The disk (lProlapsus nuclei, prolapsed disk, disk also, BSP) is a disease of spine where parts of disk into spinal canal - the space where the spinal cord is - to step forward. In contrast to disk protrusion (bulging) prolapse of annulus fibrosus of disk (spinal disc herniation Ashburn VA) is torn completely or partially.
Typically, herniated disks causing back pain (lumbago) with or without radiation into legs (sciatica) or in arms (brachialgia). Depending on the severity of symptoms it can also lead to numbness or muscle failure in supply area of pinched nerve root. A herniated disk can lead to a positive characters and Kernig's sign. In extreme cases, it can cause a spinal cord injury, thereby z. B. A chair and / or urinary incontinence and a saddle anesthesia occur.
An important measure to prevent a herniated disk is the right ergonomics in workplace. This applies in addition to physical work also for activities that are performed in a sitting position. Nowadays there are many ergonomic solutions for work on the screen at a desk and work requiring long static sitting positions. Since the disk is not supplied by blood vessels, it relies on alternating pressure load on replacing the nutrient solution, thus static seating positions should be avoided.
When it comes to disk, the nucleus pulposus is practically non-existent in its original form. So the disk occurs mostly at the bottom of a long-term pre-damage the disk. The nucleus pulposus (about 80% water) and is in healthy disk from a jelly-like, cell-poor tissues and accepts load together with the cartilage rings and the membranes of function of a hydraulic ball ("water cushion"). The vertebral bodies and disk front allow, together with the small facet joints at the back ("facet joints"), the high mobility of entire spine and high stability.
In most cases, the symptoms of herniated subside within six weeks after their arrival, into remission, and surgery is not required. The study Vroomen and colleagues (2002) found that 73% of patients marked improvement occurred without surgery within 12 weeks after the onset of symptoms. Surgical treatment of herniated disks should be considered only as a last resort, and only after unsuccessful attempts to conservative treatment, which could not take control of pain.
In patients who suffer from back pain radiating into leg, chronic complaints, the so-called back exercises can be helpful. The periradicular therapy (PRT) is a process in which under CT or X-ray inspection cortisone is injected to affected nerve root, which should be done at least 2x. In 67% of cases, so that when a herniated disk pain relief can be achieved.
The investigation in health patients is usually not paid by the statutory health insurance. If necessary, the costs are covered if a painrapist the patient transfers to radiologist. Because of high complication rate applies strict indications for surgery. In 2013, the AOK hospital report has shown that the number of disk operations has doubled between 2005 and 2010.
Furthermore, a study revealed that in disk tissue (operated) patients often viruses of herpes class were detectable with incident compared to a control group. Reactivation of surviving in disk tissue virus (cause: a herpes infection in childhood, in which the disks still have blood vessels), which then contribute to degeneration of tissue is suspected. The average age at diagnosis is 40 years, which are most frequently affected vertebrae in lumbar region. Less commonly affected are cervical and very rarely the thoracic vertebrae. The ratio is about 100 to 10: 1.
Typically, herniated disks causing back pain (lumbago) with or without radiation into legs (sciatica) or in arms (brachialgia). Depending on the severity of symptoms it can also lead to numbness or muscle failure in supply area of pinched nerve root. A herniated disk can lead to a positive characters and Kernig's sign. In extreme cases, it can cause a spinal cord injury, thereby z. B. A chair and / or urinary incontinence and a saddle anesthesia occur.
An important measure to prevent a herniated disk is the right ergonomics in workplace. This applies in addition to physical work also for activities that are performed in a sitting position. Nowadays there are many ergonomic solutions for work on the screen at a desk and work requiring long static sitting positions. Since the disk is not supplied by blood vessels, it relies on alternating pressure load on replacing the nutrient solution, thus static seating positions should be avoided.
When it comes to disk, the nucleus pulposus is practically non-existent in its original form. So the disk occurs mostly at the bottom of a long-term pre-damage the disk. The nucleus pulposus (about 80% water) and is in healthy disk from a jelly-like, cell-poor tissues and accepts load together with the cartilage rings and the membranes of function of a hydraulic ball ("water cushion"). The vertebral bodies and disk front allow, together with the small facet joints at the back ("facet joints"), the high mobility of entire spine and high stability.
In most cases, the symptoms of herniated subside within six weeks after their arrival, into remission, and surgery is not required. The study Vroomen and colleagues (2002) found that 73% of patients marked improvement occurred without surgery within 12 weeks after the onset of symptoms. Surgical treatment of herniated disks should be considered only as a last resort, and only after unsuccessful attempts to conservative treatment, which could not take control of pain.
In patients who suffer from back pain radiating into leg, chronic complaints, the so-called back exercises can be helpful. The periradicular therapy (PRT) is a process in which under CT or X-ray inspection cortisone is injected to affected nerve root, which should be done at least 2x. In 67% of cases, so that when a herniated disk pain relief can be achieved.
The investigation in health patients is usually not paid by the statutory health insurance. If necessary, the costs are covered if a painrapist the patient transfers to radiologist. Because of high complication rate applies strict indications for surgery. In 2013, the AOK hospital report has shown that the number of disk operations has doubled between 2005 and 2010.
Furthermore, a study revealed that in disk tissue (operated) patients often viruses of herpes class were detectable with incident compared to a control group. Reactivation of surviving in disk tissue virus (cause: a herpes infection in childhood, in which the disks still have blood vessels), which then contribute to degeneration of tissue is suspected. The average age at diagnosis is 40 years, which are most frequently affected vertebrae in lumbar region. Less commonly affected are cervical and very rarely the thoracic vertebrae. The ratio is about 100 to 10: 1.
No comments:
Post a Comment