Hernie discale

HERE'S WHAT YOU DON'T KNOW ABOUT HERNIATED DISC.

  • On 03/09/2020
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HERE'S WHAT YOU DON'T KNOW ABOUT HERNIATED DISC.

One of the causes of back pain is a herniated disc. This condition of the intervertebral discs is most often characterized by low back pain or sciatica. Symptoms, diagnosis and treatment of herniated disc with Secret Africa

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Definition of herniated disc

A hernia is the protrusion of an organ or part of an organ (most often, the intestine) out of its usual position. A herniated disc is the protrusion of a portion of an intervertebral disc.
Between each of the 24 movable vertebrae of the spine is an intervertebral disc formed of a fibrous and solid structure that contains a gelatinous nucleus (see diagram). These discs give flexibility to the column and act as shock absorbers in the event of an impact. A herniated disc occurs when a disc weakens, cracks, or ruptures and part of the gelatinous nucleus erupts.

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Causes
Degeneration of the intervertebral discs, which dry out with age. The spine loses its tone, elasticity and height.
Abrupt action in poor posture, such as lifting a heavy load in a torsion position.
Excess weight and pregnancy, which increase the strain on the spine.
A hereditary predisposition: several members of a family are sometimes affected. Predisposed people tend to have a herniated disc earlier, sometimes even before adulthood. Genetic abnormalities can lead to weakness in the structures that make up the spine.


Symptoms

The herniated disc is manifested by severe pain located in the area of ​​the herniation. The pain can spread to an area of ​​a limb because it can compress a nerve passing nearby. In some cases however, the hernia does not cause any symptoms. The most frequent locations are at the level of the lowest vertebrae, in particular the discs located between the 4th and 5th lumbar vertebrae and between the 5th lumbar and the first sacral. In the event of a cervical hernia, it can thus be responsible for cervico-brachial neuralgia with a tingling sensation called paresthesias, especially in the neck which can extend to the arm. In the event of damage to the last lumbar vertebrae, the symptomatology may be that of sciatica with lumbar pain which may extend to the thigh and to the toes on the path of the concerned nerve.

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Diagnostic

The diagnosis is suspected based on the patient's description of the pain, their location and clinical examination. Additional examinations are prescribed, such as an X-ray of the spine in the painful area, a CT scan or an MRI. These examinations confirm the diagnosis and locate the hernia.

Treatment
The treatment is based on rest, the administration of analgesics, anti-inflammatory drugs, muscle relaxants. In some cases, infiltrations are carried out. The treatment is often combined with a few physiotherapy sessions. Surgical intervention may be considered in the event of severe damage.


Prevention
The occurrence of a herniated disc can be prevented by applying a few precautions: protect the back during activities or when carrying a heavy load (avoid bending forward, bending your legs and getting up slowly), practice sports "soft" for the back: swimming or cycling for example.

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