There are different types of disc injuries that lead to back injuries. In general, the biggestíMost of them are the product of a degenerative process.
Herniated discs or osteochondrosis are examples of wear and tear injuries caused by time.. duty todayíwe love to talk about one of them: I protruded itóI didn't stick outón discal.
Index
Disco intervertebral
To understand whaté is the protrusionódisc no., you must first understand the formationónumber of discs. The discs are structures located between the vévertebrae. Its functionón is to protect her, así how to protect the nerves that come out between it and the joints in the area. The disc consists of three parts: The núcleo pulpy, The núcleus fibrosus annulare and intervertebral disc.
The fibers that make up the ring deteriorate over time under the influence of pressure.ón on the spine. This causes dehydrationón that leads to smallñthe torn, known as disc fissures.
When this conditionón persists over time, fibers inevitably deform and can no longer regenerate.
Smartón discal
I protruded itóDisc collapse occurs when the fibers begin to deform and bulge due to these stresses.. When it gets weak, The núpulpal cleus deforms and pushes it backás, causing the disc structure to deform.
Síntomas
As a degenerative process in the spine, bulging discs affect más comúespecially to people older than 40 años. SpaghettiéIt's not very commonún that the sísymptoms do not appear.
Nevertheless, when the lump occurs in the áarea where the nerve passes, can cause back discomfort. The más común is cervical or lumbar pain depending on the locationón de la lesión.
The pain usually radiates up the arm when the ankle is convex and down the leg at the waist.. Si la lesión compresses certain nerves, spaghettién can cause péloss of sensation or péloss of strength.
Treatment
In general, the biggestíin cases of inflammationón of the disc improve positively with medication, physical therapy and gentle, controlled exercise.
In cases where the specialist decides that surgery is necessaryía, the splitón microquirúrgic is surgeryía más común for this conditionón.
¿In qué the protusi is differentiatedón disc and disc herniation?
This is one of the questionsáfrequent s. The main difference isá in the work of theúcleo pulpy. When the colloidal component pushes and deforms the cápsula, a bulge occurs.
Nevertheless, when this sheath is broken and the substance within the núcleo leaves her zone, is when a herniated disc occurs.
In the convex part of the disc there is a partial break of the fibers within the disc to allow the núcleo moves to the fissure, making the noúcleo pulpy (protoea). One protrudedódisk n can be asymptoática, but alsoén can lead to a narrowing of the carcasses throughés of the nerves or the spinal column. A person may experience severe pain accompanyingñado of muscle spasms and neuralgia in the area or in the arms or legs.
Disc bulge is a less significant lumbar disc herniation due to degenerationódisc no..
If the fibers break in the regióouter n of the disk is greater, can lead to expulsionópartial n of núcleo. This process is called a herniated disc.. The Más common are lumbar hernias between L4-L5 and L5-S1, and cervical between C5-C6 and C6-C7.
A herniated disc can exert pressureón over certain structures of the nervous system and cause pain that radiates to the lower or upper extremities (etiología). the tamañor the hernia bulge is notá related to theípatient symptoms.
Both a bulge and a hernia will be diagnosedán a través of history mépatient's doctor, the exam níand the use of diagnostic testsóstico for the image, like magnetic resonanceética nuclear (MRI). it fits ifñmake it appearón of a bulge or hernia in the imágenes are not alwaysá directly related to the appearanceón of the síntomas (4) (5). These are physiological processesósigns of aging and degenerationón which do not always lead to síntomas. Therefore, the diagnosisóStico should not be based on imaging tests but on the symptomatologyía clínica, where neurological signs are commonóprogressive logics.
Treatment of a pathologyíto the disk
Treatment is generally conservative, but we cannot forget that the treatment can become surgery.íand an emergency.
Surgery is only recommendedíto when the patient loses sensation or power of the áaffected area, especially if the MRI shows a hernia to invade the nerve and space
electromagnético is positive (degenerating to God Kinh Marca). Depending on the severity of the dayñO, You may need treatment in the pain unit if conservative treatments do not improve. as in any injuryón, we must always go from a less invasive treatment to an invasive treatment.
For pain radiated by stimulationón nervous, the use of corticosteroids and vitamin B (incite or similar, only prescribed prescriptions and recommendations métips))
In relationón with restoration treatmentón of herniated discs or boat, you must performémobilization techniquesón, muscle inhibitions, spec exercisesíficos to return the motors and control the múrise to the kingsón affected, therapies on the behavior of consciousness, the relaxationón progressive, the mobilizationón prolonged and neuralótip. With these treatments, the patient improves the pain of lack of life and improves their quality of life. Treatment should always respect pain and progress, así as the activityíreturn requestón.
Finally, surgical treatmentúshould only be done in case of nervous change or when previous treatments are not effective. Nevertheless, surgical treatmentúrgico no mostró an efficiency más high and betteró the sísymptoms that managers, if we appreciate the long term, we need a bigger analgéphysique in which a good muscular house of the court has been made (2).
