Lumbar disc herniation is the condition in which the jelly-like soft part, which is located between the vertebrae and acts as a suspension, protrudes beyond the hard outer capsule and causes pain, numbness, tingling or loss of strength by putting pressure or pressure on the nerves. The pain increases with coughing, straining and laughing. Standing, sitting, and leaning forward aggravate the pain. Hernia occurs when the outer ring of the intervertebral disc weakens or ruptures due to factors such as being overweight, a sudden strain caused by lifting heavy loads, aging and degeneration. Sudden onset hernias, in particular, are caused by heavy lifting, trauma, or sudden movement. In some patients, on the other hand, attacks of painful low back pain are seen, which pass spontaneously in a short time.
Most of the time, patients do not care about this while they are recovering, but eventually severe lower back pain and pain can develop in these patients, and even severe herniated discs can develop. These complaints become life-threatening for patients. With midline lumbar disc herniation, the patient usually feels the pain in the lower back. With lateral hernias, the pain usually manifests itself by spreading to one leg. In addition to pain, numbness in the leg, loss of strength, loss of reflexes and balance may occur. The patient may also have difficulty sitting and walking. lumbar disc herniation may not give any symptoms.Here it is necessary to explain the expression of ruptured disc herniation. In a second-degree hernia (protrusion), it is the posterior disc herniation due to a partial defect in the annulus fibrosus. Grade 3 (extruded disc) is the posterior disc herniation due to a complete defect in the annulus fibrosus. If the full solid passes, the expression of bursting in this situation is incorrectly used.
How is it diagnosed?
Diagnosis of lumbar disc herniation, especially its treatment, requires the skill of a disc herniation specialist. After excluding other causes of low back or leg pain, the diagnosis of herniated disc is made sure by a specialist examination with good knowledge of the herniated disc subject, and the spinal cord or nerve relationship caused by the herniated disc is detected with high-resolution diagnostic devices such as x-rays, MRI, CT or CT scan to support the diagnosis. In addition, the EMG device can be used to determine which nerve root or nerve roots of the patient are affected by the hernia. We would like to point out that it is extremely wrong to diagnose a hernia with MRI alone. Although studies say that disc herniation accounts for 4-5% of the causes of low back pain, pain in the lumbar region cannot be properly localized by both the doctor and the patient because it can come from all anatomical structures. It should be assessed in detail by a highly experienced specialist in physiotherapy and rehabilitation. Clinical studies show that the cause of low back pain is due to pathologies of the intervertebral discs up to 39%. Considering the subgroups of intervertebral disc pathologies, lumbar disc herniation and degenerative disc disease are the main ones. In people who have no complaints, a hernia in Magnetic Resonance Imaging is seen as a picture in a percentage of 22-40% and does not cause any symptoms. For this reason, when a herniated disc is seen on the MRI of the patient with low back pain, it is a serious mistake to attribute it directly to the herniated disc.
What non-surgical treatments are used for lumbar disc herniation? When is surgery necessary for a lumbar disc herniation?
Rest can help heal a disc herniation or other low back pain by reducing the pressure between the intervertebral discs and the stress on the soft tissues surrounding the vertebrae. The mattress should not be hard or soft enough to collapse. The patient can lie supine, right or left lateral position. You should rest as much as your doctor recommends. The main thing is to find a qualified specialist who can distinguish the factors that cause hernia and low back pain and continue our life under his supervision. I had a method applied and treated, and now the thought that everything is going well is wrong. It is very important to use multiple methods. Neither manual therapy, nor prolotherapy, nor neural therapy, nor dry needling, nor stem cell applications are solutions in themselves. Methods such as cortisone, laser, ozone, hydrotherapy, and radiofrequency cannot provide a definitive cure for hernia. Leeches, cupping (can be used as a supplement), and creams applied to the surface have no solution-producing effect. The operation is only necessary in 1-2% of cases, and it is necessary for defecation and defecation. It is considered for urinary incontinence, deterioration of sexual functions and progressive loss of strength despite all kinds of medical treatment and prevention (never the only method) and flexibility to some extent and can leave the patient mildly or severely disabled. Whether the surgery is endoscopic or microsurgical is attractive, but it does not prevent damage to the disc because it causes volume reduction like open surgery.
What should those who have a hernia look out for?
– Avoid sudden movements
– Do not lift heavy objects, pay attention to the weight of the lifted objects
– Light sports should be practiced, do not force the waist
– Do not stay in the same position for a long time
– When bending, care should be taken to bend the knees and straighten the waist.
– Do not perform any movements that force or injure the spine.
– Should not gain weight, those who are overweight should definitely return to normal
– Light backpacks are preferable to handbags.
– Don’t stand too long
– Lying on your back or side is preferable
– Sit up straight and support the waist