The disk (lProlapsus nuclei, prolapsed disk, disk also, BSP) is a disease of spine where parts of disk into spinal canal - the space where the spinal cord is - to step forward. In contrast to disk protrusion (bulging) prolapse of annulus fibrosus of disk (spinal disc herniation Ashburn VA) is torn completely or partially.
Typically, herniated disks causing back pain (lumbago) with or without radiation into legs (sciatica) or in arms (brachialgia). Depending on the severity of symptoms it can also lead to numbness or muscle failure in supply area of pinched nerve root. A herniated disk can lead to a positive characters and Kernig's sign. In extreme cases, it can cause a spinal cord injury, thereby z. B. A chair and / or urinary incontinence and a saddle anesthesia occur.
Disk are bradytrophic tissue, that is, they are not supplied directly from the bloodstream out with nutrients through diffusion. This play semipermeable membranes that separate the cartilaginous rings of each other, the decisive role. By shear forces, these membranes can tear, thereby losing their function and the disk in addition to nucleus pulposus of disk (nucleus pulposus) dries (black disk lesion).
Hernia (herniations of intervertebral disk) - is offset nucleus pulposus of intervertebral disk rupture of fibrous ring. The most common herniated disks of lumbar-sacral spine (150 cases per 100 000 population per year), much less seen herniations in cervical spine, the most rare - in thoracic region. Though relatively rarely require hernia surgery, nevertheless in US annually, more than 200 thousand, and 20 thousand interventions. In 48% of cases of hernia are localized at the level of L5-S1 lumbosacral in 46% of cases - at the level of L4-L5, the remaining 6% on other levels or at several levels of lumbosacral.
In most cases, the symptoms of herniated subside within six weeks after their arrival, into remission, and surgery is not required. The study Vroomen and colleagues (2002) found that 73% of patients marked improvement occurred without surgery within 12 weeks after the onset of symptoms. Surgical treatment of herniated disks should be considered only as a last resort, and only after unsuccessful attempts to conservative treatment, which could not take control of pain.
There are various causes for disk: lying genetic weaknesses, one-sided strain or weakness of paravertebral, that is next to vertebrae, muscles. The only accident or injury-related damage to disk has not yet been proven to be the cause - the contradictory arguments are of professional associations and social courts rarely recognized.
By modern methods of conservative treatment herniated disks is also multifunctional therapy electrodes (pulsed radiofrequency technology). In addition to basic treatment, are used as therapeutic exercise. Acupuncture for pain treatment did not show significant efficacy when compared with placebo. Good results show traction therapy. In this case, under the influence of vacuum created inside the disk, the nucleus pulposus is drawn in and the size of hernia is reduced. Indications for surgical treatment of intervertebral disk herniations.
Surgical treatment of intervertebral disk herniations is performed mainly in development of neurological disorders and pain syndrome resistant to conservative therapy. In event of compression of cauda equina (severe pain at the back of thigh and lower leg, severe pain in lower abdomen, worse when coughing; incontinence, violation of potency) need emergency surgery.
Typically, herniated disks causing back pain (lumbago) with or without radiation into legs (sciatica) or in arms (brachialgia). Depending on the severity of symptoms it can also lead to numbness or muscle failure in supply area of pinched nerve root. A herniated disk can lead to a positive characters and Kernig's sign. In extreme cases, it can cause a spinal cord injury, thereby z. B. A chair and / or urinary incontinence and a saddle anesthesia occur.
Disk are bradytrophic tissue, that is, they are not supplied directly from the bloodstream out with nutrients through diffusion. This play semipermeable membranes that separate the cartilaginous rings of each other, the decisive role. By shear forces, these membranes can tear, thereby losing their function and the disk in addition to nucleus pulposus of disk (nucleus pulposus) dries (black disk lesion).
Hernia (herniations of intervertebral disk) - is offset nucleus pulposus of intervertebral disk rupture of fibrous ring. The most common herniated disks of lumbar-sacral spine (150 cases per 100 000 population per year), much less seen herniations in cervical spine, the most rare - in thoracic region. Though relatively rarely require hernia surgery, nevertheless in US annually, more than 200 thousand, and 20 thousand interventions. In 48% of cases of hernia are localized at the level of L5-S1 lumbosacral in 46% of cases - at the level of L4-L5, the remaining 6% on other levels or at several levels of lumbosacral.
In most cases, the symptoms of herniated subside within six weeks after their arrival, into remission, and surgery is not required. The study Vroomen and colleagues (2002) found that 73% of patients marked improvement occurred without surgery within 12 weeks after the onset of symptoms. Surgical treatment of herniated disks should be considered only as a last resort, and only after unsuccessful attempts to conservative treatment, which could not take control of pain.
There are various causes for disk: lying genetic weaknesses, one-sided strain or weakness of paravertebral, that is next to vertebrae, muscles. The only accident or injury-related damage to disk has not yet been proven to be the cause - the contradictory arguments are of professional associations and social courts rarely recognized.
By modern methods of conservative treatment herniated disks is also multifunctional therapy electrodes (pulsed radiofrequency technology). In addition to basic treatment, are used as therapeutic exercise. Acupuncture for pain treatment did not show significant efficacy when compared with placebo. Good results show traction therapy. In this case, under the influence of vacuum created inside the disk, the nucleus pulposus is drawn in and the size of hernia is reduced. Indications for surgical treatment of intervertebral disk herniations.
Surgical treatment of intervertebral disk herniations is performed mainly in development of neurological disorders and pain syndrome resistant to conservative therapy. In event of compression of cauda equina (severe pain at the back of thigh and lower leg, severe pain in lower abdomen, worse when coughing; incontinence, violation of potency) need emergency surgery.
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