Article author: Nadezhda Nikolaevna
When a person is disturbed by pains in the back, extending to the upper and lower extremities, but weakening in a supine position, then you should definitely consult a professional specialist. He will conduct a thorough examination, because these symptoms, coupled with numbness of the limbs, give a signal about the appearance of protrusion.
In the normal state, the discs located between the vertebrae are oval. They can easily cope with any stresses on the spine. But due to bumps, injuries or other reasons, the discs are often injured and bulge between the vertebrae. Such a disease is called a vertebral hernia. Its variety is Schmorl’s hernia.
The difference of Schmorl’s hernia from simple intervertebral protrusion is that it begins to form and develop exclusively in the vertebral section, while not protruding beyond its borders.
When making a diagnosis of Schmorl’s hernia, the nerve roots are not compressed, but the intervertebral disc begins to protrude above or below the vertebra itself. Because of this, the structure of the spine is severely deformed.
- Symptomatology of the disease
- Schmorl hernia treatment
- How is Schmorl’s hernia formed?
- Is Schmorl’s hernia dangerous?
- Causes of Schmorl’s hernia
- Diagnostic Methods:
- Schmorl’s hernia: treatment is not always required
- Surgical treatment of Schmorl’s hernia
- Contacting Re-Clinics
- Schmorl hernia – an effective treatment
- Risk groups
- Main symptoms
- Possible complications
- Schmorl hernia treatment
- Why should the disease be treated?
- We also recommend such exercises:
- How is Schmorl’s hernia treated?
- Egg Shell Product
- Potato and horseradish compress
- Burdock compress
- Coniferous and turpentine baths
- Healing ointment
- Grinding mixture
Symptomatology of the disease
The main danger of Schmorl’s hernia is that it does not manifest itself clinically. Although in some situations, patients still complain of minor pain. They, as a rule, arise already at the very last stage of hernia development. At the earlier stages of protrusion formation, rapid fatigue of the back is observed, because a hernia weakens the part of the spine in which it is located.
Due to the weakening of a certain section of the back, the possibility of a compression fracture increases significantly. Often there are bone protrusions, which are called osteophytes. All this is associated with non-standard proliferation of the spine. It is possible to detect Schmorl’s hernia only with the use of an X-ray or after an MRI.
Causes of Schmorl’s hernia:
- Back injuries. Because of this, vertebral plates may be destroyed or tissues may be weakened;
- The characteristic structure of bone tissue. It is established that such a cause of hernia is inherited. Be sure to undergo a medical examination if there is a risk of hereditary transmission of the disease;
- Strong loads on the spinal system. The spine is significantly bothered during aerobics or jumping in water even from a small height;
- Uneven and fast growth. This factor relates to the causes of hernia in children. Bone tissue does not always keep up with elastic tissues.
Despite its name, Schmorl’s hernia is not capable of causing almost any harm to the body. That is why the treatment of this protrusion is aimed at reducing the likelihood of protrusion. Surgical intervention is not required, so patients visit a neurologist or vertebrologist.
If the patient complains of back pain, then he is prescribed analgesics along with anti-inflammatory drugs. They can prevent inflammation that begins near the intervertebral discs. Thanks to this, the patient gets rid of the pain syndrome.
For the treatment of Schmorl’s hernia, magnetotherapy or electrotherapy is used. These methods can improve blood supply to the disc and the entire spine. Under careful monitoring of the spinal column, the patient must undergo water and physiotherapy exercises. As treatment methods, manual therapy and massage are used.
Each of these procedures is necessary to strengthen the muscular corset and restore spinal mobility. For these purposes, during massage use essential oils in small concentrations and warming ointments.
Photo: MRI image
An excellent effect with this ailment can be achieved by autogravity therapy, which is based on stretching the spine. Thanks to this method, back mobility returns to the back, vertebrae are leveled and assume a natural state. For such purposes, simulators are used.
The surface of each of them is made in the form of smooth tubes-ribs, in the form of repeating the spine. The tubes are constantly in motion. When a person lays down on this simulator, the ribs begin to disperse towards the head.
As a result, a pulling force arises, transmitted through the skin and muscles. Because of this, the spine relaxes, the load is removed from the nerve endings, the blood flows to the disks faster, and the vertebrae become mobile.
If an injury relates to the cause of a hernia, the doctor will prescribe medication. All means are necessary to strengthen the skeleton. As a rule, drugs are prescribed, in which a large amount is calcium and vitamin D.
Attention! When taking such medications, do not forget that their use negatively affects the kidneys and ligaments. With abuse, each person has the opportunity to get kidney stones.
It is important to remember that targeted and comprehensive treatment of Schmorl’s hernia avoids dangerous complications accompanied by pain syndromes.
To prevent the occurrence of Schmorl’s hernia, it is necessary to minimize all possible factors for the development of the disease.
- Regardless of age, it is required to maintain an appropriate level of physical fitness, play sports and devote time to special exercises. Thanks to them, you can strengthen and stretch the spine;
- Negatively affects the body and provokes the development of hernia smoking. The oxygen level in the blood begins to gradually decrease, therefore, the nutrition of tissues and organs is disturbed;
- Be sure to monitor the weight, control every kilogram. With obesity, active loads can provoke the occurrence of hernias in the lumbar region;
- Another factor is standing work or professional sports. People leading such a lifestyle need to pay special attention to the condition of their back and spine.
Photo: pathology of the intervertebral disc
If you do not take care of your health and make absolutely no attempts to get rid of Schmorl’s hernia, then it will harm the body. Posterior intervertebral hernias can cause compression of the spinal cord and blood vessels. Because of this, bone and other tissues will no longer receive adequate nutrition. This will lead to the development of paralysis of the limbs.
Median hernias are large, so they eventually perforate the longitudinal ligament. They are able to penetrate into the subarachnoid space. This can cause tetraparesis – cervical paralysis.
A possible complication is paraparesis, accompanied by pelvic disorders. The latter include delay or, on the contrary, urinary incontinence, the development of impotence in men, in women this can lead to the prolapse of the walls of the vagina.
Posterior Schmorl’s hernia due to the onset of detachment of the posterior ligament can cause stenosis, which leads to impaired motor function. Median hernias often compress the spinal artery during enlargement.
Attention! To avoid complications, treatment should be timely!
The prices for the treatment of Schmorl’s hernia vary significantly. It depends on the range of services provided, the professionalism of the employees and the prestige of the clinic. Below are the prices for the main treatment methods:
|Name||Cost of consultation (duration – 1 hour)||Massage cost (course of seven procedures)||The cost of electrotherapy|
|“Clinic for a Healthy Spine”||From 450 руб.||From 3.700 руб.||From 4.200 руб.|
|“Center Dikul”||500 rubles.||From 3.900 руб.||From 4500 руб.|
|“Med & Care”||650 rubles.||From 5200 руб.||From 7.000 руб.|
|“PHARMATEB Pain Therapy Center”||500 rubles.||From 4.100 руб.||From 6.150 руб.|
|“European Center of Vertebrology”||From 500 руб.||From 4.200 руб.||From 5.800 руб.|
Comprehensive and quality treatment is offered by Israel. The applied methods allow you to quickly get rid of Schmorl’s hernia, while eliminating the possibility of relapse. Professional doctors, affordable prices and modern equipment – all this offers treatment in Israel.
Schmorl hernia treatment
Schmorl’s hernia is a degenerative-dystrophic pathology of the spine, which is manifested by the pressing of the pulpous nucleus of the intervertebral disc into the body of a neighboring vertebra.
How is Schmorl’s hernia formed?
This formation comes from the intervertebral disc. Against the background of the action of predisposing factors, the contents of the pulpous nucleus replace part of the tissues of the vertebral body, as if falling through them.
Is Schmorl’s hernia dangerous?
This formation is not dangerous for the patient, because it does not cause compression of the spinal cord or nerve roots.
However, its presence is a sign of a tendency to degenerative-dystrophic diseases of the spine and weakness of the intervertebral discs. Often this anomaly is combined with herniated discs.
In rare cases, large formations can lead to a pathological fracture of the vertebral body.
Therefore, upon detection of this formation, it is recommended to consult a neurologist or neurosurgeon.
Causes of Schmorl’s hernia
Endogenous (internal) factors. Presumably this effect:
- genetic abnormalities
- negative effects during embryonic development.
Diseases and conditions that can manifest as Schmorl’s hernia:
- connective tissue dysplasia
- Scheuermann-Mau disease (juvenile osteochondrosis).
Exogenous (external) factors:
- excessive physical activity
- lack of physical activity
- unbalanced nutrition.
Most often, Schmorl’s hernia is asymptomatic.
If a hernia violates the topographic and anatomical relationships of the structures of the spine, an excessive load on the joints of the spine may occur and spondylarthrosis may develop. Against this background, a local painful spasm of the back muscles, as well as low- or medium-intense pain, often occurs.
What signs require immediate medical attention:
- back pain lasting more than 1 week
- difficulty walking
- the appearance of numbness of the limbs or pain in them
- weakness in the limbs.
- radiography, including CT examination
- MRI scan.
The purpose of diagnosis is the exclusion of intervertebral hernias.
Schmorl’s hernia: treatment is not always required
If Schmorl’s hernia is an accidental finding and is not accompanied by clinical symptoms, treatment is not required.
In the presence of pain and muscle-tonic syndrome, conservative treatment of Schmorl’s hernia is performed:
- muscle relaxants
- Exercise therapy
When conducting massage and manual therapy, it is necessary to remember that muscle spasm has protective functions. In some cases, muscle relaxation causes a deterioration in the patient’s condition and even the appearance of neurological symptoms against the background of the development of compression of neural structures.
Surgical treatment of Schmorl’s hernia
Surgical intervention is rare. Indications are:
- the threat of the development of a compression fracture of the vertebral body due to a large Schmorl hernia
- vertebral fracture
- concomitant hernias of the intervertebral discs, which compress the spinal cord or spinal roots.
The Israel Re-Clinic Center in Moscow practices minimally invasive techniques for the treatment of complicated Schmorl’s hernias, for example, vertebroplasty.
The use of mini-surgery allows the patient to recover without hospitalization.
Other benefits of minimally invasive surgery in Re-Clinics:
- minimal tissue trauma
- minimal risk of complications
- quick operation (from 20 minutes to 1 hour)
- short rehabilitation period
- quick recovery of habitual activity.
Israeli doctors at the Re-Clinic Center believe that it is impossible to prevent the development of Schmorl’s hernia. The influence of genetic and other endogenous causes in the development of this disease is still decisive. However, secondary prophylaxis aimed at preventing the development of complications is possible.
Regular physical activity. The patient is recommended yoga, swimming, therapeutic exercises. R >
Diagnosis and treatment of vertebro-neurological diseases is the specificity of the work of Israeli doctors at the Re-Clinical Medical Center.
Activities of the Center:
- high-precision diagnostics on modern equipment
- high-quality treatment, including the use of minimally invasive surgical techniques
- application of active and passive rehabilitation techniques.
Consultation of the neurosurgeon-and orthopedic-vertebrologist Re-Clinics will help to get answers to all questions and remove concerns about your health. To make an appointment, call 8 (495) 989-53-49
Schmorl hernia – an effective treatment
Schmorl’s hernia is called a degenerative lesion of the spine, which is characterized by the failure of the cartilaginous tissue of the intervertebral discs in the vertebral body. Very often, this disease is hereditary. Also, in severe forms of kyphosis, this kind of hernia is often similar.
Schmorl’s hernia often occurs in children. Due to their rapid growth, bone tissue simply does not have time to develop. As a result of this, voids appear in the spongy body of the vertebra, which, over time, are pressed through, forming a hernia. That is why parents should ensure that children do not jump from a height greater than their height, because this can lead to serious consequences.
Also at risk are older people in whom such degenerative changes can occur due to a decrease in bone density and strength. In young people, this type of hernia may appear due to a strong blow in the vertical direction or due to excessive weight lifting.
In children, as a rule, such degenerative changes occur in the thoracic region, and in adults, Schmorl’s hernia of the lumbar spine is most often observed.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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The fact is that Schmorl’s hernia does not hurt the nerve endings, so the disease is mainly asymptomatic, that is, a person can live quietly and not suspect about his illness. But if back pain appeared with this disease, then we can already talk about the attachment of other pathological processes or the hernia has reached impressive size.
Although this disease is asymptomatic, it can still be recognized. Due to the ongoing degenerative changes in the spine, dull back pain may appear, especially after physical exertion. In the supine position, pain usually decreases. If you notice these symptoms in yourself, then you must definitely undergo an examination, as they can signal the presence of a serious disease.
In most cases, this type of hernia does not pose a serious danger to human health. Over time, the intervertebral discs can take their normal form without any treatment.
Rarely, but still serious complications are possible, for example, if the hernia is located in the lumbar region and at the same time there is a strong thinning of the spine, the risk of a compression fracture is significantly increased. In this case, the patient should avoid serious physical exertion and do therapeutic exercises. These recommendations also apply to people with multiple Schmorl’s hernias.
In some cases, this type of hernia can be a serious danger. Over time, the intervertebral disc may fall into the formed space, because of this, spinal mobility may be limited. If untreated, this condition can lead to serious consequences, but fortunately, such cases are rare.
In the absence of pain, Schmorl’s hernia does not require treatment. But at the same time, you still need to take care of your spine, do not lift excessive weights in order to prevent possible complications.
In the event that a person has back pain, then he already needs to undergo a course of treatment. Pain sensations indicate that the disease has passed into a more serious form. We outline the main areas of treatment for this type of hernia:
- relief of pain;
- decompression of the spine;
- actions aimed at improving nutrition of the intervertebral discs;
- prevention of an increase in hernia.
Doctors usually recommend that patients do therapeutic exercises. But in the stage of exacerbation of the disease, any kind of physical activity is contraindicated.
Drug therapy includes the use of drugs aimed at relieving inflammation and enhancing the nutrition of intervertebral discs. But, unfortunately, this method cannot be called a full-fledged treatment, because relief is only temporary. If the cause of the disease is not identified, then the disease will continue to progress.
The most popular treatment for Schmorl’s hernia is massage. Thanks to it, blood circulation and metabolic processes in the spine are improved. Thus, further progression of the disease can be prevented, as well as pain can be reduced. But in this matter, it is very important to choose a true professional. Trust only a specialist with extensive experience, otherwise health may be injured.
For diseases of the musculoskeletal system, doctors are always advised to do special exercises, which are mainly aimed at strengthening the back muscles. Since each case of the disease is unique, people are assigned different exercises that are specifically suited to them.
If the patient will regularly do therapeutic exercises, then his muscular corset will strengthen, which will reduce the load on the spine. It is best to carry out exercises under the supervision of an experienced trainer. Remember that they should not cause pain. Swimming is also very useful for people with diseases of the musculoskeletal system. It not only strengthens all muscles, but also normalizes the work of the whole organism.
Muscle electrical stimulation, magnetotherapy, electrophoresis – all these physiotherapeutic procedures are aimed at strengthening the muscle corset. Due to the improvement of local blood circulation, the nutrition of the intervertebral discs increases, and the inflammation and pain are also relieved. But it is important to remember that these procedures cannot be done in the acute stage. They are usually prescribed two weeks after an exacerbation.
Diseases of the musculoskeletal system are very common, but in order to prevent their appearance it is necessary to lead a healthy lifestyle. Regular physical activity is necessary, it is also very important to eat balanced and monitor body weight, because with obesity, the load on the spine increases.
Schmorl hernia treatment
Posted by nmed · Published on August 9, 2014 · Updated on May 29, 2019
Schmorl’s hernia is a fairly common occurrence, which as a rule does not give obvious symptoms to the patient. Typically, lesions occur in the thoracic and lumbar spine, but there are also multiple hernia of Shmorl at the same time in several departments.
Despite the high prevalence, at the moment little is known about the causes of this disease. Schmorl’s hernia was first described in 1927 by the scholar Christian Schmorl.
The disease is a defect in the vertebral bodies – the failure of cartilage in bone tissue (as shown in the photo on the left). This is usually observed in adolescents, when the cartilage tissue has already managed to grow and form, and the bone tissue of the vertebrae has not yet fully grown. Voids form into which the cartilage end plates fall.
As we said above, Schmorl’s hernia in most cases is asymptomatic. Only in case of exacerbations, patients can notice some alarming signs:
- numbness of the arms or legs;
- pain in the spine;
- discomfort when leaning forward.
Previously, this vertebral problem was difficult to diagnose. Since the advent of MRI, detecting a hernia has become easier and it turned out that approximately 38% to 79% of patients have this disease. Therefore, each parent should carefully consider the state of the spine of his child, and respond to the slightest suspicious symptoms.
Until today, it is not known exactly why Schmorl’s hernia appears. Some authors describe the formation of this disease as a result of chronic spinal overload. Most often in the literature there is a hypothesis that nodules arise as a result of a degenerative process of the vertebrae. Due to the huge prevalence of hernia, it is extremely difficult to prove this hypothesis, but there is no doubt that Schmorl’s hernia will never appear in healthy vertebrae.
Why should the disease be treated?
Although Schmorl’s hernia is not dangerous, but it is associated with many risks in the future. If not treated, a vertebral hernia may appear. Also in this place, under heavy loads, fractures appear. Therefore, we strongly recommend getting rid of Schmorl’s hernia. For this, therapeutic gymnastics and effective folk remedies exist.
Let’s see why hernias form at all:
With Schmorl’s hernia, you can not give large loads to the region of the vertebrae – refuse to run and jump. All exercises should be aimed at stretching the muscles of the spinal corset and relieving stress. Yoga is a great gymnastics for such an illness.
We also recommend such exercises:
- Pullups on the horizontal bar.
- Tilts of the case in different directions.
- “Kitty” exercise: standing on all fours, bend and bend your back up and down. This exercise is especially useful for those who have Schmorl’s hernia of the thoracic spine.
- Raising your hands up, grab the wrist of your left hand with your right hand, and bend to the right, stretching your left side. Repeat the exercise the other way, changing hands.
- Lying on your back, bend your knees and pull to the chest. Hug your bent legs with your hands and begin to swing back and forth, working through the entire spine. These exercises are good for Schmorl’s hernia in the thoracic region.
- Lying on your back, cross your arms above your head. Begin to slowly lift the body, first lifting the head and neck off the floor, then the chest and lower back. Also, slowly lower yourself down, first lay your lower back on the floor, then the chest and neck.
- It is very useful to swim in the pool on the back, raising your head high.
How is Schmorl’s hernia treated?
Treatment of Schmorl’s hernia at home is aimed at relieving possible inflammation of the vertebrae, eliminating pain, as well as saturating the bone tissue with all the necessary nutrients.
Egg Shell Product
Often, Schmorl’s hernia is associated with bone weakness. To support it, prepare a miracle cure based on an egg shell.
When using eggs for cooking, do not discard the shell, but wash it carefully and place it in one place. Wait for 100 to collect. Then chop the shell into powder, add the juice of 1 kg of lemons and 2 cups of honey. Mix everything thoroughly and store in a refrigerator in a glass jar. Take 1 tablespoon of the medicine every morning. This tool will restore the tissue of the vertebrae and increase immunity. And special therapeutic exercises will accelerate recovery.
Potato and horseradish compress
When treating Schmorl’s hernia with exacerbations, compresses give a good effect. They relieve inflammation, accelerate tissue regeneration and reduce pain. Grate potatoes and horseradish root, mix them in equal amounts, apply on a gauze napkin and attach to a sore spot. You need to hold the compress for several hours, however, if you have very sensitive skin, then remove the compress when you feel a burning sensation.
Burdock helps relieve pain and improve local blood circulation. Therefore, if you have an exacerbated Schmorl’s hernia, wind a fresh leaf of this plant on a sore spot at night and go to bed like that. Make sure the dressing is not too tight.
Coniferous and turpentine baths
If you have Schmorl’s hernia, try to treat it with baths. This is the oldest physiotherapy method that has never failed.
To prepare a pine bath, you will need pine or spruce branches (preferably young). Grind them. Boil 1 liter jar of chopped needles in 3 liters of water for 30 minutes. Then strain the broth and pour it into the bath.
For a turpentine bath, you need white or yellow turpentine. Pour 1 tablespoon of the drug into a large bath of water.
It is best to alternate coniferous and turpentine baths.
At home, you can prepare an ointment that will work no worse than expensive pharmacy ointments. You will need these ingredients:
- Horse fat – half a glass;
- Honey – 3 tablespoons;
- Mummy – 1 teaspoon;
- Garlic – 2 cloves;
- Turpentine – 1 teaspoon
Preparation: dissolve the mummy in a small amount of water, add honey, turpentine and chopped garlic. Mix everything thoroughly, then add horse fat and mix again. You need to store it in the refrigerator. To cure a hernia of Schmorl in the thoracic region, you need to lubricate the spine in this place every night before going to bed (ask someone from the household to help you). It will be good if applying the ointment will be accompanied by a light massage of the vertebrae in this place. With the regular use of this medication, you will forget what Schmorl’s hernia is.
Rubbing is one of the most ancient and popular methods of treating problems with the musculoskeletal system. With Schmorl’s hernia, we recommend rubbing the vertebrae with this tool:
- Reciprocal root – 20 g;
- Dandelion root – 20 g;
- Horse chestnut – 20 g;
- Hemlock seeds – 20 g;
Preparation: chop all ingredients, mix and place in a half-liter jar. Fill the container with pure alcohol, close the lid and insist in a dark place for 2 weeks. Then strain the tincture and use it every evening for rubbing. The duration of the procedure should not exceed 15 minutes, after which immediately go to bed in a warm bed. Soon you will feel relief from Schmorl’s hernia.