Herniated spinal symptoms
Herniated Disc - the most widespread and the most difficult manifestation of osteochondrosis, which is a protrusion of the central part of one of the flat round gasket located in the joints between the spinal bones.Symptoms of a herniated disc occurs when pressing on the nerve coming from the spinal cord, or directly on the spinal cord.At the same time it develops pain radicular syndrome, which may be accompanied by paresis or paralysis of the lower limbs, sensory disorders, pelvic organs.19% of patients with herniated intervertebral discs require surgical treatment.
Dystrophic changes in different parts of the spine are most pronounced, usually between the ages of 20 to 50 years and are one of the most frequent causes of temporary disability, and sometimes result in patient disability.Up to 50% of all surgeries in hospitals neurosurgical pathology is performed on the disks in the lumbosacral level.
Each disc has a soft gelatinous interior, surrounded by a tough outer ring that allows him to work as
disease occurs due to rupture of the intervertebral disc.This forms a hernia, which bulging and back side, presses on the nerve root at the point of exit from the spinal canal.Develops inflammation, accompanied by progressive edema.This explains why the pain and loss of sensation appear only one day after the onset of the disease.Infringement of the nerve root in the brain sends pain impulses that are perceived by the patient as if they are from a different, often distant areas of the body such as the legs.Some nerve, located off-site hernia pressure almost ceases to function, which leads to a sharp decrease in the sensitivity and the appearance of weakness in the leg.
Almost all patients the main complaint is pain.Typically, pain occurs in adolescence after physical exertion, awkward position in the workplace or in bed.Just as with "lumbago 'disease often arises when bending while turning in the direction, often in conjunction with a raising of gravity.Characterized by sudden and not particularly strong pain in the lumbar region.Then, during the day grow pain and weakness in one leg, sometimes with loss of sensitivity on the inner side of the foot and the lower portion of the tibia or on the outside of the foot and the inner side of the leg.When movements, cough, sneeze or physical exertion pain in the back and leg amplified and often become so intense that the patient needs to be bed rest.Some relief state can be achieved in the supine position, feet up, or putting them on the pillow.
There are two stages of the disease.At the first stage there is pain in the lumbar region, talking about the beginning of the degenerative process.Under the influence of disturbances in the vertebral-motor segments varies quite a complicated structure of the fibrous ring, there are formed radial cracks, which reduces its strength.As a result, the nucleus pulposus bulges, making it difficult for the blood circulation in this area;there is swelling of local tissues, decreases the power cord root, adhesions may develop.Annulus, posterior longitudinal ligament, the dura, the intervertebral joints - all richly innervated.There is a pain syndrome, which leads to pathological zone commit due to tension in the muscles and thereby causing compensatory bending overlying spine.Thus a vicious circle.Subsequently, the process leads to pronounced dystrophic changes joint and ligament apparatus.
At the second stage the nature of pain varies.There is a compression radicular syndrome, which is caused by mechanical compression and stretching the spine.This raises the root edema, impaired blood flow to it.In direct contact with a herniated disc spine chemical stimulation is more intense pain.Often when a radicular pain pain in the lumbosacral region or disappear.Apparently, this is due to the decrease in pressure resulting vnutridiskovogo anular gap.Pain can be caused not only by compression of the spine and spinal cord, but also feeds back the vessel.
Clinical manifestations.Distribution and localization of radicular pain in general correspond to the zone of innervation squeezed spine.Pain often wear "lampasny" character may be permanent or transient.
mainly affected discs L4-L5 and L5-S1.L3-L4 level suffers only in 2-4% of cases.Besides pain may occur sensitivity disorders: increasing (hypoesthesia), decrease (gipoesteziya), in some cases a complete absence (anesthesia) sensitivity as such.
autonomic dysfunction observed in the form of lower skin temperature, various degrees of swelling, sweating, increased skin dryness.Quite often patients take a forced situation.Compensatory posture, reduce the degree of pressure on the spine and pull it manifested scoliosis, limitation of flexion and extension of the body, long back muscle strain.Sometimes the patient can not straighten his leg because of the pain.Movement disorders in the form of paresis or paralysis are rare, they are characteristic for advanced cases.May include the trophic disorders in the form of weight loss due to muscle atrophy.
In the early stages of the disease is dominated by symptoms of irritation, further to the fore symptoms of loss functions.
The human body has a powerful ability to heal and regenerate, which completely can be attributed to the damaged intervertebral disc.Usually the disease is two to three months, subject to bed rest and relaxation - the best preconditions for a speedy recovery with no complications.Just as in other diseases of the lumbar spine, it is recommended to lie on their backs with their feet or laid on the pillow, changing the position of the body and looking for a comfortable painless posture.To attenuate severe pain can receive analgesic and anti-inflammatory drugs.They are, unfortunately, does not accelerate the healing process, but can greatly reduce patient suffering.After 3-4 weeks of pain tend to diminish considerably, but damage to the disc itself is not cured, so in order to avoid possible complications such as chronic back pain requires more rest for at least an entire month.
Surgical treatment is indicated in the presence of lasting pain (at the timing of treatment from 2 weeks to 3 months), the growth of neurological symptoms, syndrome lesions of the lower large vertebrate nerves - violation of pelvic organs, reduced potency, numbness crotch.
other treatments herniated discs in the acute stage - spinal traction.This is a very old way, interest in which is constantly increasing in recent years.Stretching creates a pressure drop in the intervertebral space, which makes it possible to "absorb" a hernia.It is necessary to find the right direction and choose the appropriate impact force to prevent damage to the spine even more so.Sometimes the patient is recommended to implement the extension, in accordance with painful sensations.With the proper conduct of procedure, the pain should decrease, not increase.
Summarizing, we can say that the treatment herniated disc are as follows: