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The disk (lProlapsus nuclei, prolapsed disk, disk also, BSP) is a disease of spine where parts of disk into spinal canal - the space where the spinal cord is - to step forward. In contrast to disk protrusion (bulging) prolapse of annulus fibrosus of disk (spinal disc herniation Ashburn VA) is torn completely or partially.
Typically, herniated disks causing back pain (lumbago) with or without radiation into legs (sciatica) or in arms (brachialgia). Depending on the severity of symptoms it can also lead to numbness or muscle failure in supply area of pinched nerve root. A herniated disk can lead to a positive characters and Kernig's sign. In extreme cases, it can cause a spinal cord injury, thereby z. B. A chair and / or urinary incontinence and a saddle anesthesia occur.
Disk are bradytrophic tissue, that is, they are not supplied directly from the bloodstream out with nutrients through diffusion. This play semipermeable membranes that separate the cartilaginous rings of each other, the decisive role. By shear forces, these membranes can tear, thereby losing their function and the disk in addition to nucleus pulposus of disk (nucleus pulposus) dries (black disk lesion).
Heat therapy, massage with movement therapy, electrotherapy, connective-tissue massage can help relieve the symptoms in individual case. The benefits can, however such. T. Not prove scientifically. Manual medicine (chiropractic, spinal manipulation) are contraindicated in radiating pain. In acute non radiating painrapy within first 4-6 weeks can be helpful.
In most cases, the symptoms of herniated subside within six weeks after their arrival, into remission, and surgery is not required. The study Vroomen and colleagues (2002) found that 73% of patients marked improvement occurred without surgery within 12 weeks after the onset of symptoms. Surgical treatment of herniated disks should be considered only as a last resort, and only after unsuccessful attempts to conservative treatment, which could not take control of pain.
In patients who suffer from back pain radiating into leg, chronic complaints, the so-called back exercises can be helpful. The periradicular therapy (PRT) is a process in which under CT or X-ray inspection cortisone is injected to affected nerve root, which should be done at least 2x. In 67% of cases, so that when a herniated disk pain relief can be achieved.
The investigation in health patients is usually not paid by the statutory health insurance. If necessary, the costs are covered if a painrapist the patient transfers to radiologist. Because of high complication rate applies strict indications for surgery. In 2013, the AOK hospital report has shown that the number of disk operations has doubled between 2005 and 2010.
Surgical treatment of intervertebral disk herniations is performed mainly in development of neurological disorders and pain syndrome resistant to conservative therapy. In event of compression of cauda equina (severe pain at the back of thigh and lower leg, severe pain in lower abdomen, worse when coughing; incontinence, violation of potency) need emergency surgery.
Typically, herniated disks causing back pain (lumbago) with or without radiation into legs (sciatica) or in arms (brachialgia). Depending on the severity of symptoms it can also lead to numbness or muscle failure in supply area of pinched nerve root. A herniated disk can lead to a positive characters and Kernig's sign. In extreme cases, it can cause a spinal cord injury, thereby z. B. A chair and / or urinary incontinence and a saddle anesthesia occur.
Disk are bradytrophic tissue, that is, they are not supplied directly from the bloodstream out with nutrients through diffusion. This play semipermeable membranes that separate the cartilaginous rings of each other, the decisive role. By shear forces, these membranes can tear, thereby losing their function and the disk in addition to nucleus pulposus of disk (nucleus pulposus) dries (black disk lesion).
Heat therapy, massage with movement therapy, electrotherapy, connective-tissue massage can help relieve the symptoms in individual case. The benefits can, however such. T. Not prove scientifically. Manual medicine (chiropractic, spinal manipulation) are contraindicated in radiating pain. In acute non radiating painrapy within first 4-6 weeks can be helpful.
In most cases, the symptoms of herniated subside within six weeks after their arrival, into remission, and surgery is not required. The study Vroomen and colleagues (2002) found that 73% of patients marked improvement occurred without surgery within 12 weeks after the onset of symptoms. Surgical treatment of herniated disks should be considered only as a last resort, and only after unsuccessful attempts to conservative treatment, which could not take control of pain.
In patients who suffer from back pain radiating into leg, chronic complaints, the so-called back exercises can be helpful. The periradicular therapy (PRT) is a process in which under CT or X-ray inspection cortisone is injected to affected nerve root, which should be done at least 2x. In 67% of cases, so that when a herniated disk pain relief can be achieved.
The investigation in health patients is usually not paid by the statutory health insurance. If necessary, the costs are covered if a painrapist the patient transfers to radiologist. Because of high complication rate applies strict indications for surgery. In 2013, the AOK hospital report has shown that the number of disk operations has doubled between 2005 and 2010.
Surgical treatment of intervertebral disk herniations is performed mainly in development of neurological disorders and pain syndrome resistant to conservative therapy. In event of compression of cauda equina (severe pain at the back of thigh and lower leg, severe pain in lower abdomen, worse when coughing; incontinence, violation of potency) need emergency surgery.
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