Herniated. Of spinal anatomy, symptoms of disc prolapse and how back diseases treated
Back problems is the closest to a widespread disease, where 3 of 4, at some time, will feel pain in the back which makes it necessary to take medication, or to undergo surgery. Back pain occurs as either acute pain or they evolve through time. The pain may be localized in the lumbar spine sometimes radiating into the buttocks and back of thighs, or they may extend below the knee in a more or less defined area. Pain that radiates below the knee in a very limited area, may be due to a herniated else because the pain usually degenerative changes in lumbar spine or overload of back muscles or ligaments. In a few cases the pain caused serious diseases such as inflammation, infection or malignancy. One can find prolapses everywhere in the back, mostly between 4 and 5 lumbar vertebra and between the fifth lumbar vertebra and the sacrum.
What causes a slipped disc?
A herniated due to age-degradation of connective tissue ring in the disc, causing a defect so that the soft portion can be picked off. Possibly provide hard physical work facilities for prolapsed disc. A herniated disk is seen occasionally in association with the actual falls, traffic accidents or other trauma. Herniated Disc is seen mostly in the 30-50 years of age. In halshvirveldelen seen herniated usually in 40-60 years of age. Herniated Disc is the most frequent. Slipped disc in the thoracic portion is relatively rare. In 3 out of 4 cases, the prolapsed to burn themselves out within three to six months. Only if there is no decisive improvement in the state after one month, the operation will be considered.
What is a slipped disc?
Slipped disc is a damage in one or more of the spinal cartilage slices discussion. The soft core in the middle of the cartilage disc seeps out and tap the passing nerve. There is thus a prolabering of the nucleus within the disc, hence the name slipped disc. Most damage occurs in the lower back, lower neck and rarely in the thoracic spine. Not all slipped disc leads to pain. In fact, 40% of the population over 40 years herniated lumbar disc without noticeable thing. The typical program takes 3-6 months. Symptoms can occur suddenly or go to over time. The pain is worst at the beginning of the lower back, as these blades dominate bensmerterne. The pains are violent stabbing in nature and can disturb sleep. Besides pain may also have altered muscle power and sensation in the leg. Treatment is painkillers combined with chiropractic care. Especially Mckenzie exercises can be beneficial. Only a small proportion require surgery.
Symptoms of disc prolapse
A disc prolapse may be asymptomatic. Silent slipped disc detected occasionally in some types of imaging studies such as MRI, such prolapses requires in most cases no treatment. If it causes symptoms, because it is mainly that it presses on nerve roots, spinal cord or lumbar spinal extension. Symptoms: In the case of a herniated lumbar disc, it will typically result in non-reflex in the right heel, and it can be hard to come up on toes on the right foot because of muscle weakness in the calf muscles, and pain in lower back, buttock and legs. If it is more serious, may occur paralysis and numbness and lack of control over urination and defecation. When nerve root symptoms will be paralysis of individual muscles, and pain radiating to the arm or leg or feeling in arm or leg. By pressing on the spinal cord will be experienced sensory disturbances, stiffness or paralysis in the part of the body supplied below spinal pressure. For example, the pressure on the spinal cord in the thoracic portion cause spasticity in the legs and no arms. By pressing on the spinal cord may also prove problems with urination.
How are herniated disk?
In most cases, one should try to treat a herniated disk without surgery to begin with. If symptoms persists, surgery may be considered. The conservative treatment, in case of diskuspro-lobe typically consist of short-term bed rest supported by painkillers. It is important to alleviate the pain efficiently, which is best done with a combination of: paracetamol, anti-inflammatory tablets (arthritis drugs), potent analgesics such as morphine and the like, and possibly. muscle relaxants tablets. Medicine, as mentioned often be combined depending on the pain severity. As soon as circumstances permit commencement careful training under physiotherapeutic guidance. If the condition is not addressed satisfactorily within 4 weeks, you should consider surgery, and supplement with CT or MRI and neurosurgical evaluation.
When is surgery the only option?
In some situations, surgery only option for example:
- If symptoms of spinal compression must be operated soon or immediately.
- In severe paralysis or progressive paralysis must be operated soon or immediately.
- For lack of control over urination and defecation requires immediate treatment.
Experienced changed symptoms should always consult a doctor. The same applies to urinary problems, progressive paralysis and spasticity, where you should immediately contact your doctor.
Spine surgery and surgical treatment of spine
Spinal surgery comprises the surgical treatment of the back diseases. The most common ailments are herniated, spinal stenosis and degenerative arthritis of the spine. Each year, operated thousands of people in the back, and most of them just because of herniated why there is a routine operation. 80-90% of all operations are progressing well, and many patients become pain free. - Back surgeries:
- Discussion Prosthodontics: Instead of making a rigid part of the loin in osteoarthritis of the spine may consider inserting a so-called disc prosthesis to maintain the mobility of the spine.
- Herniated lumbar disc: This refers to a bulge of the inner part of one of the band slices as a kind of shock absorber sits between the vertebrae.
- Herniated disk in his neck: As with herniated lumbar disc, there is a bulge of the central part of one of the band slices which sit between neck vertebrae. By herniation in the neck there are also more often than true arthritis involving small bony prominences where the nerves leave the spinal cord.
- Spinal stenosis in the lumbar spine: This disorder typically affects an older patient group than those who have slipped. In spinal stenosis, there is symptoms are generally due to bad space in the spinal canal caused by arthritis of the small joints between the vertebrae.
- Osteoarthritis in the lumbar spine: Degenerative arthritis of the lumbar spine, in addition to spinal stenosis, give rise to a condition which is characterized by pain rather than leg pain.
- Verte bridge and kypho plastic: A growing problem is due to vertebral osteoporosis (brittle bones). It gives a stooped walk, and often much pain.
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The spine is made up of 24 vertebrae and intermediate band slices. A pulley is called a disc, in the majority of discs, which act as "shock". The outer ring of the belt discs consist of relatively firm connective tissue that surrounds a softer core. Spinal canal forms the rear portion thereof and runs the spinal cord. From the spinal nerves leave, among other things supplies the muscles of the arms and legs with electrical impulses that are necessary for these muscles function. It also receives spinal sensory impulses such as pain from arms and legs. The nerves supplying some relatively well-defined areas in terms of muscles and sensation. This is the reason that in connection with the investigation of herniated examines specific nerve reflexes and the function of specific muscle groups to get an idea of where in the back a bug herniated sitting eg in the neck portion, chest portion or the lumbar portion. - Click here for information about osteoarthritis and chronic back pain >>