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Treatment of protrusion. Prices, reviews, ratings

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Protrusion is the second stage of intervertebral disc herniation. Of all four stages of the disease, this is the most common. It can occur in any part of the spine. Sometimes both terms are used as synonyms. However, this is not entirely true.

Protrusion is the second stage of intervertebral disc herniation. Of all four stages of the disease, this is the most common. It can occur in any part of the spine. Sometimes both terms are used as synonyms. However, this is not entirely true.

General information

Disks (cartilaginous bodies) are located between the vertebrae. Thanks to them, our spine is flexible and elastic. The disc consists of a nucleus (a gelatinous substance) and a fibrous ring that surrounds it and prevents it from coming out.

The main difference between a protrusion and an intervertebral hernia is that in the first case the ring does not rupture, and the nucleus does not flow beyond the boundaries of the cartilaginous body. It only protrudes 4-15 mm into the spinal canal. In the second case, a ring rupture occurs and the gelatinous substance exits the disk.

Causes of occurrence

This process is caused by a number of reasons:

  • wear and tear of the disks with age;
  • spine injuries;
  • professional sports;
  • lifting excessive weights;
  • tuberculosis and other severe inflammatory conditions.

Classification

By type:

  1. circular (diffuse) protrusion - protrusion of the disk in a circle. This is a chronic form, leading to disability without assistance. Degenerative dystrophic changes in the spine occur: pinched nerve roots, stiffness, "lumbago". Can be multiple;
  2. local - depending on the direction of the protrusion, it can be:
    • lateral - in any direction;
    • posterolateral - into the spinal foramen. The most dangerous form, since it is most likely to cause compression of the roots;
    • central and posterior (medial) - into the spinal canal. If the protrusion occurs in the cervical region, then the signs appear in the early stages. If in the lumbar region, then more often in the late stages, which worsens the prognosis.

By the affected part of the spine:

  • protrusion of the cervical spine;
  • thoracic;
  • lumbar.

Procedure

Preparation

The selection of treatment for protrusion initially involves a thorough diagnosis:

  • examination of the patient;
  • palpation;
  • radiography;
  • magnetic resonance imaging;
  • additional tests at the discretion of the doctor.

Conducting the procedure

Treatment measures for protrusion of intervertebral discs are prescribed by a vertebroneurologist. He has enough tools in his arsenal to combat such a serious pathology. This process is strictly individual and depends on many factors. Conservative methods are quite effective for this problem:

  • drug therapy: anti-inflammatory, pain-relieving, absorbable drugs, vitamins;
  • local methods: ointments, creams, gels, compresses, plasters;
  • manual methods: massage, acupuncture, impact on biologically active points;
  • physiotherapy.

If therapy does not bring positive results, then surgical intervention is indicated.

Indications

Symptoms of this pathology vary depending on the form, stage, localization, age. The following general characteristic clinical manifestations can be distinguished:

  • "lumbago";
  • chronic pain syndrome;
  • low mobility;
  • loss of flexibility;
  • pain radiating to the arms and legs;
  • numbness of the limbs;
  • headaches, muscle pain;
  • muscle weakness.
If you notice such symptoms in yourself - immediately contact a doctor!

Contraindications

The risk of complications with highly qualified care is minimal. The issue of contraindications when selecting treatment for spinal disc protrusion is decided on an individual basis.

Prices and clinics


Visit the portal to learn more about the clinics where you can get a consultation with a vertebrologist, as well as the cost of services.

05 Jul 2024, 20:02
Vertebroneurologist

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