Treatment of herniated discs of the lumbar spine
Disease / / August 12, 2017
- Treatment of lumbar hernia
most common form of hernia intervertebral discs in the lumbar spine.When forming such protrusions observed compression of spinal nerves.This causes the patient pain mediolaterally nature, which is localized mainly below the injury site.If the hernia has an impact on the cauda equina fibers may appear disorders in the regulation of the pelvic organs.
Diagnostics intervertebral hernia is performed using X-ray techniques such as X-rays of the spine and radiculography.More specifically, the location of the hernia can be determined with the help of a computer and magnetic resonance tomography.To identify the nerve impulse conduction disorders using electromyography.
Treatment of lumbar hernia
in the treatment of intervertebral hernia using conservative and radical surgical procedures.During the medical treatment the patient is assigned to bed rest, and the surface of the bed should be as rigid.It is recommended to take the position when the legs bent at t
However, bed rest should not be abused, as the late return to the familiar activity may provoke chronization pain.Also in severe clinical picture can apply warming procedure with ice packs.Because of drugs topically applied ointments with anesthetics and muscle relaxants, painkillers, anti-inflammatory drugs.A good effect is given a variety of physiotherapy techniques, acupuncture.
If there is a massive herniated disc with the development of bilateral paresis, and in the presence of pelvic disorders, frequent recurrence, high pain intensity indicated surgery.Among the relative indications for surgical intervention may be called the emergence of cross-Lassega symptom, replace the part sciatica (pain running from the waist to the foot).
combination of modern surgery and conservative treatment methods can achieve good treatment results in 2/3 patients.Poor prognosis observed in patients with early postoperative recurrence, development of adhesions, severe degenerative changes in the spine.