Pay attention to the most common hernia problems

The disc, which sits between the vertebrae and acts as a suspension, can suddenly or gradually deteriorate, and the outer layers can become pierced, the jelly portion in the center of the disc can leak out, causing pressure or pressure on the nerve , causing symptoms such as pain, numbness, tingling and loss of strength. Very rarely it can cause symptoms of drop foot, urinary or faecal incontinence, which may require surgery.

Who is more exposed to this problem?

The discs, joints, ligaments and muscles that provide flexibility to the spine are subjected to overload from the pressure of excess weight and can deform, causing disc herniation or disc degeneration and even facet joint disease. In addition, it can prepare the ground for waist slips by changing the body’s center of gravity. In addition, obesity increases the risk of duct narrowing and waist slippage. You can reduce your risk of a hernia by losing excess weight. Those who are genetically predisposed, do heavy work, lean forward, lift heavy objects, are long-distance drivers, engage in aggressive sports, work sedentary all the time, have traffic accidents, and fall are at risk. When you take something off the floor by leaning forward, the load on the waist increases 5-10 times with excess weight. Carrying 50 kilograms of extra weight during the day causes chronic strain and deterioration of the discs, ligaments, muscles and joints between the lumbar vertebrae. Moreover, even if a person weighing 50 kilograms bends and picks up a pencil, at least 250 kg of additional load will be placed on the waist. This clearly shows the effect of being overweight or carrying a heavy load on the formation of a hernia.

What are the points of attention in case of hernia?

Hernia patients should first seek and find physiotherapists or neurosurgeons who are well trained and experienced in this field. The best way is to find a competent teacher. A skilled teacher will determine which method to use for which type of hernia from dozens of methods. It should be noted that one method is often insufficient. You should consider your doctor’s recommendations. Only in cooperation can you get rid of a hernia. In addition to the procedures performed by your doctor, you should know that the hernia will usually remain a problem if the recommendations are not followed; Exceptions don’t break rules. It is extremely wrong to think of pain relief as hernia cure.

Is it good for someone with a hernia to go for a walk?

Walking used to be recommended. However, walking should not be recommended for every hernia patient. Walking should not be a priority, but exercise-based treatment should be given. Experience shows that moving is much more important than walking. Postoperative patients should be encouraged to give importance to exercise, especially overweight patients should be made aware of this issue. To prevent recurrences of herniated discs and facet joint growths that develop after surgery, patients should be given self-consciousness by their physician. In particular, patients should not be left alone and should be invited for routine checkups. In addition, transition to hospitalization, standing up, sitting, adjusting gait, ergonomic corrections for work forms and conditions, sports styles, changing jobs if necessary, child care, patient care, corset use, long-distance driver For those who have a new life, it is necessary to seriously shape a new life with serious education, from styling to even regulating sexual life.

What are the treatment options?

It should be noted that applications that focus only on pain will not be approved. The patient with lumbar disc herniation should be examined and treated by a specialist doctor who is absolutely skilled in the subject. The main question is what treatment is needed or not. There should be no neglected method. In this regard, it is very important to look for and find a competent teacher who can make this decision correctly. The priority in treatment should be patient education. The patient should be taught the correct posture, bending, load-bearing, lying and sitting position. The vast majority of lumbar disc herniations heal without surgery or may become harmless. Even if the patient has progressive loss of strength in the waist, neck, legs, arms and hands, it is a mistake to recommend immediate surgery. If it doesn’t respond to treatment and progresses despite treatment, a surgical decision will be the right stance. Treatment should be aimed at getting the hernia back in place. Surgery, on the other hand, aims to remove and dispose of the leaking part of the intervertebral disc. Since neck surgery is performed from the front part of the neck, it is unavoidable to place an additional artificial system. Low back surgery further weakens the basal load-bearing base of the spine. In this context, the back and neck patient should be treated with great care and a surgical approach should not be considered without the decision of the committee.

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