Protes, hernia, osteochondrosis - when they are diagnosed, patients immediately hurry to the surgeon without considering conservative treatment methods, but this is incorrect.
According to statistics, 84% of people hurt at least once in their lives.The spine and the surrounding muscles are part of the muscle bone system.Consequently, their injuries are often accompanied by pain, which can occur after the rolling or twist of the head and body and weaken at rest.From anatomically, the vertebrae and vertebrae alternating the spine are represented.Over time, over time, it has been exposed to the degeneration process, which leads to protrusions and hernia.These structures themselves can cause pain and can cause pain by compressing adjacent structures - nerve roots and spine ligaments.In some cases, stenosis (narrowing) of the spinal canal (location of the spinal cord) may be caused.
Among other things, the vertebrae are connected by a few surface joints, the structure is stiffer than the intervertebral plate.Damage in 15-65% of cases causes back pain.Up to 30% of the lower back pain is due to the lesion of the sacral and illegal joint -combined structure, which connects the pelvis sacrum and bones.Finally, every irritation increases the sound of the muscles, which over time causes separate myofascial syndrome.
As a general rule, physical activity leads to back pain, especially when it is expressive or intense, or when it is produced in an unnatural pose, or when it is associated with a long -term stay, such as a car wheel or at a table.The weight and physical training of a person is of great importance because the severity of the load is always relative.
What are the reason for its development?
It is impossible to clearly draw the causes of osteochondrosis, but there are many factors that contribute to the occurrence of this disease: poor physical development, metabolism violations in the body, genetic predisposition, inadequate posture, staying in one of the poses (such as computer monitor)As a general rule, these causes are combined with irrational nutrition.
What to do if you have pain on your back?
The most important rule is not to walk on its own!
Initially, you have to go to a meeting with a neurologist or neurosurgeon.A comprehensive examination of the patient is required to make an accurate diagnosis, and it absolutely involves radiography of the spine and tomography (magnetic resonance or calculated X -ray. The purpose of this or the examination is only performed by the attending physician based on a particular clinical image.
Medication for the osteocondrosis of the spine not only involves removing pain syndrome, but also to eliminate the causes of the cause.The doctor prescribes complex therapy (medication, physiotherapy, acupuncture, balneotherapy)
Complex therapeutic care of osteochondrosis involves the correction of power and lifestyle (healthy and active lifestyle, optimal physical education), the goal, in some cases - the drugs of chondroprotectors that improve the condition of cartilage tissue.
The main indication for surgical treatment for degenerative-dynis spinal disease is the efficiency of conservative medication for 4-6 weeks, unconscious of pain, and the weakness of the legs, which is in many cases accompanied by urinary incontinence.Early and improper treatment in such situations can lead to many unwanted consequences and complications to disability.
The back pain is recognized as the most common.Experts explain this to the characteristics of human anatomy.The thing is, the spine is subject to loads in a person's life: from the moment he gets up on his feet in childhood.The spinal column is worn out and sooner or later almost everyone has problems.The most common diagnoses that are made with back pain: "osteochondrosis" and "radiculite", while patients often make them themselves and prescribe themselves without seeking advice to doctors.At the same time, even these diagnoses, which appear to be heard, often have reasons that can only be determined by an experienced professional.
What hurts there?
In the vast majority (about 95%), the pain is related to the muscles, the ligaments and the joints.People are called to pull back.These pains are unpleasant but not disturbing and in most cases surrender themselves to themselves in 2-3 days.
3-4% of pains are radiculopathy (radiculitis) -causing damage to the spinal root.Usually hernia is injured.The pain disappears when the edema arises due to compression.
1-2% of back pain can be caused by spinal injuries or inflammatory diseases, oncological processes, cardiovascular disease, or gastrointestinal tract, in which pain syndrome may be in the back.This is the most dangerous type of back pain.Be sure to seek medical attention to exclude such pathologies.
You can't delay
The main indicator is that you need medical attention, the regularity of pain.If it is twisted from time to time, then there is probably nothing wrong.If your low or medium intensity pain is ruthless, you will not hesitate.The doctor should be consulted urgently if the pain is accompanied by a rise in temperature or the pain increases against the background of treatment.
Types of pain
Doctors distinguish between type 3 pain, which most often feel at the back.It is the responsibility of the doctor to determine exactly what pain the patient suffers from the patient who is in contact with him, because they will only be treated in his own way.
Nociceptive painOr simply, the pain of the receptors - in the skin, in the muscles, the ligaments, the joints - is considered the most common.The reasons that cause them in X -Rails or in computer tomography are generally not visible.In this case, the specialist makes the diagnosis based on the symptoms the patient talks about.Muscle cramps, for example, may be the cause of physical activity when someone is difficult, sharply bowed, or a temperature difference (a general example-cleaned air conditioning).This type of pain is treated with two types of drugs.
Acute pains are treated with painkillers of anti -inflammatory drugs and muscles relaxing drugs.In this case, there should be no other therapy.When removing the pain syndrome, we recommend that the patient confirm the muscles with physical education.This is the treatment and prevention of the disease in the future.
Physical exercises not only help strengthen muscles, but also contribute to the production of endorphins, serotonin and norepinephrine.These substances increase the human pain threshold and remove the depressive mood.
Neuropathic painOr nerve pain, people are more called radiculitis.This type of pain in humans occurs especially when the spine becomes large and captures nerve endings.At the same time, experts warn patients and the entire professional community against inadequate diagnosis in cases where the use of X -rays and MRIs turns out that the hernia or other types of spine wear is available, but not as significant as to affect the nerve.Careful understanding of the true cause of pain is required.Muscle cramps are possible, and this type of pain is completely different and the treatment is different.What is considered osteochondrosis is not only pain but also norms.
Osteocondrosis is a sign of body aging.But "osteochondrosis" and "pain" are not the same.Because there is virtually no nerve ending in the bone tissue, the protrusion (the initial stage of the intervertebral disk hernia. - Auth.) Or hernia is not harmful.They even studied: MRIs were done by groups of people - they were primarily chosen by those who never turned to a doctor with back pain, but found hernia and osteochondrosis.
In addition, the doctor gives examples when patients were treated - and happened, despite the fact that osteochondrosis remains in the picture.Osteochondrosis is nowadays a concept that is used locally.
There are countries where the word "osteochondrosis" is not used at all.Last year, it was officially said that this diagnosis was made by past generation neurologists.Abroad, when the patient arrives at the reception and says that his back is hurting, non -specific pain on his back is diagnosed, but it is understandable that a person has loaded the muscles.
Confirmation of the pain is precisely caused by radiculitis and not with cramps, for professionals, the symptom is the pain in the back of the back, which gives the leg nerve, most often for professionals.
Nerve pain can also be caused by complications caused by diabetes and herpes.In diabetes mellitus, patients often complain of pain as this disease damages the nervous system.Postherpetic neuralgia is characterized by rash strips along the injured nerve and accordingly the pain.There are special drugs to treat nerve pain.
Anti -epileptic and antidepressants are used to treat neuropathic pain.I have to say that the names of such orientation of patients are often afraid, so it is important to explain that antidepressants increase the threshold of pain.These are pain treatment standards.
Psychogenic painor chronic.This type of pain is not caused by physical change in the human body, and its mental state changes.Symptoms for a long time torture the patient in this case.However, it usually does not only hurt the back.
Sometimes people come and tell me everything, my head from behind.You ask: something hard raised?Not!And there is no clear localization.In this case, it can be concluded that the patient has reduced the threshold of pain and the pain analyst in the brain may feel continuously.It can cause pain in such a patient: feeling overload, stress, fear.
In this case, anesthetic drugs do not help.Professionals usually require antidepressants, physical education for patients with chronic pain, but sometimes it is enough to find a reason for a psychologist or a psychiatrist.
A young woman complaining about back pain: she says she was tortured for six months.I suggested to go to a psychologist and physical education.A few days later, he was completely healthy again without taking medication.The psychologist helped him understand that the cause of stress pain was: he had family problems, and physical education helped me relax.
HomeThe most effective medicine is anti -inflammatory oral drugs.Just don't overdo it - just first they are safe.For prolonged use, such drugs can cause ulcers and bleeding in the gastric mucosa.Traditional home treatment - non -sertoid ointment - can only be used as a complementary measure.They are harmless but ineffective.Carsset also gives relief - the fixation unloads its spine, relieves cramps and limits sharp movements.Only the corset should be normal - elastic and does not heat up.
If the treatment has no effect for three days, consult a doctor who prepares the blockade with anti -inflammatory injections.Due to the removal of cramps and the relaxation of the muscles, the pain leaves immediately and often forever.
Forbidden!
Bath and massage during the strict ban.Enhance edema and painOr
Contact the newspaper's handhelds.Manual therapy is an area where individual professionals expect three hundred charlatans.If you really want to find a good doctor, contact the certified clinics where postgraduate professionals work.
It is important to immediately determine the treatment tactic.This should be done by a neurologist or neurosurgeon.It is dangerous to treat your back.30% of patients in the neurosurgery department tried home treatment methods and brought them to hospital.
When the tablets do not help
If the drug treatment therapist or neuropathologist does not give results within 3-6 months and the pain will continue to torture the patient, the doctor will be required to hand over the patient to another specialist.In some situations, physiotherapy can provide significant help.The first two types of pain are suitable: in receptors and nerves.Physiotherapy is prescribed for patients who have allergies on medicines or stomach problems.
As a result, treatment disappears, but there is no effect, patients are often severe, depressed, so the treatment is a multidisciplinary approach to the treatment and the involvement of various professionals: neuropathologists, psychologists, physiotherapists, neurosurgeons.
Among the methods borrowed from Russian colleagues, the use of household physiotherapists.intracanic electrical stimulation- The basic principle is to dispose of a special needle electrode that bypasses the skin inhibition to ensure the electricity directly in the focus of the pain.Diagnoses in which this procedure is prescribed, including protrusion and hernia.According to experts, the procedure is comfortable and does not require pain relief.The effect is usually felt after the first procedure.Overall, they are assigned between 3 and 6.
In addition to being usedLaser therapy- This technique is also convenient because it can be prescribed for patients with various stimulants, including cardio, and is not worried that the failure occurs.The laser is used not only to treat diseases of the spine, but also to treat diabetes and herpes sugar complications, which have already been discussed.
The laser promotes good healing.In addition, the device improves microcirculation in the spine and therefore improves the strength of the plates.As a result, edema and inflammation are removed and pain disappears.
Blockade
The thing like "blockade" in medicine is not new.With severe pain, since patients in Soviet times have been prescribed injections in an area where the focus of the pain was directly.Since then, little has changed in the Precinct clinics.Meanwhile, in accordance with international recommendations, these procedures must be carried out solely under control, with special equipment that allows you to monitor the process in real time.The consequences of the unsuccessful injection can be very different: in the best case, in the worst case, in the worst case, in the worst case, they do not give the necessary effects at worst - this has serious complications.
The introduction of the drug should be performed under radiological control: fluoroscopy, CT, MRI, ultrasound, as the drug is targeted to the zone where the source is pain.In the event that the doctor goes wrong, it is full of the patient's breathing stop and complete anesthesia of the spine.
The essence of the blockade is that the introduced drug from several months to six months prevents the spread of the pulse through the stranger that is involved in the nerve pulse.While this procedure does not guarantee a constant effect, it significantly improves the patient's quality of life: one temporarily forgets the pain, can sleep with a calmly or business.
Function - to eliminate pain
If the drugs do not help - neither tablets nor injections, if physiocracy is ineffective, neurosurgeons will save it.Modern technologies allow these experts to return to life without suffering from patients suffering for a year.There are many methods: from manipulations with the smallest intervention to the body to complex surgical operations with spinal prostheses.
The nerve -pushing hernias recognize one of the most common and most effective methodsRadio frequency ablation- In fact, this is a kind of blockade, just instead of a drug that only relieves pain for a while, using electricity that can completely solve the problem.Often the ablation is done after blockade, thanks to the fact that doctors clearly understand which nerve is needed.The procedure is provided on a paid basis and is provided with quota.
The procedure is performed within 20 minutes.This is called an operation, but in fact, a surgical manipulation that is performed during local anesthesia is necessarily under the control of special tools.First of all, the pain syndrome is reproduced, and if the patient confirms that it is precisely the pain that is usually experienced, then the impulse is given - and the pain is, so we say the pain is interrupted.
In special cases, methods are usedneurostimulationsAmong them is the realization of the electrode.The patient is done: the surgeon puts a small tool in the focus of pain that suppresses pain in real time.Patients receive this procedure according to quota.
There are times when the various types of surgical interventions have been performed, but the pain syndrome has been preserved at one or another degree, a stimulant - first in test mode, and if the desired effect is achieved, it is good.This is an operation done with a small cut.The only thing that the patient should come regularly to check the test.
What we risk
The risk of the operation, which is postponed or rejected, many patients find it very exaggerated.There are technologies in neurosurgery that allow the efficiency of the surgery to be accurately calculated and the symptoms that disappear and remain.
The likelihood of pain renewal does not exceed 1-1.5%after surgery.Herbs can indeed appear in other places, but this is not a complication, but the spread of the disease, which is often found in young unprofessional patients.As the pain leaves, they return to the usual lifestyle: they move behind the government, continue training.And it is categorically impossible to do.
Does osteochondrosis blame everything?
Osteocondrosis is a chronic degenerative-dynis change in the intervertebral space.People over the age of 25 have signs of osteochondrosis.It is impossible to avoid osteochondrosis, but you can protect yourself from your complications that cause back pain.
Why, and not otherwise?
I need time, efforts and money for treatment: pills, injections, physiotherapy if you can do some surgery immediately and get rid of pain once and for all?- Patients increasingly asked this question.The answer is usually clear: Yes, you need it!The fact is that with accurate diagnosis and proper treatment, units reach the operations.The rest get rid of pain in the first phase of assistance - on average, 30% of patients are outcome at each stage.
It is a mistake when people who have seen protruding or hernia in the picture immediately start to the surgeon, bypassing experts in previous stages of assistance.In cases where the changes are insignificant, the operation is not necessary.Moreover, with the right lifestyle - physiotherapy, swimming, and observing the weight of the body - a person with so -called osteochondrosis may feel healthy and cannot experience pain.
It is important that the patient has accurate diagnosis at each stage and prescribes correct treatment.This can only be achieved by a dormitory.An example of foreign experience is recommended for the introduction of a new specialization, such as an algologist, a therapist specializing in pain, a doctor who is able to treat a neurologist and anesthesiologists' intervention specialist, but if surgical intervention is inevitably passed on.