When walking and running, the spine of a healthy person experiences increased loads and tremors. Intervertebral discs serve as shock absorbers of such loads, providing the spine with elasticity and elasticity. The intervertebral disc is a fibrous-cartilaginous formation consisting of ring-shaped connective tissue plates and a gelatinous nucleus in the center. The release of a gelatinous substance from such a ring is prevented by a strong circular bundle surrounding the central elastic part of the disc.
Herniated disc or prolapse is a disease caused by protuberance of the gelatinous nucleus, due to the fainting or rupture of the fibrous ring. Most often, hernias appear in the lumbar spine between the vertebrae L5 and S1 on the posterior side of the disc. This is due to the peculiarity of the distribution of loads on the spine, in particular the lumbosacral department in various types of human activity. Separately, it should be noted that athletes engaged in such heavy sports as deadlift and squat with the bar, subject their spine to colossal loads and are at risk.
The appearance of the intervertebral hernia results in a degenerative process in the spine. This disease affects people who are predisposed to mutations of genes that produce the coding of connective tissue proteins. It is inherited and subject to 48% of the population. In such people, from about 19 years, there is a weakening of the fibrous rings of the spine and changes in them as a result of degeneration in the intervertebral disc. As shown by the conducted studies, this process is constantly progressing.
Nutrition of intervertebral discs occurs by diffusion of nutrients from the intercellular fluid. With the growth of a person, diffusion processes slow down, and this negatively affects the synthesis of prothioglycans and collagen. The disc weakens and loses its resistance to loads. In the collagen fibers of such discs, ruptures are formed through which the pulpous nucleus seeps and forms a hernia outside the fibrous ring. This process is accompanied by the release of inflammatory mediators that cause pain in the spine, as well as to radiative pain in the legs and a violation of their sensitivity, which is caused by compression of the nerve roots and directly of the spinal cord.
Symptoms of a herniated intervertebral disc
Symptoms of spinal hernia, which are manifested in athletes engaged in bodybuilding and powerlifting, are characteristic for 90% of all cases of the disease. The occurrence of a constant very strong pain in the lower back, giving to the legs, is one of the symptoms of a herniated disc. Such pain can be accompanied by numbness or tingling of certain areas of the skin.
However, the symptoms of the intervertebral hernia, depending on its location and the degree of pathological tissue damage, can be different. Sometimes its symptoms can be expressed by minor pain in the lower back. However, as the nerve roots are squeezed, the patient may feel constant and painful pains in the legs, which increase with movement. As a result of the disturbance of the normal process of carrying out impulses along the radicular nerves to the legs or from them, muscle weakness, a decrease in sensitivity and paresthesia appears.
For the diagnosis of intervertebral hernias, only the most accurate methods are used: computed tomography and magnetic resonance imaging. The basis for their conduct may be a positive Lacega test in the patient:
- The patient is offered to lie on his back and relax.
Treatment of a herniated intervertebral disc
In the treatment of herniated discs, three main methodological approaches are distinguished: conservative medicinal treatment, gymnastic methods, physiotherapy and surgical intervention.
- Intramuscularly appoint non-steroidal anti-inflammatory drugs. As a rule, these are drugs, the active ingredient of which is Diclofenac. It suppresses inflammatory processes and removes painful sensations. Such treatment is most effective in the acute period of the course of the disease.
Degenerative processes of the fibrous ring are most often observed in the pathogenesis of intervertebral hernias. Therefore, to inhibit such processes, chondroitin and glucosamine-based drugs are used.
In the treatment of herniated discs of different origin, the basic methods of exercise therapy are a mandatory supplement to drug therapy. The following exercises should be included in the list of compulsory exercises of exercise therapy:
Therapeutic gymnastics is the most effective method of prevention, treatment and rehabilitation of herniated intervertebral discs. LFK activates the work of muscle fibers, strengthens them and promotes immunity. But physical exercises should be done only during remission, and in acute periods of the disease any gymnastics is contraindicated. Exercises for rehabilitation should appoint a physician-physiotherapist. He defines a set of exercises aimed at stretching, strengthening and restoring the muscles of the back, abdomen and chest. The patients are shown shallow deflections, slopes forward and sideways and squats without additional loads. All exercises must be performed with great care, paying special attention to the technique of their implementation and the body's response. It is very important to follow the breath: a deep breath through the nose – a slow exhalation through the mouth. For individual patients, the doctor may recommend a fixative bandage or corset that will allow the muscles of the neck, back or waist to be fixed in a calm static position.
To treat hernias of intervertebral discs, such physiotherapy methods are used:
- Deep massage of the lumbar region of the back
Surgical methods for treating intervertebral hernias of varying degrees of complexity should be considered only as the most extreme measure. Surgery is usually prescribed to patients in cases where prolonged conservative treatment has not produced results, or has not helped to eliminate the symptoms of the disease.
Playing sports with a herniated intervertebral disc
Not the last reasons in occurrence of a hernia of an intervertebral disk are age processes and a heredity on which the present medicine can not render the big influence. That is, the main preventive measure in this disease is to reduce the burden on the injured spine. It will not be a secret that weightlifting is a serious overload for the spine. Especially dangerous are such exercises as bench press sitting, sit-ups with barbells, deadlifts, shags, and also those exercises that entail an increased load on the lumbar spine. Despite all this, the herniation of the intervertebral disc can not be a categorical refusal to engage in heavy sports such as bodybuilding and powerlifting, but it is necessary to adhere to several simple rules:
- The training program must be coordinated with a sports doctor.
Very often a spinal hernia is a consequence of damage to the spine itself or its parts. In this case, you need to restore the spine and hernia will disappear. Well, the spine is the main backbone of our energy system. In this case, not only the entire vertebra as a whole is restored, but all the lost connections, as a consequence, passes through the hernia of the spine. Healers are most effective in this.
Healers?))) Do not mix) the intervertebral hernia can not be treated, it can decrease and may increase but the disc never grows together.
Problems with the spine I have for many years. The last time I was with a doctor, I was prescribed the drug Artradol, which, thanks to chondroitin, accumulates in the connective tissues and restores them. After the course of injections, the pain was released.
And you wrote to his doctor, or else I'm prescribed only alflutop. I've already pierced three courses, no help. Not a medicine, but water with water.
Lena! Have you taken artradol for a long time? At me an osteochondrosis, I shall not cure in any way. Is it enough to have one course, or do you have to go through several?
I do not know, this is for you the doctor should prescribe the number of courses and their duration. I passed two. I hope that's enough, but the price of Artradol pockets.
I would like to know in more detail what exercises should be excluded, and which ones can be done in a lightweight version