What is a Lumbar Hernia?
- What is a Lumbar Hernia?
- What are the Causes of Lumbar Hernia?
- What are the Symptoms of Lumbar Hernia?
- How to Diagnose Lumbar Hernia?
- How to Treat a Herniated Disc?
- Can Hernia Be Treated Without Surgery?
- How Is Back Hernia Surgery Performed?
- After Lumbar Hernia Surgery
- What are the Back Hernia Exercises?
Lumbar Disc Hernia is a lumbar ailment popularly known as Lumbar Hernia. The discs located between the place called the lumbar in our waist region, It occurs as a result of the wear and tear of the cartilage structure, rupture, slippage or compression of the nerve root there, which occurs as a result of the person forcing that area excessively.
Later, the pressure on the nerve root can cause low back pain, leg pain, numbness in the legs, and weakening of the person’s muscles.
Herniated disc, which people usually encounter as a result of lifting excessive weights, causes unbearable pain and suffering, as well as a decrease in the quality of daily life.
What are the Causes of Lumbar Hernia?
The discs between the vertebrae in the human body lose the fluid they contain after a certain period of time. The reason for this loss is known as time and aging. The decrease in liquids seriously affects the durability of these discs against external factors.
- Sudden lifting of heavy loads for the waist of the person
- Unconscious lower back movements and/or exercises
- Forcing the person’s back more than they can handle
- Lack of daily routine body exercises that everyone should do
- Standing for more than a certain period of time during the day or sitting for too long
- Sudden traumas such as falling or hitting the person may cause the discs with fluid depletion and below the endurance level to slip or rupture.
Lumbar hernia is generally more common in middle and older ages. However, nowadays, this age range has decreased considerably and it has started to be seen in children as well. It has been observed that this disease occurs in some women during pregnancy due to excessive and sudden weight gain.
If you do not want to suffer from herniated disc at a young age and have to deal with pain, you should pay attention to some of the above. You should move and exercise frequently. Keeping in mind that being overweight is also the cause, paying attention to your diet should be at the top of the to-do list.
What are the Symptoms of Lumbar Hernia?
Although it is commonly seen between the ages of 30-60, it can also be seen at an earlier age due to the fact that the person does not pay attention to himself. If you have some non-routine conditions listed below, you should consult a specialist as soon as possible.
- Back pain reaching unbearable dimensions
- A series of pain extending from the waist to the hip and from the hip to the legs.
- A tingling sensation and numbness in the legs or legs of the person.
- Difficulty standing, a feeling of weakness in the person’s feet,
- Severe difficulty in sitting and walking.
- A feeling of weakness in the person’s muscles.
- Difficulty in the daily activities of the person comfortably.
- Decrease in sexual power
- Fatigue immediately and in a short time in routine daily work.
- The person becomes incontinent,
- If you have symptoms such as loss of balance in daily life, you should definitely consult a specialist and if you have this disease, you should start the treatment process.
How to Diagnose Lumbar Hernia?
The diagnosis process begins when the person complains about the symptoms we have listed above and goes to a specialist doctor in his field. Firstly, the patient’s daily life history and disease stories are listened together with the physical examination. After the physical examination, it is inevitable for the doctor to request a neurological examination for a more detailed examination to be sure.
For examinations and tests that require imaging; High-tech devices such as x-ray, magnetic resonance imaging and computed tomography are the devices used for the diagnosis of this ailment.
In some of the tests performed with these devices, it should be acted with the knowledge that the person will be exposed to high radiation. Conditions that require special care, such as pregnancy, should be shared with the doctor. If not shared, irreversible results may occur.
How to Treat a Herniated Disc?
As in everything else, the diagnosis and treatment method of this disease varies from person to person. First of all, it should be known that the treatment of this disease is personal, and a treatment route should be drawn accordingly.
For example, if the person’s severe pain continues and the disease in the diagnosis of lumbar hernia is advanced, that is, the rupture of the last connective tissue with damage and rupture of the lumbar hernia is a surgical condition that requires surgical operation.
However, if the pain is not severe and the diagnosis of lumbar hernia is not determined as advanced, it is aimed to eliminate this disease by using the appropriate physical therapy and medication method.
During the treatment process, it is recommended that the person should avoid sudden movements that will force the waist and not lift heavy things. The patient, who needs to rest as much as possible, should not delay his physical therapy appointments.
Can Hernia Be Treated Without Surgery?
The first aim of the doctor in lumbar hernia disorders is to seek ways to heal the patient without surgery. If the disease has reached a level that prevents the person from daily life at an advanced level, the option of surgery is reviewed.
In cases of non-advanced lumbar hernia diagnosis, the doctor first performs treatments such as ultrasonic heating treatment, electrical stimuli applied to the person, cold application, and collects the patient himself, allowing the patient to switch to physical therapy and facilitate the structure of the exercises.
The biggest goal in treating lumbar hernia without surgery is, It is to minimize the nerve irritation caused by the hernia area, to protect the spine and to restore it to its former health.
Physiotherapy is an inseparable part of this disease, and in order for the treatment to take place, it must be started in the early period and the exercises must be applied absolutely. The communication between the doctor and the patient is strong and important information should be given such as what to do during the treatment process and how to live.
How Is Back Hernia Surgery Performed?
In addition to the important treatments applied in lumbar hernia, surgical operation is required for advanced hernias. This surgery is performed with the help of general anesthesia, local or spinal anesthesia applied to the person.
By listening to the general history of the patient, first of all, it should be observed whether there is a situation against the surgery. Situations such as high risk should be shared with the patient and the operation process should start after that.
Firstly, it is started by determining between which discs the hernia is located. Then, a small incision is made in the area of the hernia and the operation is started. The person is in a prone position during the operation.
After the effect of anesthesia wears off after the surgery, the patient can stand up easily, and can be discharged within a day by making the necessary controls. After the operation, the patient should be informed about what to do during the recovery period.
After Lumbar Hernia Surgery
Before discharging the person who has had herniated disc surgery, final checks should be made and the rules to be followed should be explained to the patient.
- Firstly, the patient should never lift heavy.
- Sudden bending movements such as forward, sideways, backwards should not be made. In cases where it is necessary to bend down, crouching should be done instead of bending.
- While sitting, one should sit by considering the waist gap, and if necessary, a supportive pillow should be placed behind the waist. Prolonged sit-ins should be avoided.
- Persons who need to sit due to their profession should stand up and move hourly.
- In cases where something needs to be taken from heights, they should not lie down, and a riser should be placed at the bottom.
- It is strongly recommended not to take a cold.
- The person must rest frequently. These are the rules that should be followed not only in order to return to life after the operation, but also in order to avoid this disease for people who are not sick.
What are the Back Hernia Exercises?
Exercises in lumbar hernia disorders are extremely important. It strengthens the weak muscles in the waist and spine.
It increases the movement abilities of people and relieves pain by correcting posture disorders.
These movements must be done every day. It must be done every day. If it is not done every day, a positive result cannot be obtained. Unless your doctor has a specific minute warning, it is recommended to do it for 15 minutes in the morning and in the evening.
Major movements according to the way they are made such as:
- The movement of lying down and getting out of bed
- Stretching the neck and back area
- Stretching the flanks
- Shoulder and waist movement
- Crawling movement
- Prone stretching movement
- Partial straightening movement
- Half bending motion
- Back touching the ground
- Knee and chest movement
- Face-up stretching
- Turning motion while lying down
Prof.Dr. Ergün Dağlıoğlu (Eğitim Görevlisi), Beyin Cerrahı, Beyin Ve Sinir Cerrahisi