• What to do when sequestered hernia

    Occurrence of a sequestered hernia is usually preceded by a long protrusion - a protrusion of the disk. This disease can be asymptomatic for a long time or with minor pain, so the sequestered hernia is a surprise for the patient. Physical exertion, hypothermia, or even psychological stress becomes a direct push.
    The disease is characterized by an acute onset. The patient remembers well the moment of sudden onset of severe back pain. Subsequently, the pain begins to give in the leg, it is accompanied by numbness in the legs, the appearance of "goose bumps". The most severe case is partial or complete paralysis of the legs. It is paralysis, as well as the speed of development of symptoms, that distinguishes a sequestered hernia from a normal hernia.
    If these symptoms appear, you should immediately consult a neurologist. After clarifying the diagnosis, he will prescribe anti-inflammatory drugs and muscle relaxants.They will not eliminate the hernia, but will relieve inflammation and pain, activate blood circulation. Novocainic blockade is used to reduce swelling and relieve muscle spasm. The effect of this procedure lasts for three weeks.
    In the acute phase of the disease it is recommended to wear a lumbar bandage, which should be removed before adopting a horizontal position.
    After removing the pain and swelling, the patient is prescribed remedial gymnastics. Exercise should be increased gradually, in strict accordance with the instructions of the attending physician.
    If the sequestered hernia is accompanied by displacement of the vertebrae, manual therapy is necessary, but it must be performed with extreme caution.
    If within six months the treatment does not lead to a significant improvement in the condition or periods of improvement are replaced by deterioration, this indicates the ineffectiveness of conservative treatment. In this case, surgery is required. The decision about it should take a consultation of neurologists, traumatologists and neurosurgeons. The operation is performed by a neurosurgeon.
    The technology of operation is determined by the state of a particular patient.The entire intervertebral disk or part thereof may be removed. In some cases, a synthetic fragment is implanted into the damaged part of the disk, and prosthetic discs are also used.
    Postoperative rehabilitation includes physical therapy and physiotherapy, prescribed by a neurologist.

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