The spinal canal in the back region is relatively narrower than the neck and waist regions. In this region, the distance between the nerves passing through the spinal canal and the bone wall of the canal is less. Therefore, even a small hernia in the back area can cause much more discomfort to the patient. In case of a herniated back, symptoms may occur much more easily. For this reason, back hernia is a very special disease and should be treated without delay. Because if the treatment of back hernia is delayed, the patient may encounter some irreversible situations.
Back hernia and stenosis in the back are common problems in the society. It is one of the important inconveniences. Back hernia is a less common disease than a herniated disc. This is because there is relatively less movement in the vertebrae in the back area. Considering the back region, herniation occurs most frequently at the lower levels. However, it can also develop from any of the twelve distances located in the dorsal region. Just as degenerative changes play an important role in the development of back herniation, a trauma may also suddenly initiate signs and symptoms.
A person may have a herniated disc, a cervical hernia, or a back hernia If there is a stenosis along with these or alone, the quality of life of the person can sometimes decrease greatly; Work, family and social life can be disrupted.
What are the Symptoms of a Herniated Back?
The spinal canal, through which the spinal cord and nerves pass, is a thin, long, curved tube consisting of bones arranged on top of each other. If the width of this canal, which has a certain diameter, decreases in the neck and back region, the narrowed canal easily compresses the spinal cord and nerves passing through it. As a result, one or more of the following symptoms may be observed.
- Pain in the neck, back and arms,
- Numbness,
- Restlessness,
- Tingling,
- Gait disturbance,
- Having to sit after a while while walking,
- Impairment of urinary and defecation control,
- In the arms and weakness in the legs,
- Sexual functions� Negative effects on the leg.
After the formation of a back herniation, loss of sensation and strength in the legs may be observed along with pain. The pain may shoot very sharply to the side in the chest area. In some patients with back hernia, there may be no pain at all. Then, since the disease progresses almost like multiple sclerosis, a differential diagnosis should be made with demyelination diseases. In addition, symptoms and signs of a herniated back may occur as a result of the herniated disc pressing directly on the spinal cord and nerves, or as a result of compressing the vessels feeding the nerve elements.
In advancedback herniation. Very important conditions such as loss of sensation in the trunk and legs, loss of strength in both legs, which can lead to paralysis, and impaired urinary and defecation control may occur. Over time, thinning and wasting of the leg muscles may be observed.
Diagnosis of Back Hernia
Other diseases in the chest and abdominal area should be taken into consideration in the differential diagnosis of back hernia. In particular, heart attack, kidney pain, tumors and other internal organ diseases should be excluded. Magnetic resonance imaging method has a very important place in the diagnosis of back hernia. In addition, the experience of the doctor evaluating the images is also very important.
Treatment of Back Hernia
Physical therapy and other non-surgical treatment methods are used in appropriate cases in the treatment of back hernia. It is the first choice. However, if surgical intervention is required, it should not be delayed. An adequate surgical intervention performed properly in experienced hands can provide relief to patients. The earlier the operation is performed, the more satisfactory the results are. If not intervened in time, the disease gradually progresses and the pressure on the nerve elements increases. Because as the years pass, the spinal canal naturally becomes more narrow.
Read: 0
