in 80% of the cases, conservative treatment brings its fruits quite quickly and allows to solve the problem once and for all.
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