In many resonance reports it can be seen that there appear nóSchmorl's modules and on many occasions many patients wonder whaté are treated, the sísymptoms it produces and cóhow can they be treated. These are notódulos de Schmorl tooéThey are not known by the name of Schmorl's hernia.
Index
¿Whaté is a nódulo de Schmorl?
Usually the herniated discs occur when the annulus fibrosus of the disc ruptures and intervertebral disc material enters the spinal canal. On other occasions, what degenerates is the unión between the disk and the vértebra. The point where the disc is anchored to the vévertebra is called the vertebral endplate.
The spinal plate degenerates and cracks, and allows the intervertebral disc to be introduced into the vértebral. Therefore, a nóSchmorl's module is part of the intervertebral disc that is introduced into the interior of a vértebra.
¿Whyé a Schmorl's Hernia occurs?
There are different contentíI would leave it witháyou can explain to them that a Schmorl's hernia, there are different ways for the n to appearóSchmorl's Dulls, but they all have a common pointún, and is that, one way or another, the spinal plate is altered.
There are different contentías, and these are the following:
Contentía dreamática
in our día a díour column supports thousands of loads and smallñthe traumas that, with the passage of the toños, weaken the spinal plate. Microtrauma causes cracks to appear in the tibial plateau and allows passage of disc material.
Contentíthe degenerative
With the passage of the toñThe tibial plateau degenerates and this causes it to lose its capacity to contain the disc material, although often the degenerationón mostly affects the vertebral ring, sometimes the tibial plateau is affected to a greater extent and a nódulo de Schmorl.
Contentía embriológica
During embryonic development, some céprecursor cells of the intervertebral disc remainístill trapped between the césquid to giveán place at vévertebrae. It is césquid, developing during growth, bután place to those mentioned nóSchmorl's Dulls.
Sísymptoms of theóSchmorl's Dulls
It is thought that the nóSchmorl's Dulls produce lower back pain. What happens is that alsoéThey do not appear in the MRIs of people who have noúno kind of pain. An explanationón is that for one of these nóhard be painful, there must be a changeóNo of the immune systemógico to admitíto the disc material as an extrañO; and this provokeíto the appearance of low back pain as a consequence of the initiation of inflammatory mechanisms.
Treatment for Schmorl's Hernia
The main problem when dealing with back pain is to correctly identify the cases in which the nódulo de Schmorl is painful and in which. In this sense, there are different options to take into account regarding the treatment of a Schmorl's hernia.
thenón we will talk about some of the possibilities that exist to be able to treat this hernia:
Conservative treatment
The main treatment for a Schmorl's hernia is conservative treatment, which is to not be aggressive about it, but to bet on a relative rest, analéphysical and physiotherapy, así How to let time pass so that inflammationón gradually disappear and the pain improves.
Técnicas míminimally invasive
La técnica más used to treat the nóPainful Schmorl's pain is the vertebroplastia. This consists of a técnica míminimally invasive that consists of introducing cement into the veinévertebra suffering from intraspongeous hernia. This técnic takes place in quirófano with local anesthesia and sedationón.
The cement is introduced in a viscous state and into the interior of the vévertebra heats up and hardens. The heat that originates inactivates the nerve endings and causes the pain to be reduced..
nerve blocks
A través of this técynic can be treated Schmorl's hernia, a técnica with which you intend to change the transmissionóno pain. For this, useá a needle that at its end has an electrode that emits radiofrequency. By placing the needle próto the nerves that transmit pain, radiofrequency is emitted in such a way that its functioning is altered.
This tétechnique, that tooén is known by the name of rizólysis, performed on an outpatient basis. With it you can reduce the pain between 6 and 12 months in those cases in which it is effective to deal with the Schmorl's hernia that a patient can suffer.
tumor necrosis factor
The alterationóNo of the immune systemólogical may be the cause for which a Schmorl's hernia can become painful. Tumor necrosis factor is a medicationón that is responsible for modulating the immune systemógico reducing his answer. The use of tumor necrosis factor isá offering very good results, although the problem of the use of this type of medicationón is to try to reduce the immune responseóGica where it's needed and what's not It is a general effect.
The Schmorl's hernia These are frequently occurring findings. When MRIs are performedéspinal cord. The biggestíto of the nóSchmorl dules are not painful. Nevertheless, there are times whení produce lower back pain. Despite the existence of treatments that produce betteríto of the síntomas, the difficulty máIt is important to differentiate whaté nóSchmorl's pain is painful and what is not.
Anyway, now you know what you need to know about the Schmorl's hernia, knowing both what it is and its sísymptoms and the different treatments that can be carried out to be able to cope with it and that patients who suffer from it can cope with the pain that comes from suffering from this problem. The possibilities are varied and all dependá of each particular case to determine the treatment that best fits what the patient really needs in each case.
