Tuesday, 15 October 2013

Lumbar disc herniation

A lumbar herniated disc is a slip of the intervertebral disc at the end of the column , most often in the space between L5 and S1 .

Symptoms of lumbar disc herniation

The symptoms of lumbar disc herniation can be :

Back pain at the end of the column , which may radiate to the back or front of one of the legs ;
It might be difficult to move ;
There may be numbness, burning or tingling in the back , buttocks or legs .
The pain may be constant or worsen when performing movements .

The diagnosis of lumbar disc herniation can be done based on the presented symptoms and tests such as MRI or CT scan ordered by an orthopedist .

Causes of lumbar disc herniation

The causes of lumbar disc herniation may be related to structural changes in the spine or due to accidents , poor posture or weight lifting , for example.

Treatment for lumbar disc herniation

The treatment for lumbar disc herniation can be done with the use of medications , physical therapy , and in severe cases , surgery .

Treatment time varies from person to person , according to the symptoms it presents and its daily routine .

Physiotherapy for lumbar disk herniation

Physical therapy for herniated lumbar disc helps relieve symptoms caused by the disease and recover movements . It may be performed daily, or at least 3 times per week.

Devices can be used to control pain and inflammation , and exercises to strengthen the back muscles and the abdominal region , indicated by the physiotherapist . Moreover , one can resort to osteopathy , 1 time per week , with a specialist physiotherapist or osteopath .

Depending on the state of health of the patient can perform some Pilates exercises and global postural reeducation - RPG , under supervision , but weight training exercises are contraindicated in most cases . Bodybuilding exercises can generally only be performed when there are no symptoms , but under medical guidance and supervision of the physician.

herniation


Surgery for herniated lumbar disc

The surgery for herniated lumbar disc can be made with laser or by opening the column. The surgery is delicate and is indicated when other forms of treatment have not been enough to cure herniated disc .

The risks of surgery include worsening of symptoms due to the scars that are formed by compressing the sciatic nerve, and so this is not the first choice of treatment. The recovery during the postoperative period of the surgery is delayed and the individual should remain resting in the early days , avoiding efforts .

Physical therapy for lumbar disc herniation usually begins after 15 to 20 days after surgery.

Lumbar disc herniation is curable ?

A herniated lumbar disc has not always cure because it depends on factors such as degree of injury , age and treatment that the individual can do . Often a herniated disc is not cured but the symptoms disappear and the individual can have a normal life .

Depending on the severity of the herniated disc and the profession of the patient , in some cases he may retire on disability .