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.
While the posterior longitudinal ligament (posterior longitudinal ligament) can remain intact (so-called subligamentous disk). The cause is often overloaded with pre-damage of disk, but disk can occur even without external cause. Symptoms of disk are strong, often radiating to extremities pain, often with numbness in area supplied by the pinched nerve root, sometimes paralysis. Treatment is usually conservative possible serious incidents must be treated surgically.
With preserved mobility is recommended to return as soon as possible to normal activities. [8] A bed rest is not recommended because this no treatment effect was detected. In absence of an effective mobility medicinal painrapy should be performed early. Hospitalization should be done at Red Flags, outpatient uncontrollable pain and increasing neurological deficits.
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.
Healthy disk tissue is according to common opinion, if any, tear with a piece of bone composed of vertebral body. Often disk occurs during pregnancy. Another reason, which favors the prolapse of disk, the upright posture of man. There are many old people aged over 90 years who have never had complaints to spine or disk inir busy lives. On the other hand, there are children who had already suffered disk.
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.
While the posterior longitudinal ligament (posterior longitudinal ligament) can remain intact (so-called subligamentous disk). The cause is often overloaded with pre-damage of disk, but disk can occur even without external cause. Symptoms of disk are strong, often radiating to extremities pain, often with numbness in area supplied by the pinched nerve root, sometimes paralysis. Treatment is usually conservative possible serious incidents must be treated surgically.
With preserved mobility is recommended to return as soon as possible to normal activities. [8] A bed rest is not recommended because this no treatment effect was detected. In absence of an effective mobility medicinal painrapy should be performed early. Hospitalization should be done at Red Flags, outpatient uncontrollable pain and increasing neurological deficits.
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.
Healthy disk tissue is according to common opinion, if any, tear with a piece of bone composed of vertebral body. Often disk occurs during pregnancy. Another reason, which favors the prolapse of disk, the upright posture of man. There are many old people aged over 90 years who have never had complaints to spine or disk inir busy lives. On the other hand, there are children who had already suffered disk.
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.
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