Protests, hernia, osteochondrosis - when they are diagnosed, patients rush to the surgeon without considering conservative treatment methods, but this is wrong.
According to statistics, 84% of people at least in their lives are ill.Bones and muscles -the surrounding surroundings are part of the musculoskeletal system.As a result, their damage is often accompanied by pain, which can occur after tilments or head and body turns and weaken rest.Anatomically, the spine is represented by the vertebral disc and the intervertebral disc.The latter from time to time is subject to the process of degeneration, leading to the formation of protrusions and hernia.The structure itself can cause pain, and can cause pain by compressing the neighboring structure - nerve roots and spinal ligaments.In some cases, they can cause stenosis (narrowing) the spinal cord (the space where the spinal cord is located).
Among others, the vertebra is connected to the pair of facet joints, the structure is more rigid than the intervertebral disc.Their damage in 15-65% of cases causes back pain.Up to 30% of lower back pain is caused by sacred and illegal structural wounds that connect the sacrum and pelvic bone.Finally, any irritation increases the muscle tone around, which over time causes separate myofascial syndrome.
As a rule, physical activity leads to back pain, especially in cases where it is stated or intense, or when it is produced in improper pose, or when it is associated with long accommodation in forced position, for example, behind a car wheel or on the desktop.A person's weight and physical exercise are very important, as the severity of the burden is always relative.
What are the reasons for the development?
It is not possible to strictly call the cause of the development of osteochondrosis, but some of the factors contributing to the occurrence of the disease can be shown: poor physical development, infringement of metabolism in the body, genetic predisposition, improper posture, as a rule, this reason is combined with irrational nutrition.
What to do if there is pain in the back?
The most important rule is not for yourself!
Initially, it was necessary to come to an appointment with a neurologist or a neurosurgeon.To create an accurate diagnosis, a comprehensive examination of the patient is necessary, including spinal radiography and tomography (magnetic resonance or X-ray calculated.
Drug care of spinal osteochondrosis includes not only the removal of the pain syndrome, but also, if possible, the removal of root causes.Doctors prescribe complex therapy (drug therapy, physiotherapy, acupuncture, balneotherapy)
Complex therapeutic care for osteochondrosis includes correction of power and lifestyle (healthy and active lifestyle, optimal physical education amount), purpose, in some cases - chondroprotectors medicine that improves cartilage tissue conditions.
The main indications for surgical treatment for degenerative-dystrophic spinal disease are 4-6 weeks of conservative drug therapy, unconsciousness of pain, as well as increased foot weakness, which in some cases can be accompanied by urinary incontinence.Soon and improper treatment in such situations can lead to some unwanted consequences and complications, leading to defects.
Back pain is recognized as the most common.Experts explain this to the features of human anatomy.It is the spine subject to the burden of the life of a person: from the moment he rose to his feet in his childhood to his death.The spinal column is in trouble, and the problem with it is that it arises in almost everyone.The most common diagnosis is made with back pain: "osteochondrosis" and "radiculite", while often patients put them and prescribe their own treatment, without consulting the doctor.However, even for this diagnosis, which seems, everyone is listening, there are often reasons that can only be determined by experienced experts.
What hurts there?
In the majority (about 95%), pain is associated with muscle, ligaments and joints.People are called to draw back.The pain is unpleasant, but not there and in most cases passes itself in 2-3 days.
3-4% of pain is associated with radiculopathy (radiculitis) - damage to the spinal root.It is usually damaged by hernia.Pain is lost when edema arises from compression.
1-2% of back pain is caused by injury or spinal inflammation, oncological processes, cardiovascular system diseases or gastrointestinal tract, where the pain syndrome can go backwards.This is the most dangerous type of back pain.To exclude such a pathology, be sure to consult your doctor.
You can't slow down
The main indicator that you need medical treatment is pain regularness.If you are twisted from time to time, most likely nothing is wrong.If low or moderate intensity pain haunts you nonstop, you cannot hesitate.It is urgent to consult a doctor if the pain is accompanied by an increase in temperature or pain growing with the background of the treatment.
Type of pain
Doctors distinguish 3 types of pain, most often make themselves feel in the back.The doctor's job is to accurately determine the type of pain of the patient who is concerned about the patient who contacts him, as each will be treated exclusively in his own way.
Nociceptive painOr, easier, pain in receptors - in the skin, muscles, ligaments, joints - is considered the most common.The causes that cause it in X -Rays or use computed tomography are usually invisible.In this case, the specialist makes a diagnosis based on the symptoms discussed by the patient.Causes of muscle cramps can, for example, physical activity, when a person lifts something heavy, sharp lean, or temperature difference (an example of a commonly punched example).This type of pain is treated with two types of medicine.
Acute pain is treated with anti -anti -medication and relaxing medications.In this case, there is no other therapy.When the pain syndrome is released, we recommend that the patient strengthen the muscles with physical education.This is a treatment and prevention of disease for the future.
Physical exercises not only help strengthen the muscles, but also contribute to the production of endorphins, as well as serotonin and norepinephrine in the body.These ingredients increase the threshold of one's pain and eliminate the mood of depression.
Neuropathic painOr nerve pain, people are better known as radiculitis.The type of pain in humans occurs, in particular, when the vertebral hernia becomes large and clamps the nerve endings.At the same time, experts warned patients and the entire professional community against improper diagnosis in cases where x-rays and using MRI appear to be that hernia or other types of spinal wear are available, but not so important to affect the nerves.It is necessary to carefully understand the true cause of pain.It is possible that muscle cramps are to blame, and this type of pain is completely different, and the treatment will be different for it.What is considered to be osteochondrosis is not only indicated by pain, but also the norm.
Osteochondrosis is a sign of body aging.But "osteochondrosis" and "pain" are not the same.Because there is almost no nerve endings in the bone tissue, the highlights (early stages of the intervertebral disc hernia - auth.) Or the hernia cannot hurt.In fact, the study has been conducted: MRI has been made by groups - they choose, especially those who have never dealt with doctors with complaints about back pain, but they find hernia and osteochondrosis.
In addition, doctors provide examples when the patient receives treatment - and they occur, despite the fact that osteochondrosis remains in the picture.Today's osteochondrosis is a concept that is used locally.
There are countries where the word "osteochondrosis" is not used at all.Last year, they officially said that this diagnosis was made by past -generation neurologists.Overseas, when the patient comes to the reception and says that his back is sore, he is diagnosed with a non -specific pain in his back, but it is understood that a person loads the muscle.
Confirmation that pain is caused by radiculitis, and not with cramps, for specialists, symptoms in the form of back pain, which give the nerves in the legs, most often for the specialist.
Causes of nerve pain can also be a complication caused by diabetes and herpes.In diabetes mellitus, patients often complain of pain, as the disease damages the nervous system.Postherpetic neuralgia is characterized by a strip of rash along the damaged nerve and, thus, pain.There are special remedies for the treatment of nerve pain.
For the treatment of neuropathic pain, anti -epileptic and antidepressants are used.The name of this patient's orientation medicine, I have to say, is often scary, so it's important for them to explain that it is an antidepressant that increases the threshold of pain.This is a standard of pain treatment.
Psychogenic painor chronic.This type of pain is not caused by physical changes in the human body, its mental state changes.Symptoms of torture patients in this case for a long time.At the same time, it hurts, as a rule, not just back.
It happened that people came and said everything-my head, directly.You asked: something heavy raised?No!And there is no clear localization.In this case, we can conclude that the patient has reduced the threshold of pain and the pain analyst, which is in the brain, always makes himself feel.It can cause pain in such patients: hard work, stress, fear.
Anesthetic drugs in this case will not help.Experts usually prescribe antidepressants, physical education to patients with chronic pain, but sometimes it is enough to find a reason to use a psychologist or psychiatrist.
A young woman complaining about back pain: six months, she said, tortured.I recommend that he go to psychology and physical education.A few days later, he returned to be healthy without taking any medicine.Psychologists help him understand that the cause of stress is the pain: he has family problems, Physical Education helps relax.
At homeThe most effective remedy is anti -anti -oral oral drug.Just don't overdo it - they're just safe for the first time.With prolonged use, these drugs can cause ulcers and bleeding in the gastric mucosa.Traditional home treatment - non -sort of ointment - can only be used as an additional step.They are harmless, but ineffective.Carsset also provides relief - fixing the spinal cord, relieves cramps and limits sharp movements.Only the corset should be normal - elastic, not warming up.
If the treatment has no three -day effect, you should consult a doctor who will restore anti -inflammation.Due to the removal of spasms and muscle relaxation, the pain left immediately and often.
Forbidden!
Bath and massage under strict restrictions.They increase edema and pain.
Contact a manual therapist in the newspaper.Manual therapy is an area where each specialist contributes three hundred people.If you are true to find a good doctor, you should contact a certified clinic where a graduate expert works.
It is important to immediately determine the treatment tactics.This should be done by a neurologist or a neurosurgeon.It's dangerous to treat yourself.30% of the neurosurgical department patients try home treatment methods and this leads to the hospital bed.
When the pill does not help
If the drug treatment prescribes a therapist or neuropathologist does not make a decision within 3-6 months and the pain continues to torture the patient, the doctor is required to convey the patient to another specialist.In some cases, physiotherapy can provide significant assistance.It is suitable for the first two types of pain: in receptors and nerves.Physiotherapy is prescribed to patients with allergies to medication or stomach problems.
As a result, the treatment passed, but there was no effect, patients often came to us severely, with depression, so we approached their various disciplines, with the involvement of various experts: neuropathologists, psychologists, physiotherapists, neurosurgeons.
Among the methods used by domestic physiotherapists, borrowed from Russian colleaguesIntracanical electric stimulus.The principle is that through a special needle electrode, skip the skin barrier, to supply the current, directly in the focus of pain.The diagnosis in which this procedure is prescribed, including highlights and hernia.The procedure, according to experts, is comfortable and does not require pain relief.The effect, as a rule, is felt after the first procedure.Overall, they are assigned from 3 to 6.
In addition, it is usedLaser therapy.This technique is also simple as it can be prescribed to patients with various stimulants, including cardio- and is not worried that failure will occur.Laser is used not only for the treatment of diseases related to spinal problems, but also as a treatment for diabetes and herpes sugar complications, which has been discussed.
Laser promotes good healing.In addition, the device improves the micro circulation of the spine itself, and due to this, the power of the disc improves.As a result, edema and inflammation are released, and pain, each, disappears.
Sanction
Things like "restrictions" in medicine are not new.With severe pain, since the Soviet era, patients have been prescribed injections in areas where the focus of the pain is directly.Since then, slightly has changed in the Precinct clinic.Meanwhile, in line with international proposals, this procedure must be performed exclusively under control, using special equipment that allows you to monitor the process in real time.The result of unsuccessful injection can be very different: in the best case, the drug, introduced is not where necessary, will not have the necessary effect, the worst - this is full of serious complications.
The introduction of the drug should be done under radiological control: fluoroscopy, CT, MRI, ultrasound, as the drug is deliberately administered into the zone where the source is sick.If the doctor has the wrong way, this is full of the patient's breathing stop and spinal anesthesia.
The essence of the restriction is that the drug introduced several months to six months prevents the spread of impulses through the nerves, which is involved in the pulse of the nerves.Although this procedure does not guarantee a continuous effect, it improves the quality of life of the patient: a person temporarily forgets the pain, can sleep calmly or go to his business.
Operation - elimination of pain
When medicines do not help - no pills or injections, when physiocracy is ineffective, nerve surgery comes to save it.Modern technology allows these experts to return to life without the illness of patients suffering for not a year in a row.There are many methods: from manipulation with minimal intervention in the body to complex surgical operations with prosthetic vertebrae.
With a hernia that pinches nerves, mentioned with one of the most common and effective methodsAblation of radio frequency.In fact, this is a type of restriction, just not a remedy that relieves pain only for a while, electric current is used that can solve the problem completely.Often, ablation is done after a restriction, thanks to a doctor who received a clear understanding of the nerves needed to affect.This procedure is provided in paid and quota.
This procedure is performed within 20 minutes.It is called operation, but in fact it is a manipulation of surgery performed under local anesthesia, must be under the control of a special device.First, the pain syndrome is reproduced and, if the patient confirms that this is the pain he or she is usually experienced, we give the pulse release - and the pain, so to speak, is decided.
In special cases, the method is usedNeurostimulationAmong them is the implementation of the electrode.Patients are done: the surgeon puts a small device in the focus of the pain, which will suppress the impulse in real time.The patient accepts this procedure with a quota.
Occasionally they have made various types of surgical intervention, but the pain syndrome has been preserved at one degree or the other, then we put the stimulation - first in test mode, and if the desired effect is achieved, then we put it for good.This is an operation carried out with small pieces.One thing is that patients need to come regularly to control the test.
What we are at risk
The operating risk, in which it is delayed or rejected at all, many patients consider it to be exaggerated.In neurosurgery, there are technologies that allow you to accurately calculate the effectiveness of the operation and what symptoms will disappear afterwards and will remain.
The probability of pain renewal after surgery does not exceed 1-1.5%.Herbs elsewhere are true -can actually appear, but this is not a complication, but a spread of the disease, which is often found in poorly disciplined patients.As soon as the pain left, they returned to the normal lifestyle: they were driving behind the wheel, resuming exercises.And this is impossible to do.
Is osteochondrosis blamed for everything?
Osteochondrosis is a chronic degenerative-dystrophic change in the intervertebral space.Everyone over 25 has signs of osteochondrosis.It is not possible to prevent osteochondrosis, but you can protect yourself from complications, which causes back pain.
Why so, and not the opposite?
Do I need to spend time, effort and money for treatment: tablets, injections, physiotherapy, if you can perform a small operation and eliminate pain once and for all?- Patients have asked this question more and more often.The answer is usually unclear: yes, you need it!This is with the right diagnosis and proper treatment, the unit reaches surgery.The rest eliminates pain in the first stage of help - on average, 30% of patients at each stage are output.
Mistakes when people, after seeing the highlights or hernia in the picture, immediately run to the surgeon, skip the experts from the previous aid level.In cases where changes are not important, operation is not required.Moreover, with the right lifestyle - engaging in physiotherapy exercises, swimming, monitoring their weight - someone with coordinated osteochondrosis can feel healthy and not suffer from pain.
It is important that at each stage the patient has an accurate diagnosis and the right treatment is prescribed.This can only be collectively achieved.It is also suggested, for example foreign experiences, to introduce new specialties, such as algects, is a type of therapist specializing in pain, a doctor who has knowledge of neurologists and anesthetists, who are capable of treating, without surgery, but if surgical intervention is inevitable to neurOSure patients.