Spinal discs play an important role in the lower back, serving as shock absorbers among the vertebrae, sustaining the upper body, and allowing a wide range of movement in all directions.
If a disc herniates and leaks some of its inner material, though, the disc can quickly go from easing daily life to aggravating a nerve, causing back pain and possibly pain and nerve symptoms down the leg.
The symptoms mostly start without apparent reason ( sometimes occurring by lifting heavy things which adds extra stress on the herniated disk ).
These disorders are very common and widespread especially among patients with ages 35 to 50.
Mechanisms of Lumbar Disc Herniates
There is a gel-like material interior of each disc which is known as the nucleus pulposus. Different reasons like aging can cause the loss of fluid. Fluid is very important and makes the disks pliable and spongy.
In this situation, the disk becomes flatter and harder. This process often can be diagnosed by imagining tests in early adulthood.
Disks get every week so by putting pressure or stress on the spine the outer ring may bulge, crack, or tear. Mostly inflammatory Cytokines will irritate the spinal nerve roots and cause lower back pain. This pain spreads into the buttock and down the legs.
A lumbar herniated disc can make extreme pain but the pain and symptoms don't last long. About 90 percent of people experience elimination of pain without any medications after 6 weeks.
Experts believe that three reasons exist that cause the resolving the back pain:
1.The body attacks the herniated disk as a foreign material, shrinking the size of the herniated material and reducing the number of inflammatory Cytokines near the nerve root.
2. After some days, some of the disk fluid from inside the disc is absorbed into the body, so the disc shrinks. The smaller disc has a lower chance to extend into nerve roots, irritating.
3.Lumbar extension exercises may move the herniated area away from the spinal discs. Whether exercise can accomplish this is a matter of debate in the medical community.
In medicine there are three terms for a herniated disk, slipped disc, or a ruptured or bulging disc. a slipped disc is the time that spinal discs are firmly attached to the vertebrae and do not move or slip.
a pinched nerve is another term that happens by affecting the herniated disc materials on a nearby nerve and pinches that nerve. Sometimes the nerve is the sciatic nerve. When a nerve root in the lower back that runs into the large sciatic nerve is irritated, pain and symptoms may radiate along the path of the sciatic nerve: down the back of the leg and into the foot and toes.
Lumbar herniated disc treatments
• Physical therapy, exercise, and gentle stretching to help relieve pressure on the nerve root
• Ice and heat therapy for pain relief
• Manipulation (such as chiropractic manipulation)
• Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, or COX-2 inhibitors for pain relief
• Narcotic pain medications for pain relief
• Oral steroids to decrease inflammation for pain relief
• Epidural injections to decrease inflammation for pain relief
· Laser therapy
Laser therapy for herniated discs :
Studies have proved that after laser therapy, disc herniation can decrease in size, once the pressure on the nerve root is eliminated then pain and numbness are gone. Laser therapy has been shown to promote healing by stimulating the cells within the tissue surrounding the disc fragment and then reducing inflammation in the nerve root.
herniated disk surgery:
Discectomy is the most common surgery used for a herniated disc in the lumbar region. In this operation, the portion of the disc that is causing the pressure on the patient's nerve root is removed. In some dangerous cases, the entire disc is removed. The surgeon will access the disc through an incision in the patient's back (or neck).
Spinal cord health is tied to years of efficient living. The importance of the spinal cord is not hidden from anyone and everyone knows what a vital and sensitive role it plays. Ermateb group provides the best chances for you to rehabilitate and get rid of the pain.
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