Clinical manifestations and drug treatment of intervertebral hernia

Clinical manifestations and drug treatment of intervertebral hernia

Symptoms of intervertebral hernia of the lumbar spine

Intervertebral hernia is a degenerative disease characterized by inflammation and deformation of the vertebral disc (displacement, destruction of the fibrous ring). In most cases, a hernia provokes serious disorders in the functioning of the spine, which are accompanied by severe pain. Treatment of intervertebral hernia can be both conservative (when diagnosed at an early stage of the disease) and operative (when diagnosed late and the disease progresses).

Main causes of pathology:

  • spinal injuries;
  • metabolic disorders and excess weight;
  • curvature of the spine;
  • infectious diseases;
  • exorbitant physical exertion;
  • constant stresses;

Factors leading to the development of a herniated disc of the cervical spine - osteochondrosis and spondylosis.

Stages of disease development

Before starting the treatment of the pathology, it is necessary to find out at what stage of development the disease was diagnosed. Its purpose will depend on this.

Stages of intervertebral hernia development: initial, prolapse, extrusion, sequestration.

The initial (protrusion) is characterized by the rupture of the fibrous ring. There are no external manifestations and structural deformations at this stage.

Prolapse. Significant disc displacement with impaired blood supply.

Extrusion. The nucleus extends beyond the disc in a lateral or posterolateral direction. The patient complains of pain and numbness. If the disease is detected at this stage, an operation to remove the intervertebral hernia is not yet necessary.

Sequestration. It is characterized by constant pain, impaired mobility of the spine and pinching of nerve endings.

Symptoms of intervertebral hernia of the lumbar spine

Clinical manifestations depend on the location of the hernia. The main symptoms of the disease:

  • pronounced pain syndrome;
  • increased muscle tension;
  • restriction of spine mobility;
  • decreased sensitivity in the affected area;
  • paresthesias, numbness, tingling.

The main symptom of an intervertebral hernia of the lumbar spine is an aching pain that radiates to the leg and thigh, as well as impaired gait.

Diagnostic measures

After collecting the anamnesis and examining the patient, the doctor will conduct special tests and check tendon reflexes.

Hardware studies: magnetic resonance imaging (MRI), computed tomography (CT), radiography, which will help rule out infections, tumors, and fractures. Based on the results of the examination, the doctor will prescribe treatment and monitor its implementation.

On our website https://dobrobut.com/ you can make an appointment for a consultation with the right specialist and undergo diagnostics. The specialist will decipher the data and tell how to treat intervertebral hernia without surgery. We remind you that conservative treatment is possible only if the pathology is detected early.

Treatment of intervertebral hernia, complications

Conservative treatment consists of analgesic and anti-inflammatory non-steroidal drugs. In some cases, the local application of corticosteroids is indicated. For the period of treatment, the patient is prescribed strict bed rest. At the initial stage, massage and physical therapy are prohibited. Finalgon ointment and alcohol tincture of pepper can be used as additional therapy.

Remedial exercises for intervertebral hernia of the thoracic region and massage are prescribed after the pain syndrome is relieved. A rehabilitation specialist will help you choose a set of exercises aimed at improving blood supply to the disc and stretching it.

Surgical treatment for patients with a hernia is prescribed in the presence of neurological disorders and in the absence of results after conservative therapy.

Methods of surgical therapy:

  • laminectomy;
  • endoscopic removal;
  • microdiscectomy.

The operation is performed under general anesthesia. The postoperative period is from 10 to 14 days.

Complication of the disease. The main danger is damage to the spinal cord and nerve endings. An intervertebral hernia in the third and fourth stages can disrupt the sensitivity of the skin and the physiological mobility of the limbs, as well as provoke paralysis. Timely diagnosis and full treatment will help to avoid this.

Prevention

According to doctors, all preventive measures to prevent osteochondrosis are relevant. An active lifestyle, regular exercise classes, swimming, rational nutrition and timely treatment of diseases will help preserve the health of the spine. In addition, watch your weight and avoid stress.

You can learn more about the prevention and treatment of the disease with folk remedies at a personal appointment. The doctor will answer questions and tell you how to relieve pain in the case of an intervertebral hernia of the sacral spine at the initial stage. In addition, the center offers diagnostics and a rehabilitation course (therapeutic exercises, massage, physiotherapy).

Related services:
Remedial physical education (PE)
Massage

Updated: 04.04.2025
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Doctors who advise on this issue:
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Kovalenko Inna Dmytrivna
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Buimister Tetiana Hryhorivna
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Myts Yaroslav Volodymyrovych
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Dzhumik Valentyna Anatoliivna
Dzhumik Valentyna Anatoliivna
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Puhach Bohdan Anatoliiovych
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