Herniated disk (protrusion, prolapse)

Symptoms

(either in combination or separate)

  • Suddenly or gradually emerging pain in the neck, back, fundament, hips, arms and legs.
  • Neurological failure, such as paresthesia (“pins and needles“, numbness, prickle), muscular palsy (weakness of involved muscles), voiding disorder (urinary retention), defacation disorder (obstruction), sexual dysfunction, dorsalgia concomitant with sneezing, long periods of recumbency, sitting and standing, lifting and carrying heavy objects, and shock.
  • Myogelosis of back muscles, cramps.
  • Sciatica (sciatic pain is an emanation of pain along the sciatic nerve).

Cause

The spinal disk consists of a colloidal nucleus (mostly aqueous) which is surrounded by a fibrous ring. Biomechanical stress, spondylolisthesis, overweight, age-related change, injury (trauma), structural problems and other factors may frequently lead to a fissure in the fibrous ring and an egression of the nucleus. Adverse effects and failure due to constricted spinal nerve roots emerge according to the specific direction of nucleus egression.

Treatments

Surgical concepts
Decompression of nerves by microsurgical extraction of damaged spine disk material with a surgical microscope, et al.

Conservative concepts
Epidural injection, infusional therapy, optimized pain medication adjustment, acupuncture, CT-targeted radicular and facet joint infiltration, specific relaxation exercises, physiotherapy, application of Ayurveda, et al.

© Dr. W. Djananpour