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.
Bodybuilding and fitness training can be problematic because misalignments are there not always recognized in studios with less qualified personnel. Also worth mentioning are the "orthopedic sports", swimming, dancing, running (or jogging, nordic walking), horse riding and cycling, which enable beside the muscle building important for disk changing pressure. Whether for a herniated disk sports such as horse riding or running (on asphalted / cemented surface) as well as cycling in strongly flexed position to be avoided are always dependent on the individual damage pattern according to findings of modern sports medicine.
An important measure to prevent a herniated disk is the right ergonomics in workplace. This applies in addition to physical work also for activities that are performed in a sitting position. Nowadays there are many ergonomic solutions for work on the screen at a desk and work requiring long static sitting positions. Since the disk is not supplied by blood vessels, it relies on alternating pressure load on replacing the nutrient solution, thus static seating positions should be avoided.
Hernia (herniations of intervertebral disk) - is offset nucleus pulposus of intervertebral disk rupture of fibrous ring. The most common herniated disks of lumbar-sacral spine (150 cases per 100 000 population per year), much less seen herniations in cervical spine, the most rare - in thoracic region. Though relatively rarely require hernia surgery, nevertheless in US annually, more than 200 thousand, and 20 thousand interventions. In 48% of cases of hernia are localized at the level of L5-S1 lumbosacral in 46% of cases - at the level of L4-L5, the remaining 6% on other levels or at several levels of lumbosacral.
Physiotherapy (Physiotherapy) in chronic and subacute pain helpful. In acute stage, no benefit could be proven so far. Among the many therapeutic and diagnostic approaches are also the Feldenkrais Method, Alexander Technique, Hatha Yoga, the McKenzie method, the spiral dynamics and acupuncture. A behavioral therapy is helpful in terms of pain management for chronic back pain.
The main method of conservative treatment herniated disks is a systemic anti-inflammatory therapy with the use of nonsteroidal anti-inflammatory drugs (NSAIDs). In some cases, the efficiency of delivery of topical administration of corticosteroids.
By modern methods of conservative treatment herniated disks is also multifunctional therapy electrodes (pulsed radiofrequency technology). In addition to basic treatment, are used as therapeutic exercise. Acupuncture for pain treatment did not show significant efficacy when compared with placebo. Good results show traction therapy. In this case, under the influence of vacuum created inside the disk, the nucleus pulposus is drawn in and the size of hernia is reduced. Indications for surgical treatment of intervertebral disk herniations.
Surgical treatment of intervertebral disk herniations is performed mainly in development of neurological disorders and pain syndrome resistant to conservative therapy. In event of compression of cauda equina (severe pain at the back of thigh and lower leg, severe pain in lower abdomen, worse when coughing; incontinence, violation of potency) need emergency surgery.
Bodybuilding and fitness training can be problematic because misalignments are there not always recognized in studios with less qualified personnel. Also worth mentioning are the "orthopedic sports", swimming, dancing, running (or jogging, nordic walking), horse riding and cycling, which enable beside the muscle building important for disk changing pressure. Whether for a herniated disk sports such as horse riding or running (on asphalted / cemented surface) as well as cycling in strongly flexed position to be avoided are always dependent on the individual damage pattern according to findings of modern sports medicine.
An important measure to prevent a herniated disk is the right ergonomics in workplace. This applies in addition to physical work also for activities that are performed in a sitting position. Nowadays there are many ergonomic solutions for work on the screen at a desk and work requiring long static sitting positions. Since the disk is not supplied by blood vessels, it relies on alternating pressure load on replacing the nutrient solution, thus static seating positions should be avoided.
Hernia (herniations of intervertebral disk) - is offset nucleus pulposus of intervertebral disk rupture of fibrous ring. The most common herniated disks of lumbar-sacral spine (150 cases per 100 000 population per year), much less seen herniations in cervical spine, the most rare - in thoracic region. Though relatively rarely require hernia surgery, nevertheless in US annually, more than 200 thousand, and 20 thousand interventions. In 48% of cases of hernia are localized at the level of L5-S1 lumbosacral in 46% of cases - at the level of L4-L5, the remaining 6% on other levels or at several levels of lumbosacral.
Physiotherapy (Physiotherapy) in chronic and subacute pain helpful. In acute stage, no benefit could be proven so far. Among the many therapeutic and diagnostic approaches are also the Feldenkrais Method, Alexander Technique, Hatha Yoga, the McKenzie method, the spiral dynamics and acupuncture. A behavioral therapy is helpful in terms of pain management for chronic back pain.
The main method of conservative treatment herniated disks is a systemic anti-inflammatory therapy with the use of nonsteroidal anti-inflammatory drugs (NSAIDs). In some cases, the efficiency of delivery of topical administration of corticosteroids.
By modern methods of conservative treatment herniated disks is also multifunctional therapy electrodes (pulsed radiofrequency technology). In addition to basic treatment, are used as therapeutic exercise. Acupuncture for pain treatment did not show significant efficacy when compared with placebo. Good results show traction therapy. In this case, under the influence of vacuum created inside the disk, the nucleus pulposus is drawn in and the size of hernia is reduced. Indications for surgical treatment of intervertebral disk herniations.
Surgical treatment of intervertebral disk herniations is performed mainly in development of neurological disorders and pain syndrome resistant to conservative therapy. In event of compression of cauda equina (severe pain at the back of thigh and lower leg, severe pain in lower abdomen, worse when coughing; incontinence, violation of potency) need emergency surgery.
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