Disc Hernias

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The vertebrae (Columna vertebralis) is a column formed by the stacking of 33 vertebrae / vertebrae and their interconnection . Among the vertebrae, there are discs connecting the vertebrae. These are called intervertebral disc . These discs act as pillows between the vertebrae. Degenerative changes occurring in the discs or a frequent sudden trauma causes the discs to rupture or slip through the vertebrae. Disc injuries can show olochum at any level of the vertebrae. This condition is called disc hernia (hernia) . Disc hernias are seen as neck hernia (Cervical Hernias) and herniated disc (Lumbosacral Hernias) in the neck and waist regions.

Etiology of Disc Hernias

  • Sudden drops
  • Slip traumas
  • Sudden and severe traumas
  • Sudden and harsh, uncontrolled movements
  • Removal of heavy materials in the wrong position
  • Doing heavy work that requires physical strength
  • Small but long-lasting traumas in everyday life that compel the waist region
  • Occurrence of some structural disorders that may occur in discs due to age taking
  • Weakening of muscles and obesity, development of disc hernias

Neck Hernia / Cervical Hernia

The neck is the most complex joint structure of the human body and the most mobile part of the spine, protecting the carotid and vertebral arteries, spinal cords and spinal nerves.

Neck Hernia / Cervical Hernia Symptoms and Findings

  • In individuals, pain and stiffness occur in the areas where the nerve roots from the neck vertebra, where hernia formation occurs, are distributed. Pain starting from the neck; It progresses to the arms, forearms and fingertips.
  • Drowsiness, weakness in the arms and muscle atrophy occurrences are observed spreading from the neck to the arm and to the hands.
  • There is tenderness in the vertebrae and vertebrae.
  • Decreases or losses in reflexes may occur.
  • Motor deformations and sensory disorders occur.

Neck Hernia / Cervical Hernia Diagnostic Methods

  • Clinical evaluations are made.
  • Neurological examination is done
  • The request for bidirectional cervical spine is performed
  • EMG is requested and checked
  • Myelography is requested and necessary examinations are done
  • The final diagnosis is made according to the results of Computed Tomography and MR shots.

Neck Hernia / Cervical Hernia Treatment

Firstly, medical treatment should be applied. In permanent pains that do not respond to medical treatments, if total or partial spinal cord injuries have occurred, surgical treatment should be applied in cases of progressive or acute apparent loss of strength.

Waist Hernias / Lumbosacral Hernias

90% of hernia formations occur in the lumbar region. The main reason for this is that discs in the lumbar region are more frequently exposed to trauma than other regions. Formation of lumbal disc hernias is frequently seen at L4 / L5 and L5 / S1 levels. Depending on these formations, compression occurs in L5 or S1 roots.

Hernia / Lumbosacral Hernias Symptoms and Findings

  • Individuals experience severe back pain. These pains can spread to the hips and legs. The distribution of pain varies according to the affected vertebral ranges. Pain can be exacerbated by coughing, sneezing, and coercive actions.
  • Movement restrictions are generally observed in individuals with hernia complaints.
  • Numbness in the legs and sensory losses occur.
  • Advanced weaknesses and sometimes atrophy are observed in one leg or both legs.
  • Significant spasms occur in the lumbar region and back regions.
  • As a result of pain and contractions, individuals’ posture disorders may occur in their body.
  • Individuals may have difficulty in standing and walking in daily life.
  • Muscle sensitivities occur during exams.
  • Patients’ reflexes may decrease or disappear as well as show a slight onset and experience increases over time.
  • Motor disorders and sensory deformations may occur.

Hernia / Lumbosacral Hernias Diagnostic Methods

  • Clinical evaluations are made.
  • Neurological examination is done
  • The request for bidirectional cervical spine is performed
  • EMG is requested and checked
  • Myelography is requested and necessary examinations are done
  • The final diagnosis is made according to the results of Computed Tomography and MR shots.

Herniated Disc / Lumbosacral Hernias Treatment

Patients with Lumbosacral Hernia who have Lumbar Hernia are firstly given physical therapy that supports and protects individuals. In supportive and preventive treatments patients should be kept as stabilized as possible. Patients should be offered bed rest in orthopedic or hard beds (not buried). Heavy lifting, sudden and hard movements should be prohibited to the patient as much as possible. Patient education should be provided about the hernia / Lumbosacral Hernia physiotherapy and detailed information should be provided near the patient. In permanent pains that do not respond to medical treatments, if total or partial spinal cord injuries have occurred, surgical treatment should be applied in cases of progressive or acute apparent loss of strength.

NOTE: The content is for informational purposes only and diagnosis and treatment should not be performed by only looking at this information.

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