Protection, hernia, osteoarthritis - When diagnosed, the patient immediately went to the surgeon without considering conservative treatments, but this is wrong.
According to statistics, 84% of people at least once in their lives were hurt.The spine and surrounding muscles are part of the musculoskeletal system.Therefore, their damage is often accompanied by pain, may occur after itching or turning and body and weakening when resting.In terms of surgery, the spine is manifested by alternating vertebrae and disc.Later, over time must follow the degeneration process, leading to the formation of protruding and hernias.These structures can cause pain, and can cause pain by compressing nearby structures - nerve roots and ligaments of the spine.In some cases, they may cause narrowing (narrowing) of the spine tube (spinal space).
Among the other things, the vertebrae are connected by the pair of pairs, the structure is harder than the intervertebral plate.Their damage is in 15-65% of cases of back pain.Up to 30% of the lower back pain is caused by the damage of joints and illegal transplant structure-connecting the sacrum and pelvic bone.Finally, any stimulation increases the melody of the surrounding muscles, over time causing a separate Myofascial syndrome.
As a rule, physical activity leads to back pain, especially in case it is expressed or intense, or when it is created in an unnatural posture, or when it is linked to a long time in a mandatory position, for example, behind the wheel of a car or on a desktop.The body weight and physical training of a person with great importance, because the severity of the load is always relative.
What are the reasons for its development?
It is impossible to definitely call the causes of the development of joints, but some factors that contribute to this disease may be pointed out: poor physical development, violation of the metabolic process in the body, genetic tendencies, improper posture as prescribed, these reasons are combined with absurd nutrition.
What to do if there is pain in the back?
The most important rule is not for yourself!
Initially, it was necessary to go to an appointment with a neuroscientist or a neuroscient surgeon.To establish an accurate diagnosis, a comprehensive test of the patient is necessary, necessarily including the spine X -ray and class cutting (magnetic resonance or X -rays calculated. The purpose of this study or should only be done by a doctor attending based on a specific clinical picture.
The care of the osteoarthritis of the spine not only eliminates pain syndrome, but also, if possible, the elimination of the original cause.The doctor prescribes complex therapy (drug therapy, physiotherapy, acupuncture, backpack)
Complicated treatment for osteoarthritis includes strengthening strength and lifestyle (healthy lifestyle and dynamic, optimal physical education volume), in some cases - Chondroprotors medicine improves cartilage tissue status.
The main sign for surgical treatment for degenerative spinal degeneration is ineffective of conservative drug therapy for 4-6 weeks, unconscious pain, as well as increasing weakness in the legs, in some cases may be accompanied by urinary.Improper and incorrect treatment in such situations can lead to some unwanted consequences and complications, to disability.
Back pain is recognized as the most common.Experts explain this for human surgery features.The problem is that the spine suffers the load throughout the life of a person: from the moment he stood up to his childhood until he died.The spine column is worn out, and sooner or later, problems with it arise in most people.The most common diagnosis is performed with back pain: Osteochondrosis and and radiculite, while patients often put them on themselves and treat themselves without seeking advice for doctors.However, even for these diagnosis, it seems that everyone hears, there are often reasons that only one experienced expert can determine.
What is pain there?
In the majority (about 95%), the pain is related to muscles, ligaments and joints.Everyone was called to pull back.These pains are uncomfortable, but not people and in most cases of passing themselves for 2-3 days.
3-4% of pain associated with radioactive disease (radioactive inflammation) - damage to the spine root.It is often damaged by hernia.The pain disappears when edema arises due to compression passes.
1-2% of back pain is caused by trauma or spondylitis, cancer processes, diseases of the cardiovascular system or the gastrointestinal tract, in which the pain syndrome can go in the back.This is the most dangerous back pain.To eliminate such diseases, make sure to consult your doctor.
You can delay
The main index shows that you need medical care is the regularity of pain.If you are twisted over time, it is likely nothing wrong.If the pain of low intensity or medium haunts you constantly, you cannot hesitate.It is urgent to consult a doctor if the pain is accompanied by an increase in temperature or pain developing on the basis of treatment.
Pain
Doctors distinguish 3 types of pain, which often makes themselves feel behind.The doctor's mission is to determine the exact type of pain that the patient is concerned about the patient has contacted him, because each of them will be treated exclusively in his own way.
Pain about the problemOr, simply, pain in the receptors - in the skin, muscles, ligaments, joints - are considered the most common.The reasons for it in X -Rays or using computational cutting are often not seen.In this case, experts make a diagnosis based on the symptoms that the patient talks about.The causes of muscle spasms may be, for example, physical activity, when a person lifts something heavy, strong tilt or temperature difference (an air conditioner is filtered for example).This type of pain is treated with two drugs.
Acute pain is treated with analgesics of anti -inflammatory drugs and muscle relaxation drugs.In this case, there is no other therapy.When the pain syndrome is removed, we recommend that patients strengthen muscles with physical education.This is treatment and prevention of disease for the future.
Physical exercises not only help strengthen muscles, but also contribute to endorphin production, as well as serotonin and norepinephrine in the body.These substances increase a person's pain threshold and eliminate depression.
NerveOr the pain of nerves, people are called more radioactive inflammation.This type of pain occurs, especially, when the vertebra hernia becomes large and clamps the nerves.At the same time, experts warn the patient and the entire professional community against improper diagnosis in the case of X -rays and using MRI as a hernia or any other type of spine wear, but it is not too important to affect nerves.It is necessary to carefully understand the true cause of pain.It may be a muscle spasm that is blamed, and this type of pain is completely different, and treatment will also vary for it.What is considered to be osteoarthritis is not only manifested by the pain, but also the standard.
Osteochondrosis is a sign of the aging of the body.But "Osteochondrosis" and "pain" are not the same.Because of the fact that the nerve ends in the bone tissue, the protruding (the initial stage of the herniated disc of the interatorebral disc. - Auth.) Or the hernia cannot be damaged.Even studies have been conducted: MRI has been performed by groups of people - they have chosen, mostly those who have never told the doctor with complaints about back pain, but they have found hernia and osteoarthritis.
In addition, the doctor gives examples when the patient is treated - and they have happened, although the fact is that osteoarthritis is still in the photo.Osteochondrosis today is a local concept used.
There are countries where "Osteochondrosis" is completely unused.Last year, they officially said that this diagnosis was performed by the generation nerveists in the past.Overseas, when the patient came to the receptionist and said that his back was painful, he was diagnosed with an nonspecific pain in his back, but this was understood that a person had a muscle loaded.
Confirm that the pain is caused exactly due to radioactive inflammation, not spasms, for experts, symptoms in the form of pain in the back, creating nerves in the legs, usually for experts.
The cause of neurological pain can also be complications caused by diabetes and herpes.In diabetes, patients often complain about pain, because this disease damages the nervous system.Postherpetic nerve is characterized by rash strips along the damaged nerve and thereby, pain.There are special drugs to treat neurological pain.
To treat nerve pain, antidepressants and antidepressants are used.The name of the patient's orientation, I have to say, often fear, so it is important that they explain that it is an antidepressant that increases pain threshold.These are pain treatment standards.
Psychological painor chronic.This type of pain is not due to physical changes in the human body, his mental state changes.Symptoms of patient torture in this case for a long time.At the same time, it hurts, as a rule, not just the back.
It happened that people came and said everything of mine, returning completely.You ask: something heavy?ARE NOT!And there is no clear localization.In this case, we can conclude that the patient has decreased pain threshold and a pain analysis, in the brain, constantly makes it feel.It can cause pain in such a patient: overwork, stress, and fear.
Anesthesia in this case will not help.Experts often prescribe antidepressants, physical education for patients with chronic pain, but sometimes enough to find a reason to use a psychologist or a psychiatrist.
A young woman complained about her back pain: Six months, he said, was tormented.I asked her to go to a psychologist and physical education.A few days later, she was completely healthy without taking any medicine.Psychologist helped her understand that the cause of pain: she had a family problem, physical education has helped relax.
At homeThe most effective remedy is anti -inflammatory oral medication.Just do not abuse it - they are only safe for the first time.With prolonged use, such drugs can cause ulcers and bleeding in the stomach lining.Traditional home treatment - ointment is not - can only be used as an additional measure.They are harmless, but not effective.Carsets also help reduce - fix the spine, reduce spasms and limit sharp motion.Only corset should be normal - elastic, not heat up.
If the treatment does not work for three days, you should consult your doctor will perform blockade by injecting anti -inflammatory drugs.Due to the elimination of muscles and relaxation, the pain left immediately and often forever.
Ban!
Bath and massage under strict ban.They enhance edema and pain.
Contact the manual therapists in the newspaper.Craft therapy is the area where each expert accounts for three hundred Charlatans.If you really want to find a good doctor, you should contact the clinic certified where postgraduate experts work.
It is important to immediately determine the exact treatment tactics.This should be done by a neuroscientist or a neurotransmath.It is dangerous to treat your back.30% of patients of the Department of Neurosurgery have tried home treatments and this took themselves to the hospital bed.
When the drug does not help
If the medication treatment stipulates that a therapist or a neurologist does not give results within 3-6 months and the pain continues to torture the patient, the doctor is obliged to transfer the patient to another expert.In some situations, physiotherapy may provide significant support.It is suitable for the first two types of pain: in receptors and nerves.Physiotherapy is prescribed for patients allergic to drugs or stomach problems.
Because of this, the treatment has passed, but it does not work, patients often come to us seriously, with depression, so we approach multi -disciplinary treatment, with the participation of different experts: neurologists, psychologists, physiologicalists, neurosur surgeons.
Among the methods that domestic physiotherapists are used, borrowed from Russian colleaguesStimulate the intracranial electrical.Its principle is that through a special needle electrode, skip the skin fence, to provide current, directly in the pain focus.The diagnosis in which this procedure is prescribed, including protruding and hernia.The procedures, according to experts, are comfortable and do not require pain relief.Effects, as prescribed, felt after the first procedure.In total, they are indicated from 3 to 6.
Also, it is usedLaser therapy.This technique is also convenient in that it can be prescribed for patients with different stimulants, including cardiovascular and not worried that failure will occur.Laser is used not only to treat diseases related to spinal problems, but also for treating complications of diabetes and herpes, discussed.
Laser promotes good healing.In addition, the device improves microcirculation in the spine itself and therefore, the power of the disks is improved.Therefore, edema and inflammation are removed, and pain, corresponding, disappearing.
Lockdown
One thing like "blockade" in medicine is not new.With severe pain, since the Soviet Union, the patient was prescribed in the area with direct focus.Since then, very little changes in regional clinics.Meanwhile, according to international recommendations, these processes must be performed monopoly in control and use of special equipment that allows you to monitor the process in real time.The consequences of unsuccessful injections may be very different: In the best case, the drug, introduced unnecessary, will not create the necessary effect, in the worst thing - this is full of serious complications.
The introduction of drugs should be performed under radioactive control: fluorescent laparoscopy, CT, MRI, ultrasound, because the drug is used in an intentional way in the area where the source causes pain.In case the doctor misunderstood, this is complete with the patient's breathing point and spinal anesthesia.
The nature of blockade is the drug introduced from a few months to six months to prevent the spread of the promotion through nerves, related to nerve impulses.Although this procedure does not guarantee the continuous efficiency, it significantly improves the quality of life of the patient: A person temporarily forgets the pain, can sleep calmly or go into his business.
Activity - eliminate pain
When drugs are not helpful - even the drug is not injected, when physical is not effective, the surgeons come to rescue.Modern technologies allow these experts to return to life without the pain of patients who have not been a year in a row.There are many methods: from operations with the minimum intervention in the body to complex surgical activities with the fake part of the vertebra.
With a hernia that is pinched into the nerve, one of the most popular and effective methods is recognizedCutting radio frequency.In fact, this is a type of blockade, just instead of a painkiller in just a while, an electric current used can completely solve the problem.Typically, the removal is done after blockade, thanks to the doctors who receive clear understanding of which nerves needed to affect.The procedure is provided both on the basis of paid and by quota.
The procedure is carried out within 20 minutes.It is called an activity, but in fact, it is a surgical operation performed under local anesthesia, necessarily under the control of special equipment.First, the pain syndrome is copied and, if the patient confirms that this is exactly the pain he often goes through, we will discharge - and pain, can be said, disconnected.
In special cases, the methods are usednerve stimulationAmong them is the implementation of the electrode.The patient is performed: The surgeon places a small device in the focus of the pain, which will prevent pain pulses in real time.Patients receive this procedure by quotas.
There are times when they have performed many different types of surgical interventions, but the pain syndrome has been preserved at one degree or the other, then we put a stimulant - first in the test mode and if we achieve the desired effect, we will put it well.This is an activity performed with a small cut.The only thing is that patients will need periodic tests for testing.
What we are at risk
The risk of activity, so it is postponed or refused, many patients think it is very exaggerated.In neurological surgery, there are technologies that allow you to accurately calculate the effectiveness of the activity and which symptoms will disappear after it and will still remain.
The probability of extending pain after surgery does not exceed 1 5.5%.Herbs in other places can actually appear, but this is not a complication, but the spread of the disease, often found in young patients who are not disciplined.As soon as the pain left, they returned to the usual lifestyle: they drove behind the steering wheel, continuing to practice.And this is impossible.
Does osteoarthritis have to blame everything?
Osteochondrosis is a change in chronic degenerative degeneration in Intervertebral space.Everyone over the age of 25 showed signs of osteoarthritis.It is impossible to avoid osteoarthritis, but you can protect yourself from its complications, causing back pain.
Why is that, and not different?
Do I need to spend time, effort and money for treatment: tablets, injections, physiotherapy, if you can immediately perform a small surgery and get rid of pain once and forever?- The patient asked this question more and more often.The answer is often unclear: Yes, you need!This is with accurate diagnosis and appropriate treatment, the units achieve activities.The rest escapes the pain in the first - medium support stage, 30% of patients at each stage are output.
A mistake when everyone saw a protruding or hernia in the picture, immediately ran to the surgeon, ignoring experts of previous support stages.In case of negligible changes, no need to operate.Moreover, with the right way of life - participating in physical therapy exercises, swimming, monitoring the body's weight - a person with osteoporosis can feel healthy and not painful.
It is important that at each stage, the patient has accurate diagnosis and accurate treatment is prescribed.This can only achieve universities.It is also proposed, according to the example of foreign experience, to introduce a new expert, such as a falseist, is a kind of painful therapy, a doctor with knowledge about a neuroscientist and anesthetist, capable of treatment, does not lead to surgery, but if surgical intervention will not transfer patients.