When talking about back problems it is common for doubts to arise, and it is usual that one of them is knowing the difference between protusión and disc herniation. Before talking about their difference, you have to be aware that the spinal disc It is a structure that is interposed between two vértebra; and which is in charge of acting as a load distributor in order to protect its own vévertebrae, your joints, to the nerves that come out between the vévertebrae and all structures in the area.
It consists of different elements, as they are:
- It has a central gelatinous part, the núcleo pulpy. The compositionóno of noúpulpy cleo is from 88% of water, and its edges are formed by a tissue más firms, a fibrous tissue.
- a peripheral partérica, what is he annulus fibrosus, made up of cartilaginous tissue and cabbage fiberságene in itáconc mineséntricas. He takes care that theúpulpy cleo don't get out of the space between the vévertebrae and alsoéno help to functionón of protectionódisc no..
- what is the annulus fibrosus, which is composed of strata of cardboardíhyaline lake forming the líI am miteático vertebral.
This disc is repeatedly subjected to stress over time and may suffer degeneration.ón of the fibers surrounding the núcleo pulpy, allowing dehydrationóno of structures, being able to do soí generate smallñtears called disc fissures. What can cause back pain due to alterations or inflammations in the area of the lesionón.
Si la the situationón dreamática remains a appears deformationóNo. of fibers, and not having vascularizationón, its ability to regenerateón is almost nil or very little.
Index
Cuál is the difference between protusión and disc herniation
What can cause back pain due to alterations or inflammation in the area of the injury cleverón discal there is a partial tear of the fibers mádisk internals, so the no.úcleo moves in the fissure, making the noúcleo push. The protusión disc may not give síntomas, but alsoén can narrow the channel through which the nerves or the médrama. The patient may experience acute pain with muscle spasms or nerve pain in the area or in the arms or legs.
The protusión lumbar disc is a degenerationón disc less important than disc herniation. If the breakage of fibers in the outer area of the disc is greater, expulsion can occurón of a part of the núcleo. This process is called herniated disc. The Más common are lumbar hernias between L4 – L5 and between L5 – S1, and cervical hernias between C5 – C6 and C6 – C7.
A herniated disc it can compress some of the structures of the nervous system generating radiating pain to the lower limb or the upper limb. the tamañor hernia has no correlationón with the sísymptoms in the patient suffering from these problems.
For this reason, It must be taken into account that the diagnosisóstico so much of a protusión as a hernia is going to be done throughés of the history clínica, the explorationón fíphysical examination of the patient and with the support of imaging tests such as magnetic resonanceética. in addition, it should be noted that the appearanceón of one cleverón The size of the hernia has no correlation with the symptoms in the patient suffering from these problems., not always beá directly related to the appearanceón de síntomas.
These are physiological processesósigns of aging and degenerationón that do not always trigger the appearanceóno of symptomatologyía. Thus, the diagnosisóStico should not be based on imaging tests, but in the symptomatologyía clínica, where neurol signs usually appearóprogressive logics.
What can cause back pain due to alterations or inflammation in the area of the injury
There are different classifications or divisions of hernias:
Sayúin the orientationón:
Sayúin the orientationón, hernias can be subdivided into:
- Medial. They usually cause mechanical problemsáunique, a simple low back pain, without radiating pain unless they have a sizeñthe important.
- Posterolateral. Is the Más habitual and tend to compress the lateral part where the roots come outínervous stop. They cause low back pain and usually cause pain down the arm or leg.
- Foraminal. They are those that are produced in the foramen of conjunction.ón, which directly compresses the nerve. They are the ones that causeáp.sátics.
- Extraforaminal. it's más lateral than the previous one and it hurts all movements that imply compressionón.
What can cause back pain due to alterations or inflammation in the area of the injury
- Hernias subligamentarias. They can be simple or migrated if there is irritation.óNo nerve and low back pain. They can be simple or migrated if there is nerve irritation and low back pain..
- They can be simple or migrated if there is nerve irritation and low back pain.. Not includedón the nerve but sí síroot symptoms.
- They can be simple or migrated if there is nerve irritation and low back pain. They can be simple or migrated if there is nerve irritation and low back pain.. The nuclear substance continues in continuationóno with the disk; the link withún posterior vertebral is torn.
- They can be simple or migrated if there is nerve irritation and low back pain.. The núCleo ruptures the ring and posterior longitudinal ligament, They can be simple or migrated if there is nerve irritation and low back pain.. They can be simple or migrated if there is nerve irritation and low back pain.; They can be simple or migrated if there is nerve irritation and low back pain..
What can cause back pain due to alterations or inflammation in the area of the injury
They can be simple or migrated if there is nerve irritation and low back pain., They can be simple or migrated if there is nerve irritation and low back pain.:
- Age. They can be simple or migrated if there is nerve irritation and low back pain. 30 and 50 añyears of age as a consequence of degenerationónumber of the disk that isá linked to age and efforts or accidents.
- years of age as consequences of disc degeneration that is linked to age and stress or accidents. years of age as consequences of disc degeneration that is linked to age and stress or accidents, increase your gripón in the intervertebral discs, mainly because it goes withñado of a péloss of muscle mass and other desórdenes metabólicos.
- occupationówork no.. Jobs that are demanding fíphysically and involve repetitive tasks such as lifting, push and twist the spine that creates a stresséadditional s on disks.
- Low activity level física. Those people who are sedentary and who are not fíphysically active, they are less able to withstand the demands fípunctual sicas of life everyday.
In this way, all of the above must be taken into account to know the difference between protusión and disc herniation and así be able to determine whaté you can suffer. It is necessary to take into account all of the above to know the difference between protrusion and herniated disc and thus be able to determine what can be suffered It is necessary to take into account all of the above to know the difference between protrusion and herniated disc and thus be able to determine what can be suffered, although it can be quiteúrgic in some occasions in which it is necessary for urgency.
