Lumbar Hernia Treatment
How does a herniated disc occur?
Our spine is made up of bones and discs between the bones. The discs are like fluid-filled cushions and help the spine to be flexible. Lumbar disc herniation occurs when these discs herniate into the canal where the nerves are located.
Herniated herniated discs can be at the initial level or they can be very large, such as extruded herniated discs, and sometimes there may even be a rupture (sequestration) from these enlarged herniated discs and they may fall into the nerve canal.
What are the Effects of Lumbar Hernia?
In lumbar herniated discs, some complaints occur in the patient depending on the size and condition of the hernia.
In beginner hernias, the patient may have complaints such as morning stiffness and difficulty in bending, and the pain may disappear in a short time with rest, simple painkillers or hot applications.
In slightly more advanced cases, the pain can be relieved with rest and painkillers, but it takes longer.
In burst (extruded) or ruptured hernias, numbness in the leg – foot, tingling, inability to lie down, inability to sit, severe pain or pressure in the hip – coccyx, pain that does not go away with rest or medication.
In addition to such complaints, if the patient has complaints such as incontinence of the toilet (starting after low back pain), weakness in the feet (as an examination finding); the patient should undergo urgent surgery within the first 1-2 months after these complaints occur. Because these conditions indicate that the hernia has started to kill the nerve tissue and the hernia area should be cleaned quickly with surgery so that the nerve tissue can be saved. If a piece of a hernia has broken off (sequestration), the treatment is surgical.
If the above-mentioned incontinence of the toilet and weakness in the feet have not occurred, or even if they have occurred, if a long time has passed, we can treat our patients without surgery.
Non-Surgical Lumbar Hernia Treatment
We have multiple treatments for the lumbar region. We have a patch treatment that shrinks the hernia in burst hernias or hernias that press on the nerve. After the patch treatment is applied to the patient, our patient rests in the supine and prone position for 24 hours and continues his daily life by removing the patch himself after 24 hours.
If the hernias do not press on the nerve, we have injection treatments such as prolotherapy, prolozon and prp. The aim of our injection treatments is to strengthen the lumbar region and indirectly shrink the hernia.
In patients with platinum-screws in the lumbar region, injection therapy is applied to strengthen the muscles in the hip region. If new hernias have formed in patients with platinum-screws in the lumbar region, patch treatment can be applied.
Patients who have undergone surgery in the lumbar region are not operated for 3 months after surgery.
In lumbar herniated discs in nursing mothers, only patch treatment can be applied according to the situation if it is suitable for treatment.
Treatment is not applied in pregnant women.