Folk methods for treating hernia lumbar spine: plaster and gymnastics. Intervertebral hernia of the lumbar spine Consider the main reasons for the development of hernia

Date: 28.10.2020

The intervertebral hernia of the lower back is a change in the intervertebral disk of a degenerative nature, characterized, primarily a violation of its structure and integrity. The spine of man is formed by a post from 24 vertebrae, and between them there are intervertebral discs. Each such disk consists of a fibrous outer flex ring and a pulp nucleus (the central part of each disk is filled with this jelly-like substance).

The intervertebral hernia of the lumbosacral spine is recognized as the most common pathology of this site of the spinal column. This is due to the distribution of the load, which accounts for mostly on the lower part of the back, as well as various traumatic factors, lifting weights, long-term static load and other factors. Pathology manifests itself when, in a consequence of the gap of the fibrous ring, the jelly-like part of the intervertebral disk is suckeding for its physiological boundaries and begins to put pressure on the nerve endings. This explains the symptoms arising in the hernia of the spine - pain, to a large extent limiting the physical activity of the patient, and in some cases even leading it to disabilities.

Intervertebral hernia loans - the most common pathology of this vertebral part section

Tip! Do not pull a visit to the doctor! After all, if you are in a timely manner in yourself with the signs of hernia and consult orthopedic, you will be diagnosed in time. This means that the hernia of the lumbar spine can be fully cured, that is, to restore the disk without surgery, using therapeutic methods of treatment.

However, unfortunately, the disease is often rendered by the patient in the later stages. And this leads it to acute painful pain syndrome, which is localized in the lower back and speaks.

And if the disease is not treated, it will gradually lead a person to restricting mobility. The disease can be accompanied by stool disorders, urination disorders, decrease in sexual entry and potency. The breaking of the hernial protrusion is often accompanied by a full paralysis of the legs - only one or both.

The reasons

The main reason for the formation of the intervertebral hernia of the department under consideration is considered. However, there are also other reasons for the development of this state:

violation of metabolic processes in the body;
of different types of injury, to a greater extent - with an accident, namely after a sharp jerk of the head of the kepent;
excessive physical exertion, lifting weights (especially jerky), too sharp slopes;
the pathology of the hip joint, the curvature of the spinal column - in particular;
obesity;
in some cases, structural changes of the spinal column with tumor processes congenital anomalies.

There are also a lot of concomitant factors:

weakness muscles of the back;
infections;
hypodynamine;
bad habits;
changes of age-related;
hereditary factors;
profession, involving long-term stay in the "Sitting" position (secretary, cranewriter, driver, programmer, etc.).

Important! The listed factors lead to accelerated aging and rapid wear of tissues - cartilage and bone - and it subsequently becomes the reason for the formation of intervertebral hernia protrusion.

Types of lumbar hernia

Lumbar hernia is customary to divide into two types:

L4-L5 - when the nerve root is implanted between lumbar vertebrae 4 and 5;
L5-S1 - the infringement occurred between 1 sacral and 5 lumbar vertebrae.

It is interesting! The so-called hernia of the Schurity of the lumbar spine arises due to the breakthrough of the cartilage tissue, which occurs inside the vertebral from the intervertebral disc. That is, the instrument of cartilage in the bone (micro-fracture of the vertebra). Such a phenomenon may occur with the fragility of bone tissue, for example, when.

Signs of the disease

With the hernia of the localization under consideration, the following symptoms may be marked:

intensive pain in the projection of the sacrum;
feeling of "heavy feet", general weakness;
pain syndrome, amplifying during walking and irradizing in the thighs region;
stiffness of movements;
in advanced cases - disorders of the physiological functioning of the urinary organs;
local numbness in the lower limbs.

Pain syndrome as the disease develops "evolves" as follows:

With the initial stage of development of pathology, pain wears a stupid nature, it is localized only in the focus of the lesion, it is enhanced with the load and may be completely absent alone.
Pain feelings grow up, spreading to the muscles of the lower back.
The lower limbs are involved in the process, the patient has legs, the pain is characterized by a sharp with "striking". May affect the different leg deposits, crotch.

The pathological process proceeds in the form of the following stages:

Prolapse - minimal offset. The disk in the absence of any deformations may return to the place. The manifestation of pain insignificant syndrome.
Prudrunza. The disc is still limited by vertebral bodies, but has already undergone another, additional displacement after it has already been shifted.
Extrusion and sequestration. Between the vertebrae, the displaced duck kernels. Subsequently, the capsule breaks through and implies its contents.

Without treatment with the progression of hernia, the patient in the lumbar sacral division often develops Lumbalgia spine. Its symptoms are an acute "shooting" pain, instantly amplifying with minor movements and limiting overall mobility for a long period. The patient is sometimes in this state for several weeks.

Treatment

One of the constituent therapies of this ailment is its medication treatment.

Funds from the NSAID group (non-steroidal anti-inflammatory) suppress the activity of that enzyme that causes pain in the focus of pain. These drugs include ibuprofen, indomethacin, fairing, meloxico.
To increase the flow rate of lymphs and blood flow in the edema, Actovegin, Berlition and Pentoxifyllin are well suited.
With the help of muscle relaxants, it is possible to remove muscle spasms: Tizandine, Middokalm, Sirdalud, diazepams, tetrazepam.
To stimulate the cloth recovery of cartilage, chondroprotectors are shown: Arthron Complex, Hondronolone and others. The duration of the course determines the attending physician.
The way to treat the hernia of the spine is local - determined by the severity of symptoms and the nature of pathological changes. Means intended for local applications are both ointments, and compresses, and gels. And with infringement, it can even be an injection blockade with corticosteroids and novocaina. In general, very many local means contain in their composition novocaine, as well as dimexide.
Therapeutic gymnastics, as well as physical education (or, as it is called abbreviated - the exercise - in the hernia of the lumbar spine) should always be held under the strict control of the specialist, it applies to the very first lessons. After all, it is not wishing himself, a patient engaged in therapeutic physical education during hernia, can aggravate the course of the process, incorrectly performing exercises. A number of exercises are aimed at extracting the spinal column along the vertical axis. By drawing, intervertebral gaps are expanded, and the disk returns to the physiological position.

Note! The video at the end of this text demonstrates the basic principles for which charging is performed during the hernia of the lumbar spine.

A good facility that facilitates the condition of the patient in the hernia of the lumbar spine, and sometimes contributing to the restoration of the anatomical position of the disk, is a massage that only a qualified specialist should produce!
If your doctor prescribes you a special corset, then do not try to make it "even better" and do not wear it for a longer time that was appointed by a specialist. The doctor told him to put him for three hours a day - it means that you need to wear it no more than three hours. Otherwise, the muscular frame of the back "get used to" to the fact that it is not necessary to strain - there is no need that will additionally aggravate the pathological condition.
The electrophoresis of the pathological focus with drugs contributes to a sufficiently rapid removal of swelling, inflammation and decrease in the intensity of pain syndrome. It can be attributed to hardware therapy methods.

To remove the swelling at intervertebral hernia, the electrophoresis procedure is assigned

The operation to remove the hernia of the lumbar spine is definitely an extreme radical measure - it is shown in the case when the acute process has significantly worsened the quality of the patient's life. Indications can serve:

The compression of the nerve roots, accompanied by parishes of the foot and the violation of the normal functioning of the operation of urinary organs.
Uncoated pain syndrome accompanied by dystrophy and weakness of the muscular apparatus.

Types of operational interventions:

Traumatic, "bloody", but quite effective discectomy.
Endoscopic intervention with micro-section. It is characterized by a shortened rehabilitation period and low trauma.
Essence laser vaporization lies in "evaporation" using a laser of excess the substance of the kernel of the disk. Maloveraumatic. Relations are possible.
Microdisquectomy is carried out through a muscular incision, lasts about an hour.

Folk remedies

With hernias, treatment with folk remedies can be a good addition to the main methods of therapy. Performed in coordination with the doctor.

Important! All drug preparations are used before meals.

The decoction of the crust of the Osin helps in the treatment of hernia. It is prepared by boiling a tablespoon of dried bark in 200 ml of ordinary water. Take 30-40ml four times a day.
The infusion of fireplace stone is preparing easily - 1 tbsp. A spoon of dried leaves is placed in 200 ml just soaked water and cooled 4 hours. Perft with, take a decoction of 3 r. / Day in equal amounts.
An anesthetic ointment of the gils on the area of \u200b\u200bthe lesion is superimposed after daily water procedures. For preparation, take 0.5 kg of dried sprinkling root, 70 g. Zhivitsa pine, 300 ml. Alcohol 40% alcohol and pork fat (350 g). Grind the root in a blender, add it to fat and leave on a small fire for 30 minutes. Then melt the savage and add to fat, without turning off the fire, mix for 10 minutes. Ready!
For anesthetics, moisten the red clay water, wrap it with gauze and heat 40 degrees to a temperature. Fix with a bandage in the projection of hernia. Remove after complete drying. The method works very well!

With proper treatment, the patient will necessarily recover and can safely play sports

Remember that in a timely manner, the correct diagnosis will help the doctor to quickly choose the appropriate treatment for you, having passed that you will feel healthy and full for many years by a person.

Update: October 2018

Intervertebral hernia of the lumbar department is the protrusion of the central part of the disk between the two vertebrae beyond the gap between them. Most often, such a diverticulus is sent towards the spinal channel and squeezes the roots of the spinal nerves, but it is also able to disrupt blood circulation and in the spinal cord itself. The disease causes symptoms from the crotch, legs and pelvic organs.

Treatment is most often conservative, consisting of a complex: medicines, physical expectations, physiotherapy, also help the blockades. Operational removal of the damaged section of the disk or its entirely applies rarely, as it carries quite large risks. Basically, this happens according to the fault of the person himself: or when he appears late, considering what is happening with his back and legs "manifestations of age" or "trifle", or in case of neglecting the rules of treatment, which differs in different periods of the disease.

What is hernia

The vertex pillar is a compound of 34 vertebrae connected in pairs of intervertebral discs. It is not direct: there are several alternating bends from the head to the smoking. All this is necessary to provide depreciation associated with the walking on two legs. But such a structure also determines the concentration of the center of gravity in the lumbar-sacral region. Nature provided it by making lumbar vertebrae the most thick and durable, and sacral and relying them at all.

All vertebrae, besides sacring-cleaners, have a special structure. They consist of a cylindrical body, which accounts for the main load, and the processes that provide us with the opportunity to be tilted in different directions, rotate, to twist. Two parts are connected by two semicircular arches from two sides so that the gap remains in the middle. It is a vertebral channel, and it is intended for a spinal cord. The latter is a kind of "checkpoint" of the second rank (after the brain), carrying impulses from the brain to the authorities and vice versa.

The peripheral endings of myelon (so called the spinal cord) are the spinal nerves coming from it in the composition of the roots. Front roots are motor. They carry teams to the muscles. Rear roots - sensitive, are directed, on the contrary, from organs in the brain. Initially, the roots are not divided into the front-rear, but only on the right-left, leaving the sideline from the spinal cord through the hole between the overhead and lower vertebrae processes. Moving the bone ring, immediately separation occurs.

Passing the hernias of the spinal cord itself leads to a violation of a large number of functions: the internal organs cease to work, the sensitivity and the movement of the limbs (in the case of the lumbar-sacralized department - only the lower) are disturbed. If the disk began to be filled towards one of the roots, it will cause sensitive motor disorders only in one limb.

Now about the hernia itself. This is the protrusion of the central part of the disk, which, normal on the consistency, resembles a very dense and springing jelly. This structure is called a pulp nucleus and is the main shock-absorbing element and is able to move inside the disk and is molded depending on the direction and force of the load on the nearby vertebrae. At the same time, the surrounding tissues do not change their structure and do not suffer, remaining on the density as the tendon of any muscle. As soon as the peripheral part of the disk (fibrous ring), the fibers are thinned, the pulp core under the action of the load rushes into a weak place. While it has not yet occurred outside the disk, it is not yet hernia, and the situation can still be corrected.

In fact, the fibrous ring is not easy to destroy, because it consists of fibers lying in several layers and crossed in three planes. But this is possible either due to a single action of a large pressure on the pulpous nucleus, or when replacing the scar tissue-habitual tissue. The latter happens when the disk power is disrupted. How does it eat?

The disk is similar to the sponge: it receives oxygen and nutrients during the movement of the spine when the cartilage is filling. When he, again, under the influence of movements, shrinks, the spent substances are supplanted from it. At the same time, the terminal of the intervertebral disc is complete, movement must be performed in full, contain slopes, flexion and extension. A sharp increase in the type and amplitude of motor activity after a period of long-term small mobility of the spinal column, oddly enough, does not increase the power of cartilage, but significantly increases the risk of a fibrous ring break.

A little about myths

The diagnosis of "intervertebral hernia is lumbly sacrilate a spine" is placed very often, when there are any discharge of the disc in any direction during magnetic resonance tomography. But with age, the power of the disk is worsening, and the appearance of the intervertebral "diverticulus" in 2-3 mm, without pulling pain in the leg, cooling its skin, can be considered an option for the norm. Even multiple 2-3-millimeter protrusions in a person at 40 years and older are not a diagnosis and do not require special treatment. But, being a border (between the norm and pathology) of the state, they signalize the person that it's time for him to pay attention to his spine, because it depends so much from him. To do this, you do not need to take any tablets, but an increase in the volume of movements with your back, as well as periodic, courses, the passage of classical massage is what you need. Once again: no medicines and, moreover, operations!

How hernia is formed

The pulp nucleus does not immediately turn out to be outside the disk. Before that, there are several stages:

Disk protrusion. The fibrous ring loses the elasticity slightly, as a result, the pulp nucleus is shifted to one of the parties. If at this stage ensure the correct alternation of recreation and therapeutic exercises, the process of intervertebral hernias can be stopped.
Incomplete dropping of the disk section. The fibrous ring is destroyed in one area, and the material of the pulp nucleus is rushed there.
Complete disk prolapse. The kernel goes beyond the fibrous ring, squeezing the body of the vertebrae and the structure of the nervous system.
Sequestration disk. This is the name of the state when the plot of the "gained freedom" of the pulp nucleus falls into the spinal channel. This causes allergic reactions, since the substance is alien for this localization. Also, sequestration is dangerous in violation of blood supply to the spinal cord and its nerves. It may cause the paralysis of the lower extremities and the pelvis organs.

Causes of herniasis

Most often, the vertebral hernias of the lumbar department appear in osteochondrosis, when, due to age-related changes, the Troof of the fibrous ring deteriorates, it becomes more dry and brittle. Nevertheless, osteochondrosis and intervertebral hernia are different diseases.

Provoke the appearance of hernias may also:

spine injuries: accident, blows, falls on the back;
lifting great gravity with the wrong position of the back: a man raised the cargo from the standing position, bent into the lower back, then it was necessary to sit down and getting up, keeping flat. You can "get" hernia, having completed gravity, leaning and turning toward;
scoliosis or lordosis of the breast or lumbar department, when the load on certain vertebrae is significantly increased;
dysplasia hip joint from one or two sides. Degenerative changes in lumban intervertebral discs develop due to increased and incorrectly distributed load on them;
diseases of the spine: tuberculosis, tumors ,;
Due to diseases of endocrine organs, chronic processes, accompanied by intoxication or due to genetic diseases.

Risk factors

The more items of the following list are suitable for "your" case, the greater the chance of the development of the hernia of the lumbar-sacrive department. It:

Large weight, that is, a big load on the spine, the explanatory department of which suffers most.
Male floor: Men are more likely suffering from intervertebral hernias formation.
Age 30-50 years: in the years "Maximum Flource of Power" and the most confidence in their experiences are most often raised by the greatest severity, people most often fall into an accident or produce production injuries.
Hydgodina: Sitting, "Transplant" from the computer behind the wheel and back. With an insufficient volume of the spine of movements, the power of its structures deteriorates, in particular intervertebral discs. Moreover, both in the car, and in the workplace, the back most often takes the bent position.
Heavy physical work. In this case, intervertebral discs do not have time to get the necessary substances, constantly getting a load. Monotonous movements are especially dangerous.
Smoking. In this case, blood saturation is disturbed, and then intervertebral disks, oxygen.
Frequent "small" spinal injuries, each of which disrupts the disk power. These injuries do not immediately know about yourself, but after a few years (up to 5).

How to recognize hernia lumbar-sacrive

It cannot be said that the symptoms of hernia lumbly sackeling spine are very specific, and you can make a diagnosis according to them: a tumor that developed in this department and squeezing root, or local inflammation of the root can appear in the same way. Although the last diseases are rather rare, but it is impossible to reset them. Therefore, reading the symptoms, do not rush to put this diagnosis.

The symptoms that the hernia of the lumbar spine appear can be divided into several groups:

Symptom	Characteristic
Pain	Localization: depends on where the implanted nervous root is located. Most often goes on the inside of the hip, reaching the knee, leg, inner ankle. It can give to the buttock and foot, reaching the foot, can be felt on the legs of the legs. Can be localized at one point of the waist Gradually, the pain change its localization, going down below, to, heel, the back of the foot, especially in the area of \u200b\u200bthe thumb Intensity: at the initial stages - from "striking" to heavy, buty sensations. When it is enhanced: when standing, long walking, turning or body slope, cough, lifting weight, performing sharp movements, exercises with the tension of the muscles of the lower back, when picked up straight legs from this side up, long seat, driving on the road with irregularities. What weaken: at the initial stages, when taking a lying position, the pain goes, later helps to remove pain position lying on a healthy side with a sore feet bent in all joints
Restriction of movements	Due to the weakness of the muscles and deteriorates to enter them "teams", one or both legs make a smaller than before, the volume of movements. It is harder to lift the leg, it may not completely bend in the knee. A smaller movement amplitude is also observed in the lower back: now it's not so easy to get started to get started with straight legs, leaning the sideways and so on
The weakness of the muscles of the leg (if hernia squeezes the spinal cord - symptoms relate to both legs)	It becomes difficult to squint, climb the stairs, bounce. The leg is quickly tired. If we are talking about squeezing the spinal cord, the weakness of foot muscles without treatment can end the paralysis of both lower extremities
Sensitivity violation	It can manifest itself in the form of numbness, tingling, burning or freezing. The feeling of hot-cold, pain is worse. Localled the sensitivity violation or in the lower back area with the transition to the outer side of the thigh, or in the region of the sacrum and the outside of the hip, or from the perineum and, on the inner surface of the hips before the leg and lower. It depends on what disk is a hernial protrusion:
Changing the skin on the sore leg (if the spinal cord is squeezed, both legs suffer)	Compared to the "healthy" foot, the patient is more pale, thin (due to muscle atrophy), hair grows less on it. Its solidity and sweating are also distinguished both in the large and in a smaller side. The sick leg is usually colder. IMPORTANT: The pulse on this leg is forgiven on the hip, and under the knee, and between the big and index fingers of the foot
Violation of the function of the pelvic organs. This symptom is characteristic of squeezing the hernias of the spinal cord	From the intestinal side: mainly constipation, less often - diarrhea. It almost does not depend on the nature of the food taken (but the situation with constipation is slightly improved when nutrition of liquid food) is not accompanied by pain in the abdomen or its bloody. If the nervous regulation of the bladder is broken, frequent urges are noted to urinate, while it is distinguished by small portions, clean, without blood, and urination itself is painless. Urine incontinence may be observed. Violates the regulation of the operation of the genital organs. This is manifested by a decrease in sexual entry, in men - erectile dysfunction, in women - gynecological diseases
Symptoms, noticeable native and close patients	A person close to a sick can notice that he bitches, sludge, one leg seems shorter than the other, the posture changed, and the movements became unstable. If you look at a bare back in the area of \u200b\u200bthe waist, you can see the tense muscles on the one hand from the spine (they act on the touch are felt like a tight litigation). Seen the smoothness of the berry fold. Pressing on the masculous vertebrae processes (these are those bones that form the contour of the spine) in the lumbar department causes pain

Diagnostics

Before deciding which the treatment of the hernia of the lumbar department will receive in this case, you need to make a diagnosis. This is done with the help of instrumental methods (about them below), but the neuropathologist will be able to indicate which zone of the spine needs to be examined by a radigenologist or a specialist of magnetic resonance diagnostics, only after:

definitions of reflexes with tendons located on the legs;
test with a straight line;
studies of temperature, pain and vibratory sensitivity over the entire surface of the legs, in the area of \u200b\u200bthe buttocks, perineum, the lower half of the abdomen.

In the intervertebral hernia of the lumbosacraliary, sensitive disorders in the zone innervated by the affected root, the neurologist will determine the loss or reduction of tendon reflexes, will reveal deep disorders of biomechanics of movements by affected limbs.

In addition to preliminary definition of the affected segment, such a survey helps determine the degree of innervation violation, treatment tactics, and after it began to see the dynamics of changes occurring.

The diagnosis itself is placed on the basis of one of the tomography - a magnetic resonance or computer multispiral - lumbar-sacrive department (see). When specifying the damage to the spinal cord, the diagnosis may be supplemented with contrasting myelography - a study, in which the substance will be introduced into the spinal channel by lumbal puncture in the spinal channel. The x-ray is performed, on which it can be seen how the contrast agent passes in the spine channel, does not accumulate at a level (the latter means that the spinal cord is composed and, most likely, in order not to die, it is necessary to have a hernia removal operation lumbar).

Treatment of the disease

The therapy of the hernia of the lumbar-sacrolling department is aimed at eliminating pain, removing the spasm "clamped" (to hold the relative equilibrium) of the muscles of the spine, eliminate the ischemia of the spinal cord and its roots. In addition, it is necessary to create a durable muscular corset, to balance the joints between the vertebrae processes, eliminate their subluxances, since these phenomena can provoke the growth of intervertebral hernia.

How to treat hernia lumbar department? Here are 2 main treatment methods: conservative (tablets, injections, exercises) and operational. The course of the disease is divided into three periods:

Acute. There are pains, stiffness of movements, disruption of the sensitivity on the legs.
Subacute. Starts 3-5 days later. It is characterized by a decrease in the severity of pain. Sensitivity is reduced slightly.
Recovery. It begins on the 3-4 week of treatment, not always present. It is characterized by the absence of pain, minor sensitivity disorders.

This separation is necessary in order to apply the correct treatment tactics. Thus, only conservative therapy is carried out in the acute period; Subacute and recovery can be in the time when surgical treatment is connected.

Consider a plan for conservative treatment in periods.

Acute period

Here you need a bed mode with minimal motor activity in the area of \u200b\u200bthe lower back. Lying on a small pillow, on the back, under the back - a small cottage-gauze roller. The position of the back must be given a doctor - depending on which area of \u200b\u200bthe disk there is a break, so that he can heal. If there is neuralgia of a sedlication nerve, the legs need to be bent in the knee and hip joints.

Medications

Anesthetics, they are anti-inflammatory. Usually - in the form of injections are the first 3-5 days: "", "Roofi", "Movied". Then it is necessary to gradually replace injections with such pills ("", "meloxicam" and others).
Blocade Novocaine with the addition of anti-inflammatory hormone. Such a means can remove the pain at once - and for 2-3 weeks. For the course, you can apply 3-4 such blockades, only in different places near the affected disk.
Miorlaxants of the central action: "", "Sirdalud". They are needed to relieve the painful muscle spasm on one side of the spinal column.
Vitamins B1, B6, B12 in the complex (preparations "", "Neurovitan", "Nordobek"). They have some relaxing effect, restore the nerve tissue, improve the conductivity of pulses in the disadvantaged fiber.

Manual therapy

Not applied in this period.

LFK

You can move only to the legs, no more.

Subighteous period

The mode is semicessive. It should be paid attention to well-being, and not to perform those movements that cause pain.

Medical therapy

Packaging-anti-inflammatory drugs in tablets, mines and vitamins - the basis of medication therapy.

Physiotherapy

The following methods are applied:

thermal procedures;
akupressur;
igloreflexotherapy;
diad dartimatherapy;
underwater massage.

Additional methods

It has proven to use medical leeches - hirudotherapy. These worms, injecting special substances in the fabric, help to dissolve the fragments of the protruding disk. Leecters help 7 out of 10 patients. The course is 10-12 procedures, with an interval of 3-4 days.

Massage. This method should be applied with extreme caution, only - in the absence of pain in the leg.

Manual therapy. The method is most effective when there is not only hernia, but also the displacement of the intervertebral joints. Optimally 2-7 sessions in a manual driver in conjunction with the following method - postisometric relaxation.

Postisometric relaxation. This classes with a specialist. They are combined with 5-10 second isometric work (tension and voltage, but - without pain) muscles and the same time of passive stretching of the muscle.

LFK

Exercises in the hernia of the lumbar section in the subacute period should be carried out from the initial positions:

lying on the back;
on knees;
on the stomach.

They should not be accompanied by pain. When it appears - stop the exercise, rest. Optimally use during the leaps of the unloading corset.

Lying on his back, hands and legs straight. All muscles are relaxed. Raise hands slowly up, pull, lower your hands.
Lying on the back. The body is relaxed. Bend the right leg in the knee, shake it right and left, relax the muscles. The same repeat with the left foot.
Source position - on the stomach, brushes under the chin. Bend your legs in the knees, alternately tap the berries heels, relax the muscles, relax.
Standing face or sideways to the gymnastic wall, alternately raise your feet, make mugs forward-back and sides.
Lying on the back. Fiberate-instinct the leg in the knee, move it to the sides.
I.P. - also. Hands alternately pull up to the chest bent in the knee leg then right, then left.
Standing, legs on the width of the shoulders. Slowly turn the body to the right and left, at the same time spreading the arms to the sides. At breeding hands - inhale, to lower - exhale.
Standing, legs on the width of shoulders, legs bent in her knees, the heels are close to the buttocks, diluted with the width of the shoulders. Inhale. On the exhale alternately, tighten the knees inside, without moving the pelvis.

This is an exemplary set of exercises. A physician and instructor of the LFC, which are engaged in specifically by your case should tell more.

Recovery period

The volume of drug treatment at this stage is much less: neglection drugs are not used (novocaine blockades can only be used if the pain again occurred), the course of vitamins and minelaxants has already ended or ends.

Physiotherapy and methods of alternative treatment (hirudotherapy, acupuncture) in the recovery period do not differ from what was in a subacter.

LFK

The volume of exercises in the hernia lumbar expands, because it is necessary to strengthen the muscular corset of the back and lower extremities, as well as recreate the correct posture:

Lying on the stomach. The doctor bends-extensions his leg in the hip, holding it for 5-7 seconds in a dispere position.
Lying on the stomach. Create-assigned to the body alternately, then left leg.
Lying on the stomach, raise first on a small one, then for a larger angle straight leg.
Lying on the side of a healthy leg, remove the patient foot from the body, bent in the knee.
Standing back to the gymnastic wall, align the back and slightly take the pelvis back so that the blades of the buttocks, the calf muscles and heels touched the walls. Raised on the socks, we will preserve 3-5 seconds, then return to its original position.
Walking with a bag that is pure sand with a pure sand weighing up to 500 grams, on the head. Step through imaginary obstacles, without bending your back. Also, without stitching, squat, trying not to drop the bag.

Under the control of the instructor, exercises with gymnastic objects are also carried out: balls, dumbbells, gymnastic sticks. It is also necessary to perform half-seems (on the horizontal bar, but not letting the legs) and, gradually, whisa. It is also important to do exercises on the stairs.

Operational treatment

The decision that here it is necessary to remove the hernia of the lumbar department, is made on the basis of such indications:

if there is a narrowing of the spinal canal;
despite the treatment, numbness of the limbs, the weakness of the muscles increases or besides the violation of the function of the pelvic authorities;
when conservative therapy gave the effect on short time, then there was a deterioration in the same spine;
the hernia plot fell into the vertebral channel;
there was a squeezing of a horse tail (the end of the spinal cord in the form of a beam of nerves, irritation or infringement of which causes terrible pain in the crotch and legs).

The essence of the operation is in the release of spinal cord or roots from the hernia squeezing. This can be performed as follows:

Endoscopic way. In the area of \u200b\u200bthe spine, 3 microscopes are made, the camera is entered into one, which will translate the image on the monitor, through 2 other surgeons are operated by microindolum. It is removed with a hernial protrusion and residual elements of the pulp nucleus.
Cressing discectomy. This intervention implies removal through the puncture in the intervertebral disk of its destroyed kernel. Next, it is replaced by a special substance that, to acquire the desired properties, should cool.
Endoprosthetics of the disk. A damaged disk is removed, an implant is put on its place.
. Pulpose core is most saturated with water. This is calculated for this, which has a property to evaporate moisture-containing structures.

Prevention

To prevent the development of hernia in intervertebral disks in lumbar-sacral divisions, you need:

control their own weight, not allowing its significant increase;
fully eat;
do not smoke;
limit physical exertion;
exclude hypodynamine;
sleep on a hard mattress, in the back position.

If you begin treatment with a neuropathologist in time, it is possible to return to the usual activity after 5 days after the relief of the painful syndrome. Observing the above rules, fulfilling the recommended exercises, the likelihood of what you no longer remember the symptoms of intervertebral hernia.

Education and the development of hernia begins at a young age.

It is an complication of osteochondrosis at which the intervertebral disks are offset.

Causes can be different, but the result is one - the disorder of posture and back pain, which gives discomfort and interferes with normal life.

It is important, in time to take measures to identify and subsequent treatment of the ailment, otherwise, partial or complete loss of sensitivity of the limbs is possible if the disease affect the spinal cord.

Causes of appearance

The spine of man consists of vertebrae, between which there are discs that prevent friction.

They contain a gel fluid that serves as lubricant.

With excessive pressure between the vertebrae, the liquid is extruded and has an impact on the nerve endings that the signal is supplied in the form of pain.

The flexibility of the spine is lost, and some movements deliver discomfort and pain. Also break the bonds connecting the vertebrae, which leads to sharp pains.

As a rule, such pathologies are developing in the most vulnerable areas:

lonent and neck.

Consider the main causes of the development of hernia:

Other reasons can serve complications from diseases of internal organs, disadvantage or excess substances necessary for health.

Everything in the body is interrelated among themselves.

What to do at home

First of all, with back pains, it is recommended to consult a doctor and pass surveys.

It is proceed only when the diagnosis is diagnosed.

If you treat blindly, that is, the risk of harm the body. Operation to remove hernia surgically is rarely prescribed, so you do not need to be afraid of visiting to the doctor.

If the patient is diagnosed with "Intervertebral hernia", then the following will help recipes of traditional medicine:

Physiotherapy

It is necessary to draw stretches on the inclined board for 10-15 minutes a day.

Exercises helps to increase the distance between the vertebrae, removing the pressure on the disks, while the blood and nutrient access increases, the tissues are restored faster and come to the tone.

Simple walking On all fours in doggy.

Perform 4 times a day for 5-7 minutes. Keep your back straight and smooth.

Exercises are performed lying On the back with smoothly elongated legs. When inhaling socks pull forward, and the chin is trying to get the breast as far as possible.

Going to the back, draw your hands along the body, and the knees are bent. Raise the buttocks up and keep 5-10 seconds.
Only spin works, the remaining organs fix. We repeat 5-7 times.

Become on all fours.

At the same time, stretch your left hand and right leg and fix for 3-5 seconds, then right hand and left foot.

We repeat 5-7 times.

After that, raise the torso, pressing your hands to the floor. Only buttocks are rising, the back straightens.

If the exercises deliver pain and discomfort, they need to be changed to convenient or stop.

Methods of prevention

The best treatment is prevention, therefore it is easier to prevent the disease than cured. Enough to perform a number of recommendations:

Get rid of bad habits: smoking and alcoholic beverages adversely affect the entire body, including the spine.

Proper nutrition serves as a pledge of health. The set of products in the daily diet is chosen balanced, with all the necessary nutrients.

For the spine important:

calcium,
phosphorus,
vitamin C,
animals proteins.

They are contained in poultry meat, beef, fish and fruits with vegetables.

Harm bring smoked, canned, fatty products whose use is recommended to limit.

The normal mass of the body reduces the risk of the development of hernia and other pathologies of the spine, since during an overweight increases the loads on intervertebral discs.

Exercise and active lifestyle have a beneficial effect on the entire body.

The back massage will help keep the spine in the tone, as the blood circulation in vertebrae and muscles is improved, helping nutrition and tissue regeneration.

Comfortable shoes will help with a smooth gait and reduce the load on the back.

Healthy and regular sleep improves the state of the spine, which has time to "relax" during this time and recover.

Sleep on a tight bed. Soft bed does not give back and spine relax.

Avoid stress. Any nervous shocks weaken the body, making it vulnerable to all diseases.

For the treatment of intervertebral hernia, it is important to first get a diagnosis of a doctor. Only accurate diagnosis allows you to decide on the start of certain procedures.

In the treatment, it is necessary to monitor the condition of the body, with deviations for the worse, it is worth contacting the hospital to find the cause.

Follow your nutrition and lifestyle, as they directly affect the body, causing disorders.

We offer watch a video in which you learn how to treat herriation of the lumbar swimming.

Content

If a person has been detected by the hernia of the spine of the lumbar department - treatment should begin immediately to prevent complications. Doctors recommend a combination of the use of painkillers and exercises of the exercise of the fluoride for discs. More accurate recommendations, a specialist will be able to give after examination of the patient.

What is the hernia of the spine of the lumbar department

In the medical terminology of hernia in the lumbar department, this is a discontinuity of the spinal column or a fibrous ring, cartilage, shift of the pulp nucleus. Pathology arises, as a result of uneven load on the vertebrae, causes back pain, gives up moving moves and can lead to a disabled state.

The vertebrae of the lumbar spine in the amount of five pieces serve for depreciation, connected by intervertebral discs. When the hernia occurs, the disk protrusion occurs, it squeezes the nerve and causes the pain to be removed as soon as possible.

The causes of the appearance of the hernia of the spine of the lumbar department are called the following factors:

increased loads;
congenital features of the ligament apparatus;
pathology of beveled pelvis;
radiculopathy;
inflammation of the sciatic nerve;
injuries;
severe physical exertion;
passive lifestyle;
bad habits;
osteochondrosis, scoliosis.

In humans, the disease is manifested by the following symptoms and signs:

stiffness in the lower back;
weakness in the thumb;
pain in the top of the legs;
goosebumps;
after a long seating, the fingers of the legs are enemified.

Is it possible to cure the hernia of the spine

If you detect symptoms in time, the treatment will be successful and efficient. It is important not to miss the moment when you can still restrict ourselves to medicines, conservative therapy, prevent operation. The purpose of treatment is to eliminate pain, strengthening muscle corset, elimination of vertebrae sublocks that can provoke the growth of pathology.

Treatment of hernia lumbar spine

It is important to start the treatment of pathology in time and consult a doctor at the first symptoms. The danger of the launched case of the hernia of the spine of the lumbar department without timely treatment of doctors call the following risks for the whole organism:

circulatory disorders in small pelvis;
gynecological problems, menstrual cycle failures;
problems with urination;
rachiocampsis;
squeezing the nervous root;
dryness and peeling of the skin, reduced sensitivity of some areas;
stretch in the lower back, sacratsay;
limiting mobility up to the parallers.

Which doctor is Lechit

When the first signs of the disease are found, it is recommended to visit the therapist or a neuropathologist who will examine the patient and prescribe or conservative treatment or go to the surgeon and neurosurgeon. The latter conduct a survey of the spine with the help of magnetic resonance imaging, in the presence of testimony prepare a patient to operation or prescribe a different treatment.

Treatment methods

How to treat the hernia of the spine of the lumbar department, chooses a doctor depending on the neglence and severity of the case. Therapy methods:

Conservative - the overwhelming majority of cases are treated with these methods, including exercises, taking drugs (analgesics, non-steroidal anti-inflammatory funds), installation of droppers. Sometimes therapeutic blockades are used. Massage, medical home gymnastics, physiotherapeutic procedures are becoming auxiliary ways to treat hernias.
Surgical intervention is an extreme measure of treatment, it is appointed only by strict testimony (do not help pain from pain, hernia affects the work of the internal organs). Remove the pathology of the microdiskectomy, the endoscopic method.

Without surgery

The treatment of hernia of the lumbar spine without surgery includes the following methods of getting rid of the disease:

LFK - a set of exercises aimed at developing muscles and ligaments;
application of medicines;
acupuncture - the impact of micropigines on biologically active points;
manual therapy - "Flow" of disks by hand;
reflexotherapy - for the activity of tissues and organs, improvement of metabolism;
common massage - to increase muscle tone, improve immunity, can facilitate the patient's condition.

LFC with hernia

After the disappearance of the pain in the lying position is assigned to the leaps in the hernia of the lumbar spine. It is carried out in order to improve blood circulation in the affected area, normalizing muscle tone. Exercises lying on the back, stomach, side and a knee-browse rack of 10-12 repetitions, slowly, smoothly. Duration of training 10-40 minutes. Here are some effective exercises:

Holding hands along the body, bend legs. Straighten the right leg, simultaneously remove the left hand, repeat on the other side.
Lie on the back. Holding hands behind your head, bend the legs, slowly straighten the right, put it on the left knee. Straighten, repeat on the other side.
Hands bend in the elbows, put your legs on the width of the shoulders, under the lower back lay the pad. Rotate in the footsteps and brushes in a circle.
Source position, as in the first exercise, put the left heel on the right knee, repeat on the other side.
From the position of lying, break the foot on yourself, pull the heel back to stretch the back surface of the leg.

Exercises

For strengthening and developing the functional capabilities of the spine, the following exercises for lumbar hernia are developed:

Lying on the back, pull your hands along the body, bend a little legs. Strain the abdominal muscles.
Source position, as in the first point, only stretch your feet. Lift the housing without taking foot from the floor, lower the body.
Bend legs, lie on your back, pull the right hand forward, putting a brush on the left knee. Bend the left limb holding the resistance to the hand.

Exercises Bubnovsky

The famous Kinesiologist Bubnovsky has developed his set of exercises to eliminate the effects of the hernia of the spine of the lumbar department:

Birch - starting position lying on the back, hands raised up. The doctor fastens the foot with a cable to the MTV simulator, a man raises the pelvis with his feet to the perpendicular position to their head.
Birch on the contrary - everything is exactly the same as in the first position, only turning the legs on the simulator.
Exercise with one fixed foot - lift your leg without bends.
Frog - Lie on the stomach, pull your hands forward, ask the doctor to fix the simulator on one leg with weight. Bend the leg by imitating the movement of the frog.
Using the block - lying on the back, move up and down the straight leg, raise the weight.

Elastic bandage exercises for spine

To conduct training to strengthen the muscles of the lumbar department in the treatment of the hernia of the spine, use elastic bandages. They are fixed for the latch, they are taken with their hands for loose ends and make the following exercises:

Secure the bandage below the belt, lean forward, keep your back straight. Take your hands back without bending your back.
Stand up on the middle of the bandage, holding the ends in your hands. Raise your arms to the shoulders, trying to overcome resistance.
Sit on the bench, lock the legs under it, secure the bandage on the belt. Get back, bend the elbows and fight behind your back.

Preparations

To remove pain, improving blood circulation, muscle tone and returning the lower back, doctors prescribe the following drugs:

Non-steroidal anti-inflammatory means - relieve pain during exacerbation, inflammation, lower the heat. These include diclofenac tablets, Movied.
Chondoprotectors and preparations with hyaluronic acid - strengthen the structure of intervertebral cartilage. This is an alflutop, teraflex, Caripain, Rumalon (in the composition of the extractor from the cartilage and joints of animals).
Homeopathy - enhances the protective effects of the mechanism, applies only in a complex with other drugs.
Glucocorticoids - remove severe pains, this is a diprospan, dexamethasone.
Enzymes - eliminate blood clots, remove the swelling.

Miorlaxants with hernia lumbar spine

To relax muscles at intervertebral hernia, minelaxants are used. They stop pain, introduced intramuscularly. Middokalms implanse blood supply, soften vertebral discs. These include pentoxifillain, Trental - relax the smooth muscles of the arteries of the brain. In the treatment of the hernia of the spine of the lumbar department, together with vitamins, muscle activators and biogenic stimulants.

Manual therapy

If you have discovered the hernia of the spine in the lumbar section - treatment may include manual therapy, which consists of manual techniques for the correction of pathological phenomena in the joints. The purpose of this method of therapy is to restore the normal position of the vertebrae, disks, blood circulation. Specialists remove the surfaces of the joints from each other, act strictly to specific areas to restore the mobility of the spine. The session lasts half an hour, the course is 10-15 procedures every two days.

Operational treatment

The extreme measure of the treatment of the hernia of the spine of the lumbar department is surgical intervention. An indication of it will be a complete or partial paralysis with violation of the activities of internal organs, including the spinal cord. Also, the operation is carried out if conservative therapy does not help or impairs the patient's condition, the weakness of the muscles increases. There are two methods of operations on the hernia of the spine of the lumbar department:

Discotion is a simple non-massive operation at which the surgeon cuts off the hernia from the damaged disk.
Lamindectomy is a complex operation at which part of the vertebral bone tissue is removed, the narrowed intervertebral hole or the spinal cord canal is expanding. Different with a long rehabilitation period.

Treatment of intervertebral hernia lumbar folk remedies

If comprehensive treatment in the form of manual therapy and drug intake helps, then you can strengthen the effect by means of traditional medicine. Herbracks and ointments will help reduce pain, reduce swelling. If the hernia of the spine of the lumbar department is progressing - the treatment of folk methods may be like this:

Sabelnik root tincture - dry raw materials flooded with alcohol, it insists for three weeks, it is used three times a day before eating on a spoonful of tincture in a third of a glass of water. It is possible to apply a tincture in a local way, mixing in Domexide. It is recommended to trim the affected area and lower limbs.
Ointment with a socket - mix the rope of fresh root of the trench with the same amount of swine fat, warm, pour alcohol in a volume of 0.3 liters, cool. Apply a compress under warm fabric for 30-40 minutes or at night.
Compresses with aloe and honey - mix fresh juice plants with liquid honey and alcohol in the ratio of 1: 2: 3, to insist for a day. Imprease gauze with a mixture, put on the lower back and the area of \u200b\u200baffected education for an hour under warm tissue.

The absorption of the intervertebral disk is beyond the vertebrae bodies in the lumbar vertebral column. Clinically manifests Lambalgia and spinal syndrome. Completed by discogenous radiculopathy and myelopathy. Diagnosed mainly according to the MRI of the spine. Treatment can be conservative (anti-inflammatory agents, muscle relaxants, stretching, manual therapy, physiotherapy, physiotherapy, massage) and surgical (laser vaporization, electrothermal therapy, microdisquectomy, discectomy, installation B-twin implant).

General

Among the causes of the disturbance of the intervertebral disk, insufficient motor activity and the incorrect distribution of the load on the vertex pillar are the most common. The latter may be due to anomalies for the development of the spine, acquired by the spinal curvature (excessive lumbar lordosis, scoliosis), static or dynamic load in an inconvenient position, lifting weight lifting, pelvic breaks (for example, due to hip dysplasia), obesity. The main ethylofacts of the lumbar hernia also include the suffered spinal injuries (fracture of the lumbar spine, spine injury, vertebral submission), dysmetabolic processes in the body, various diseases of the spine (Bekhterev's disease and other spondylitizers, spondyloarthrosis, calves disease, spinal tuberculosis, etc.).

Symptoms of hernia lumbar spine

In its clinical development, the intervertebral hernia of the lumbar department usually passes several stages. However, a number of patients noted a long latent current, and hernia manifestation occurs only at the stage of complications. The main clinical syndromes are pain and vertebrate.

Pain syndrome At the beginning of the disease has a non-permanent character. It occurs mainly during the physical exertion to the lower back (slopes, lift of gravity, work in the pose of inclination, long-term seat or standing, sharp movement). The pain is localized in the lower back (Lambalgia), has a stupid character, gradually disappears in a convenient horizontal position. Over time, the intensity of pain syndrome is growing, Lumbalgia becomes constant and novel, the unloading of the spine in a horizontal position brings patients only partial relief. The vertebrate syndrome is joined, there is a limitation of motor activity.

Spinal syndrome Defended by reflex muscular and tonic changes arising in response to chronic pain impulsation. The paravertebral muscles come to a state of constant tonic abbreviation, which further exacerbates pain syndrome. Muscular hyperptonus is usually expressed unevenly, as a result of which there is a breakdown of the body, creating conditions for the development of scoliosis. The volume of movements in the lumbar spine decreases. Patients are not able to break the back to the end, lean, lift the leg. There are difficulties when walking, if necessary, stand out of the situation sitting or sitting.

Complications

Diagnosis of the hernia of the lumbar spine

To suspect the formation of the lumbar hernia in the initial stages is difficult, since its clinical picture is similar to the symptoms of non-stroked osteochondrosis and the debut of other pathological processes (lumbar spondyleze, lumbar spondyloarthology, lumbarization, sacralization, etc.). Patients themselves often turn to a neurologist, an orthopedist or a vertebrol only at the stage of the root syndrome.