Intervertebral hernia lumbosacral treatment

Lumbosacral hernia is a common disease. In modern medicine there are many methods of treating this pathology – massage, gymnastics, wearing corsets, surgery.

Content of the material

A hernia in the lumbosacral spine is quite common. At risk are mainly men from 30 to 50 years old. This disease is the most common form of intervertebral hernia. This is due to the human anatomy, since it is precisely on the lumbar region that the heaviest loads that provoke the appearance of a neoplasm fall.

Lumbar hernia is a common disease that occurs on average in half of the older population. However, only 5 out of a hundred people suffer from pathology.

Development of the disease

The spine in the lumbar region (lumbar) consists of five vertebrae. Between themselves, these structural elements of the spine are connected by intervertebral discs. They are necessary for uniform load distribution and cushioning of the vertebrae. The disk in its composition has a solid protective shell, in medicine it is called the fibrous ring. It contains a semi-liquid core. When the membrane of the intervertebral disc is broken, the nucleus enters the spinal canal. As a result, nerve endings get pinched and a hernia forms.

Important! A pinched nerve can lead to compression of the spinal cord, which in turn provokes the development of paralysis of the limbs.

A hernia in the lumbar region develops with damage to the intervertebral discs.

Traditionally, men over thirty are familiar with acute pain in the lower back. In most cases, this ailment is associated with the formation of an intervertebral hernia, which in itself causes discomfort, and sometimes completely changes the person’s lifestyle.

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Manifestation of the disease

  • stiffness of the lower back;
  • backache;
  • pain during movement;
  • pain in the lumbar region with a transition to the gluteal region or lower limbs;
  • numbness, tingling in the legs, etc.

The most common hernia symptoms are unpleasant and uncomfortable sensations in the lower back.

A hernia in the lumbar spine can provoke the development of gynecological diseases due to compression of the blood vessels. Patients with this diagnosis often complain of menstrual irregularities and urination problems. Often there are cases of spinal curvature. An advanced condition of the disease is characterized by a malfunction of the pelvic organs, sensitivity of the ankle and big toe, paralysis, muscle atrophy.

When the first symptoms of the disease appear, you should immediately contact a specialist. Launched treatment is fraught with serious consequences.

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Among the main reasons

The disease can be caused by a number of reasons:

  • Spinal injuries.
  • Osteochondrosis.
  • Passive, sedentary lifestyle.
  • Lifting weights and physical activity.
  • Curvature of the spine.
  • Metabolic disease.
  • Some active sports.
  • Hip dysplasia, etc.

The appearance of a hernia in the lumbar can be triggered by other factors:

  • bad habits, in particular, malnutrition, etc .;
  • hereditary predisposition;
  • anatomical structure (narrowness and weakness of the longitudinal ligaments);
  • infectious processes in the body;
  • hypothermia;
  • aging and others

Hernia treatment must be prescribed by a specialist. Effective therapy includes, in addition to conservative treatment methods, and gymnastics.

How to treat such a hernia?

A hernia in the lumbar spine is treated with medical and surgical methods. Conservative therapy includes the following activities:

  • the use of ointments;
  • injections;
  • taking pills;
  • mud treatment;
  • acupuncture;
  • kinesiology;
  • hirudotherapy;
  • wearing corsets;
  • physiotherapy;
  • simulator exercises;
  • massage and others

For many patients, doctors are prescribed to wear special corsets, which can limit the motor activity of the lumbar spine.

Surgical treatment of a hernia involves an operation to remove the neoplasm. However, each treatment method has its pros and cons. For example, medication is often unsuccessful. Many drugs relieve only pronounced symptoms in the form of a pain syndrome and do not fight against a hernia in any way. As for surgical intervention, lumbar surgery also has a number of disadvantages:

  • The presence of side effects (restriction of movement, disability, adhesions).
  • Complications.
  • Long-term use of drugs.
  • Allergic reactions, etc.

We recommend that you read about blockade of a hernia of the spine on our website.

Surgery to remove a hernia of the lumbosacral region is one of the methods of treating this pathology. Patients undergo all the necessary studies (MRI, ultrasound, etc.), after which the doctor makes an accurate diagnosis, if necessary, recommends surgical intervention.

Most cases of intervertebral hernia are successfully treated with conservative methods. If such treatment does not bring results, it is necessary to apply surgical intervention. Removal of the intervertebral hernia is carried out by one of several methods and its choice depends on the density and location of the pathology. Let’s figure them out.

As a preventative measure, experts recommend:

  • lead a healthy lifestyle – abandon bad habits, balance nutrition, etc .;
  • do not lift weights;
  • distribute weight evenly between two hands;
  • monitor posture;
  • do gymnastics, etc.

The video shows physical therapy for a hernia of the lumbar spine

Lumbosacral hernia is treatable, the main thing is to seek help in time!

How to cure an intervertebral hernia of the sacral spine?

Not when you do not start the disease, do not lead to serious consequences

Such a serious pathology as an intervertebral hernia needs timely treatment. Degenerative pathology is treated in two ways: conservative and operative. The choice of method of therapy depends on the stage of development of the disease.

Drug therapy of the disease

How to treat a hernia of the spine without surgery? Of course, this pathology can not be ignored, the lack of proper therapy will lead to complications. The disease at the first and second stages of development can be cured with the help of drugs and other conservative methods of treatment, for example, massage, manual therapy, physiotherapy exercises.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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The use of painkillers, non-steroidal anti-inflammatory and opioid agents

Painkillers and non-steroidal anti-inflammatory drugs are prescribed at the beginning of the development of the disease. These drugs are not able to relieve soreness in the third stage of pathology. Before making an accurate diagnosis, the use of non-narcotic pain medications is prescribed. These medicines include the following: Analgin, Ketanov, Dexalgin, Larfix, Aspirin.

After receiving the results of the analysis and confirming the diagnosis of “intervertebral hernia,” the attending physician prescribes non-steroidal anti-inflammatory drugs. The drugs of this group relieve not only pain, unlike non-narcotic drugs, but also relieve inflammation. Representatives of NSAIDs are Diclofenac, Nurofen, Celebrex, Movalis, Nimulid.

When non-steroidal anti-inflammatory drugs do not help relieve pain, doctors prescribe the use of narcotic drugs and drugs with an opioid effect. For example, Tramadol, Promedol. These medicines can not be freely bought in the pharmacy network. Preparations of this group can be purchased only by prescription from a doctor.

Relieve muscle cramps with muscle relaxants

Muscle relaxants are prescribed to relieve muscle spasm, which is a common symptom of a hernia of the spine. These drugs relax the striated muscles. As a result of the removal of muscle spasm, the tone of skeletal muscles decreases, blood circulation improves. Muscle relaxants of central action help get rid of spastic pain in the sacral spine. Representatives of this group of drugs are:

  • “Baclofen”;
  • “Catadolon Retard”;
  • “Midokalm”;
  • Sirdalud;
  • Tizalud;
  • “Tolperil-health”;
  • “Traumeel”;
  • Midostad Combi;
  • Muskomed.

With a hernia of the sacral spine, treatment with central muscle relaxants can cause side effects. Relaxing medicines with a strong effect cause drowsiness, urinary retention, and a feeling of dry mouth.

Chondroprotective restoration of the disc structure

Chondroprotectors are the basis of constructive therapy for destroyed intervertebral discs and impaired metabolism. Chondroprotective medicines are able to restore cartilage, due to which the intervertebral discs are restored, pain passes. These drugs saturate the tissues of the intervertebral disc with nutrients, they improve blood circulation. Chondroprotectors really help restore the spinal column from a devastating disease. The best and most effective drugs:

Chondroprotective hernia treatment is selected individually. You can’t say which medication is the best, which one is effective. Drugs are selected based on the stage of development of the disease, patient age, general health.

Unconventional methods of therapy

Treatment of the sacral spine with folk remedies should begin after a medical consultation. Effective methods for the treatment of hernia with folk remedies:

  1. Internal use of infusions of chamomile, linden, rose hip. To prepare the medicine, take rose hips and herbs in equal amounts, pour them with boiling water. Put the product for 20 minutes, then strain and take 0,5 cups 2 times a day.
  2. Gather fresh leaves of Cinquefoil, dry and chop. If there is no place to take the plant, buy at a pharmacy. Take 3 tbsp. l medicinal herbs, pour 100 ml of boiling water, boil a little. Then remove the medicine from the fire, place the grass in a gauze bag, cool. Apply the product to the affected area. Along with the use of compresses, tincture of saberfish should be used.
  3. At a late stage of the disease, take turpentine baths. For 200 liters of water, add 4 tbsp. l turpentine. The procedure is carried out for 20 minutes. Turpentine bath will improve blood circulation, relieve inflammation.

With a hernia of the vertebrae in the sacrum, alternative methods of treatment will not help immediately. For the onset of relief, at least several weeks of constant use of folk remedies must pass. By the end of the second month, the pain will practically cease to bother.

Other alternative therapies

Today, such treatment methods as acupuncture, traction of the spine, acupressure, hirudotherapy are practiced. One of the effective methods of treatment is acupuncture. This treatment method quickly fights pathology. Reflexotherapy relieves pain, muscle cramps. The duration of the procedure is from 15 minutes to 1,5 hours. Acupuncture is carried out manually or under the influence of current. The second most effective method for spinal hernia is traction. Spinal traction is an effective method due to which pressure is relieved between the vertebral segments.

Acupressure activates the body’s ability to self-repair by acting on certain points on the human body. Acupressure helps to strengthen the protective functions of the body and reduce pain, to get rid of the intervertebral hernia in this way, unfortunately, will not work. Hirudotherapy will help cure a sacral hernia.

Treatment with leeches has long been used to treat various diseases, including herniated discs. While digging through the skin, a leech injects painkillers, anti-inflammatory enzymes into the blood. In addition to them, a leech injects hirudin into the blood, containing a unique composition that can eliminate pain, swelling, muscle spasm. Hirudotherapy stimulates regenerative processes, activates local and general immunity. In addition to alternative methods of treatment, it is necessary to wear a corset during exertion, prolonged standing. The bandage should be removed during sleep and rest.

The results of the treatment of a hernia of the lumbar spine

The course of treatment is from 10 to 15 sessions. In some cases, this is enough to eliminate the symptoms and the risk of a hernia. In other cases, a second course of treatment is required. It is carried out after 6 months. After each course, a control image of MRI is taken.
The objective results of the treatment are a reduction in the size of the hernia, restoration of the volume and structure of the disc, improved depreciation, increased resistance to stress, and elimination of nerve pinches.

Subjective results – relief of pain in the lower back and buttock, restoration of muscle strength and sensitivity in the leg, improved mobility of the lower back.
A 49-year-old man came to Tibet with a problem of erectile dysfunction. For pain in the buttock and low reflexes in the leg, the doctor suspected the presence of a lumbar hernia. MRI confirmed a 9 mm hernia in the L5-S1 segment. After complex treatment (15 sessions), the pain in the buttock was gone, the erectile function improved significantly, and the prolapse decreased by 4 mm.

  • Treatment of a hernia of the lumbar spine in the Tibet clinic
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Frequently Asked Questions About Lumbar Hernia

1. What are some indications of the severity of a hernia?

There is an erroneous opinion that the stronger the lower back pain, the more dangerous the hernia. This is not true. The most dangerous hernias can be accompanied by moderate pain. In some cases, the pain when a hernia occurs does not increase, but is relieved. The severity of the situation can be judged by symptoms such as loss of sensation, numbness, weakness, paralysis or partial paralysis of the leg, impaired bowel movements, urination, and erection.

2. Why is there a hernia in the lower back?

To prevent lumbar hernia, doctors are often advised to avoid weight lifting. There are rules on how to lift heavy suitcases or other weights – crouching, with a straight back, in no case leaning forward. Nevertheless, the main reason for the formation of a hernia is not severity. They can provoke a rupture of the disk, but the cause of the hernia in another is a prolonged starvation of the disk in combination with improper loads. These loads occur with a sedentary lifestyle.
Due to a sedentary lifestyle, disk starvation also occurs. Blood is poorly supplied to them and does not deliver in the right amount of vital elements, including collagen. Collagen is needed to renew cartilage in the disc. With its lack of wear, the discs occur at a faster rate. Disks do not have time to recover and are destroyed.

3. Can an orthopedic mattress protect against intervertebral hernia?

An orthopedic mattress cannot eliminate persistent cramps that have arisen in the lower back due to a sedentary lifestyle. Only a doctor can do this with the help of a special massage and the use of acupuncture. Cramps in the lower back persist for 24 hours a day, including nighttime sleep. They do not allow the intervertebral discs to rest and recover, which leads to their compression, and then rupture. No type of mattress is a therapeutic agent and can not replace prevention, and even more so the treatment of a hernia in the lower back.

4 What is a sacral hernia of the spine?

The sacral section consists of fused bones between which a hernia cannot form. This is an intervertebral hernia at the border between the lumbar and sacral regions in the L5-S1 segment.

Symptoms and treatment of intervertebral hernia of the lumbosacral

The most common problem affecting the lumbar region is considered to be an intervertebral hernia of the lumbosacral spine. Often this disease is associated with significant physical exertion.

However, this pathology can occur for many other reasons. Due to the fact that in the presence of concomitant diseases, the intervertebral disc is regularly subjected to pressure, there is a lack of oxygen. All this leads to the fact that various pathological changes occur in the region of the spinal column.

Causes

The causes of intervertebral hernias can be very different. Often they are formed due to ongoing osteochondrosis. For a long time, this disease was considered simply an age-related change, however, it literally recently began to progress among the younger generation and even adolescents.

Intervertebral hernia of the lumbosacral spine is formed for other reasons. Various factors that provoke metabolic disorders and proper nutrition of the cartilage tissue are of great importance, and regular overstrain of certain parts of the spinal column can also provoke the occurrence of pathology. The main factors are:

  • spinal cord injuries;
  • certain working conditions;
  • curvature of the spinal column;
  • excessive body weight;
  • weak muscles

Important! The intervertebral hernia must be treated correctly and in a timely manner, since complications often occur that provoke many other diseases.

All these reasons provoke the formation of a pathology, however, it is far from necessary that it will definitely arise. The more provoking factors are observed, the greater the likelihood of getting sick. That is why people at risk should definitely take preventative measures.

Symptoms

Symptoms of an intervertebral hernia in many respects depend on its size, type and complexity of the pathology. Several types of pathology can be distinguished, in particular such as:

The most dangerous and most complex types of neoplasms are considered posterolateral, since they go inside the spinal column, which can provoke a squeezing of the tissues of the spinal cord. In addition, a hernia can be directed towards the roots of nerve fibers, which can provoke their inflammation, irritation or squeezing.

Lateral and ventral hernias are the least dangerous, since symptoms occur only when a sufficiently large size and significant protrusion are achieved. Often they are diagnosed completely by accident during a preventive examination.

A common form of the disease is characterized by the fact that proliferation occurs throughout the region of the intervertebral disc. This pathology can be circular when the disk is pressed evenly, or diffuse, when its arbitrary uneven arrangement occurs. In any case, regardless of the type of pathological process, it poses a very great threat to health, and also often provokes a violation of the nervous system.

In addition, they can be of various sizes, depending on which the most optimal method of therapy is selected. It is worth noting that the disease proceeds and passes into the final stage gradually, and this whole process can even take several years.

Important! Signs of the disease appear when the pathology provokes inflammation, irritation or crushing of the ends of the nerve fibers.

The main symptom that signals the presence of a pathological process is pain, which can have several different options, namely:

Lumbar pain syndrome is characterized by the fact that it is localized in the lower back, but it is not very intense. Exacerbations occur in case of overstrain of the spinal column or with sudden movements. Lumbago is an intense pain that occurs in the lower back. Painful sensations cause a person to freeze motionlessly in one pose, and does not allow him to straighten. The pain lasts for several minutes and then immediately gives way to lumbalgia.

Lumbar ischalgia is characterized by the fact that painful sensations, in addition to the back, also extend to the area of ​​the sciatic nerve. It can be one-sided or appear immediately in both legs.

At the same time, patients feel significant stiffness in the lumbar region, limitation of motor activity, as well as muscle strain in the damaged area. Damage to the spinal cord can be indicated by such signs as:

  • decreased muscle activity;
  • violation of the sensitivity of the legs;
  • violation of the activity of the pelvic organs;
  • paralysis of the legs.

Often, compression of nerve fibers extending from the spinal cord can occur. In this case, the sensitivity of the lower back and pelvic area decreases.

Diagnostics

In any case, the disease requires a long thorough diagnosis, since there are many diseases that have similar symptoms. When drawing up a therapy program, it is important to determine the localization of the pathological process, the type of protrusion, as well as its size, since this allows you to choose the most suitable methods of therapy.

Among the main diagnostic methods, it is worth highlighting such as:

  • neurological examination;
  • lab tests;
  • X-ray;
  • MRI or CT scan.

The most accurate determination of the presence of the pathological process is possible during tomography, as it is possible to determine the location of the vertebrae, as well as the occurring disturbances in this area.

Treatment

Treatment of a hernia of the lumbosacral spine can be conservative and carried out by surgical intervention. At the initial stage of the pathology, the therapy with the conservative method is quite successfully carried out, however, success can only be achieved if all medical prescriptions are completely observed.

With a hernia of the spine, treatment implies the following:

  • drug therapy;
  • a set of exercises;
  • blockade of the spinal column;
  • traction of the vertebrae;
  • massage;
  • physiotherapy.

In addition, patients are shown sanatorium treatment. In the case of insufficiently good effectiveness of conservative therapy for 6 months, as well as in the presence of intense pain, compression of the spinal cord, an operation is performed.

It is possible to treat pathology using surgery using various techniques. There are many modern, less traumatic and almost painless methods of conducting an operation, however, the selection of the most suitable procedure is carried out only according to the indications and individual characteristics of the patient’s body.

It is worth noting that, despite all the available less traumatic techniques for conducting the operation, this is always a significant risk, since in many cases a lengthy rehabilitation is required. That is why many doctors try to initially conduct therapy with conservative methods and only in the most extreme cases resort to surgery.

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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