All about circular protrusion of the intervertebral disc

Circular protrusion of the disk is a uniform protrusion of the intervertebral substance. The frequency of occurrence of this disease is 3-5% of all types of protrusions.

changing the disk in the initial stages of formation of the protrusion (cross section)

Causes uniform protrusion of intervertebral disc

The disease often occurs after 30 years. This is due to a predominant effect on the appearance of degenerative-dystrophic changes of the spine.

Other causes of protrusion of the circular:

• Traumatic injuries of the spine;
• On the background of violations of posture may appear circular-dorsal protrusion through a long period of time after the onset of symptoms;
• Osteoporosis (rarefaction of the structure) occurs on the background of a lack of calcium or intense loss for bleeding.

because of the presence of the anatomical lordosis in the lumbar and cervical spine circular disc protrusion is localized most frequently in these places. A particularly dangerous location in the segment L5-S1, through which emerge from the spinal cord nerve plexus, responsible for the functioning of the pelvic organs and lower limbs.

Symptoms of loss of circular discs in the lumbar spine

A circular disc prolapse in the lumbar spine (L5-S1) in the 10-12 mm is often accompanied by severe clinical symptoms:

• Pain in the lumbar region and lower extremities;
• Numbness in the gluteal region and back;
• Violation of motor functions of the legs due to spazmirovannah muscle tissue;
• Frequent backache in the lower back.

In Fairness it should be noted that this symptomatology was observed only in 3-5% of cases. In other situations, a uniform protrusion of intervertebral discs is not showed severe clinical symptoms. Sporadic tingling in the back people blamed on daytime fatigue, so the loss of the intervertebral discs over time only progresses.

Often mild symptoms protrusion remain without attention, with this very dangerous disease continues to evolve. When frequently occurring, or continuing for several days pain in the back should consult a specialist.

This abnormality is often detected at random when MRI (magnetic resonance imaging) of the spine. On an x-ray to see it in the initial stages is very problematic.

TOOOypes of circular protrusions

A Circular protrusion the size can reach up to 12 mm, but the difference between the different phases does not exceed 1 millimeter. Depending on the features of its structure are the following types:

• Circular-foraminal;
• Circular-dorsal;
• Uniform.

In the area of l5-s1 is usually observed uniform protrusion of intervertebral disc is about 7-10 mm. MRI in this case there is a loss of nucleus pulposus beyond the functional segment.

Circular-dorsal protrusion is second in frequency of occurrence. It also most often occurs in the lumbar spine. On the computer tomogram in the pathology observed deformation of the disk in all directions, but with the largest protrusion in the dorsal division. Also often marks the contact of the formation with the nerve roots of the spinal cord.

Highly distributed and circular-foraminal protrusion in the lumbar (L4-L5, L5-S1). Usually magnetic resonance tomography the size of the loss does not exceed 5 mm, since the area is limited lateral canal (size about 5 mm).

According to the statistics of a circularly foraminal protrusion of intervertebral discs, 16% are directed to both sides. In 62% of patients traced left-sided localization of education, and 22 per cent right-sided.

Diagnosis radiological signs

herniated disc and back pain primary method of diagnosis at the outpatient stage is x-ray diffraction study. It allows you to determine the presence of pathology indirectly.

Mild osteoporotic changes (rarefaction of the vertebral structure) to assume the presence of the disease is possible only on the enhancement of the sharpness of the contours of the vertebrae and their deflection of the endplates.

As reduced bone density, x-ray examination becomes more reliable. Due to external pressure may damage the endplates of the vertebrae. And the drives will take the form of biconcavelenses, wedge, fish fins.

How to cure even prolapsed intervertebral disc

Manual therapy in the cervical protrusion

If the protrusion is detected in the early stages, it is possible to achieve effective therapy of the disease. Localization of pathology in the lumbar spine (L4-L5 and L5-S1) is treated quite difficult.

Treatment Principles:

1. the symptoms
2. stop the progression of the pathology;
3. Strengthening vertebral bodies;
4. Prevention of neurological disorders.

The selection of the preferred method of treatment also depends on the health of the patient, other diseases.

As the primary means for the treatment of diseases of the spine are assigned anti-inflammatory drugs (NSAIDs). Along with anti-inflammatory effect they are good analgesics (pain relieving drugs). When using them, it should be borne in mind that NSAIDs adversely affect the gastrointestinal tract. They provoke gastric ulcer and the formation of cracks in the gastrointestinal tract.

Physiotherapy is the main balancing factor aimed at addressing the causes of pathology. It strengthens the muscle corset, which will prevent the prolapse of intervertebral disks.

In severe pain to alleviate the condition of the patient is necessary to remove the load from the affected spinal disc segments. To do this, special attention in the treatment of diseases should be paid to myopically (strengthening of the muscle corset around the area of damage). To do this, the hospital environment can be applied infiltration of the muscles with 0.5% novocaine solution or application on the affected area Dimexidum in combination with 2-5% solution of novocaine.