Treatment of intervertebral hernia

Treatment of the intervertebral hernia should first of all be aimed at eliminating the cause of the disease in order to normalize metabolic processes, improve blood microcirculation in damaged tissues, reduce the load on the joints, relax the muscle tension.

In order to know what treatment is necessary, doctors should determine the causes of the disease and the location of its localization.

Thus, immediately after the attack the patient should be taken to the hospital, or call a doctor at home. In order for the condition of the person experiencing pain not to worsen, first of all, it is necessary to do the following: 

• Put the patient on some hard surface; 
• Cover the place of destruction with a warm water bottle, you can use even mustard plasters; 
• Bandage the waist with a bandage or apply a corset.

The path of the patient with this disease in the hospital begins with a diagnosis. Before the doctor knows what treatment is necessary, he will try to collect all the information he needs: about the nature of the pain, possible injuries, lifestyle, the presence of such problems in the family. After this, various modern diagnostic methods can be used to detect virtually any disease: 

• Computer tomography - scanning using three-dimensional models; 
• X-ray is a classical method used in practically all hospitals; 
• Magnetic resonance imaging - this method of diagnosis is relatively new, however, it is becoming increasingly popular, because with its help you can provide a fairly large amount of information about a particular case of the disease.

Treatment of the intervertebral hernia is conditionally divided into three key directions:

• etiotropic treatment of intervertebral hernia - therapy is aimed at identifying and eliminating the cause of the disease. It is a rather effective method of treatment, it allows not only to minimize manifestations of the disease, but also to prevent its development. The basic principles of etiotropic therapy are a healthy lifestyle, a full balanced diet, uniform physical exercises, therapeutic gymnastics aimed at restoring the normal functioning of the joints of the spine and intervertebral discs.
• pathogenetic treatment of the intervertebral hernia - a therapeutic effect on the mechanisms of disease progression. One of the methods of pathogenetic therapy with intervertebral hernia is acupuncture. This method is based on the effect on the restorative active points in the area of the pathological focus specifically designed for this needle.
• symptomatic treatment of the intervertebral hernia is aimed at neutralizing the external signs of the disease.

Treatment of intervertebral hernia conservative methods

This method is used in the early stages of the disease and includes a set of measures to help repair tissues and the spine. Basically non-surgical interventions consist of the following procedures: 

• Massotherapy. However, it is not recommended to do it in the first days of the onset of the disease, since it can adversely affect the spine; 
• Physiotherapeutic procedures (magnetotherapy, electrophoresis, etc.);
• Physiotherapy;

The full period of recovery can last up to six months, so spare yourself for this period from intense physical exertion. To fix the result, obtained as a result of various procedures, sanatorium recovery will help.

Medicinal treatment

The drugs used as a basic treatment for the intervertebral hernia include chondroprotectors - these are drugs that accelerate the healing process and slow the degeneration of the cartilaginous tissue (glucosamine, chondroitin sulfate). It is most expedient to use chondroprotectors during the recovery period, when the acute stage of the disease has already passed.

Analgesic treatment of the intervertebral hernia includes the use of analgin, no-shpy, reopirin with novocaine. The basis of anti-inflammatory therapy is non-steroidal anti-inflammatory drugs - movalis, voltaren, diclofenac, piroxicam, indomethacin, etc. It is recommended to make applications with dimexide, novocaine and hydrocortisone. For the removal of muscle spasm, the use of sirdalud, baclofen, miolastane, etc. Will be expedient. To improve microcirculation, such drugs as trentalum, actovegin can be prescribed. Vitamin preparations (B, C, E), thioctic acid are widely used. B vitamins reduce the manifestations of neurological disorders caused by this disease, restore the sensitivity of tissues, reduce pain syndrome.

Physiotherapeutic treatment of the intervertebral hernia

Massage procedures need to be done very carefully. Too active actions can cause serious complications, sharply worsen the condition. Massage should be gentle, gentle, without causing pain.

Hirudotherapy - treatment with medical leeches is quite an effective tool, it complements the complex treatment of the intervertebral hernia. During the procedure, leeches saturate the body with biologically active substances that have a positive effect on the course of the disease. All procedures should be carried out strictly under the supervision and supervision of a physician.

Cryotherapy (treatment of intervertebral hernia with cold with the use of liquid nitrogen) improves blood circulation in the affected segment of the spine, lowers edema of the nerve root and increases the probability of tissue regeneration. It is used as an auxiliary method.

Laser treatment of the intervertebral hernia is carried out by means of small punctures on the skin. The main goal of this procedure is to remove puffiness of surrounding tissues and compress them to nerve endings. With a correctly conducted laser therapy session, the pain syndrome and accompanying signs of the disease are significantly reduced. This method of treatment is a good alternative to surgery. Before the procedure begins, local anesthesia of the spinal disc is carried out with a special needle, through which the laser cable is carried. The procedure is controlled by an endoscope, which displays the image on the screen. The rehabilitation process after this type of treatment is short-lived, lasting several hours.

Enzyme preparations form the basis of enzyme therapy. Enter enzyme preparations (caripain and caripazim) with the help of electrophoresis. Enzyme therapy has a general beneficial effect on the restoration of cartilage due to systemic anti-inflammatory, immunomodulating, fibrinolytic and anti-edematous effects.

Surgical treatment of the intervertebral hernia

Surgical treatment of the intervertebral hernia is indicated in cases where the size of the hernial protrusion is more than seven millimeters and there is a threat of formation of a segment of necrotic bone tissue and its subsequent rejection from healthy bone, as well as in cases of paralysis of the limbs, with signs of muscle atrophy. Indications for surgical treatment are also the ineffectiveness of conservative therapy for three or more months.