Parmigiana herniated disk: what it is, causes, symptoms, treatment

Parmigiana (paramedicine) hernia is a degenerative lesion of the intervertebral cartilage disks with their partial shift, which leads to compression of the spinal fluid on one or both sides. 70% of all diagnosed hernia – this type. Pathology is dangerous, as its growth becomes the cause of the pinched nerve endings of the spinal cord, which significantly limits the capacity of the person until the disability. Usually develops on the background of already existing scoliosis, degenerative disc disease and dysplasia.

Paramedian types of hernias

The location to the middle line are distinguished: left-sided pathology, right, median. Klassificeret pathology also in the degree of protrusion and localization. Parmigiana herniated disc happens:

• Dorsal – the displacement of the disk in the space between the vertebrae;
• Lateral – education affects the rear part of the annulus;
• Sequestered – is diagnosed when the loss of the disc in the area of the spinal canal.

There is still a separation gruzevich of protrusions depending on the spine, which was formed violation: cervical, thoracic (rare), lumbar (most often) or lumbosacral.

See also: what is a sequestered herniation of the spine?

Paramedicine herniated disc depending on the direction of the prolapse is formed to the left or right. In the first case, pinch the nerves of the left side of the spinal cord, disrupting the normal functioning of the organs and systems of the body. Right-sided hernia becomes a reason for discomfort on the right side.

A typical localization gruzevich formations are the lumbar vertebrae L5-S1 and L4-L5, sometimes violations are diagnosed at the level of the cervical – C5-C6. In the first case of abnormal development occurs between the 5 lumbar vertebra and the sacrum. L4-L5 is localized in the Department of the waist, characterized by the rupture or loss of contents of the disc in the disc space between the vertebrae. C5 - C6 is diagnosed in the area between the 5 and 6 cervical vertebra.

Reasons

Possible causes include:

• Trauma to the back (as a result of a traffic accident, jumping from heights, heavy lifting);
• Rheumatoid arthritis;
• Neprilichnye scoliosis;
• Bechterew's Disease;
• The reduction of height of intervertebral discs;
• Prolonged deficiency of calcium, phosphorus;
• Obesity;
• Congenital anatomical features of the spine;
• Osteochondrosis;
• Excessive exercise;
• Physiological, age-related changes in the tissues of the spine;
• The hereditary factor.

Symptoms

At the initial stage of the disease disturbing signs of slabovrajenna and are characterized by dull, medium intensity pain in the back, waist or neck. Later uncomfortable sensations, there are additional symptoms:

• When Grajewo the formation of the C6-C7 are frequent complaints of loss of sensation of the upper extremities, pain in the place of formation of a hernia, dizziness, increase or decrease pressure, as well as impaired visual and auditory functions.
• Hernial education L4-L5 causes tremor, weakness of the legs, swelling, and provokes the emergence of problems with potency, defecation, urination.
• When Grajewo education L5-S1 there is weakness of muscles, numbness of the scrotum, the deterioration of sensitivity of the legs.

Diagnosis

When handling a patient, the specialist performs a medical history and conducts palpation of the affected area. To confirm the diagnosis assigned to MRI, CT, ultrasound, x-rays. These methods of diagnostics allow to determine the location, extent and type of protrusion, to differentiate pathology from other diseases. Access to a doctor at the initial stage of formation paramedicale hernia allows to manage drug therapy.

Methods of treatment

Solving problems in the absence of indications for immediate surgical intervention begins with conservative methods. If they are ineffective – recommend surgery. Medication paramedian hernia usually involves the appointment of:

• Non-steroidal anti-inflammatory drugs;
• Muscle relaxants;
• Corticosteroids;
• Pain-relieving and muscle tone means.

After the relief of pain and the inflammatory process prescribed acupuncture, therapeutic massage and gymnastics, ultrasound, shock wavetherapy. The doctor may recommend a spinal brace, and hardware or manual traction of the spine. These procedures in the treatment paramedian hernias are prescribed for a long period, up to 6 months. Surgical intervention is usually a laser or endoscopic method. Other methods are rarely used because of inaccessible location of the hernia. Contraindications to surgery is pregnancy, low blood pressure, diseases of the cardiovascular system.

Postoperative rehabilitation

After surgical treatment paramedian hernia is very important rest, maximum limitation of physical activity, recommended the use of the corset. The load on the musculoskeletal system should go metered, gradually increasing in small volumes.

Sedentary work is possible only after 1 month after surgery, approximately 30 minutes a day. To drive a car are allowed a short time after 1.5 months after treatment.

For early recovery will be useful to swimming, massage and therapeutic exercises. Sparing mode of physical activity and exertion required for a long time.

Parmigiana the disc herniation is a serious pathology, which causes a lot of discomfort, and significantly impairs quality of life. However, delayed diagnosis and proper treatment help to prevent complications and to forget about the illness.