How can you treat a herniated disc?
At least 2 of 3 people in life feel back pain . The problem is when the pain becomes unbearable , lasts long, stretching the legs and sometimes the arms . Often the cause is a discopatia , ie alteration that regards the intervertebral disc.
“With the aging of these cartilaginous shock absorbers , which allow loading and movement of the spine , they may lose thickness and hydration. The disc can thus deform , causing pain – explains Maurizio Fornari , director of the Neurosurgical Institute Humanitas , Milan – . But not only the years to weigh on the column : they have an important role trauma, microtrauma , repetitive movements of flexion and extension of the trunk under load, overweight and postures scroll . ”
What are the most common disc problems ?
” The best known is the herniated disc, the most disabling are the lumbar stenosis and spondylolisthesis . The first is caused by the leakage from its natural location of the nucleus pulposus of the intervertebral disc . If the nucleus pulposus exits on the median line causes the stretching of a ligament rich pain fibers , causing a “block lumbar ” . If the migration occurs in a more massive and more laterally can compress adjacent nerve roots , triggering the typical sciatic pain level or groin and inner thigh . The lumbar stenosis instead is a restringimentodel spinal canal that compresses the nerve roots . Finally , the failure to seal both of the intervertebral disk is of the facet joints can lead to spondylolisthesis , the forward displacement of a vertebra with respect to the one below . ”
What can you do for disk disease ?
‘In the case of hernia, in general, you opt for at least 6-8 weeks of anti-inflammatories , physiotherapy and manipulation. Many hernias subside by themselves and microdiscectomy surgery is indicated in about 20 % of cases. Surgery is imperative if noise sensitivity and strength of your feet and when there is a hernia blocking , that is so large as to alter both the strength of your feet and bladder function . For lumbar stenosis and spondylolisthesis , usually affecting people over the age of 60 , the solution is often surgery. In the case of stenosis today you can intervene with microsurgery ( microdecompressione ) , even in patients who have more than 80 years. For degenerative spondylolisthesis for years using an integrated system of neuronavigation and intraoperative TAC , which allows to control in real time the intervention , in order to allow the correction of the slippage of the spine and its stabilization with means prosthetic . Numerous advantages : less risk due to greater accuracy , reducing the duration of surgery and the postoperative course , as well as good functional results in the long term .