Physical Therapy and Rehabilitation Specialist Assoc. Ahmet İnanir gave important information about the subject.
What are the most common hernia problems?
The disc, which is between the vertebrae and acts as a suspension, can deteriorate suddenly or gradually and its outer layers can be pierced, the jelly part in the center of the disc may leak out and cause symptoms such as pain, numbness, tingling, loss of strength by making pressure or pressure on the nerve. In very rare cases, drop foot, which may require surgery, can cause urinary or stool incontinence.
Who are most exposed to this problem?
The discs, joints, ligaments and muscles that provide spinal flexibility are exposed to overload due to the pressure of excess weight and may cause lumbar disc herniation or disc degeneration or even facet joint disorders. In addition, by changing the center of gravity of the body, it can prepare the ground for waist slips. In addition, obesity increases the risk of narrowing of the canal and slipped waist. You can reduce the risk of lumbar hernia by losing your excess weight. Those who have a genetic predisposition to do heavy work, those who lean forward and lift heavy, long-distance drivers, those who engage in aggressive sports, those who constantly sit down, those who have traffic accidents, those who experience falls are at risk. While leaning forward and picking up something from the ground, the load on the waist increases 5-10 times with excess weight. Carrying an extra 50 kilograms of weight during the day causes chronic strain and deterioration of the discs, ligaments, muscles, joints between the lumbar vertebrae. In addition, even if a person with 50 kilograms overweight bends and picks up a pen, at least 250 kg of extra load is placed on the waist. This clearly reveals the effect of overweight or carrying a heavy load on the formation of herniated disc.
What are the important points about hernia?
Hernia patients should primarily search and find Physical Therapy Specialists or Neurosurgeons who are knowledgeable and experienced in this field. The best way is to find a qualified teacher. A competent teacher will determine which method to use for which hernia type from dozens of methods. It is worth noting that one method is mostly insufficient. You should consider your doctor's recommendations. You can only get rid of the hernia in cooperation. You should know that the hernia will usually remain a problem if the recommendations are not followed in addition to the procedures performed by your doctor; Exceptions do not break rules. It is extremely wrong to evaluate pain relief as a hernia healing.
Is it good if a person with lumbar hernia goes for a walk?
Hiking was recommended in the past. However, walking should not be recommended for every hernia patient. Walking should not be a priority, exercise-based treatment should be given. It is clear from experience that exercise is much more important than walking. It should be ensured that patients give importance to exercise after the surgery, and especially overweight patients should be drawn attention to this issue. In order to prevent postoperative hernia recurrences and facet joint growth, patients should be ensured to live a conscious life by their doctors. Especially, patients should not be left alone, they should be invited to routine controls. In addition, the transition to hospitalization, taking off while lying down, sitting, walking adjustment, ergonomic corrections for working form and conditions, sports styles, job change, child care, patient care, corset use, long-distance driver For those, shaping a new life with serious education should be done seriously, until it gives style to even organizing sexual life.
What are the treatment options?
It is worth noting whether practices that only target pain are approved. The patient with lumbar hernia should be examined and treated by a specialist physician who is absolutely competent on the subject. The most important issue is which treatment is required or not. There should be no neglected method. In this regard, it is very important to seek and find a qualified professor who can make this decision correctly. The priority in treatment should be the patient's education. The patient should be taught the correct posture, bending, bearing, lying and sitting position. The vast majority of lumbar hernias heal without surgery or may become harmless. Even if the patient has progressive loss of strength in the waist, neck, legs, arms and hands, it is a mistake to recommend surgery immediately. If it does not respond to the treatment and progress occurs despite the treatment, it will be an appropriate attitude to make a surgical decision. The name of the treatment should aim to return the herniated part to its place. Surgery aims to remove and discard the part of the disc that leaked out. Since neck surgeries are performed on the front of the neck, it becomes inevitable to place a reinforced artificial system. Waist surgeries further weaken the basic load bearing ground of the spine. In this context, the waist and neck patients should be handled with great care and surgical approach should not be foreseen without the decision of the commission.