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).
When it comes to disk, the nucleus pulposus is practically non-existent in its original form. So the disk occurs mostly at the bottom of a long-term pre-damage the disk. The nucleus pulposus (about 80% water) and is in healthy disk from a jelly-like, cell-poor tissues and accepts load together with the cartilage rings and the membranes of function of a hydraulic ball ("water cushion"). The vertebral bodies and disk front allow, together with the small facet joints at the back ("facet joints"), the high mobility of entire spine and high stability.
Physiotherapy (Physiotherapy) in chronic and subacute pain helpful. In acute stage, no benefit could be proven so far. Among the many therapeutic and diagnostic approaches are also the Feldenkrais Method, Alexander Technique, Hatha Yoga, the McKenzie method, the spiral dynamics and acupuncture. A behavioral therapy is helpful in terms of pain management for chronic back 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.
Healthy disk tissue is according to common opinion, if any, tear with a piece of bone composed of vertebral body. Often disk occurs during pregnancy. Another reason, which favors the prolapse of disk, the upright posture of man. There are many old people aged over 90 years who have never had complaints to spine or disk inir busy lives. On the other hand, there are children who had already suffered disk.
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).
When it comes to disk, the nucleus pulposus is practically non-existent in its original form. So the disk occurs mostly at the bottom of a long-term pre-damage the disk. The nucleus pulposus (about 80% water) and is in healthy disk from a jelly-like, cell-poor tissues and accepts load together with the cartilage rings and the membranes of function of a hydraulic ball ("water cushion"). The vertebral bodies and disk front allow, together with the small facet joints at the back ("facet joints"), the high mobility of entire spine and high stability.
Physiotherapy (Physiotherapy) in chronic and subacute pain helpful. In acute stage, no benefit could be proven so far. Among the many therapeutic and diagnostic approaches are also the Feldenkrais Method, Alexander Technique, Hatha Yoga, the McKenzie method, the spiral dynamics and acupuncture. A behavioral therapy is helpful in terms of pain management for chronic back 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.
Healthy disk tissue is according to common opinion, if any, tear with a piece of bone composed of vertebral body. Often disk occurs during pregnancy. Another reason, which favors the prolapse of disk, the upright posture of man. There are many old people aged over 90 years who have never had complaints to spine or disk inir busy lives. On the other hand, there are children who had already suffered disk.
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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