Hernia; It is the rupture of the cushions (disc) sheaths between the vertebrae, and the aqueous cartilage part of the pillow goes out of the pillow and crushes the spinal cord and/or nerve root behind it.
Already “hernia” refers to displacement. Every organ in the body has a specific place. If an organ displaces or disturbs another tissue or organ, this is a hernia. Example: If the intestines in the abdomen rupture the anterior wall and enter the abdominal wall, it is called an abdominal hernia.
The rate of herniated disc among low back pain is 4%. The rate of herniated disc among leg pains is 70%. If the lumbar hernia has not burst, the rate of surgery is 2%. When it is said that the lumbar hernia has burst, the rate of surgery is 25%.
The rate of emergency surgery in lumbar hernia is below 1%.
Lumbar hernias that do not require surgery “HEAL BY THE BODY ON ITSELF”.
THE MOST SUITABLE PAIN RELIEF MODEL IS SELECTED ACCORDING TO THE PATIENT…
This model option is pain reliever. If the patient's nerve is not crushed, if you stop the pain, the body's defense system will resorb the part coming out of the pillow (disc), that is, clean it. The only next method of prevention is exercise.
According to the patient, his expression is very important. Because what to do with each patient is decided according to the form of the complaint, the result of the examination and the shape of the hernia in the film. Not every patient is treated the same. For this reason, the fact that the doctor is the person who knows all the treatments results in the patient receiving the most correct treatment.
The part coming out of the torn disc (the intervertebral pillow) does not often “squash” the nerve. This is very easy to detect on examination. Presence of a large disc, ruptured or ruptured hernia in MRI is not evidence for nerve crushing. In other words, you have a ruptured hernia, it can be seen on MRI, the sentence "Your spinal cord is being crushed" is incorrect, the correct statement is "crushing". For this, the doctor examines and decides. Because MRI is two-dimensional, this mistake is made because it does not see the third dimension. EMG is the method we use in few patients. The main thing is inspection.
SO WHICH MODEL TO CHOOSE?
In a patient with a complaint of "leg pain", it is the correct method to cut root pain by injection. Injection is a mini-surgical approach. Must be competent. Being a surgeon greatly reduces the bad consequences that may occur. It is not a completely side-effect-free method.
In those with low back pain complaints, direct heating (hot water in a Thermophore) or Physiotherapy methods with methods such as Intradiscal Radiofrequency, Laser, Ozone are more accurate.
If there are reasons such as low back mobility (instability) or sacroiliac pain, interligamentous pain, the main diagnosis is not hernia in people with low back pain, the situation is different, your doctor should definitely distinguish them. Manual therapy is appropriate if it is acute and occurs for the first time. Permanent treatment of the disease is more accurate in people with long-term pain and/or recurrent pain, not manual therapy. Otherwise, the above treatments are applied, but the patient does not recover or gets better, but after a week the pain starts again.
Most of the diseases that cause low back pain, which are very few of the above, have "no image in MRI", but hernia has an image whether it causes pain or not. There is a hernia, but the pain is not from here, can something like this happen? It happens very often. This is perhaps the biggest trap for doctors...
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