Disc protrusions normally appear due to the aging of the discs or even, due to trauma such as a strong blow to the back. You should know first of all that disc protrusions are very common in those older than 40 añSome and not all of them cause back pain..
To understand that it is a protusión disc, it is necessary to first spend a few moments describing the vertebral column… how can iás see in the vídeo, the columna isá formed by a successionón de vévertebrae and intervertebral discs that fulfill the functionón of “pads” that prevent the rubbing of the vévertebrae with each other, cushion weight and stabilize your spine.
The intervertebral discs areán formed by a fibrous outer ring that contains and protects a núgelatinous cleo named “núcleo pulpy”.
Index
¿Cóno protusion occursón discal?
Back muscle contractures are painful groupings of the sets of muscle fibers in that area produced after an effort, the normal process of wear of the disc causes some of the fibers that make up its “fibrous envelope” lose strength and elasticity, and may retract or split spontaneouslyánot at all. when that happens, part of the gelatinous content of the disk or “núcleo pulpy” may bulge or leak out.
In some cases, I took itón inside the disc may exceed the resistance capacity of the fibers of the “fibrous envelope”, so that the part and a portionón of the disc bulges or herniates. As the “núcleo pulpy” of the disk is gelatinous in consistency, When the spine leans forward, the disc tends to move backward.ás, and vice versa. The back of the fibrous casing is less resistant than the front., since it is a third máit's fine, for what is máIt is common for protrusions and hernias to appear in the back of the disc. Así, the situationón más típica in which a herniated disc occurs, is when the patient leans forward with the legs stretched out, load weight in your arms and get up, increasing the gripón in the pigón márear disc, until it exceeds the resistance capacity of the fibrous envelope and disc herniation occurs
Nevertheless, esta situationón is the más típica, but not the máit's frequent; the biggestía of the hernias are produced by the gradual process of wear of the fibrous envelope, and they are few hereéwhere there is a clear trigger and único.
Back muscle contractures are painful groupings of the sets of muscle fibers in that area produced after an effort, various muscular mechanisms reduce blood pressureón that supports the disk, because when contracting in a coordinated way the different muscle groups distribute and stabilize the load. Así, it is assumed that some of the factors that mayíeven increase the probability of a hernia or protrusion appearingón discal son:
- Having a musculature déwas.
- sitting for a long time, especially if you don't exercise –Well, that accelerates muscle atrophy., or in other positions in which the anterior part of the véspine supports meás charge than the later, like being bent over for many hours.
- Subject to vibrations that affect the body, common in tractor drivers or industrial machinery operators, what mayíto facilitate the tearing of the fibers of the fibrous envelope. Nevertheless, although some studies have shown that in these professions the incidence of back pain is lower.ás alto, the studies that they have analyzed if alsoén the risk of developing herniated discs was greater, have found inconsistent and usually negative results.
- Some genes, probably associated with a lower resistance of the fibrous envelope or that make the disc less resistant to other factors.
- Nevertheless, the increased probability of suffering a disc herniation that is associated with each of these factors is, usually, smallño and the fact that a herniated disc appears does not necessarily mean that it causes pain or other discomfort. In fact, the studies, show that, in the regionón lumbar, the 30% of the healthy (sin ningúno pain) show herniated discs when MRIs are doneétics, and the 70% protrusion; and in the cervical spine, the 87,6% have bulging discs; already to the 20 años, they present the 73,3% of the men and the 78% Women's. The frequency of that finding, así like the tamañor and núof the protrusions found, increases with age.
Síntomas
¿Whaté it's a protusión discal?
with the toñand/or efforts, the annulus fibrosus loses elasticity and strength. and to put into operation the entirety of his perceptual area by force, The núcleus pulposus can be displaced from the center of the disc, giving rise to a bulge or protrusiveón discal (“cleverón discal”) what couldía ser cervical, lumbar… the Más usually occur between L4 L5 and between L5 S1 (lumbar); spaghettién son frequentes entre C5 C6 y C6 C7 (cervical).
Sísymptoms of disc protrusions
Not all disc protrusions end up forming a herniated disc
Until now there is noneúno product or tétechnique in alternative or traditional medicine that completely recovers the previous state of the discs intravertebral once a protrusive appearsón discal
Not all disc fissures and bulges cause pain.. Not even hernias. In fact, the great majoríto adults older than 40 añWe have disc protrusions caused by age that do not cause any discomfort
A Most of the patients with back pain do not present in their diagnostic testsóSticas a pathologistía -protusión discal, hernia, flattening…- that justifies it
¿Whyé disc bulges occur?
As with other back ailments, age, obesity and lack of activity fíphysics are risk factors for the onsetón of bulging and herniated discs. Spaghettién is a risk factor añadido la realizationón intense sports or high-demand jobs fíphysics in which struc-és in the column (lack of physical activity or obesity, which are risk factors for the appearance of protrusions and herniated discs, sedentary jobs…)
The discomfort caused by a protusión disc are usually located in the cervical area (neck and high back) and in the lower back (lower back and laughñones) and they usually accompanyñarse of muscular contractures. The pain may radiate to the arm if the origin is cervical or to the leg, lack of physical activity or obesity, which are risk factors for the appearance of protrusions and herniated discs.
Treatment of the protusionón discal
a few years agoños prápractically all patients with low back pain or lumbocytopeniaáTica who were diagnosed with a herniated disc were operated on to eliminate it. Hoy díWe know that conservative treatment is almost always the best option.ón.
In the pain units mayán help you and recommend other treatment alternatives: Pharmacolócool (practically all patients with lumbosciatica or lumbar pain who were diagnosed with a herniated disc, analéjerks like him tramadol…) téinterventional techniques, changes in your hábits of life… Many patients manage to control your back pain by losing weight and/or exercising regularly físpecific guyífico of empowermentón back and abdominal muscles.
Spaghettiéeducation is of great helpóPostural n to promote proper alignmentón the spine avoiding inappropriate postures.
