When herniated disk part of nucleus pulposus (nucleus pulposus) passes through the fiber ring (annulus fibrosus) and caused by pressure on the spinal nerve (nervus spinalis) complaints. Recent reports suggest that the severe pain may not go back for pinched nerves, but on an immune response and inflammation (spinal disc herniation Ashburn VA). The pain radiates typically made along the dermatomes and interpret it indicates the affected nerve roots. Many herniationss are asymptomatic and require no treatment. With old healthy patients such. As are found in about 60% of cases herniated disks as an incidental finding. It is therefore important to determine, prior torapy, whether your patient's symptoms explained by the affected intervertebral disk.
While the posterior longitudinal ligament (posterior longitudinal ligament) can remain intact (so-called subligamentous disk). The cause is often overloaded with pre-damage of disk, but disk can occur even without external cause. Symptoms of disk are strong, often radiating to extremities pain, often with numbness in area supplied by the pinched nerve root, sometimes paralysis. Treatment is usually conservative possible serious incidents must be treated surgically.
Disk are bradytrophic tissue, that is, they are not supplied directly from the bloodstream out with nutrients through diffusion. This play semipermeable membranes that separate the cartilaginous rings of each other, the decisive role. By shear forces, these membranes can tear, thereby losing their function and the disk in addition to nucleus pulposus of disk (nucleus pulposus) dries (black disk lesion).
When it comes to disk, the nucleus pulposus is practically non-existent in its original form. So the disk occurs mostly at the bottom of a long-term pre-damage the disk. The nucleus pulposus (about 80% water) and is in healthy disk from a jelly-like, cell-poor tissues and accepts load together with the cartilage rings and the membranes of function of a hydraulic ball ("water cushion"). The vertebral bodies and disk front allow, together with the small facet joints at the back ("facet joints"), the high mobility of entire spine and high stability.
The human spine 23 has disk. Between the first vertebra (atlas lat.) - Counting from the top - and the second vertebra (axis) no disk is formed. Thus the head in pitch (Atlas) and rotating (Axis) is given the necessary freedom of movement. In addition, focus there substantial nerves and blood supply to head.
In patients who suffer from back pain radiating into leg, chronic complaints, the so-called back exercises can be helpful. The periradicular therapy (PRT) is a process in which under CT or X-ray inspection cortisone is injected to affected nerve root, which should be done at least 2x. In 67% of cases, so that when a herniated disk pain relief can be achieved.
Healthy disk tissue is according to common opinion, if any, tear with a piece of bone composed of vertebral body. Often disk occurs during pregnancy. Another reason, which favors the prolapse of disk, the upright posture of man. There are many old people aged over 90 years who have never had complaints to spine or disk inir busy lives. On the other hand, there are children who had already suffered disk.
Furthermore, a study revealed that in disk tissue (operated) patients often viruses of herpes class were detectable with incident compared to a control group. Reactivation of surviving in disk tissue virus (cause: a herpes infection in childhood, in which the disks still have blood vessels), which then contribute to degeneration of tissue is suspected. The average age at diagnosis is 40 years, which are most frequently affected vertebrae in lumbar region. Less commonly affected are cervical and very rarely the thoracic vertebrae. The ratio is about 100 to 10: 1.
While the posterior longitudinal ligament (posterior longitudinal ligament) can remain intact (so-called subligamentous disk). The cause is often overloaded with pre-damage of disk, but disk can occur even without external cause. Symptoms of disk are strong, often radiating to extremities pain, often with numbness in area supplied by the pinched nerve root, sometimes paralysis. Treatment is usually conservative possible serious incidents must be treated surgically.
Disk are bradytrophic tissue, that is, they are not supplied directly from the bloodstream out with nutrients through diffusion. This play semipermeable membranes that separate the cartilaginous rings of each other, the decisive role. By shear forces, these membranes can tear, thereby losing their function and the disk in addition to nucleus pulposus of disk (nucleus pulposus) dries (black disk lesion).
When it comes to disk, the nucleus pulposus is practically non-existent in its original form. So the disk occurs mostly at the bottom of a long-term pre-damage the disk. The nucleus pulposus (about 80% water) and is in healthy disk from a jelly-like, cell-poor tissues and accepts load together with the cartilage rings and the membranes of function of a hydraulic ball ("water cushion"). The vertebral bodies and disk front allow, together with the small facet joints at the back ("facet joints"), the high mobility of entire spine and high stability.
The human spine 23 has disk. Between the first vertebra (atlas lat.) - Counting from the top - and the second vertebra (axis) no disk is formed. Thus the head in pitch (Atlas) and rotating (Axis) is given the necessary freedom of movement. In addition, focus there substantial nerves and blood supply to head.
In patients who suffer from back pain radiating into leg, chronic complaints, the so-called back exercises can be helpful. The periradicular therapy (PRT) is a process in which under CT or X-ray inspection cortisone is injected to affected nerve root, which should be done at least 2x. In 67% of cases, so that when a herniated disk pain relief can be achieved.
Healthy disk tissue is according to common opinion, if any, tear with a piece of bone composed of vertebral body. Often disk occurs during pregnancy. Another reason, which favors the prolapse of disk, the upright posture of man. There are many old people aged over 90 years who have never had complaints to spine or disk inir busy lives. On the other hand, there are children who had already suffered disk.
Furthermore, a study revealed that in disk tissue (operated) patients often viruses of herpes class were detectable with incident compared to a control group. Reactivation of surviving in disk tissue virus (cause: a herpes infection in childhood, in which the disks still have blood vessels), which then contribute to degeneration of tissue is suspected. The average age at diagnosis is 40 years, which are most frequently affected vertebrae in lumbar region. Less commonly affected are cervical and very rarely the thoracic vertebrae. The ratio is about 100 to 10: 1.