Protein, hernia, osteochondrosis - When a patient is diagnosed, the patient immediately goes to the surgeon without considering conservative treatment, but this is wrong.
According to statistics, at least 84% of people in life are injured.The spine and surrounding muscles are part of the musculoskeletal system.Therefore, their damage is often accompanied by pain, which can occur after inclination or turn of the head and body and weaken when still.Anatomically, the spine is represented by alternating vertebrae and discs.Over time, the latter is subject to a degenerative process, which leads to the formation of protrusions and hernia.These structures themselves cause pain and cause pain by compressing adjacent structures - nerve roots and spinal ligaments.In some cases, they cause stenosis (stenosis) of the spinal canal (the space where the spinal cord resides).
Among other things, the vertebrae is connected by a pair of related connections, and the structure is stronger than the intervertebral disc.Their damage in 15-65% of cases can cause back pain.Up to 30% of lower back pain is due to lesions connecting the pelvic bones and skeletons and illegal A paired structures.Ultimately, any stimulation increases the tone of the surrounding muscles, which over time leads to myofascial syndrome alone.
Typically, physical activity can cause back pain, especially in expressive or intense situations, or in unnatural postures, or in connection with long-term stay in forced positions, such as behind the wheels of a car or on a desktop computer.A person’s weight and physical exercise are very important because the severity of the load is always relative.
What is the reason for its development?
It is impossible to unequivocally call the causes of the development of osteochondrosis, but a number of factors that contribute to the occurrence of this disease can be indicated: poor physical development, a violence of metabolism in the body, genetic predisposition, improper posture, prolonged stay in one pose (for example, before the computer monitor), hypodynamia, and excessively soft bed, flat feet.
What to do if there is pain in the back?
The most important rule is not to intervene!
Initially, it is necessary to have an appointment with a neurologist or neurosurgeon.To determine the accurate diagnosis, a comprehensive examination of the patient must be performed, which must include spine and tomography X-rays (magnetic resonance or calculated X-rays).
Drug care for spinal osteocartilage degeneration includes not only the removal of pain syndrome, but also the elimination of the root cause.Doctors prescribe complex therapies (medicine therapy, physical therapy, acupuncture, barney therapy)
Complex treatment care for osteochondrosis includes power and lifestyle corrections (healthy and active lifestyle, optimal physical education volume), in some cases - in some cases - cartilage protector drugs to improve cartilage tissue condition.
The main indication of surgical treatment for degenerative failure spinal disease is the inefficiency of conservative drug treatment for 4-6 weeks, loss of pain and increased leg weakness, which in many cases may be accompanied by urine inconvenience.In this case, inappropriate treatment can lead to many adverse consequences and complications until disability.
Back pain is considered the most common.Experts explain this to the characteristics of human anatomy.The problem is that the spine is burdened throughout a person’s life: from the moment he raised his head in childhood to the moment he died.With the wear of the spine, almost everyone has problems sooner or later.The most common diagnoses are back pain: "osteochondrosis" and "radiculite", and patients often place themselves and prescribe them without asking their doctor for advice.But even for these diagnoses, it seems everyone is hearing the reasons that are usually determined by only experienced experts.
What pain is there?
In the vast majority (about 95%), pain is associated with muscles, ligaments, and joints.The people were asked to pull.These pains are unpleasant but not harmful, and in most cases they pass by alone within 2-3 days.
3-4% of pain is associated with radiation disease (radiative inflammation) - damage to the spinal cord.It is usually damaged by a hernia.When edema arises from compression, the pain disappears.
1-2% of back pain are caused by damage to the spine or inflammatory diseases, tumor processes, diseases of the cardiovascular system or gastrointestinal diseases, where pain syndrome can enter the back.This is the most dangerous type of back pain.To rule out such pathology, be sure to consult a doctor.
You can't delay
The main indicator of your need for medical services is the regularity of pain.If you twist from time to time, there's a good chance that there's nothing wrong with it.If low-intensity or moderate-intensity pain is mercilessly plagued, you can do nothing.If pain is accompanied by an increase in temperature or pain increases in the treatment context, it is urgent to consult a doctor.
Types of pain
Doctors distinguish between three types of pain that usually make you feel yourself in the back.The doctor’s task is to accurately determine the pain of the patient caring for the patient to whom he is connected, because each patient will be treated in his own way.
Nociceptive painOr, to put it simply, the pain of the receptor – in the skin, muscles, ligaments, joints – is considered the most common.The reason for it is usually not visible in X-rays or using computed tomography.In this case, the expert diagnoses based on the symptoms the patient is talking about.The cause of muscle spasms when a person lifts something heavy, tilted, or has a different temperature can be physical activity (a common example of air conditioning).This type of pain is treated with two types of medications.
Acute pain is treated with anti-inflammatory drugs and pain relievers that relax muscles.In this case, there is no other treatment.When eliminating pain syndrome, we recommend that patients strengthen their muscles through physical education.This is the treatment and prevention of future diseases.
Sports not only helps to strengthen muscle, but also helps to produce endorphins, as well as serotonin and norepinephrine in the body.These substances increase a person's pain threshold and eliminate the mood of depression.
NeuropauseOr nerve pain, which is more called radiation inflammation.This pain in humans is especially the pain that occurs when the vertebrae hernia becomes larger and clamps the end of the nerve.Meanwhile, experts warn patients and the entire professional community that in the case of X-rays and MRI, hernia or any other type of spinal wear is available, but affecting the nerves is not important, but affecting the nerves is not important.It is necessary to understand the real cause of pain carefully.Muscle spasms may be attributed to the muscles, and this type of pain is completely different and treatments can be different.What is considered osteocartilage not only manifests itself as pain, but also shows the norm.
Osteocartilage is a sign of body aging.But "osteochondrosis" and "pain" are not the same.Since there are few nerve endings in the bone tissue, it is herniated (the initial stage of hernia in the disc. Even a study was conducted: MRI is a group of people - they chose, mainly those who never complained to doctors about back pain, but they found hernia and osteochondrosis.
Furthermore, although osteochondrosis still exists, doctors held an example when the patient was treated - an example occurred.Today, osteocartilage has become a concept for local use.
In some countries, the term "osteochondrosis" is not used at all.Last year, they formally stated that the diagnosis was made by a past generation of neurologists.Abroad, when the patient attended the reception and said he had a back injury, his back was diagnosed with nonspecific pain, but it is understood that a person has a burden on his muscles.
Confirm that the pain is caused by a specialist rather than a spasm, and that symptoms of back pain (the form of pain that makes the nerves in the legs) are most common among experts.
The causes of nerve pain can also be caused by complications caused by diabetes and herpes.In diabetes, patients often complain about pain because the disease can damage the nervous system.Posterior spiral neuralgia is characterized by a rash band along the damaged nerve along the painful nerve.There are special medications for treating nerve pain.
To treat neuropathic pain, anti-epileptics and antidepressants are used.I must say that the name of the drug in this patient is usually frightening, so it is important for them to explain that antidepressants increase the pain threshold.These are the criteria for pain treatment.
Psychological painOr chronic.This pain is not caused by changes in the human body's body, his mental state will change.In this case, the symptoms can torture the patient for a long time.At the same time, it is usually not just the back.
It happened that people came and my head said, my head was consistent.You asked: Something big?No!And there is no clear localization.In this case, we can conclude that the patient reduces pain thresholds and pain analyzers in the brain to constantly feel themselves.It can cause pain in this patient: overwork, stress, fear.
In this case, the anesthetic will not help.Experts usually prescribe antidepressants, physical therapy for patients with chronic pain, but sometimes enough to find a reason to use a psychologist or psychiatrist.
A young woman complaining about back pain: He said he was tortured for six months.I suggest she go to psychologist and sports.A few days later, she was completely healthy again without taking the medicine.Psychologists helped her understand the causes of stress and pain: she had family problems, and physical education helped to relax.
At homeThe most effective treatment is anti-inflammatory oral medication.Just don't overuse - they are only safe for the first time.Over time, this medication can cause ulcers and bleeding in the gastric mucosa.Traditional home treatments - non-steroidal ointments - can only be used as an additional measure.They are harmless, but they are ineffective.Carsset also relieves - fixes and unloads the spine, relieves cramps and limits rapid movement.Only a corset can be ordinary - elastic, without heating.
If treatment has no effect within three days, you should consult a doctor who will blockade with an anti-inflammatory injection.Due to spasms and muscle relaxation, the pain leaves immediately and often forever.
prohibit!
Bathrooms and massages are strictly prohibited.They enhance edema and pain.
Contact a manual therapist in the newspaper.Manual therapy is the field of 300 charlatans per expert.If you really want to find a good doctor, you should contact a certified clinic where graduate specialists work.
It is important to determine the treatment strategy correctly immediately.This should be done by a neurologist or neurosurgeon.It is dangerous to treat your own back.30% of patients in the neurosurgery department tried home treatments, which brought themselves to the hospital bed.
When the pill does not help
If a drug treatment requires that the therapist or neuropathologist not give the result within 3-6 months and the pain continues to torture the patient, the doctor must pass the patient to another expert.In some cases, physical therapy can provide a lot of help.It works for the first two pains: in the receptor and in the nerves.Physical therapy is prescribed for those who are allergic to medication or stomach problems.
Therefore, treatment has been experienced, but has no effect, and patients often become severe due to depression, so we conducted multidisciplinary treatments for the intervention of various experts: neuropathologists, psychologists, physical therapists, neurosurgeons.
In the method of using domestic physical therapists, it was borrowed from Russian colleaguesInternal electrical stimulation.Its principle is to bypass the skin barrier through a disposable special needle electrode to provide direct focus of pain.Diagnosis of this process, including protrusion and hernia, is prescribed.Experts believe the procedure is comfortable and does not require pain relief.Usually, the effect is felt after the first program.A total of 3 to 6 were allocated.
Also, it is usedLaser Therapy.The technology is also convenient because it can prescribe patients with various stimulants, including the heart, and there is no need to worry about failure.Lasers are used not only to treat diseases related to spinal problems, but also to treat diabetes and herpes sugar complications, which have been discussed.
Lasers promote good recovery.Additionally, the device improves the microcirculation of the spine itself, so the function of the disk will be improved.As a result, edema and inflammation were eliminated, and the pain disappeared.
blockade
Things like “lockdown” in medicine are nothing new.Due to the Soviet era, prescriptions were prescribed in areas where pain focused directly.Since then, regional clinics have changed little.At the same time, according to international recommendations, special devices that allow you to monitor the process in real time must be used, and only these programs are controlled.The consequences of unsuccessful injections can vary greatly: In the best case, drugs that are not introduced when necessary will not produce the necessary effects in the worst case - which is full of serious complications.
The introduction of this drug should be performed under radiological control: fluoroscopy, CT, MRI, ultrasound, as the drug is purposefully administered to the area of source pain.If the doctor's approach is wrong, this is filled with both the patient's respiratory arrest and total spinal anesthesia.
The essence of the lockdown is that the introduction of drugs for several months to six months can prevent the spread of pulsation through the nerves, which is related to nerve pulses.Although this process does not guarantee continuous results, it greatly improves the patient's quality of life: a person temporarily forgets the pain and can sleep calmly or engage in his business.
Operation - Eliminate pain
When the medicine doesn't help - Neurosurgeons don't do pills when physics doesn't work.Modern technology allows these experts to live again without the need for patients suffering for a year in a row.There are many ways: from the operation of minimal intervention in the body to complex surgical procedures with vertebral prosthesis.
Accompanied by pinching the nerve hernia, recognize one of the most common and effective methods.Radio frequency ablation.In fact, it is a lockdown, and only a drug that can only relieve pain for only a period of time can use electric current to completely solve the problem.Typically, ablation is performed after the lockdown, thanks to a clear understanding of what impact is necessary.The program is available at both paid and quota.
The process takes place within 20 minutes.It is called an operation, but in reality, it is a surgical operation performed under local anesthesia, which must be performed under the control of special equipment.First, pain syndrome is reproduced, and if the patient confirms that this is exactly the pain he usually encounters, we will get a pulse out - so to speak, the pain is disconnected.
In special cases, how to useNeurological stimulationAmong them is the implementation of the electrode.Perform the patient: The surgeon places a small device in the focus of pain, which will suppress pain impulses in real time.Patients undergo this procedure through quota.
Sometimes they have performed various types of surgical interventions, but pain syndrome has been retained to one degree or another, and then we place the stimulant – in test mode, first, if the desired effect is achieved, we put it in good condition.This is a small operation.The only thing is that patients need to conduct test control regularly.
Our Risks
The risk of the operation (successfully delayed or rejected) is considered by many patients to be very exaggerated.In neurosurgery, there are techniques that allow you to accurately calculate the effectiveness of the surgery and what symptoms will disappear after that operation and what symptoms will be retained.
The possibility of pain renewal after surgery is no more than 1-1.5%.Herbs elsewhere do appear, but this is not a complication, but the spread of the disease, which is often found in young undisciplined patients.After the pain leaves, they return to their usual lifestyle: they drive to the steering wheel and resume training.This is absolutely impossible.
Is osteochondrosis blamed on everything?
Osteochondrosis is a chronic degenerative nutritional change in the intervertebral disc space.All people over the age of 25 have signs of osteochondrosis.Osteochondrhodon is not possible to avoid, but you can protect yourself from its complications that can lead to back pain.
Why is this happening, not anything else?
If you can do a small amount immediately and get rid of the pain once and for all, do I need to spend time, energy and money on treatment: tablets, injections, physiotherapy?- Patients are increasingly asking this question.The answer is usually clear: Yes, you need it!The problem is that with accurate diagnosis and appropriate treatment, the unit can operate.The rest were rid of pain in the first phase of aid – on average, 30% of patients at each phase were output.
When people see protrusions or hernia in the picture, it is a mistake, immediately bypassing the surgeon and bypassing the experts in the previous assistance phase.If the changes are trivial, no action is required.Furthermore, with the right way of life – engaging in physical therapy exercises, swimming, monitoring the body’s weight – a person known as osteocartilage will feel healthy and will not feel pain.
Importantly, at each stage, the patient has an accurate diagnosis and prescribes the correct treatment.This can only achieve university.It is also recommended to take foreign experience as an example to introduce a new specialization, such as a physiologist, a therapist who specializes in pain, a doctor with knowledge of neurologists and anesthesiologists, who can treat it without surgery, but if surgical intervention will inevitably convey the patient to the neurological drug.