Gratitude and congratulations for the “Health Workshop”! On these holidays, Defender of the Fatherland Day and March 8th, I ask you to congratulate everyone and especially the wonderful doctor V.L. Egorov, the wonderful D.E. Vetrov, Alekhintseva S.E., Stepanov E.A. and all the treatment room staff, Alexandra and her entire team. I wish you all health, always a good mood, fulfillment of desires, success in your career and great personal happiness. With gratitude, V.I. Belyaeva

Belyaeva V.I., 72 years old

I suffered from chronic pain for 8 months, in the clinic and hospital they brushed it off or made vague diagnoses, despite all the information I provided... Viktor Anatolyevich is a doctor who accurately diagnosed my problem in as soon as possible. Professional skills such a highly qualified specialist is something that I have been critically lacking for a long time. Thanks a lot to the doctor and all the clinic staff!

McLashin B.

I express my deep gratitude to the attending physician Elena Vladimirovna Khislavskaya! Long and painful trips to the district clinic and the consultation center of the Kalininsky district led to nothing; none of the doctors could diagnose accurate diagnosis, they didn’t find anything, they just shrugged it off, and some of them were sent to a psychotherapist. I was getting worse and worse. How last hope There was this clinic, I ended up with Elena Vladimirovna. She was so attentive to my problem, correctly diagnosed (Tittze syndrome), prescribed treatment, and little by little I began to get out. I believe that only her sensitive attitude towards people and her desire to understand gave results. Since the disease was advanced, treatment lasted for 2 months and then recovery after discharge. Yes, it costs money, but taking into account the fact that going under compulsory medical insurance and even under paid specialists other clinics did not bring results, it is definitely worth it. I was returned to normal life in a way that can be measured! I would like to say a special thank you to orthopedist Rustam Fanilievich, he performed the blockade very carefully and accurately. I also express my deep gratitude to the massage therapist Sergei Nikolaevich Guberniatorov, he has golden hands. And to all the clinic staff for their friendly and sensitive attitude!

Olga, St. Petersburg

I express my gratitude to the clinic team for their respectful and attentive attitude to patients. I would like to separately thank such doctors as Soboleva Svetlana Nikolaevna, Kustova Marina Anatolyevna, Akhmadullina Tamara Nurievna, Chernov Andrey Aleksandrovich for their professionalism, kindness of heart and great skill. It is a great blessing that such competent, skillful and talented, caring people work exactly where they are needed most. I wish prosperity and well-being to your clinic and the specialists who work in it.

Kudryavtseva Natalya Pavlovna, 65 years old

Passed course treatment in the “Health Workshop” and in particular with Stanislav Vladimirovich. I want to express my deep gratitude for the help provided to me, for your golden hands. A very attentive and sensitive doctor, taking into account my diagnosis (hernia, protrusion, etc.), used gentle techniques and after each session my health improved and my life got better, I couldn’t wait to see him so that he could ease my suffering. Stanislav Vladimirovich, thank you very much, I will definitely recommend you to those who need the same help.

Love

Was treated by Lisina E.A. I'm very pleased. She saved me from nervous breakdown, healed me. Problems with the hip joints. She prescribed plasma therapy. I am very grateful to her. All clinic staff are polite and attentive. All the medical staff are excellent workers. I am very grateful to all the employees of the Health Workshop. I also thank Alexander Sergeevich Kryukov, who immediately understood my condition and handed me over to E.A. Lisina.

Kharevich Lyudmila Vladimirovna

Doctor Kryukov Alexander Sergeevich. Thank you for the consultation and prescribed treatment. Very competent, knowledgeable and attentive doctor. Thank you!

Pleskovskaya Elena Vyacheslavovna

I would like to thank from the bottom of my heart the entire team of the “Health Workshop” at 224B Moskovsky Prospekt. Absolutely everything: both doctors and administrators are very attentive and professional. I received the treatment I wanted. I will definitely contact you again to maintain my current - very good condition - of the musculoskeletal system. I would especially like to thank neurologist E.A. Lisina, hirudotherapist G.V. Lapin, chiropractor Daskovsky S.V. and physiotherapist D.T. Gvirdzhishvili It's just a pleasure to meet and work with them. Thank you!

Alekseeva Yana Vladimirovna

I would like to thank Stanislav Vladimirovich for his professionalism, humanity and sensitive attention to patients. A huge thank you to this doctor! Stanislav Vladimirovich is simply a super doctor, I wish there were more such knowledgeable doctors.

Larisa Ivleva

Here is my lifeline - “Health Workshop”: my legs can’t walk, my back hurts, my head is ringing. I accidentally heard about this clinic on the radio and this is the second time I have visited it. I enter and find myself in the kingdom of silence, peace and hope, if not cured, then at least improve my condition. Nice, charming girls-consultants greet you with kind greetings. They patiently listen to your questions and fill out necessary documents and escorted to the attending physician. During the waiting period, you are offered to watch help videos on TV and drink a cup of coffee or tea. And all fears are behind us! Thank you, dears. Without your well-coordinated work, attentive, friendly attitude towards the patient, there would be no such effect from the visit. And here is the first meeting with the doctor. I was lucky, and I think others were too. I met with a real magician, who with just one word gave me confidence that I needed treatment. This is Egorov Vladimir Leonidovich. Who in our district clinics would talk with a patient for an hour? Nobody! And Vladimir Leonidovich listened to me carefully, explained the essence of the disease - osteoporosis of the spine, and then spent the same amount of time selecting necessary treatment. I am grateful to you, dear doctor, congratulations on the upcoming New Year and wish you health and creative success. I communicated with the same wonderful doctors, professionals in their field, very kind and attentive, while undergoing procedures. This is Alekhintseva Svetlana Evgenievna, Stepanova Elena Anatolyevna, Akhmadullina Tamara Nurievna, exercise therapy doctor and, of course, chiropractor Rakhmatov Tolmas Turaevich. This is a doctor from God. His warm hands do miracles. Thank you all for your conscientious work and respect for ordinary people. I would like to say a special thank you to the entire treatment room team. The work of nurses cannot be compared with anything in terms of difficulty and responsibility. And how sensitive, attentive and kind they all are... Forgive me for those I didn’t mention in my message. The whole team works just fine. Happy New Year to the entire clinic team! I wish you health, personal happiness, creative success, grateful patients.

Kalinova A.V.

Many thanks to Stanislav Daskovsky!!! A professional in his field with a capital P!!! My entire spine has numerous hernias and protrusions; for many years it simply hurt to walk. I went through six sessions of manual therapy and felt like a completely different person: the sharp pains went away, my back really straightened (I didn’t even think that I could bring my shoulder blades together again like in my youth), lumbar region It was as if a second wind had opened. Take care of your hands Stanislav, they are not “simple” for you. Best regards, Alexey Seregin.

Alexey

I want to say Thanks a lot to all employees of the Health Workshop clinic for their attentive attitude towards patients. I especially want to mention my attending physician E.V. Khislavskaya. and chiropractor A.A. Kabaylov I came to the clinic with acute pain in the groin and lower back. After complex treatment I feel much better. Thank you!

Grigorieva Elena Leonidovna, 62 years old

I thank all the medical staff for their attention, kindness and competence. Very grateful to everyone.

Khaigonina Lyubov Fedorovna

I express my gratitude for your sensitive handling. Special thanks to Elena Vladimirovna Khislavskaya and Angel Ankhelivich Kabaylov.

Sosedova Lidiya Eduardovna

I would like to express my gratitude to your staff for their ability to organize attention and care for the patient.

The appearance of the first signs dangerous disease It is not always possible to notice immediately. The pain will increase, without treatment the intervertebral disc will continue to deform, so a herniated lumbar spine - symptoms of the disease - requires a careful approach to study. Until recently, a healthy, able-bodied person was suddenly limited in his movements and forced to endure pain and discomfort. What other symptoms of a lumbar hernia may indicate the development of the disease?

What is a lumbar disc herniation?

arise painful sensations can in a strictly defined place - lower section spine, which is considered a feature of the disease. Pain between vertebral hernia lumbar region are not the only symptoms, they are often accompanied by stiffness. When it ruptures under the influence of an uneven load, a hernia of the lumbar spine appears: part of the nucleus pulposus (jelly-like substance) protrudes. The resulting deformation puts pressure on the nerve root, which causes acute pain, and lifting the body is very difficult.

How to identify a lumbar disc herniation

A neurologist will help you understand the nature of the pathology. Patient complaints of back pain after physical activity or being in an uncomfortable position are the first factor that is taken into account when diagnosing an intervertebral hernia. The pain manifests itself in varying degrees of intensity, and is accompanied by symptoms similar to osteochondrosis, such as muscle weakness, numbness, goosebumps. The progression of the pathological process leads to compression of the spinal canal, and then the disorder can become a cause severe complication- paralysis of the legs.

To make a diagnosis, the doctor must conduct external inspection. Since the protrusion of the nucleus pulposus may be located in a certain area of ​​the spine (between the 4-5 lumbar or 5 lumbar and 1 sacral vertebrae), a curvature of the spine will be noticeable. If you take a photo, you will see a stoop, a change in posture, the person begins to hunch over. Loss of sensitivity, the appearance of a number of local signs of intervertebral hernia - all this helps to establish a preliminary diagnosis, and then additional diagnostic measures.

Symptoms

The main symptom of a herniated lumbar spine is pain. At the same time, the localization and intensity of pain is influenced by the direction of protrusion of the nucleus pulposus, which can be lateral or posterior. The size of the hernia itself also contributes to the appearance of associated symptoms, including the following:

• lumbar stiffness;
• lumbago (lower back, buttocks, legs, feet);
• limitation motor functions(difficulty turning the body, tilting, raising the hip);
• numbness, tingling in the legs;
• burning sensation on the skin;
• dizziness, headaches;
• disruption of the intestines and bladder;
• atrophy of the muscles of the lower extremities.

Pain

Any stage of a dangerous disease - from the initial to the advanced stage - will be accompanied by the presence of the main symptom. Painful sensations will only change their nature, location of occurrence, intensity, manifesting themselves independently or in combination with other signs of intervertebral hernia. At first, it is a dull, slight pain in the lumbar region, which is a projection of the damaged disc. The initial stage responds well to treatment, but if the disease progresses, then a sharp, shooting, aching pain appears when moving or even when sneezing or coughing.

Symptoms in women

A pathological process can form and develop not only due to weight lifting. A sedentary lifestyle is another factor that provokes the onset of the disease, while the main symptoms of a lumbar hernia in women are no different from the symptoms in men. The only difference is that pathology affects the condition reproductive function and exacerbation gynecological diseases.

Symptoms in men

According to statistics, representatives of the stronger sex are more likely to encounter a dangerous illness. Symptoms of intervertebral hernia of the lumbar spine in men are clearly expressed; in the absence of treatment, dysfunction is added to pain, stiffness, and limitations hip joints, weakening of the muscle corset leads to a change in the patient’s posture, inflamed nerves can cause frequent urge to urination. Reduced potency in men also serves additional feature intervertebral hernia of the lumbar spine.

Signs of intervertebral hernia

Pathological changes will not start to bother you right away; acute pain syndrome will appear after some time. Although at the initial stage, when the volume of protrusion of the jelly-like nucleus is still small and the risk of complications is minimal, a hernia of the lumbar spine is a source of discomfort. Evidence of the presence of pathology are signs such as numbness, weakness of the leg muscles, and a tingling sensation. Cases when patients experience an alternation of internal and external signs of a dangerous disease are not uncommon.

First signs

If the late stage of lumbar intervertebral hernia is characterized by the appearance radicular syndrome, then at the initial – clinical signs diseases may be absent or mildly expressed. Pathology of the pulpous cartilaginous ring is preceded by a long process, provoked by insufficient nutrition of the disc, which loses its shock-absorbing properties. The first unpleasant “bell” indicating a hernia is sharp pain, limiting freedom of movement, when you cannot independently rise from a position lying on your back or get up from a chair.

Diagnostics

To choose the right treatment method, select a rehabilitation program, help restore the patient’s health and mobility with the help of special complex exercises, the doctor must make a correct diagnosis that does not raise doubts. Symptoms of a lumbar spinal hernia are similar to some other diseases, for example, pelvic organs or ankylosing spondylitis, so the results of the following diagnostic methods may be required before starting therapy:

• MRI (magnetic resonance imaging);
• ECG (electrocardiogram);
• Ultrasound ( ultrasound examination);
• laboratory tests blood, urine.

Treatment

The course of therapy is prescribed by a neurologist on an individual basis! When choosing the right direction, gender, age, diagnostic indicators, and external examination will be taken into account. The attending physician may have basic treatment methods (conservative, surgical) and a number of additional procedures (massage, resonance wave therapy, acupuncture, hirudotherapy). The duration of treatment for non-advanced stages of the disease is from three to six weeks.

Surgical treatment (surgery) is rarely used, provided that the lumbar hernia could not be cured with medication. The surgeon's manipulations are carried out under the influence general anesthesia to remove protrusion, reduce the risk of complications on muscles, bone inflamed area apply modern techniques(laminectomy, microdiscectomy). After removing the inflammation, you must follow the instructions of specialists for a week, and then follow preventive measures.

Conservative (drug) treatment is considered the main one, and the use of one or another type of drug depends on the stage, signs and associated symptoms. For the treatment of lumbar hernia, the following are used:

• non-steroidal anti-inflammatory drugs (Ibuprofen, Diclofenac, Baralgin);
• novocaine blockade with the addition of corticosteroids (done locally to quickly relieve pain);
• chondroprotectors for the restoration of cartilage tissue (Chondroxid, Alflutop, Structum);
• general muscle relaxants (Mydocalm, Sirdalud);
• vitamin complexes with a high content of group B for the restoration of nerve tissue (Neurovitan, Milgamma, Neurobeks).

Additional methods (physical and manual therapy, acupuncture, exercise therapy, hirudotherapy) are used in the subacute or recovery period, this helps restore mobility to the body. Required condition so as not to damage problematic disks with your actions: carry out alternative methods Treatment must be under the supervision of a specialist.

Video

Intervertebral hernia lumbar disc is a change in the intervertebral disc of a degenerative nature, characterized, first of all, by a violation of its structure and integrity. The human spine is formed by a column of 24 vertebrae, and between them are intervertebral discs. Each such disc consists of a fibrous outer flexible ring and a nucleus pulposus (this jelly-like substance fills the central part of each disc).

Intervertebral hernia of the lumbosacral spine is recognized as the most common pathology of this part of the spinal column. This is due to the distribution of the load, which falls mostly on the lower back, as well as various traumatic factors, heavy lifting, prolonged static load and other factors. The pathology manifests itself when, as a result of rupture of the fibrous ring, the jelly-like part intervertebral disc protrudes beyond its physiological boundaries and begins to put pressure on the nerve endings. This explains the symptoms that occur with a herniated spine - pain that significantly limits the patient’s physical activity, and in some cases even leads to disability.

Intervertebral hernia of the lower back is the most common pathology of this part of the spinal column

Advice! Don't delay visiting the doctor! After all, if you detect signs of a hernia in a timely manner and consult an orthopedist, you will be diagnosed in time. This means that a herniated lumbar spine can be completely cured, that is, the disc can be restored without surgery, with the help therapeutic methods treatment.

However, unfortunately, the disease is often noticed by the patient in the later stages. And this leads him to acute excruciating pain syndrome, which is localized in the lower back and radiates to the leg.

And if the disease is not treated, it will gradually lead a person to limited mobility. The disease may be accompanied by stool disorders, urination disorders, decreased sexual desire and potency. Rupture of a hernial protrusion is often accompanied by complete paralysis of the legs - only one or both.

Reasons

The main reason for the formation of an intervertebral hernia in the section in question is considered. However, there are other reasons predisposing to the development of this condition:

• violation metabolic processes in the body;
• various types of injury, to a greater extent - in road accidents, namely after a sharp jerk of the head forward;
• excessive physical activity, heavy lifting (especially jerking), excessively sharp bends;
• pathology of the hip joint, curvature of the spinal column - in particular;
• obesity;
• in some cases - structural changes spinal column with tumor processes, congenital anomalies, syphilis.

There are also many associated factors:

• weakness of the back muscles;
• infections;
• physical inactivity;
• bad habits;
• age-related changes;
• hereditary factors;
• profession involving long stay in a “sitting” position (secretary, crane operator, driver, programmer, etc.).

Important! The listed factors lead to accelerated aging and rapid wear of tissues - cartilage and bone - and this subsequently becomes the cause of the formation of intervertebral hernial protrusion.

Types of lumbar hernia

Lumbar hernia is usually divided into two types:

1. L4-L5 – when the nerve root is pinched between the lumbar vertebrae 4 and 5;
2. L5-S1 – infringement occurred between the 1st sacral and 5th lumbar vertebrae.

This is interesting! The so-called Schmorl's hernia of the lumbar spine occurs due to a breakthrough of cartilage tissue that occurs inside the vertebra from the intervertebral disc. That is, there is a depression of the cartilage into the bone (vertebral micro-fracture). This phenomenon can occur due to fragility bone tissue, for example, at .

Signs of the disease

With a hernia of the localization in question, the following symptoms may be observed:

• intense pain in the projection of the sacrum;
• feeling of “heavy legs”, general weakness;
• pain that intensifies while walking and radiates to the thigh area;
• stiffness of movements;
• V advanced cases– disturbances in the physiological functioning of the genitourinary organs;
• local numbness in the lower extremities.

The pain syndrome “evolves” as the disease develops as follows:

1. At the initial stage of development of the pathology, the pain is dull and aching in nature, localized only in the lesion, intensifies with exercise and may be completely absent at rest.
2. The pain increases, spreading to the lower back muscles.
3. The process also involves lower limbs, the patient’s legs hurt, the pain is sharp with “shooting”. May affect different departments legs, crotch.

The pathological process occurs in the following stages:

1. Prolapse – minimal displacement. The disc, in the absence of any deformation, can return to its place. The manifestation of pain syndrome is insignificant.
2. Protrusion. The disc is still limited by the vertebral bodies, but has already undergone one more, additional displacement after it has already been displaced.
3. Extrusion and sequestration. Between the vertebrae the nucleus, displaced outward, sags. Subsequently, the capsule breaks and its contents flow out.

Without treatment, as the hernia progresses, the patient often develops lumbodynia of the spine in the lumbosacral region. Its symptoms are acute “shooting” pain, instantly aggravated by minor movements and limitation of general mobility for a long period. The patient is sometimes in this state within a few weeks.

Treatment

One of the components of therapy of this disease is its drug treatment.

• Drugs from the NSAID group (Nonsteroidal anti-inflammatory drugs) suppress the activity of the enzyme that causes pain at the site of inflammation. Such drugs include Ibuprofen, Indomethacin, Nise, Meloxicam.
• Actovegin, Berlition and Pentoxifylline are well suited to increase the speed of lymph flow and blood flow in the edematous focus.
• With the help of muscle relaxants it is possible to relieve muscle spasms: Tizanidine, Mydocalm, Sirdalud, Diazepam, Tetrazepam.
• To stimulate the restoration of cartilage tissue, chondroprotectors are indicated: Artron complex, Chondrolon and others. The duration of the course is determined by the attending physician.
• How to treat a spinal hernia locally is determined by the severity of the symptoms and the nature pathological changes. Products intended for local application– these are ointments, compresses, and gels. And in case of infringements, it can even be an injection blockade with corticosteroids and novocaine. In general, many local remedies contain novocaine, as well as dimexide.
• Therapeutic gymnastics, as well as physical education (or, as it is called for short - exercise therapy - for a hernia of the lumbar spine) should always be carried out under the strict supervision of a specialist, especially for the very first classes. After all, without meaning to, a patient engaged in physical therapy for a hernia can aggravate the process by performing the exercises incorrectly. A number of exercises are aimed at stretching the spinal column along the vertical axis. Through traction, the intervertebral spaces widen and the disc returns to its physiological position.

Pay attention! The video at the end of this text demonstrates the basic principles by which exercises are performed for a herniated lumbar spine.

• A good remedy that alleviates the condition of a patient with a herniated lumbar spine, and sometimes helps restore the anatomical position of the disc, is massage, which should only be performed by a qualified specialist!
• If your doctor prescribes you a special corset, then do not try to make it “even better” and do not wear it longer than the time prescribed by the specialist. The doctor said to wear it for three hours a day, which means you need to wear it no more than three hours. Otherwise, the muscular frame of the back will “get used” to the fact that there is no need to strain, which will further aggravate the pathological condition.
• Electrophoresis of a pathological focus with drugs contributes quite quick withdrawal swelling, inflammation and reducing the intensity of pain. It can be classified as hardware therapy methods.

To relieve swelling due to intervertebral hernia, the electrophoresis procedure is prescribed

• Surgery to remove a hernia of the lumbar spine is, of course, an extreme radical measure– it is indicated in cases where an acute process has significantly worsened the patient’s quality of life. Indications may include:

1. Compression of the nerve roots, accompanied by foot paresis and impairment normal functioning functioning of the urinary organs.
2. Intractable pain syndrome, accompanied by dystrophy and weakness of the muscular system.

Types of surgical interventions:

1. Traumatic, “bloody”, but quite effective discectomy.
2. Endoscopic intervention with micro-incision. It is characterized by a shortened rehabilitation period and low morbidity.
3. The essence laser vaporization consists of “evaporating” excess matter from the disk core using a laser. Low-traumatic. Relapses are possible.
4. Microdiscectomy is performed through a muscle incision and lasts about an hour.

Folk remedies

Treatment for hernias folk remedies can be a good addition to the main methods of therapy. Performed in consultation with a doctor.

Important! All medications are taken before meals.

1. A decoction of aspen bark helps in the treatment of hernias. Prepared by boiling a tablespoon of dried bark in 200 ml ordinary water. Take 30-40 ml four times a day.
2. Stone drupe infusion is easy to prepare - 1 tbsp. A spoonful of dried leaves is placed in 200 ml of just boiled water and cooled for 4 hours. After straining, take the decoction 3 times a day in equal quantities.
3. Anesthetic ointment from oleoresin is applied to the affected area after daily water procedures. To prepare, take 0.5 kg of dried comfrey root, 70 g of pine resin, 300 ml. alcohol 40% alcohol and pork fat(350 g). Grind the root in a blender, add it to the fat and leave on low heat for 30 minutes. Then melt the resin and add it to the fat, without turning off the heat, stir for 10 minutes. Ready!
4. To relieve pain, moisten red clay with water, wrap it in gauze and heat it to a temperature of 40 degrees. Secure with a bandage in the projection of the hernia. Remove after complete drying. The method works very well!

At proper treatment the patient will definitely recover and will be able to safely exercise

Remember that timely delivered correct diagnosis will help the doctor quickly select the treatment that suits you, after which you will for many years You will feel healthy and full of energy.

Hernia of the intervertebral region of the lumbar region is considered one of serious illnesses, which is characterized by a violation of the integrity and structure of the intervertebral disc. The causes of this disease may be various factors. These include various injuries, back bruises received from a fall or strong impact, sudden lifting of objects with heavy weight or bending of the entire body.

Hernia of the intervertebral region of the lumbar region

Often a lumbar hernia is formed as a result of a sedentary and passive lifestyle, especially if a person has large number extra pounds. And when such a disease begins, it causes a lot of discomfort and has negative impact to the usual way of life of a person. He has to not only put up with the pain, but also adapt to the peculiarities happening to his body, when every movement is given with great difficulty. And in order to start the right and complex treatment To guarantee a positive result, it is necessary to recognize in the early stages the moment when the disease manifests itself. And for this you need to know all the symptoms of a hernia of the lumbar spine.

General signs of the disease

A lumbar hernia, which has extensive symptoms, may initially manifest itself with the following symptoms:

The appearance of such symptoms when we're talking about about a hernia in the lower back will depend on the severity of the disease itself. If the disease reaches an advanced stage, then all the symptoms become more pronounced. In this case, pain cannot be tolerated. Every movement is given with hellish effort, and the person is saved only by painkillers.

To prevent and treat HERNIA, our regular reader uses the increasingly popular NON-SURGICAL treatment method, recommended by leading German and Israeli orthopedists. After carefully reviewing it, we decided to offer it to your attention.

The main symptoms of lumbar intervertebral hernia

Intervertebral hernia of the lumbar region is characterized by its specific symptoms. The main and most noticeable of them is pain. These unpleasant sensations initially grow slowly and bother the person from time to time. But then such pain begins to progress and increase that it becomes impossible to endure it.

At first the pain is dull and aching. It is localized in the affected area of ​​the vertebra. Then, if a person encounters physical stress and strain, makes sudden movements or lifts objects that are too heavy, the feeling of pain intensifies. When a person is at rest, the discomfort disappears. But the next time, under certain factors, the pain spreads to everything psoas muscles, and then to the lower limbs. But the pain itself is shooting and sharp. And depending on which area is damaged, discomfort can affect the legs, buttocks, feet and heels, and pelvic area.

The entire process of pain usually takes two stages. When it is small and localized in the lumbar region, dystrophic changes occur within the body with the intervertebral discs. As a result, small cracks form there and the strength of the joint tissue itself decreases. But during the second stage, significant compression of the root occurs. And when the resulting hernia comes into direct contact with it, this provokes a very severe pain, from which a person is ready to climb the wall, because it is unbearable.

Subsequently, the hernia of the spine constantly reminds itself of itself with increasing pain when standing for a long time, during long walking, during any bending and amplitude turns of the body. And that's not all. Unpleasant sensations can appear when coughing, when doing exercises on the lower back, when lifting one of the lower limbs up, when sitting awkwardly, and even when driving a car on an uneven road.

On initial stages You can reduce the pain arising from a herniated disc by taking a lying position. Sometimes tucking one leg under you helps.

Other symptoms

Symptoms of a lumbar disc herniation are manifested not only by pain. Due to weakening muscles, one or both legs may be less mobile than they were before. It becomes difficult to lift your lower limb and it may be impossible to bend your leg knee joint. There is also a feeling of tightness in the lumbar region. Any bending over with straight legs causes pain and spasms in the lumbar region, making it difficult to perform normal bendings. Other symptoms of a herniated lumbar spine are manifested by the following physical disorders:

. It becomes difficult to sit on the surface of a chair or sofa, it is impossible to jump and it is difficult to climb up the stairs. And such violations are additionally accompanied by the fact that the legs get tired faster, and ordinary walking tires a person so much that after a while he needs to sit down and rest in order to restore strength in the lower extremities. If this involves compression spinal cord and the hernia in the lumbar region is not treated at all, then the resulting weakness in both legs gradually turns into paralysis of the lower body.

Some sensory disturbance. This symptom manifests itself in adults in the form of numbness, burning and tingling sensations, as well as freezing of certain parts of the body. At the same time, the perception of pain itself, hot and cold temperatures is reduced. Typically, impaired sensitivity is localized in the area of ​​the lumbar hernia with a smooth transition to the outer side of the thighs. But if such a phenomenon occurs in the area of ​​the sacral spine, then the spasm moves to the perineum, then descending to the lower leg and to outside hips.

State change skin lower limbs. If one leg is affected during a hernia of the lumbar spine, the skin on it turns pale, the muscles begin to atrophy, hair stops growing, and the lower limb becomes cold to the touch. At the same time, the process of sweating may increase or decrease, and the pulse begins to be felt both on the thigh and under the knee, even between the fingers.

Internal symptoms

Symptoms of a lumbar hernia can also indicate such internal disorders as disruption of the normal functioning of the intestines, manifested in the form of diarrhea and constipation. This disorder occurs regardless of what food a person takes at that moment. When it comes to constipation, a special diet, the main part of which is liquid food, can change the situation. Despite the fact that such disorders occur, the stomach does not hurt and gas formation does not occur.

In some cases, bladder function is impaired. There is a urge to urinate, which is regular and very frequent. Urine is released in small volumes. At the same time, it is clean, without any impurities or blood. And during this process there is no discomfort or pain. The only thing is that this disorder may be accompanied by temporary urinary incontinence.

Some genital organs deteriorate in functionality. And such symptoms in men are manifested by a decrease in libido. At the same time, representatives of the stronger sex experience erectile dysfunction, chronic prostatitis begins to develop. But in women, such disorders manifest themselves in the form of gynecological diseases.
Signs that are noticeable to others

Often the symptoms that a person experiences during intervertebral hernia, may become noticeable to surrounding people. Understand that native or close person suffers from a vertebral hernia of the sacro-lumbar region, it can be due to the following signs:

• the patient begins to hunch and stoop;
• one leg may appear shorter than the other;
• posture changes, which affects a person’s gait;
• movements become shaky and unstable.

If you look at the patient’s bare back in the lumbar region, you can notice with the naked eye the tense state of the muscles on one side of the spine. The muscles may protrude and feel tight and hard to the touch. The gluteal fold is smoothed. And if you palpate the areas of the back where the bones of the spine are located, the person may feel severe pain.

The first symptoms by which the onset of the disease is recognized

In order for a hernia of the lumbar spine, manifested by unpleasant symptoms, to be effective in treatment, you need to know what signs precede it and how it all begins. First there is a dull and aching pain. Often it is precisely such minor spasms that are ignored by a person, even if they flow from day to day. Because of this, the symptoms progress. As a result, a hernia can be recognized by the following signs:

And if treatment is not started at this moment, then the lumbar region has a negative impact on general condition body and human well-being. A lumbago occurs in the lumbar region, when any movement is accompanied by extremely acute pain. It is impossible to walk, sit, or even perform physical exercises normally. And this condition can continue for several weeks.

When not treated on time, symptoms manifest as disorders in the area of ​​the affected root. There, sensitivity decreases, movement is constrained, and tendon reflexes decrease.

Vertebral signs

A lumbar disc hernia can manifest itself with vertebral signs. They arise due to local changes that have occurred in the spine or sacral region. In the place where the disc prolapse occurred, a stretch of the ligamentous-muscular apparatus may be observed, and soft fabrics are compressed by the prolapsed formation.

To understand that we are talking about the presence of a vertebral sign, you can carry out local palpation of all areas of the back. And in those places where there is damage, a noticeable pain syndrome will appear. This is due to irritation of the main receptors in diseased ligaments.

The course of the disease and features of its treatment

Regarding the course of the hernia disease in the lumbar spine, which causes unpleasant symptoms, then it takes place in several stages:

1. Spicy. Pain sensations appear, significant stiffness of movements develops, and sensitivity in the lower extremities is impaired.
2. Subacute. Usually begins on the third or fifth day from the moment the hernia appears. Painful sensations begin to gradually decrease, and they are no longer so pronounced. Sensitivity is restored, but not completely.
3. Restorative. This stage begins already during treatment (fourth week). The pain goes away, but sensitivity is still slightly impaired.

Fully recommended for acute periods bed rest when physical activity is reduced to a minimum. You can place a pillow under the lower back, where the sacrum is located. It is also recommended to make a cushion under your back that will lift this area. In this case, it is important to create the correct position, which will depend on where in the disc there is a rupture. When it comes to neurology sciatic nerve, then the legs bend at the knees and at the hip joints. During this period, they are appointed medications, manual therapy is performed, physical therapy exercises are prescribed.

When the subacute period begins, semi-bed rest is already prescribed. Here you need to carefully monitor the general well-being of a person. The main thing is to avoid movements that provoke pain if you have a vertebral hernia. And at this stage physiotherapy is already involved. But it is carried out if there is no high temperature.

During recovery period specialists begin to reduce drug treatment. Painkillers are no longer used, but it is recommended to take a course vitamin complexes. Thanks to this, weakened joints receive those minerals and trace elements that they were deficient in. Then, under the supervision of an instructor, special gymnastics are performed, aimed at strengthening and healing the damaged area. But doing physical exercises on your own is not recommended.

And in conclusion

When a person is faced with such an unpleasant and painful problem as an intervertebral hernia in the lumbar region, he experiences all the unpleasant and uncomfortable symptoms of this disease. His whole life begins to change for the worse. It becomes difficult for him to carry out normal movements, he is no longer able to exercise normally, and all activity gradually decreases. And if a hernia is ignored and a person does not begin to treat it, but continues to lead his usual lifestyle, then he later faces serious complications and disorders of his skeletal and nervous system.

Each symptom that appears at a certain stage of the disease significantly worsens health and general health. And in advanced situations, a person may experience complete paralysis of the lower extremities. This is a serious violation that you should try to avoid. This is why you should know all the symptoms indicating the formation of a lumbar intervertebral hernia in order to begin comprehensive and correct treatment on time.

Intervertebral hernia is a degenerative disease of the intervertebral disc, characterized by a violation of its integrity and structure.

Our spine consists of 24 vertebrae, between which are intervertebral discs. They are composed of a flexible outer ring (annulus fibrosus) and a nucleus pulposus (a soft, jelly-like substance that fills the central part of the disc).

Intervertebral hernia of the lumbosacral region, like many diseases of the spine, is associated with a violation of the integrity of these discs. The causes of such changes may be traumatic (back injury from a fall or blow, sharp turn, lifting a heavy object) or associated with in a sedentary manner life and manifested in physical inactivity and excess weight.

In this material we will look at the main methods of treatment, as well as the symptoms that bother a person with this disease.

Why does intervertebral hernia occur, and what is it?

This hernia appears as a result of intense or long-term exposure on spinal column. The main reason leading to the development of intervertebral hernia in the lumbar region is. As a matter of fact, to a large extent, the symptoms of a hernia are symptoms of osteochondrosis.

Predisposing reasons leading to this condition:

• metabolic disorders;
• various injuries, especially after an accident, after a sharp jerk forward with the head;
• strong physical exertion, sudden bending, heavy lifting;
• curvature of the spine, hip dysplasia, ;
• increased body weight.

Associated factors it is also sufficient:

• muscle weakness;
• infectious diseases;
• sedentary lifestyle;
• bad habits;
• age-related changes;
• heredity;
• sedentary work.

All these reasons lead to rapid aging, wear and tear of cartilage and bone tissue, which can subsequently lead to the formation of an intervertebral hernia.

Stages of development

Anatomically, the most vulnerable are the lower lumbar region and the articulation of the 5th lumbar vertebra with the sacral bone. Therefore, most often, an intervertebral hernia of the lumbosacral spine develops in the interval between the 4th and 5th lumbar vertebrae and between the 5th lumbar vertebra and the sacral bone.

According to the degree of change in the intervertebral disc hernias are classified as follows:

• Stage 1 – prolapse or lumbar protrusion. The disk moves to a minimum distance, which is no more than 2 mm. The core does not extend beyond the body of the spine.
• Stage 2 – the displacement of the marginal disc does not exceed 1.5 cm. And the nucleus pulposus is located, as before, within the body of the spine.
• Stage 3 – extrusion. The nucleus shifts outward, beyond the vertebral bodies.
• Stage 4 – hanging outwards of the nucleus pulposus, which is presented in the form of a drop. The annulus fibrosus may rupture. Liquid substance leaks out.

On initial stages diseases, short-term, fast-passing back pain is possible. Symptoms of lumbar disc herniation appear as the pathology progresses.

Types of lumbar hernia

Lumbar hernia can be divided into two types - L4-L5 and L5-S1. Each part of the spine is designated by a letter of the Latin alphabet; the lumbar part is marked with the letter L.

An L4-L5 hernia means that the nerve root is pinched between the 4th and 5th vertebrae of the lumbar spine. Sacral section is designated by the letter S, therefore, the L5-S1 hernia occurred between the 5th lumbar vertebra and the 1st sacral vertebra.

Signs

With a lumbar hernia, the following may occur:

• severe pain in the sacral area;
• weakness and feeling of heaviness in the legs;
• stiffness of movements;
• when walking there is pain radiating to the hips;
• there may be problems with pelvic organs in severe cases;
• there is a pinched nerve and numbness in the legs in some places.

All characteristic symptoms can be divided into three main groups of syndromes: pain, vertebral, radicular.

Symptoms of lumbar disc herniation

In the case of an intervertebral hernia located in the lumbar region, the symptom that most worries a person is pain, which slowly increases as the disease progresses.

Initially, the pain is dull, aching, localized at the site of damage to the spine. Intensifies with tension, loads, lifting weights or making sudden movements. At rest it may disappear completely.

Then it spreads to the lumbar muscles, then to the lower limbs, becoming sharp and shooting. Depending on which segment is damaged, it affects the buttocks, thighs, legs, heels and feet.

There are two stages in the manifestation of symptoms. At first there is only slight pain in the lumbar region, which indicates that degenerative changes have begun in the intervertebral discs. Under their influence, cracks form in the vertebral discs and their strength decreases. At the second stage, the pain is caused by tension and compression of the root. Direct contact of the hernia and the root causes very severe pain.

Complications

One of the consequences of an intervertebral hernia in the lumbar spine is lumbodynia, that is, a lumbago in the lumbar region. With it it is observed sharp pain, which sharply intensifies even with the slightest movement. The patient may remain in this condition for up to several weeks.

Treatment of intervertebral hernia of the lumbosacral region

Intervertebral hernia of the lumbar region can be treated both therapeutically and surgically. It all depends on specific situation, from the stage of development of the process, the presence concomitant diseases and contraindications.

Therefore, when treating a hernia of the lumbosacral region, it is important not to miss the moment when you can still help in conservative ways and avoid surgery with all the ensuing consequences. If you contact a specialist in a timely manner, you can stop the progression and prevent possible complications.

Drug treatment

Conservative treatment aims to relieve pain during the acute period of the disease, and at its end - to prevent relapses.

1. Anti-inflammatory therapy. Prescribed: how, diclofenac, and naproxen can help cope with pain, reduce inflammatory edema and temporarily regain freedom of movement. Paravertebral and epidural blockades with glucocorticosteroid drugs have a good analgesic effect.
2. Bed rest for several days. Perform all movements slowly and confidently. It's worth changing your daily routine. Avoid movements that increase pain: bending forward, lifting heavy things.

After the pain syndrome has subsided, the number of drugs used is reduced, and the emphasis is on therapeutic exercises, massages and physiotherapeutic procedures. The main goal is to improve the condition of the muscular corset and ligamentous apparatus.

Surgical treatment of lumbar hernia

It is advisable to continue conservative methods for 4-8 weeks. If during this time they turn out to be completely ineffective, it is necessary to either change the treatment tactics or consider the issue of surgical intervention.

Operations performed for lumbar hernia:

1. Microdiscectomy– during this operation, part of the intervertebral disc is removed. In half of the cases, after such an operation, a relapse of the disease occurs.
2. Laminectomy is an operation to remove bony spurs that put pressure on the disc at the level of the affected area. However, such an operation should be used with caution, since it may impair the supporting function of the spine.
3. A new technique is the installation of titanium implants in the intervertebral space.

Surgery on a herniated disc is a treatment method that directly eliminates the cause itself. The indication for it is serious neurological symptoms, associated with dysfunction of the pelvic organs and weakness and decreased sensitivity in the extremities.

Rehabilitation

Rehabilitation after surgery to remove a herniated disc requires a serious approach. The patient cannot sit for 3 months and needs to wear a corset; at first it is worn constantly, then 3 hours a day is sufficient. One more important method in rehabilitation is exercise therapy.

Prevention

The main measures aimed at preventing intervertebral sacral hernias:

1. Strong vertical and horizontal loads are contraindicated, even if your profession involves heavy physical labor.
2. Watch your weight – it is recommended to keep your body mass index no more than 30;
3. The correct body position during sleep is to sleep better on a moderately hard bed, it is best to lie on your back so that the spine can relax.
4. An active lifestyle that moderately loads the spine and strengthens the muscle corset. If you have a sedentary job, find time to exercise or at least do fitness.
5. Correct, balanced diet and giving up bad habits.