The use of procaine epidural analgesia with spinal disc hernia
The Presence of intervertebral hernia the patient doesn't mean he needs emergency treatment. Sometimes the disease occurs without specific complaints and strong changes of the spine. But often the disease is becoming a serious problem not only for the patient but also for healthcare professionals. After all, when a patient with vertebral hernia suffers unbearable pain, the doctors have to decide how quickly and effectively end his suffering.
From physicians required care during treatment and professionalism when performing manipulations. This is especially important when treating formations of the spine, because one awkward movement can lead to irreversible processes. Therefore, the management is engaged exclusively by highly trained specialists, able to conduct operations on the nervous tissues, as well as groundbreaking non-surgical methods.
Treatment of herniated discs non-surgical procedure is a continuous process and the first stage is to eliminate the pain symptom. Today with this purpose, physicians use a variety of tools. One of the most popular at the moment is pharmacological blockade with a hernia of the spine. This method for many years very popular, because in addition to therapeutic effects it almost instantly relieves the patient from pain. In many modern clinics, blockade of spine has helped hundreds of patients with discal hernia of the lumbar spine to his feet.
Types of closures used for the treatment of herniated discs
With a hernia of the spine applied to the blockade of two types:
- administrated through interlaminar epidural introduction of a therapeutic drug through an injection is directed along the median line between the vertebral processes;
- transforaminal epidural block, the purpose of which is to direct the drug to areas of the spinal nerves exit from the openings between the vertebrae.
The Different blockade on effects. So, novocaine blockade epidural that is still widely used in the treatment of neoplasms of the spine, providing anesthetic effect, effectively relieves pain. Besides, it has a powerful therapeutic effect, which is due to the following mechanisms:
- pharmacological properties of the anaesthetic substance and other related products;
- reflex effect on the nervous system at all levels;
- the effect of maximum concentration of the drugs directly into the pathological focus.
Today, the patients with hernia of the spine is not only novocaine anesthesia, but also injected corticosteroids significantly enhance the treatment outcome. Of course, the choice of drug by the doctor treating them.
In what cases appointed novocaine blockade
Anesthesia is indicated for radiculopathy caused by protrusion or the already formed disc hernia. Also it is with lateral stenosis of the spinal canal of the spine, which is accompanied by excruciating pain. On the background of the neoplastic process can cause injuries of the vertebrae and epidural blockade greatly facilitates the patient's condition.
When the procedure is not recommended
Epidural blockade is contraindicated for tumors of the spine in the following States:
- severe fever;
- hemorrhagic syndrome;
- if your zone has infectious lesions;
- kidney and liver failure
- cardiovascular disease
- if a patient has a spinal disc hernia the immunity medicines to be used for blockade;
- severe diseases of the Central nervous system;
- if novocaine blockade may cause exacerbation of other diseases;
- during pregnancy
- generalized processes of an inflammatory nature and some other States.
How the procedure
To determine the exact location of the lesion to the patient before the procedure prescribe a thorough examination using computed tomography (CT) or magnetic resonance imaging (MRI).
Often when herniated doctors have resorted to paravertebral blockades . The essence of this procedure lies in the very name, which in Latin means "around the spine". It is in the muscles located near the spine, are injections of anesthetic substance. The most common procaine anesthesia, but its effect is short-lived. The reason is that the effects of the drug were exposed to only the superficial muscles.
Much better for herniated discs epidural blockadeof the spine, aimed at the deeper muscle tissue. But such manipulation can only provoditsja on the lumbar spine by a doctor neurosurgeon.
To prevent damage to the spinal cord and nerve fibers this procedure should be performed under control with the use of special equipment and contrast agents. A special drug mixture is injected into the area of the spine where there is the most intense pain and localized inflammatory lesions. With the help of a fluoroscope the doctor traces how the medicine is distributed on the vertebra, and then washed away by blood flow.
The Procedure lasts about an hour, after which the patient for at least two hours observed by physicians. In most cases, epidural spinal blockade is well tolerated, but some patients may experience weakness and slight numbness in extremities. These manifestations give the anesthetic. After a few hours the symptoms go away and the patient can eat. Not recommended for twelve hours after the procedure, patients can sit behind the wheel of a car.
Usually after a properly performed manipulation is not observed serious complications in patients with disc hernia. Occasionally there may be increased pain, allergic reactions or slight bleeding at the injection of the drug. Any negative manifestation of the after the procedure should serve as a signal for treatment to the doctor.