Herniated Disc - Treatment

All conservative treatments try to improve inflammation. NSAIDs are helpful. Activities to be restricted. Exercise and physical therapy mobilizes the muscles and joints to facilitate recovery. Bed rest has proven effective. It indicates acute spasms muscle relaxants, but only in its early stages. different surgical methods to help improve sciatica nerve decompression. Pain can not be removed completely.
Pharmacologic therapy.There are a variety of medications prescribed to help patients with back pain and sciatica. Several types of drugs are helpful in treating pain discogenice: analgesics, muscle relaxants, sedatives, corticosteroids, anticonvulsants, antidepressants.NSAIDs are effective in reducing the biological effects of inflammation and pain. Their management should be monitored for adverse effects and gastropathy, bleeding and renal toxicity.Treatment is by nature conservative. Regimens are most commonly used NSAIDs, physical therapy and lifestyle changes.Tricyclic antidepressants are indicated for patients who experience chronic pain. Common side effects include dry mouth, sedation, urinary retention, constipation, cardiac conduction block.Muscle relaxants such as carisoprodol and ciclobenzapina are beneficial in patients with spasm of the lumbar muscles. Opioids are indicated in patients with moderate to severe pain with significant structural degeneration, which are not candidates for surgery and those who have failed therapy with other agents.Steroids. A high dose of steroids to reduce pain and shorten the symptoms. Some patients with progressive degenerative myelopathy shows the benefits as well. Epidural steroid injections help patients with radicular symptoms.Chemonucleoliza enzyme.chemolitice substance is administered in the affected intervertebral disc. Due to the risk of anaphylaxis indicate cardiopulmonary monitoring.
Lumbar support.Benefit patients suffering from chronic back pain secondary degenerative processes. They restrict movement of the spine, stabilize, correct deformities and reduce the mechanical forces.They massage the affected areas and the effects of local heat application.Physical Therapy.It remains a conservative standard in the treatment of chronic low back pain, including limitation of movement. Significant variation in the intensity and frequency of exercise depends on the condition pacidentului.
Surgical therapy.Surgery is occasionally performed. Surgery is indicated for patients with lumbar radiculopathy with persistent pain, weakness, or progressive symptoms that do not improve with physical therapy.Automated percutaneous lumbar Disectomia.This procedure is safer than the injections Intradisc chemopapainei input. Allows removal of the central disc material by placing a suction needle and automated.Anuloplastia electrothermical Intradisc.It is a surgical technique miniminvaziva. After intervertebral disc is approached by fluoroscopic guidance a catheter is inserted into the ring posterior disc electrodermal painful. Candidates for this technique are patients with back pain caused by a small hernia, internal cracks easy disc or disc degeneration limited to two levels.It is done after conservative treatment for six months failed.Arthroscopic Miodiscectomia.In this technique the surgeon visualize the lumbar nerve roots and fibrous ring of the disc printrun endoscope. Fragments of the posterior disc can be removed by manual or automated instrumentation. The technique is especially recommended incarcerated herniated disc when noninvasive methods have failed.Implantation of artificial discs.Artificial disc replace painful disc maintaining natural anatomical structure of the column. Flexicore Charité disks or are used. The indications for implantation of an artificial disc are similar to those for spinal fusion and degenerative disc disease include limited to a single level, 18-60 years old, severe back pain, conservative treatment for at least six months.