A lumbar hernia is best to sit or stand. Recommendations for a diseased spine: motor load and rest

To feel refreshed and vigorous after a night's sleep, even with such a diagnosis as a herniated disc, you need to learn how to sleep properly. This knowledge will help slow the progression of the disease and avoid further injury. Here it is important to monitor the evenness of the spine, to prevent it from curving.

An adjustable bed can be the best place to sleep. It is she who causes less pain when we begin to go to bed, because of the raised headboard. The upper part can be adjusted in height, choosing the optimal one for comfort. This elevated position reduces stress and pain.

There is a large assortment of orthopedic accessories in stores, and the problem of choosing what to sleep on should not arise. Choose a mattress should be of medium hardness. Better to focus on your own weight. Two-sided mattresses are very convenient, when one side is hard (it is suitable for an exacerbation of the disease), the other is softer (serves for the rehabilitation period).

When choosing a pillow, you should pay attention to an orthopedic one with neck support. This will help reduce stress across your entire back.

All items are best selected from ecological materials, free of allergens and odors.

Sleep positions

After buying bedding, you should learn to sleep in the correct position. Sleep takes up a third of our lives, and an optimal body position not only promotes healing, but also speeds up the healing process. For example, it is dangerous to sleep on your stomach with this condition. With it, the spine bends down, creating additional stress on the back muscles. The optimal sleep time depends on many factors. You should approach your nightlife in an already relaxed, calm state so that nothing will bother you for the next 8 hours.

It is important to get in and out of bed correctly. First, sit on the edge of the mattress, then hold your back with your hand and lower yourself down while lifting your leg and transferring it to the bed. Also, getting up after sleeping, we move the body to the edge and slowly rise, while lowering our legs to the floor. We do all movements carefully so as not to disturb the spine.

With a hernia of the cervical spine

In order to sleep comfortably with a hernia of the cervical spine, you need to control the straight line of the neck, parallel to the bed. This effect is achieved in two poses:

• on the side;
• on the back.

When sleeping on your side, one hand must always lie on the pillow. The leg can be bent, the other - straightened. If it is more convenient for the patient to bend both legs, then it is necessary to lay between them, for example, a folded blanket.

In the supine position, neck turns are not allowed, the head lies straight. Place an extra pillow under your knees.

With a hernia of the thoracic region

With the defeat of the thoracic spine, you will have to remember the child's position of the embryo. This is a sideways pose with your knees bent towards you. The head should be raised on a pillow to facilitate breathing.

With a hernia of the lumbar spine

Hernia of the lower back is the most common. Therefore, the question of how to sleep with hernias of the lumbar spine is asked by many patients.

• on the back with a pillow under the knees;
• on the back with raised legs;
• on the side with two pillows, one supporting the neck, the other between the legs.

Elevated legs in a lumbar hernia help relieve pain and muscle tension, while a lateral position aligns the spine for comfort.

Sleep during pregnancy

The load of a growing fetus often provokes an intervertebral hernia of the spine in a pregnant woman. But the disease can appear even before pregnancy, so a young mother should strain her back as little as possible, the pressure on which will grow every week.

For the expectant mother, the position on the back is extremely uncomfortable, so the optimal position for her would be sleeping on her side. She needs to use two pillows: an orthopedic one under the head and a regular one between the legs, the position of the spine should be even. For a grown belly, the latter will be very convenient. It is recommended to position the legs as follows: the lower one is straightened, the upper one is bent and extended forward. You should go to bed, as well as to get up, slowly, without sudden movements.

Recently, an old back injury has worsened - the vertebra has been displaced, and even older hernias have made themselves felt. Feelings are almost like after that injury - it hurts to lie, sit, stand, walk, plus the leg is taken away. The reason is the excess load (Thai boxing, yoga, rocking chair, jogging - several workouts a day), plus an active mountain hike, where I had to jump on the descent.

In this regard, I have structured my old action plan for body recovery, adding several new points to it. Relevant for athletes and active people diagnosed with a hernia of the spine, osteochondrosis, spondyloscillosis, for everyone who has problems with intervertebral discs, who is ready to work and invest time and energy in health, and not lie on the couch waiting for the operation. There are possible nuances in the type of hernias, in their location - only the attending physician will tell you detailed recommendations and contraindications.

Naturally, after the MRI procedure. First of all, you need to find out what exactly is wrong with your back. Even if you consider yourself absolutely healthy in this regard, take the time to go for an MRI, and I assure you, you will learn a lot of new things about yourself. I will share my experience, maybe you can add something - I will be grateful.

So, first of all, a survey. MRI, CT - what the doctor prescribes. Based on the results, the doctor will make a diagnosis, and based on this, you can select a set of physiotherapy, yoga exercises, strength exercises, etc. Even if you did the examination a year ago, you will have to go again to clarify the situation.

1. Stop suffering, feeling sorry for yourself and complaining to others. Self-pity takes a lot of energy, intensifies your pain sensations at times - tested on my own experience. Think of pain as a signal from your body asking for attention, and the healing / recovery process as a quest or set of tasks to be solved with a sober cold mind. Analyze your external circumstances - perhaps you take too much on yourself, and something should be changed in life.
2. Find a qualified body master - chiropractor, osteopath, or massage therapist (as recommended by your doctor) and take the course. 10 treatments every other day is usually enough to relieve acute symptoms.
3. Physiotherapy - acupuncture, electrophoresis with caripazim (again, on the recommendation of a doctor). I bought a home electrophoresis apparatus in a medical equipment store for very moderate means, and did the procedure myself. Karipazim (papaya extract) can also be found in drug stores.
4. Kuznetsov's applicator - a fabric with plastic "thorns" sewn onto it - is indispensable for relieving pain syndromes and improving metabolic processes. I have a large applicator, 120 cm long, you can get high from the neck to the tailbone. I put a small pillow or soft roller under the lower back to enhance the study of the problem area. Several times a day (always in the evening before bedtime) - 20-30 minutes. So you can fall asleep if you deeply relax.
5. Swimming, swimming and swimming again. For unloading and training the whole body and deep muscles along the spine. Mainly on the back, with sliding and traction. After the removal of acute pain symptoms. Take one or more lessons from a competent instructor who will compose a complex for you based on your diagnosis (such as a hernia, and other nuances).
6. Yoga - for the health and recovery of the spine without it anywhere. Behind the complex - also to a qualified instructor or yoga therapist. Be careful with vinyasas, bends and twists. In the slopes, make sure that the stomach is pressed against the hips, and stretched along them. Do not neglect uddiyana bandha and nauli and agnisara kriya!
7. Rocking chair. You can't do without it either - how else to support the spine, if not strong strong muscles? And again - to a competent trainer for a complex of strengthening the back, legs, abs and core muscles (without axial load on the spine). You can use a waist belt, there are enough of them on sale now, in various modifications. One of the main exercises (and quite safe, if performed correctly) for strengthening the back muscles with hernias is hyperextension (there are three types, the trainer will tell you the right one for you). An important nuance - use an incomplete amplitude (go down only half to avoid overstretching the muscles of the lower back), as well as a power option - 7-10 repetitions with a tangible weight.
8. Bath. A real Russian steam room with brooms ... Mmmmm ..... (sorry, distracted). So, a bath, weekly, if possible with brooms (at least whip yourself on the lower back), to improve blood circulation, lymph flow and metabolic processes in the cartilaginous tissues and muscles surrounding the spine. Opinions about a bath for hernias and back problems differ, some doctors do not recommend a bath in principle. Nobody. Never. Hahaha. I am opposed to such categorical prohibitions - but, of course, one should start with caution, already in the stage of remission, with short visits, observing the state. An important nuance - watch out for heat exchange, avoiding drafts and sudden temperature changes. Dousing after the steam room should not be very cold, 35-38 degrees is optimal. In the intervals between trips to the bath, at home, you can take salt baths. By candlelight, with music
9. Food. If vegetarians still have chances (for example, I am still alive and very active, even after 25 years of no meat in my diet), then I strongly doubt vegans. Our task (don't laugh) is to avoid the progression of degenerative-dystrophic processes in the vertebral structures. And for this, the diet should be as varied as possible, including cottage cheese, cheese, sesame seeds, spinach, dried fruits, fish, vegetable oils and ghee (you can google more about the diet, finally). Avoid excessive consumption of pickles, smoked meats, canned food - excess salt provokes edema. Follow your drinking regime - clean drinking water, no carbonated and sugary drinks. In general, it is better to lose weight by a couple of kilos - in a week it is quite possible, and the load on the spine will significantly decrease.
10. Supplements. The Himalayan mummy is the main element of recovery for any joint problems. It is Nepalese! From the Indian, some unknown garbage can pop out on the skin. Chondroprotectors, collagen and others - on the recommendation of a doctor or as an experiment. These things do not help me, collagen generally hurts my knees, but many note a positive effect. You can use a course of gelatin in the form of panacotta or jelly. Very effective and delicious (vegans and vegetarians close their eyes and plug their ears).
11. Work and rest mode - whenever possible, especially in the acute phase, during the day try to take breaks "to lie down" or "sit comfortably" in order to relieve the spine. At night I sleep on the floor (and also on the carpet and bedspread, of course). The opinions of doctors on this matter differ, but my experience (I have been sleeping on a hard surface since the age of 6) confirms that sleeping on the floor has a positive effect on the condition of the spine and nervous system, and reduces the number of hours of sleep for recovery.
12. The right shoes. Welcome to that orthopedic salon - at least take insoles, and ideally, special shoes or sneakers. It makes life a lot easier and reduces pain and stress on the spine when walking. Observe your gait too - to flop on the heel with all your weight is not good for the spine.

The ankle joint is one of the largest in the body. It has an impressive daily load. It is he who allows the foot to move correctly when walking, provides a normal gait, full motor activity.

In case of falls, serious mechanical stress, the ankle suffers first. A person can hit or twist a leg, which will compromise the integrity of bone, cartilage, or connective tissue.

The joint is fixed in the normal position of the ligament. These connectors are highly elastic when healthy. Due to metabolic disorders, other health problems, the ligaments are torn, stretched.

Ankle injury is damage to an organ without violating the integrity of the tissues that make up it. Only a doctor can determine the consequences of an injury.

After any mechanical impact on the ankle, which led to severe pain, swelling and limited mobility, you should urgently contact a trauma center.

How is ankle sprained treated?

→ Home treatment → Emergencies → Bruise

The ankle joint has certain anatomical features - the inner and outer ankles protrude to the sides, which becomes the reason for their frequent injury. In this part of the limb, there is practically no fatty layer and subcutaneous tissue.

How to recognize a bruised ankle - the main symptoms:

• for several days a person is worried about pain, which increases when trying to stand on his leg, at rest the intensity of discomfort decreases, the discomfort can completely disappear;
• while walking, not only the damaged joint, the talo-peroneal ligament, but the entire foot hurts, severe lameness appears;
• ankle, foot swells, noticeable swelling appears;
• when small vessels rupture, a hematoma occurs.

It is possible to damage the ankle when falling even from a small height, upon impact, with a sharp or careless movement, injury can occur due to age-related atrophy of the anterior talofibular and calcaneofibular ligaments.

Due to increased loads, dislocations and other damage to the capsular-ligamentous apparatus of the ankle are often diagnosed in overweight people. Ankle injury was assigned the ICD-10 code - superficial injuries S 90.

Important! A severe bruise is signaled by numbness, decreased mobility of the toes.

First aid

Only a qualified doctor can determine the degree and shape of the injury. Before the arrival of an ambulance, you need to correctly fix the limb, try to eliminate the pain.

How to help with a bruise:

1. Immobilize the injured limb, the leg should be in an elevated position - this will help to avoid the appearance of severe edema and bruising.
2. Treat the site of injury with an anesthetic; it is impossible to use drugs with a warming effect.
3. Apply ice, first you need to wrap it in a thin cloth, hold for a quarter of an hour, then take a break for 10 minutes - after such a procedure, the edema will not spread higher.
4. Fix the damaged joint with an elastic bandage; the bandage should be applied from the fingers to the very top of the ankle joint.

If the pain is intense, you need to drink Analgin, Ketanov, Nimesil. Panadol, Efferalgan or Nurofen are recommended for children. All medications taken should be reported to the doctor.

Treatment methods

In case of a bruised ankle, you need to visit a doctor, during examination, he will listen to the patient's complaints, will be able to determine the degree of damage. Then you need to take an x-ray. To clarify the diagnosis, determine the rupture of the ligaments, MRI is additionally prescribed.

Therapy includes joint immobilization, drug treatment, alternative medicine recipes can be used as adjuncts.

Immobilizing an injured ankle is an effective treatment, especially if a bandage is applied within 2 hours of a bruise or sprain. The film Polymedal helps well, which improves blood flow in tissues, reduces inflammation. You need to apply it three times a day for half an hour.

If the pain is severe, a rupture of the ligaments has occurred, the doctor makes an anesthetic blockade. The foot is placed in a physiological position, a plaster splint is applied from the upper third of the ankle joint to the fingertips.

After 10 days, to speed up the healing process, the doctor may prescribe physiotherapy:

• paraffin therapy - removes signs of the inflammatory process;
• diadynamic currents - help get rid of pain syndrome;
• magnetotherapy - removes edema, restores blood circulation;
• ultrasound - enhances the therapeutic effect of drugs, restores damaged vascular walls;
• UHF - after the procedure, metabolic processes in tissues are accelerated, blood flow is normalized;
• mud therapy - helps to restore damaged soft tissues.

Important! After immobilization of the joint, bed rest is indicated, the bandage is usually removed after 7-10 days. For severe injuries, dislocations, cracks, fractures - 4-6 weeks.

For the treatment of bruises, agents for external use are used, pain pills and injections are needed only with a pronounced pain syndrome.

What drugs help with a bruised ankle:

• non-steroidal anti-inflammatory drugs - Diclofenac, Nise, Fastum gel, eliminate pain, signs of an inflammatory process;
• preparations with absorbing action - Troxerutin, Badiaga, Heparin, help to cope with puffiness, hematomas;
• ointments and gels with a warming effect - Kapsikam, Finalgon, eliminate pain, improve blood circulation in tissues, accelerate the regeneration process, cannot be applied in the first days after injury;
• combined drugs - Indovazin, Dolobene, Dicloran plus, allow you to get rid of all the consequences of a bruise at once;
• homeopathic ointments - Traumeel S, acts slowly, but enhances the therapeutic effect of other drugs, is approved for the treatment of children.

If a child has injured the ankle, then for treatment you can use means based on arnica, badyagi, Troxevasin, Rescuer.

Important! Anti-inflammatory external agents should be used on the second day after injury, warming agents - after 4–5 days.

ethnoscience

At home, you can treat an ankle injury with folk remedies in the form of baths, compresses, ointments.

How to quickly get rid of the effects of a bruise:

1. Baths - dissolve 400 g of sea or ordinary salt in 7 liters of water, keep the damaged ankle in the solution for a quarter of an hour. The procedure can be performed daily, but only a week after the injury.
2. Grind 100 g of comfrey roots, pour 50 ml of olive oil, strain after 2 weeks, discard the sediment. Melt 40 g of beeswax, add 20 drops of lavender essential oil, 150 ml of castor oil, pour in the prepared olive oil. Mix, put in dark glass containers, store in the refrigerator, use for massage sessions, lubricate the injured joint before going to bed.
3. Pour 250 ml of water into 1 tbsp. l. wormwood, simmer the mixture over low heat for a quarter of an hour, cool. Soak a bandage in the solution, make a compress, keep for 2-3 hours.
4. Dilute red or blue clay with warm water to a state of thick sour cream, apply a compress on the joint, and keep until completely dry.

READ ALSO: Boil under the arm how to treat folk remedies

Important! The easiest and fastest way to cope with pain and inflammation with a bruise is to beat off a fresh cabbage leaf a little, grease one side with honey, attach to the injured ankle, fix with an elastic bandage. This compress can be left overnight.

Rehabilitation

The recovery time after an ankle injury depends on the severity of the injury. With mild and moderate injuries, all unpleasant symptoms disappear within 2-3 weeks; in severe forms, recovery will take 1-1.5 months.

For a speedy recovery, you must follow the doctor's recommendations, attend massage sessions, and regularly engage in physiotherapy exercises at home.

A set of exercises for a bruised ankle:

1. Move the toes of the right and left feet in different directions. In this case, you need to feel the tension of the muscles of the foot and lower leg.
2. Rise on toes.
3. Catch the chair with your toes, pull it towards you, gradually the weight should be increased.
4. Walk at a moderate pace for 1-2 hours daily.

Gymnastics should be done three times a day, each exercise should be repeated 10 times, for elderly people the number of approaches can be reduced to 7. There should be no pain or other unpleasant sensations during classes.

With timely diagnosis and proper treatment, a bruise and sprain of the ankle heals without any particular complications, but sometimes negative consequences of injury occur.

Why an ankle injury is dangerous:

• hemarthrosis - blood accumulates in the cavity of the damaged joint, it is necessary to make a puncture to remove the fluid;
• synovitis is a strong inflammatory process, which is accompanied by severe swelling, redness of the skin;
• periostitis - inflammation of the periosteum, often becomes chronic;
• severe circulatory disorders at the site of injury due to a sedentary lifestyle;
• post-traumatic arthrosis - pain in a bruised ankle can occur several years after injury;
• with repeated injury, the risk of bone deformation, complete or partial damage, and rupture of ligaments increases.

In case of rupture of syndesmosis against the background of chronic bruising, appearance of false joints, or tearing of the ankle, surgical intervention is required. Operations are carried out by the method of external osteosynthesis or the joint is formed with the help of metal structures, which are inserted through the incisions.

To avoid bruises, the development of severe complications after injuries, each person needs to monitor their weight, regularly but moderately load muscles, eat right, and give up bad habits.

No one is immune from ankle injuries - this is one of the most mobile joints in the musculoskeletal system, it experiences motor and weight loads every day. Correctly provided first aid, massage, gymnastics, medication and alternative treatment will help you to quickly cope with the consequences of injury.

The ankle joint contains the small, large, talus tibia. They are fixed to each other in the working position with the help of ligaments, which are divided into three types. The first includes ligaments that are located internally between the tibia, the external and internal deltoid ligaments form the second type.

• Ankle sprain
  • Risk factors for ankle sprain
  • Stretching symptoms
• Different degrees of damage to tendons and ligaments
• First aid
• Ankle Injury Treatment
  • First degree sprain treatment
  • Second-degree tear treatment
  • Difficult third degree of ligament rupture
• Ankle treatment using traditional methods
• Recovery period

The third type includes the posterior and anterior peroneal talus and peroneal calcaneal ligaments. Ligaments of the third group are most often stretched.

The ankle joint takes on the weight of the body and performs various rotational, translational and abduction movements when walking on an inclined plane or running, jumping. Thanks to the ligaments, all the difficulties of movement are solved, elastic joints stabilize the laxity of the joint, protect it from injury.

Ankle contusion code according to ICD-10

Like any other disease, contusion of the osteoarticular system in the ankle area has an ICD-10 code. Where ICD is the international classification of diseases, and the adjacent figure 10 means the current edition, adopted during the tenth revision.

According to ICD-10, bruises and similar diseases correspond to class 19, which is called "Poisoning, injury and other consequences arising from external causes." Diseases and injuries related to the foot and ankle joint are collected in one common block designated by the numbers S90-S99.

Specialized treatment

Specialized treatment of an ankle injury is performed by a traumatologist. The doctor fixes the injured leg with a bandage or plaster cast. Local pain relievers are used to relieve swelling and pain.

Drugs that a doctor can prescribe for an ankle injury:

• Uimisbol (gel) - a herbal preparation based on cinquefoil, eliminates tissue edema, reduces the severity of pain, has both chondroprotective and anti-inflammatory effects;
• Wobenzym is an enzyme preparation, available in the form of tablets, used for pain relief, relieving puffiness and inflammation;
• Ibuprofen - an anesthetic that helps to cope with severe pain and inflammation, is often prescribed by doctors for bruises and other injuries with damage to soft tissues;
• Diclofenac is a strong analgesic agent that eliminates edema, relieves pain and reduces the severity of inflammation, but it has many contraindications.

Effective gels and ointments for ankle bruises:

• Bruise-OFF - gel to accelerate the resorption of hematomas;
• Indovazin - a gel to reduce tissue swelling, relieve inflammation and pain relief;
• Heparin ointment - it is used to treat bruises and bruises, as well as Heparin-Akrigel, Lavenum, Leaton, Trombless;
• Troxevasin (ointment) - relieves swelling, has an anti-inflammatory effect, strengthens the walls of blood vessels;
• venolife gel - contains dexpanthenol, heparin, troxerutin.

READ ALSO: Voltaren plus

At home, you can make compresses using the following folk remedies:

• 500 g of apple cider vinegar, 4 drops of iodine, a tablespoon of salt;
• newspaper dipped in water;
• onion gruel;
• a glass of boiling water, 2 tablespoons of sweet clover;
• cabbage leaf;
• raw peeled potatoes;
• cottage cheese.

Physiotherapy

With severe damage to the ankle joint, physiotherapy procedures are indicated. Most often, electrophoresis, magnetotherapy, UHF and paraffin applications are prescribed.

Physical treatment methods are also indicated during the rehabilitation period.

A set of therapeutic exercises is indicated after removing the plaster cast to develop the joint. In the early days, massage and light movements are shown.

Ankle exercises:

1. Walking on fingers (after tissue healing).
2. Circular foot movements.
3. Rolling a bottle of water with your feet (performed while sitting).
4. Grabbing small objects on the floor with your fingers.

After the doctor has ruled out sprains and other serious injuries, you can begin to heal the bruise. On the day of injury, it is better to ensure complete rest of the leg by placing a pillow or fabric roller under it. In case of severe injury, a cane should be used if there is a need for movement.

When the painful sensations and swelling have disappeared, the patient is prescribed massage and special restorative gymnastics, during which a person, sitting or lying down, bends and unbends his fingers, a foot, and twists it.

A week later, it is allowed to use warm baths with the addition of sea salt, alcohol compresses, compresses from heated salt. In case of severe injury, one cannot do without physiotherapeutic procedures - electrophoresis, paraffin applications, ultraviolet irradiation and others.

Specialized medical therapy for ankle injury is carried out in medical institutions. The position of the leg is fixed by a doctor. For the procedure, a bandage or plaster splint is used. The appointment of non-steroidal anti-inflammatory drugs is carried out with severe inflammation.

To exclude a fracture, dislocation, or other possible injury, the patient undergoes an X-ray examination. After that, he is prescribed drugs to eliminate acute manifestations of bruising and improve tissue healing.

Having considered various treatment options, we can conclude that it is possible to get rid of the consequences of an ankle injury in a very short time, if you resort to therapy on time.

By exactly where it hurts and how, you can approximately diagnose or at least assume it. It would seem that nothing complicated: the neck hurts - cervical chondrosis or osteochondrosis, the lower back - radiculitis or osteochondrosis, joints hurt - arthritis, arthrosis.

But sometimes there are pains for which, even conditionally, it is quite difficult to diagnose and require a thorough examination and a large number of tests. These include pain under the knee in the back.

Description

Back knee pain is quite common and occurs in many people of different ages. Sometimes the pain continues for a long time, becoming more intense and making it difficult to move.

The anatomical structure of the popliteal fossa and its features make it difficult to identify the causes of pain. And the pain under the knee can be different in intensity and nature:

1. Pulling.
2. Aching.
3. Sharp.
4. Pain when bending or extending the knee.
5. Strong or tolerant.

The knee is bounded from above and below by the tendons and femoral and ankle muscles, adipose tissue and epidermis, which cover the nerve, becoming a barrier to infection, hypothermia and mechanical damage. As a rule, it is the nerve that makes itself felt, disturbing with painful sensations.

Signs

Symptoms to watch out for and take action:

• Pain of any nature (pulling, sharp, strong, aching, dull, when bending or extending);
• On palpation, swelling and bulging are observed;
• Swelling and redness of the knee;

• The rise in body temperature;
• Fever under the knee;
• Hematomas in the knee area (above or below it).

The causes of pain under the knee can be many and cannot be determined on your own. Even an experienced doctor with only one visual examination, without additional examinations, will not tell you anything definite.

However, the most common reasons why the leg hurts under the knee are the following:

• The purulent-inflammatory process of the knee joint begins only if there were injuries in the joint area, accompanied by bleeding and tissue ruptures. Sometimes swollen lymph nodes can cause suppuration. With improper wound treatment or an advanced form of lymphadenitis, purulent-inflammatory processes of the knee joint begin, namely in the popliteal fossa region. Due to the fact that the lymph nodes are located deep under the skin and muscles, it is not so easy to determine exactly the reasons why there was pain under the knee. Swelling and redness are usually absent, with only slight swelling and increased pain when the knee is extended and pressure is applied to the popliteal fossa.
• Meniscus cyst, accompanied by pulling pain under the knee. In contrast to Baker's cyst, meniscus cysts are invisible on initial examination and palpation. The causes of the appearance of a meniscus cyst are trauma and excessive physical exertion.
• Ruptures of the meniscus cause severe pain when the posterior horn of the internal meniscus is torn; by itself it cannot rupture. This happens most often after or during an injury. With careless rotation of the ankle. The pain may be accompanied by involuntary extension or flexion of the knee.

• Diseases of the tendons, joint tissues, tendon bags also cause pain under the knee. Tendons and bursae tendons are soft tissues in structure, and they are very often damaged, causing pain under the knee. The reasons for this group are accompanied by the presence of seals under the knee, when pressed on which there is a pulling pain, when pressed, they do not decrease in size and do not change their structure. The causes of the onset of diseases of the soft tissues of the joint are prolonged irregular physical activity.
• Baker's cysts, which are accompanied by symptoms such as swelling in the middle of the popliteal fossa and pain in the knee. With Baker's cysts, the amount of synovial fluid secreted increases, the excess of which begins to pour out of the joint, leading to a bulging in the back. When the leg is bent, the bulging disappears; when the leg is extended, it appears. After pressing on the bulge, the protruding tubercle is reduced, as the liquid spreads under the skin, and then collects again.

• Tumor and vascular diseases, which include arterial aneurysms, tumors of the tibial nerve, vein thrombosis. Such phenomena are characterized by severe pain in the knee, hip, foot, increased muscle tone, weakness of the tendons. With an aneurysm of the artery, detachment of the walls of the artery occurs, one of which protrudes outward, accompanied by pain and pulsation, it is in the pulsation that the main difference between the aneurysm and the Baker cyst in the diagnosis of the disease occurs. During dissection of the artery, bleeding occurs into the body cavity, which causes unpleasant consequences in the form of suppuration and infection of the wound. With popliteal vein thrombosis, there are practically no signs, however, with complications, a pulling pain appears under the knee. In such cases, the symptoms are similar to signs of pinching of the sciatic nerve, therefore, an ultrasound of the vessels of the lower extremities is prescribed to make an objective diagnosis.

Pathologies associated with the spinal column can be partially cured with exercise. This is especially true for the lower back. Consider exercises for a hernia of the lumbar spine.

If you do not go into details (not everyone is well acquainted with the anatomy of the spine), then hernia - the exit of part of the contents of the intervertebral disc beyond its anatomical limits... A very rough explanation, but understandable.

Spinal hernia: exercises you can do

• Where does the hernia come from?
• When to start gymnastics
• Exercise principles
• A set of exercises for rehabilitation
• The key to effective training

There are cartilages between the vertebrae, which provide shock absorption when walking and perform a number of other functions. The spinal nerves also pass there. When the nerves are pinched by the vertebrae, we feel pain, arms and legs become numb. When the cartilage or intervertebral disc is damaged and goes beyond its anatomical boundaries (a hernia is formed), the likelihood of nerve entrapment becomes even greater than with its usual deformation (protrusion).

Cartilage damage always occurs due to non-anatomical or excessive physical exertion and weakness of the muscular corset. If, for example, an unprepared person carries bags of cement, weighing 50 kg each, his lower back will definitely hurt. The most harmless thing that can happen is a slight protrusion. If a person continues to lift the bags, the protrusion is imperceptible, but very likely, it will turn into a hernia.

In women, hernias may appear even due to carrying buckets of water (10–12 liters each) in one hand. But all this does not appear immediately. With a spinal hernia, pain appears when its size begins to really cause inconvenience to the nerve pathways.

Constant pain in the lower back suggests that the process has developed long ago and reached its climax. Perhaps you did not consider earlier, periodic pains as a variant of a problem in the lumbar spine. So be more attentive to your feelings. Pain is a beacon in the ocean. If we ignore him, we will drown.

P.S. And remember, just by changing your consciousness - together we are changing the world! © econet

Naturally, when the nerve endings are squeezed, not only symptoms of pain may appear, but also disturbances in the work of certain organs. According to statistics, it is the lumbar region that is often affected, since it accounts not only for physical activity, but also the need to maintain body weight. The lower back is often susceptible to trauma during sudden movements, due to muscle overextension when lifting weights, and, as you know, to anesthetize a condition when the lumbar region does not hurt so easily. Consider the causes and signs of a hernia of the lumbar spine, as well as the principles of treatment, including pain relief, physiotherapy, advice on how to sleep and how to sit properly. Let us analyze what a hernia is in terms of anatomy and physiology.

The lumbar spine consists of 5 large vertebrae interconnected by intervertebral discs, which, in turn, create the function of shock absorption. Also, discs are needed to evenly distribute the load along the lumbar spine. The reliability of the disc is provided by the annulus fibrosus, and inside this annulus there is a nucleus with a semi-liquid consistency. With an increase in loads, after injury to the back or from other circumstances, the destruction of the fibrous ring is possible, that is, the appearance of cracks through which the nucleus partially enters the spinal canal - protrudes. So, over time, a herniated disc forms, which, in turn, can squeeze nerve endings, blood vessels, narrow the lumen of the spinal canal, which leads to negative consequences. The patient may be at risk of disability with a hernia, which disrupts the functions of the genitourinary system, the gastrointestinal tract, causing paralysis of the lower extremities, therefore, we will consider the causes and risk factors in order to protect ourselves from this pathology.

The reasons

Herniated disc is one of the rare pathologies that can lead to both an overly active lifestyle and a sedentary lifestyle. Most often, a person is faced with the fact that he has signs of a hernia of the cervical spine and lumbar zone. A hernia of the spine in the lumbar spine can be caused by constant loads on the muscular apparatus, that is, people whose work is associated with lifting weights and working with vibrations suffer. The second risk group is athletes, and weightlifters are especially susceptible. If at a young age intensive training keeps the muscular apparatus in good shape, then with the cessation of training, chronic injuries and damage to the musculoskeletal corset in the lumbar region begin to appear.

In women, childbirth is often the cause of the appearance of a hernia, and it may not be the birth itself that is to blame, but the weight gain during pregnancy, and after it, carrying the baby in her arms. There are problematic births, when the fetus is large or has an incorrect presentation, then the risk of spinal injury increases.

Risk factors for developing a hernia in the spine:

• back injury, especially in an accident, when the body is shaken or jerked;
• hit on the back with a blunt object or fall from a height on the back;
• impaired metabolism due to alcohol abuse, junk food, diabetes, smoking;
• lack of vitamins and minerals, the condition with aging of the body is especially pronounced;
• obesity, which increases the load on the lower back.

Most often, these reasons are combined, for example, people with diabetes are prone to obesity and a sedentary lifestyle. It is worth noting that it is not possible to notice a hernia of the lumbar spine immediately, since the disease is characterized by progression, a slow onset of the development of the pathological process. In the spine, a degenerative-dystrophic process is observed, accompanied by a malnutrition of the discs, which is why it loses its strength. That is why the disease can also be caused by various infections, such as tuberculosis, syphilis, which affect the body systemically.

And of course, do not forget about the factor predisposing to hernia - osteochondrosis. Most patients with hernia have a history of this disease, since osteochondrosis affects the structure and nutrition of the spine.

Symptoms

Most often, a hernia in the lower back develops between the L4-L5 vertebrae, a little less often the sacral region is involved in the process, that is, in L5-S1, which makes it possible to conclude that the lower lumbar region suffers and this is due to increased loads on this area.

Consequently, the symptomatology often involves in the process not only the lumbar region, but also the buttocks, lower extremities, why the disease is characterized by such complications as lumbago, entrapment in the sciatic nerve, radiculopathy and others. Therefore, it is better for patients with hernia not to joke with their health so as not to start the disease, since complications of a hernia lead to the fact that the patient often cannot not only run or swim, but also walk normally.

Pathology is characterized by symptoms of pain, the strength of which increases with exercise. If there is compression of the nerve endings, then lumbago appears - a sharp pain with each movement, which passes at rest. Pain relief for lumbago with conventional drugs (analgesics, NSAIDs) is not always helpful, therefore, as a rule, patients seek medical help. In addition to pain, a person with such a diagnosis suffers from stiffness in the lower back, sensitivity is impaired, and a burning sensation and tingling sensation appears at the site of hernia formation.

When inflammation develops due to compression of the spinal cord or nerve endings, additional symptoms appear. In addition to the fact that the pain increases sharply from turning or tilting the trunk, so the sensations of pain spread to the buttocks, go down the legs, right down to the toes. The patient may experience problems with the genitourinary system, manifested in a decrease in potency, delay, or, conversely, uncontrolled urination. The digestive tract can suffer. If the hernia is not treated, the patient is at risk of paresis and paralysis.

Conservative treatment

With the help of conservative treatment, it is unlikely that it will be possible to cure the hernia completely, in many respects everything depends on the size of the hernia, but if you start treatment in the early stages, you can stop its growth, that is, stop the progression. Moreover, if you strengthen the muscle corset, then you can avoid squeezing the nerve endings, which is why doctors often resort to non-surgical treatment.

Therapy has two directions at once, the first of which is aimed at eliminating the symptoms of pain. For this, the following techniques are used:

• drug therapy - drugs of the NSAID group (Ibuprofen, Diclofenac, Meloxicam), muscle relaxants (Sirdalur, Mydocalm);
• non-traditional methods - acupuncture (acupuncture), by the way, acupuncture can only be performed by a doctor;
• spine blockage with hormones - Diprospan, Kenalog in combination with Lidocaine.

A blockade for a hernia of the lumbar spine is prescribed when other methods of anesthesia are ineffective, since with the introduction of hormones there is a threat of side effects. A hernia block is performed once every 3 months, more often in advanced cases. Hernia acupuncture is used to relieve pain symptoms.

The second line of treatment focuses on strengthening the muscles, which requires training to build muscle. But do not forget that the training program should be selected individually. The technique is popular - hyperextension with a hernia of the lumbar spine, that is, special exercises aimed at strengthening the muscles of the lower back. For this, special hernia simulators are used.

To reduce the load on the spine, a lumbar brace, which should be worn as directed by a doctor, helps. Some doctors advise using an exercise bike for exercise. By the way, it is not recommended to swing the press with a hernia in the usual position from the floor, so you should not perform those exercise therapy exercises that the doctor has not prescribed.

Swimming with a hernia is effective, which is why swimming is recommended for prevention, especially for people with curvature of the spine. The pool can replace the sea water, and if you go to the pool with osteochondrosis, then the chance of developing a hernia decreases. If a woman is expecting childbirth, then she is also recommended to visit the pool, but you need to work out with a trainer and after consulting a gynecologist, then the birth will be successful.

By the way, about prevention issues. You can bring a technique that helps to strengthen, pump up all muscle groups and protect the spine from osteochondrosis, hernia is a fitball. Fitball is an excellent prevention of diseases of the musculoskeletal system, which consists in exercising with a special elastic ball.

Do not forget about nutrition for a hernia of the spine. It is necessary to exclude alcohol, cigarettes, fatty and fried foods. It is recommended to add vitamins to your diet.

Often, physiotherapy for a hernia of the lumbar spine is shown to relieve inflammation. The question arises - is it possible to apply all the techniques of ERT, the answer to it is no. The doctor can choose the procedure, since electrical stimulation has a number of contraindications. Electrophoresis helps with hernia of the lumbar spine.

Prevention of complications

Now he will talk about what can and cannot be done with a disease, that is, contraindications for a hernia of the lumbar spine. A diet for a hernia must be followed, walking helps, since a sedentary lifestyle negatively affects the disease.

Allowed massage, going to the pool, that is, swimming is not only possible, but also necessary. From exercise therapy exercises, lifting weights is prohibited, that is, strength exercises, techniques that can strongly stretch muscles and ligaments. Squats are only shown in the early stages. By the way, squats, pumping up the press help with a preventive purpose, and as you know, prevention is better than treatment.

You can not independently prescribe pain relievers for a hernia, lift weights, sit on a chair for a long time. Many are worried about how to live with such a diagnosis, so with early treatment and adherence to recommendations, you can even prevent disability.

Of course, in advanced cases, an operation is necessary and a long rehabilitation period is required, which includes a pool, ERT, exercise therapy.

Intervertebral hernia of the lumbosacral region

The lumbar spine consists of 5 vertebrae, between which there are intervertebral discs. The sacral region is represented by one bone, the sacrum. The last lumbar vertebra is also connected to the sacrum by a disc. Accordingly, hernias can occur at any of the listed levels, but most often cartilaginous tissue suffers between the 4th and 5th lumbar vertebrae, as well as between the 5th lumbar and 1st sacral vertebra.

A hernia of the lumbosacral spine occurs most often, since it is this spinal column that receives the maximum loads. A hernia is a protrusion of the inner part of the intervertebral disc (nucleus pulposus), which occurs due to degenerative-dystrophic changes in the cartilaginous tissue and rupture of the fibrous capsule of the disc. This is a complication of a disease such as osteochondrosis, although traumatic herniated discs can rarely occur.

Lumbosacral hernia is a dangerous disease, since the protrusion can put pressure on the spinal cord if the hernia forms at the level of the 1st or 3rd lumbar vertebra, or on the bundle of nerve fibers inside and outside the spinal canal if the protrusion appears at the level 4th lumbar-1st sacral vertebra (since there is no spinal cord inside the canal at this level).

The reasons

There are several reasons for the formation of intervertebral hernias. As a rule, they appear as a result of such a degenerative-dystrophic process as osteochondrosis. For a long time, this disease was considered a common age-related change, but in the past few years, the incidence of osteochondrosis has increased significantly among young people and even adolescents. This proves that age is not the only issue. An important role is played by factors that contribute to the disruption of metabolic processes and nutrition of the cartilaginous tissue of the discs, as well as constant overloads of certain segments of the spine.

Risk factors for the development of intervertebral hernia:

• working conditions, when constant loads fall on the lumbar region, which cause microtrauma inside the cartilaginous tissue and degeneration of discs, for example, work as a loader, gardener, prolonged stay in one position (office workers);
• spinal injury;
• congenital and acquired diseases of the musculoskeletal system;
• curvature of the spine;
• overweight;
• poor development of the back muscles;
• metabolic and endocrinological diseases.

Important to remember! The described risk factors do not mean that their owners will necessarily develop an intervertebral hernia, but the more such negative influences, the greater the chance of getting sick. Therefore, people who are at risk should take preventive measures to prevent pathology.

Symptoms

The signs of an intervertebral hernia depend, first of all, on its size, level of occurrence and type (depending on localization).

There are several types of disc protrusion relative to the circumference of the spine:

1. Posolateral. These are the most dangerous and clinically significant types of formations, since the protrusion is directed into the spinal canal (medial), which can lead to compression of the spinal cord tissue. Also, a hernia can be turned towards the spinal roots (foraminal and paramedian) and cause their inflammation, irritation or compression with the corresponding consequences.
2. Lateral, or lateral. In this case, the hernial sac will prolapse away from the spinal column. Such a hernia is not dangerous, it can cause symptoms only if it is large.
3. Ventral. Diagnosed when the bulge is in front of the spine. This type of hernia never causes pathological symptoms and is not of particular clinical interest, as a rule, it is diagnosed accidentally during examination for another reason.
4. Common. In this case, the protrusion occurs along the entire perimeter of the disc. It can be circular, when the disc is squeezed out evenly, or diffuse, when its uneven prolapse occurs. In both the first and second cases, the hernia is a serious problem and danger to health, as it often causes compression of the structures of the nervous system.

Depending on size, lumbosacral hernia can be classified as follows:

• small (1-5 mm), which require mainly outpatient conservative treatment, exercise therapy, possibly the use of spinal traction;
• medium (6-8 mm), treats them on an outpatient basis, surgery is not indicated;
• large (9-12 mm), which are tried to be treated conservatively, but surgery can be prescribed for symptoms of spinal cord compression or the development of cauda equina syndrome;
• giant (more than 12 mm), surgical treatment, conservative therapy can be used only if there are contraindications to surgical correction.

As a rule, the disease develops gradually over several years. Symptoms of pathology appear if the protrusion causes irritation, inflammation or compression of the nerve roots that exit the spinal canal, or the tissue of the spinal cord is compressed.

The main symptom that indicates a lumbosacral hernia is pain. Low back pain can have several variations:

1. Lumbodynia is a chronic low to moderate pain in the lower back. They appear or worsen in case of spinal overload, clumsy movements.
2. Lumbago is an acute pain that occurs suddenly in the lumbar region in the form of a lumbago, its intensity is very high. Pain makes a person freeze in the movement in which he is when the pain overtook him, and does not allow him to straighten. Lasts several minutes, then gives way to lumbodynia.
3. Lumboishalgia. This pain syndrome is characterized, in addition to typical lumbodynia, by the spread of pain along the sciatic nerve (the posterior surface of the buttock and thigh). It can be either one-sided or occur in two legs at once.

In parallel with the pain syndrome, patients feel stiffness in the lower back, limited range of motion, muscle tension in this area, crunching or clicks may occur when moving in the spine.

The following symptoms indicate damage to the spinal cord or nerve endings:

• decreased muscle strength in the lower limbs;
• paresis of the foot;
• violation of the sensitivity of the skin of the legs;
• muscular atrophy of the lower extremities (you can notice muscle loss);
• various disorders of the pelvic organs (retention or incontinence of urine, feces);
• erectile dysfunction in men, loss of sensitivity of the genitals in women;
• when the spinal cord is compressed, paralysis of the legs (lower paraparesis) can occur.

If the hernia is at the level of the 3rd lumbar-1st sacral vertebra, then a bundle of nerve fibers that extend from the spinal cord may be squeezed, since at this level the spinal cord is already absent. In this case, cauda equina syndrome develops. These nerves provide sensory and motor innervation to the lower limbs and pelvic organs. This function suffers when the cauda equina is compressed.

Diagnostics

In each case, a hernia of the spine requires a detailed diagnosis, because there are several dozen other diseases that can manifest themselves with similar symptoms. And also clarification of the localization, type of protrusion, its size plays an important role in drawing up a treatment program.

• neurological examination,
• standard set of laboratory tests,
• spine x-ray,
• MRI or CT of the lumbosacral spine.

Treatment

Treatment of a lumbosacral hernia can be conservative and surgical. As a rule, at an early stage of the disease, the success of conservative therapy is very high and reaches 90%, but only if all medical recommendations are followed. The following techniques are used:

• drug therapy (analgesics, non-steroidal anti-inflammatory drugs, muscle relaxants, decongestants, chondroprotectors, B vitamins, drugs to normalize microcirculation);
• special complexes of therapeutic exercises (exercise therapy)
• spinal block with local anesthetics, corticosteroid hormones to relieve acute pain;
• spinal traction;
• kinesiotherapy;
• massage;
• physiotherapy procedures;
• spa treatment.

In case of ineffectiveness of conservative therapy for 6 months, the presence of constant severe pain, with the threat of compression of the spinal cord or the presence of such, they begin surgical treatment of the hernia.

There are many methods of surgical intervention on the spine for hernia, in particular, modern and minimally invasive. The choice of the necessary procedure is made by a specialist doctor, based on the individual situation of each patient.

It is important to note that, despite modern technologies and methods of operations, surgical treatment of a hernia of the spine is always a great risk, in addition, in such cases, long-term rehabilitation is necessary, on which half of the success depends. Therefore, it is better to try to get rid of the problem with conservative methods, which, in addition to the therapeutic effect, also have a preventive effect.

Add a comment

My Spina.ru © 2012-2018. Copying of materials is possible only with a link to this site.

ATTENTION! All information on this site is for reference only or popular. Diagnosis and medication require knowledge of the medical history and examination by a physician. Therefore, we strongly recommend that you consult a doctor for treatment and diagnosis, and not self-medicate. User Agreement

Osteochondrosis and its manifestations have recently become literally unprecedented, gradually acquiring the scale of an epidemic. Many do not think about why this disease, which previously only the elderly faced, now affects even young people, not to mention the middle age group.

The most common manifestation of osteochondrosis is intervertebral hernia - an extremely unpleasant problem that can seriously worsen the quality of life of any person. And the leader among such manifestations due to the structural features of the human body is a hernia of the lumbosacral spine.

Why does this problem appear, what are its symptoms, how to prevent its occurrence and what treatment is needed if you have already encountered a similar problem?

Reasons for the appearance of an intervertebral hernia

Unfortunately, to this day it is not known why a herniated disc develops. The only known fact is a direct connection with metabolic disorders in the region of the spinal column. Thus, it turns out that an intervertebral hernia can occur with equal chances both with excessive physical exertion and with a lack of load on the spine. In both of these cases, there is a violation of the process of blood circulation and metabolism in the muscles and cartilaginous tissues that surround the spine.

The situation is aggravated by the fact that the intervertebral disc itself does not have its own blood vessels; it receives nutrients from the surrounding tissues by diffusion. This process is quite reliable, but it very much depends on whether the required amount of movement and stress is present, and with the modern sedentary lifestyle, this is a real problem.

Another, no less important point is the presence of essential vitamins and minerals in the tissues that surround the intervertebral disc. Even if the number of loads is sufficient, it may happen that one or more components that are necessary for the normal functioning of the disk are simply not in the body. This is a rather serious problem, given the fact that the diet of an ordinary person is now little compatible with the concept of "healthy" - what we eat - mostly products of not too high quality, generously "flavored" with various chemical components, which increase the shelf life , and improve taste, etc. Moreover, such components themselves are also not at all harmless, but this is another question.

We are not talking about the fact that you need to adhere to the "adherents" of a healthy lifestyle and start eating exclusively grass and lettuce, you just need to slightly revise your diet and more often give preference to healthy food, rather than tasty. Even eating simply organic food can largely solve this problem.

Risk factors

Considering all of the above, some very specific risk factors can be identified. It:

• low mobility and a weakened muscle corset of the back;
• excessive static or dynamic stress on the spine;
• damage or injury to the spinal column or intervertebral disc;
• congenital defects in the development of the musculoskeletal system;
• scoliosis;
• osteochondrosis;
• bad habits, due to which innervation and disturbance of the blood supply of both the discs themselves and the surrounding ligaments and muscles occur.

In addition, it should be remembered that a herniated intervertebral disc most often manifests itself in the lumbosacral region for the reason that it is here that the center of body mass is located, and the spine itself has maximum loads, therefore the slightest disruption of the intervertebral discs immediately leads to the appearance of protrusions , and then - hernias.

How does the disease manifest itself?

With a problem such as a hernia of the sacral spine, symptoms may not appear immediately. The specificity of this section suggests that there is a certain "reserve" that is necessary to ensure the mobility of this section of the spine, therefore, in some cases, disc protrusion, and sometimes a full-fledged hernia, practically does not manifest itself in the early stages. Nevertheless, there are some signs that you should pay attention to and consult a doctor without waiting for the development of full-fledged pain syndromes.

• stiffness in the lower back arising during physical exertion, difficulty in independent movements;
• change in skin temperature of one of the legs;
• violations of muscle tone of one of the legs, while progressive atrophy or hypotrophy is often observed;
• the appearance of neurological symptoms (burning, numbness, lumbago and sciatica, which occur on the affected side);
• compensating body postures that a person takes unconsciously.

Any of the symptoms described above is worthy of attention even in those cases when it has just begun to manifest itself. Sciatica and lumbago, which are essentially pain syndromes, in the early stages of the disease have a paroxysmal character and low intensity, but without the necessary treatment, the pain sensations will intensify.

How is this disease treated?

Lumbosacral hernia is usually treated in such a way as to avoid surgery. This is the so-called "conservative" treatment. It should be noted that it has sufficient effectiveness and helps patients in more than 90% of cases.

At the first stage of treatment, the patient is prescribed bed rest for several days, which is then replaced by a regime of limited physical activity. In this case, symptomatic medical treatment is carried out. The basis of this method is the use of non-steroidal anti-inflammatory drugs, which successfully relieve inflammation and edema, thereby reducing the compression of nerve endings and relieving pain. Such drugs have only one serious drawback - they do not have the best effect on the work of the gastrointestinal tract, so the doctor usually tries to prescribe the minimum effective dose.

For severe pain syndromes, pain relievers are also used, but they, in fact, only mask the pain without eliminating its cause. This carries a certain risk, because the patient, misunderstanding the situation, begins to load the spine and additionally harms it.

If necessary, muscle relaxants (to relieve spasms of the back muscles) and chondroprotectors (to protect intervertebral joints damaged by osteochondrosis) can also be used.

The second stage of treatment is physiotherapy, massages and therapeutic exercises. Objectively speaking, this stage is of much greater importance than the period of struggle with pain syndrome, since it is during this period that the body adapts to the changed conditions, the development of a new motor stereotype. After all, as you know, a spinal hernia does not disappear with the end of treatment, it remains, and a person has to learn to live with this problem.

For the lumbosacral region, this issue is most relevant, given the heavy loads that it has to withstand. In particular, it is very important that a person learns to move properly, lift weights, etc.

How to sit with a hernia of the spine

The very first and most important rule for the intervertebral form of the disease # 8211; be in a static position as little as possible. You need to constantly listen to your body, and if it is uncomfortable to stay in a particular position, then you need to replace it. The head and back must be kept straight at all times. If it is convenient to position yourself in a sitting position, stretching your leg out so that pain is given there, then there are no contraindications to this position. When there is a desire to lean to the side, this action can also be performed while sitting. The main thing is to remember: in no case should you make sudden movements. If the pain symptom begins to intensify, this means that the pose was chosen incorrectly. With this disease, exercise therapy can be of great help, but it must be remembered that some exercises may have contraindications.

It's important to try not to slouch. Correctly selected distance from head to table will help to cope with the task. # 8211; such that you do not have to bend over the papers.

Therefore, it is important to calculate everything, relying only on your own feelings and well-being, and at the same time find a "middle ground". To pick it up in some cases is quite simple: it is necessary to correctly adjust the height of the chair # 8211; it should be oriented so that the seat is at the level of the bend of the knees.

The back of your thigh may put some pressure on the edge of the seat. However, it is important to ensure that the pressure is not excessive # 8211; otherwise, blood circulation in the lower extremities will be disturbed. To relieve pressure, it is best to use a small footrest. In this case, it is necessary to take breaks in work after every minute. Slow walking in place gives good results in such cases. During the break, you need to relax your hands, allowing them to hang freely down.

Anton Alfredovich Skatkov

Gymnastics for a hernia of the lumbosacral spine

An intervertebral hernia is a protrusion of the fibrous ring, which can result in rupture. As a result, the nerve endings of the spinal cord are compressed, which provokes severe pain and disturbances in the work of internal organs.

Exercise rules

Exercise therapy helps a person not only to strengthen the muscle corset, but also teaches him to move in everyday life - to walk, sleep, lift heavy objects. It is very important to do your exercises correctly to improve your condition.

The protrusion of the disc can be carried out in different directions. Therefore, when choosing exercises, it is important to control your feelings. If pain does not arise when performing exercise therapy, then it can be dealt with. If there is slight discomfort, the exercise should also be done, but more gently.

If there is a sharp pain in the spine, it is recommended to postpone the exercise. After a certain time, they return to it. If less discomfort arises, then you are doing everything right.

To benefit from training, you need to follow these rules:

1. At the initial stage, twisting of the body should be abandoned.
2. You cannot make jumps, and strong blows in the back area are also prohibited.
3. You can exercise quite often - 2-6 times a day. The complex should be divided into several parts and various exercises should be done throughout the day.
4. You can not make increased efforts to the problem areas of the spine.
5. Exercise should be started with minimal stress on the back, gradually increasing it.
6. Do not try to put the discs back in place within one day. The task of exercise therapy is to smoothly stretch the spine and normalize blood circulation in the damaged area.

Effective exercise

To improve the condition of the spine, relieve pain and normalize blood circulation in the affected area, you can do the following exercises:

1. Lie down, place your arms along the body, bend your legs slightly. In this position, strain your stomach so that it becomes as firm as possible. Do it once.
2. Lie down, stretch your arms and legs. Raise your back slightly in the pelvic region and lock in this position for 10 seconds. Then gradually lower the body and return to its original position. This exercise is performed once. You can take a break of no more than 10 seconds between each rise.
3. Stand up straight and relax. The spine should be over the center of the pelvis. Spread your legs to the sides. The abdominal muscles need to be strained, the body should be tilted back. Hands should be placed behind and press them on the lower back.
4. Take the same initial position, and place your hands in the region of the first vertebra of the lower back. On inhalation, deviate to the right side, then to the left. On exhalation, return to the starting point. Direct the palm up and down, and the hands should massage the lower back.
5. Clench your fists, stand up straight. Place your hands on top of each other. While inhaling, press your fists into the spine and gradually descend. Thus, you need to process the entire lower back.

You can also use a fitball to perform a set of exercises. Such exercise perfectly relaxes, eliminates muscle spasms, increases the distance between the discs.

How to consolidate results

In order for physiotherapy exercises to bring maximum results, certain rules must be followed:

• do exercises daily;
• breathe naturally, do not hold your breath;
• periodically consult your doctor and inform him about the dynamics of your condition.

If there is severe pain, bed rest and stress on the spine should be avoided. In such a situation, drug treatment is indicated with the use of anti-inflammatory and pain relievers. After weakening the pain, physical activity can be included.

Contraindications

In some cases, back exercises are contraindicated. What are the prohibitions? It is impossible to do exercise therapy in such cases:

1. Early stage of the disease. Exercise at this stage can exacerbate the disease and lead to increased pain. First, you need to undergo drug treatment to cope with pathological foci. After that, the doctor can choose a set of exercises for exercise therapy.
2. Increased body temperature. This symptom can provoke an increase in pain in the lumbosacral region.
3. Oncological pathologies. Such diseases have a serious impact on the body. even an experienced specialist will not be able to predict the body's response to physical activity.
4. Infectious diseases. With such violations, physical education is contraindicated, since it can lead to an exacerbation of the disease.
5. Bleeding. Performing a set of exercises can aggravate a person's condition, which is a real danger to life.
6. Pregnancy. When carrying a child, exercises for the lumbosacral region are prohibited, since they provoke a strong load on the spine.

A set of exercises for lumbar intervertebral hernia helps to eliminate pain, strengthen muscle tissue and restore the ligamentous apparatus. In order for physiotherapy exercises to bring you only benefit, you need to clearly follow all medical recommendations and do it regularly.

Lebedev Evgeny Ivanovich

experience in the industry - over 10 years

Goodbye visitor!

Physical therapy options for a hernia of the spine

For the prevention and restoration of the spine after the treatment of a hernia, doctors recommend using a therapeutic and prophylactic set of exercises aimed at improving the functioning of the musculo-ligamentous apparatus and slowing down pathological changes in the affected spine. Therapeutic exercises for intervertebral pathology are shown to all patients at the stage of protrusion and after the operation. Exercise therapy is used in combination with other effective measures: massage, physiotherapy procedures, methods of folk treatment and medicines. Systematic gymnastics eliminates the symptoms of hernia, and can prevent it even at the stage of osteochondrosis.

The course of exercise therapy for a hernia of the spine will differ depending on the localization of the hernia and its manifestations. Conservative treatment, as an alternative to the removal of intervertebral pathology, is permissible for uncomplicated hernia.

The danger to the patient is a hernia in the cervical spine. which can result in cerebral disorders, paralysis of the limbs and anomalies of tendon reflexes.

Physical education for the spine

Physiotherapy gives the patient the opportunity to recover from surgery, strengthen the muscle corset, stimulate the immune system and thereby prevent the recurrence of the disease. The ideal time for the treatment of intervertebral hernia with physical education is the period of remission, when a pronounced symptomatic complex does not bother the patient.

Why do we need physiotherapy exercises for intervertebral disc pathology?

1. Distribution of the load between each section of the spine, reduction of pressure in the area of \u200b\u200bhernial protrusion;
2. Stimulation of blood circulation and prevention of blood stagnation, which is especially important for a hernia of the cervical spine, which can lead to impaired cerebral circulation;
3. Increased flexibility and mobility of the spinal column;
4. Improved nutrition of joints and discs;
5. Fast recovery after removal;
6. Strengthening the muscles of the back.

Physical education for a hernia of the spine will differ in patients of different ages, physique, depending on the stage of the disease and the type of hernia.

Thoracic hernia

Intervertebral hernia in the thoracic region is manifested by severe pain that spreads to the cervical and vertebral segments of the spine. When choosing exercises, you need to focus on simple combinations for stretching and warming up.

Physiotherapy exercises for the thoracic region:

1. Turns and rotation of the head: this exercise should be performed several times a day at the beginning of each set;
2. Sitting on a chair, tilt your head back, putting your hands on the back of your head, the spine should press firmly against the back of the chair;
3. Lying on your back and putting a roller under your back, raise your head and shoulders, holding in this position for a few seconds;
4. Lying on your stomach, raise your head and shoulders, stretching your arms above your head as much as possible.

Disease of the thoracic spine is especially noticeable when sitting, when you need to sit at a desk for a long time or drive a car. In this case, you need to take a break every hour and do one of the exercises. Wearing a spine brace will also help, which straightens your back and reduces stress. In the case of a painful hernia, this belt should also be used during exercise.

Hernia of the cervical spine

Therapeutic gymnastics for a hernia with the most dangerous localization has its own contraindications, which must be familiarized with before starting treatment.

1. Exacerbation of the disease, severe headaches and heaviness when moving;
2. Bleeding, anemic syndrome;
3. Immediately after removal of the intervertebral disc;
4. Pathology of the cardiovascular system.

These are relative contraindications, after the elimination of which you can start treatment with exercise therapy using the following set of exercises:

1. In a sitting position, put your arms along your body and make slow head turns. Repeat up to 10 times several times a day;
2. Standing, arms are along the body. Slowly tilt your head forward, then back, repeat up to 10 times;
3. In a standing position, cross your arms behind your back, raising as much as possible to your head.

Such a complex prevents stagnant processes and improves the movement of the cervical spine with an intervertebral hernia, but does not help strengthen the muscles, in contrast to gymnastics for the thoracic and lumbar spine. This is not necessary, since the cervical spine has a minimal load and for the prevention of the disease, it is enough to keep your back straight and stretch the muscles.

After removing the disc, exercises are aimed at eliminating pain and improving trophic processes in tissues.

Lumbar hernia

More often, a hernia of the spine is localized in the lumbar region, which is explained by the greatest load on this part of the back. Sports, physical work or its complete absence are the main factors in the appearance of a hernia of the lumbar spine, therefore, therapeutic exercises before and after back surgery helps to evenly distribute the load and reduce pressure in the intervertebral space.

Therapeutic gymnastics for the lumbosacral spine:

1. Lie on your back, bend your knees and pull them alternately to your stomach;
2. In a standing position, bend the body to the side and circular movements;
3. In a standing position, stretch your arms forward, raise the right knee to the left elbow, then the left knee to the right elbow, keep your back straight.

After removing the disc in the lumbar spine, the patient may experience discomfort for a long time, and even pain, therefore, all exercises are recommended to be performed in a lumbar corset, which is selected together with a doctor.

Exercise therapy after surgery

After surgical removal of the disc, the doctor prescribes a complex of therapeutic exercises for the patient, which should help to recover faster and eliminate concomitant diseases of the spine.

How to sit properly with a hernia of the spine

How to sit with a hernia of the spine so as not to provoke the onset of discomfort in the back and not to aggravate the pain? Spine diseases cause a lot of inconvenience. Even such simple actions as sitting or lying down cause some discomfort.

You need to be less in a static position

The very first and most important rule for the intervertebral form of the disease is to be in a static position as little as possible. You need to constantly listen to your body, and if it is uncomfortable to stay in a particular position, then you need to replace it. The head and back must be kept straight at all times. If it is convenient to position yourself in a sitting position, stretching your leg out so that pain is given there, then there are no contraindications to this position. When there is a desire to lean to the side, this action can also be performed while sitting. The main thing is to remember: in no case should you make sudden movements. If the pain symptom begins to intensify, this means that the pose was chosen incorrectly. With this disease, exercise therapy can be of great help, but it must be remembered that some exercises may have contraindications.

With any diseases of the spine, one should try to unload the lower back, because it usually has the most significant load. How do they sit with a hernia of the spine, if the pain is constantly causing suffering? If you have to perform work in a seated position, you must sit in one position for no more than 15 minutes, and then slowly change it. This does not mean a radical change in body position, it is enough to slightly change the position of the back, arms or legs.

With a hernia, like any other back disease, you must lean on the back of the chair. In this case, it is important to choose the right point of support, that is, the bend of the back.

If you tilt your head or upper body while sitting, this position of the body will provoke a deterioration in the condition of the intervertebral tissues, which is caused by a hernia.

Finding the right distance

It's important to try not to slouch. The correct distance from the head to the table will help to cope with the task at hand - such that you do not have to bend over the papers.

If you strain the muscles of the body, then this will provoke pain, but relaxing them as much as possible is also harmful to the back.

Therefore, it is important to calculate everything, relying only on your own feelings and well-being, and at the same time find a "middle ground". In some cases, it is quite simple to pick it up: you need to correctly adjust the height of the chair - it should be focused on finding the seat at the level of the bend of the knees.

Do not slouch, do not strain, but do not relax either

The back of your thigh may put some pressure on the edge of the seat. However, it is important to ensure that the pressure is not excessive, otherwise the blood circulation in the lower extremities will be disrupted. To relieve pressure, it is best to use a small footrest. In this case, it is necessary to take breaks in work after every minute. Slow walking in place gives good results in such cases. During the break, you need to relax your hands, allowing them to hang freely down.

Breathing exercises, consisting of deep breaths and exhalations, performed while sitting, will help reduce pain symptoms. During breathing exercises, the muscles of the back of the head and shoulder girdle must be relaxed. Deep breaths and exhalations are enough to feel relief.

How to sit with a hernia of the spine

Sit as little as possible. First, because in this position you can inadvertently relax. Secondly, the fewer transitional positions, the calmer the spine. If you do have to sit up, try to keep your head and back straight. Listen to your body more often. He knows what is best for him! It is more comfortable for you to sit with your sore leg stretched out in front of you (as often happens with a hernia in the lumbar spine) - stretch it out! I would like to lean to the side - what to do, lean. Watch for pain, keep it under constant control. Increased pain is a pretty sure sign that you have taken the wrong position or have been in the same position for too long. Staying in one position for a long time is exhausting and dangerous for the spine, especially for the weakened one.

"How to sit with a spinal hernia" and other articles from the Spine Health section

Spine assistance. How to sit properly

The lumbar spine is the most loaded. It carries the weight of literally the whole body, even, strange as it may seem, of those parts below the waist - but only in a sitting position.

When working while sitting - and in general when sitting for a long time - you should change your body position approximately every 15 minutes. To do this, just slightly change the position of the back and legs.

When doing written work, it is most convenient to sit with your back firmly resting on the back of the chair where it bends. You should sit up straight without tilting your head or upper body forward so as not to strain your muscles. When reading, writing or drawing for a long time, you should monitor your posture, do not slouch. To do this, you must maintain a sufficient distance to the table so as not to bend over to books, papers. The height of the chair must be adjusted so that the seat is level with the knee folds. The back of the thigh should only press lightly against the edge of the chair. If the pressure is too high, it will soon become uncomfortable to sit, and blood circulation in the lower legs will be difficult. To reduce pressure on the back of the thigh, a footstool is comfortable, and the legs will also receive comfortable support.

When driving a car or in a movie theater, it is important to take a comfortable position so that your back has good support where it bends. You should sit up straight, change your posture often and not tilt your head forward.

With prolonged concentration of attention, as in the two examples above, when working at a computer, it is easy to miss the faint signals of fatigue in the form of pain or discomfort that warn of the need to change posture. When traveling in a car over long distances, you must periodically get out of it, and when watching TV for a long time, occasionally get up and move. It is important to use the hourly breaks in work for 1 - 2 minutes correctly. You can get up and walk a little, or, while sitting in a chair, bend back and hang your relaxed arms. Take a few deep breaths and try to relax the muscles in the neck and shoulder girdle. Tilt your head back and turn it right and left several times.

How to properly sit at a desk. Summary

Sitting at a desk is not difficult at all - just follow a few simple rules:

• the legs are perpendicular to the floor, the thighs are horizontal;
• the forearms lie on the table top without tension;
• the desk and chair are adjusted in height;
• the seat plane is tilted forward approximately 2 degrees;
• the seat depth is set correctly - the thighs are not touching the front edge of the seat;
• the back of the chair fits well to the back and serves as a support in the lumbar region;
• the inclined tabletop promotes a straight, back-friendly posture.