Disc protrusion l4-l5: what is it, causes, treatment, is it possible to do massage

Disc protrusion l4 l5 what is it and how to treat it – with these and other issues faced by people diagnosed with this disease. Protrusion is the primary stage in the development of intervertebral hernia. The displacement of the intervertebral disc is centered between the 4 and 5 vertebrae of the lumbar spine. Entails the displacement of other drives. Therefore, this disease should be taken very seriously. At the first manifestations should consult a specialist and start therapy.

During the defective transformation of the intervertebral discs, cracks in the fibrous ring. Hence there is a displacement of the entire structure of the disc. This process is accompanied by compression of the nerve roots, then early signs of the disease. It is very important to investigate the disease at an early stage, as it can progress to a more severe stage then surgery is avoided.

Causes

The reason lies in the fact that the lumbar is a lot of pressure. This is explained by the physiological properties of spinal curves. When a person sits, walks, or lifts a heavy load, the area between the vertebrae is greatly reduced.

In most cases, protrusion of intervertebral disc l4 l5 arises from the occurrence of osteochondrosis, which is formed over a long period.

However, there are a number of reasons, among them:

• Curved posture;
• Various injuries;
• The metabolic disorder;
• Heredity;
• Age convert;
• Passive way of life, sedentary work;
• Excessive physical exertion;
• A failure in the circulation;
• The reduction of height of intervertebral discs;
• Diseases of the spine such as lordosis, scoliosis and kyphosis.

All stages of the development of the disease

There are 3 stages of development. In the first stage, micro-cracks occur in the fibrous ring. As a result of this action is the transformation of the structure of the fibrous ring. Ring can disintegrate two-thirds its size. At this point, the patient appears acute colic, which quickly disappear.

Cramps occur after the person is awake or under heavy load on the spine.

In the second stage appears a bulging disc 2-3 mm. Spasms become longer, and given in some part of the body (lower back, legs or buttocks). The person feels discomfort that limits physical activity. During this period it is still possible to conduct non-surgical treatment without medication. Patient recommended passage physical therapy to improve and enhance the muscle activity.

The third stage is accompanied by rupture of the fibrous ring and protrusion of the disc. Spasms become so acute that when the person experiences pain, which gives to any part of the body even more strongly than in the second stage. In this period there is a tingling, tension in the muscles of the legs. After the third phase of developing disc herniation.

• See also: Hyperlordosis of the lumbar spine

What other types of protrusions exist

Treatment depends on what kind of disc protrusion l4 l5 observed in the patient. There are 4 forms of the disease:

• Circular;
• Dorsal;
• Median;
• Diffuse.

The most common type of protrusion is circular. At this stage there is uniform circular protrusion occurring in a horizontal position. This often leads to damage to the 4 and 5 nerve root. If the patient is not time to see a doctor, it can be disabled.

The worst kind of protrusions is dorsal. Its distinguishing feature is that the patient has a protrusion directed toward the spinal canal. In this regard, a person can lose motility, sensitivity and remain disabled.

Median protrusion is very risky, as it grew into a spinal disc herniation is a source of serious deterioration. The lack of treatment leads to disability. Characterized by a bulging disc, centered to the Central part of the horse's tail.

• I advise you to read: cauda equina syndrome

In diffuse, as in the dorsalprotrusion protrusion occurs to the spinal cord. The disk may be corrupted by 25-50%. If not timely treatment, the patient can be handicapped.

The study and treatment of the disease

At the initial signs of the disease, you should immediately contact a doctor. The delay in this case threatens serious complications, so the first thing the specialist sends the patient for x-rays. But this one survey is not enough, therefore, for more accurate results, the patient undergoes magnetic resonance imaging.

After the diagnosis of the spine, the doctor studies the form of protrusion and the severity of the disease, and then assigns appropriate for patient therapy.

• Would also be interested in: diffuse disc protrusion l4-l5.

Then, if there are no contraindications, is assigned a comprehensive treatment which includes medication and physiotherapy. The first condition for the patient is to eliminate any loads on the spine.

• See also: How to treat the displacement of the vertebrae of the lumbar.

Medications aimed at:

• Elimination of spasms;
• Removal of inflammatory processes;
• For the regeneration of bone and cartilage.

Physiotherapy treatments are carried out in order to prevent bulging and to reduce the compression of intervertebral discs. This treatment includes:

• Physiotherapy;
• Chiropractic;
• Massage course;
• Swimming;
• Acupuncture;
• Electrophoresis:
• LFK.

Remember that if time does not begin treatment protrusion, operative intervention is inevitable.

• Also of interest: treatment of protrusion of l5 s1 disc.

The fourth and fifth intervertebral disc, in which there is a destructive process, accompanied by spasms, requires special attention of specialists. Only after the control examination, the doctor will be able to see at what stage of recovery the patient is discharged from hospital. In no case do not self-medicate, as this disease can lead to disability and loss of earning capacity of the person.