The symptoms of diffuse dorsal protrusion of different localization

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diffuse Dorsal protrusion of the intervertebral disc prolapse posteriorly from the vertebral segment by the amount of not less than 25%. In the pathology of the disc rather strongly bulging towards the spinal cord, which causes severe symptoms of the disease.

diffuse dorsal protrusion of the intervertebral disc causes compression of the nerve roots

Causes of diffuse dorsal protrusion

The pathology Occurs for many reasons:

  • Degenerative-dystrophic diseases of the spine – a group of diseases arising from the violation of the blood and nutrients into the spine (scoliosis, osteochondrosis, dysplasia);
  • metabolic disorders and Smoking cause damage to the vertebrae and cracks in a intervertebral disks receive nutrients by diffusion (absorption from the endplates of the vertebrae);
  • Increased physical activity with insufficient food accompanied by damage to the cartilage, microscopic ruptures of ligaments
  • Excess weight creates stress on the spine. Against this background, the pathological changes observed in not only the musculoskeletal system but also the muscular-ligamentous apparatus;
  • inhalation of toxic substances can lead to hit them in the spine and destruction of the anatomical structures of the vertebral column;
  • Weak muscles and a sedentary lifestyle breaking the blood supply not only in the spine, but also in all tissues of the body. However, there are numerous pathological changes that give rise to a diffuse protrusion.

Symptoms of diffuse posterior bulging of the intervertebral disc

The pathology Symptoms depend on the location of the diverticulum and the degree of displacement (dissemination beyond the anatomic segment).

diffuse protrusion on the layout of the intervertebral disc

Anatomical structure of the damaged intervertebral disc with diffuse dorsal protrusion

Most often the rear protrusion is found in spinal and neck vertebrae. This arrangement of protrusion is related to the anatomical peculiarities of the spinal column, in which the physiological lordosis (bulging outward of the axis) exist in the cervical and lumbar.

The Thoracic spine is less mobile, because its vertebrae are strengthened by ribs. Because of the peculiarities of bulging disks in it are less frequent than in other parts of the spine.

Sacral region of the spinal column consists of massive vertebrae, which are firmly fused together. In this area, the protrusion can be observed only in the transition division (L5-S1). Consider the features of the clinical picture with diffuse dorsal protrusion in different parts of the spine.

the Main symptoms dorsal protrusion in the segment L5-S1

Diffuse posterior protrusion of the intervertebral disc occurs most often in the segment of L5-S1. This region accounts for the maximum cushioning the load when walking or lifting weights.

Expressed the clinical symptoms of this disease is due to the infringement of one of the largest nerves – sciatic. In this region there are nerve plexus "cauda equina" – large bundle of nerve fibers that innervates the lower limb, gluteal region and pelvic organs.

Clinical signs of bulging of the intervertebral disc in the segment L5-S1:

  • the Crunch and sharp pain in the spine;
  • Radiating pain in the gluteal region and lower limb
  • Numbness of feet from the infringement of nerve fibers in the spine;
  • Gain all clinical signs during inspiration, and when coughing or walking;
  • Violation of defecation and urination during the compression plexus cauda equina.

Symptoms of posterior protrusion at the level L4-S1

The Diagnosis of "diffuse Dorsal protrusion of L4-S1" assumes the presence of protrusions of the intervertebral discs posteriorly (in the area of the spinal canal) at two levels: L4-L5 and L5-S1. The total amount of loss drives must be at least ¼ of their diameter.

magnetic resonance imaging of the protrusion in the lumbar spine

Magnetic resonance imaging when the bulging disc in the lumbar spine

When performing magnetic resonance imaging often happens that in one of these divisions is discovered herniateddisk, and the second protrusion (prolapse of the pulpous nucleus without rupturing the annulus fibrosus).

In most cases, the peripheral wall of the disc (fibrous ring) may be stretched without significant damage by up to 5 mm. However, some people have fibrous ring may not be disrupted even in case of nucleus pulposus beyond the segment for a value of 12 mm.

Clinical signs of hind protrusions at the levels of L4-S1:

  • Aching pain in the lower back when a primary infringement of the nerve root in segment L4-L5;
  • Feeling of congestion in the spinal column (with the small sizes of the protrusions of the disk)
  • Crunching in the lower back after sleeping, or the adoption of awkward postures;
  • Radiating pain in the gluteal region.

The Above symptoms are caused by compression of the nerve roots in the segment of L4-L5. When the prolapsed disc in the transition zone between the lumbar and sacral divisions of the spinal column to the join of the above symptoms signs of infringement of the nerves passing through the segment L5-S1.

What is characterized by protrusion of intervertebral disc in the cervical and thoracic

Diffuse dorsal protrusion of the cervical spine is often localized at the levels C5-C6 and C6-C7. Features of symptoms in this pathology due to specific anatomy of the neck.

It passes Through the vertebral artery supplying blood to about 25% of brain structures. It is located in the transverse processes of the cervical vertebrae. The displacement of the cervical vertebrae may be compression of the vessel, leading to cerebral hypoxia.

CT

Computed tomography of herniated disc in the lumbar spine

The Vertebrae of the cervical spine is thinner than in other parts of the spine, so even minor pathological impact on them can lead to serious symptoms.

Posterior protrusion of the intervertebral disc in this Department leads to compression of the nerve roots that Innervate the upper body, the head and neck.

The Main symptoms of diffuse dorsal protrusion in segment C5-C6 and C6-C7:

  • Pain in the upper extremities
  • Dizziness and headaches;
  • Numbness in fingers
  • Weakness of the extensor muscles of the wrist
  • numbness of the thumb and index fingers (with the local impingement of spine of C6).

Posterior diffuse protrusion in the thoracic region often localized at levels Th10-Th11 and Th11-Th12. Due to the weak mobility of the vertebrae with clinical symptoms of the pathology at this level is expressed not so much as in the cervical and lumbar.

Signs of protrusion in the thoracic region:

  • Aching pain in the back;
  • Numbness and tingling in your chest;
  • Stiffness and soreness in the ribs

Principles of treatment of diffuse dorsal protrusion

remedial program in the pathology depends on the size and location of the diverticulum, complications and comorbidities.

Conservative treatment always begins with the use of nonsteroidal anti-inflammatory drugs. These drugs can eliminate pain and relieve inflammation in the spine, but have side effects on the gastrointestinal tract.

If the compression of the spine has led to tightening of muscles, requires the use of muscle relaxants (mydocalm) and vitamins to strengthen the body's defenses.

Simultaneously with the medicines doctors prescribe are:

  • gymnastics
  • Massage
  • physical Therapy.

If the above measures do not bring a pronounced therapeutic effect, surgical treatment is assigned. Modern minimally invasive surgical procedure for the treatment of protrusions is low-traumatic and are accompanied by long rehabilitation period.

Therefore, diffuse dorsal protrusion occurs in different parts of the spine c some features. However, specific treatment is greatly dependent on the symptoms of the disease.