Medial or median herniated discs, l4-l5, l5-s1 and other levels of the spine
One option the rear of hernias of intervertebral spaces is medial (median) hernia. Anatomically it is located on the back of the spine on both sides from the center of the vertebrae. The CDs defects can be on the anterior side of the intervertebral space, but this version of the protrusions has such values, as the median hernia.
In addition, the importance to predict the course of the disease is the appearance of pathological diverticulum. If you experience herniation of education at the level of segments L5-S1 or L4-L5, the patient will have less chances of a favorable outcome of the disease.
What a terrible medial hernia?
There are several important features:
The Median herniated discs L5-S1, L4-L5 and at other levels is formed in the place where the spinal canal overlook nerve trunks. Their compression grievin protrusion leads to serious pathology in the patient, to cope with which is not always possible.
- the Complexity of treatment
Due to the anatomical features of the medial location of the herniated disc is hidden behind the vertebral processes on the back surface of the spine. To access it in case of surgical intervention there is a high risk of trauma a number of underlying anatomical structures.
Why do I get the median hernia of the spine?
The causes of method is formations typical of any disks of the cervical vertebral column. Medial herniated disc is no exception. For it is characteristic of all diseases and health problems that accompany modern man. Hernial education is in place L4-L5 and other parts of the spine may be displayed:
- when genetic predisposition due to the presence of congenital changes in the connective tissue structures of the body;
- in case of trophic disorders in the region of the discs in the intervertebral space, which can be long-term the current degenerative disc disease;
- with a sedentary lifestyle, when the lack of movement disrupts the metabolic processes in the intervertebral discs and reduces the muscle tone of the back;
- endocrine diseases, complications of obesity and the diseases of metabolism;
- with frequent injuries of the spine.
symptoms of the pathology of this type
It is Possible to allocate 3 basic attributes:
Symptoms of this localization is determined by the level of the lesion. Bulging between the vertebrae L4-L5, l5-S1 and other necessarily leads to pain. These sensations can be from slightly pointed, bearing a local character to severe pain in the lower back. Possible radiating to the buttock or leg, and pain may occur on only one surface, outside or inside of the thigh.
- Lesions of the pelvic organs
This is the most typical hernias in the segment L5-S1. Here, from spine out of the nerve trunks that provide the innervation of the pelvic organs. Generally, the inability of the patient to control urination and defecation becomes an indication for surgical treatment.
- change the sensitivity
Sometimes, suffering only the sensitivity of the skin in certain places. Arise paresthesia of varying intensity, numb feet or toes, no reflex sensitivity in the typical places.
Some features of hernias of this type
Hernial outpouching of the intervertebral space can sometimes have non-standard direction. This can lead to atypical manifestations of the disease. For example, the median-paramediano a herniated disc significantly increases the risk of spinal stenosis and the occurrence of persistent phenomena of paraparesis.
Anatomically this formation looks like a normal prolapse hernia in the center of the rear surface in the intervertebral space. But it is a protrusion in the future may change the direction and squeeze the nerve trunks in a different location that changes the clinical manifestations.
What treatment is indicated for patients?
primarily, the median hernial education can and should be treated conservatively. These techniques can rid you of back problems, the vast majority of patients. Much depends on the duration of the disease and accuracy of diagnosis.
The Main methods of treatment:
- Bed rest
within a few days of continued strict regime of the patient in the supine position. Then you can slightly weaken it, allowing the patient to care for himself. This givesthe ability to relax the compensatory muscle spasm of the spine and reduce pressure on the spinal nerve roots.
- Drug therapy
The Positive effect of nonsteroidal anti-inflammatory drugs. They remove swelling of the tissues in the site of the disc herniation, decrease the intensity of inflammation and relieve pain. In addition, you need a regular pain medicine and medications, relieves muscle spasms.
- physical influence
Here you can use the whole range of therapeutic actions, including manual therapy, acupuncture in herniation of the spine, therapeutic exercises. Perhaps the use of modern high-tech methods of laser and wave therapy.
- Surgical treatment is indicated when anatomical changes in the spine and lesions of the pelvic organs.
The Median disc herniation of L4-L5 and L5-S1 and other segments may cause immobility of the patient. It is characterized by the complexity of treatment. The prognosis of cure depends on the localization of the hernial education and the timing of the start of therapy.