Low back pain is one of the most common health problems today. It is known that 33% of the world's population suffers from low back pain at some point in their lives, which makes low back pain the most common musculoskeletal system problem. Well, when you experience lower back pain; Should we be worried immediately, what precautions should be taken, what should be the solution, we will answer these questions in this article.
The waist area is the part of the spine that carries the most load and during many activities we do in daily life (such as sitting, standing, bending). The waist area is actively used. Therefore, it is inevitable to feel sensitivity and pain in the waist area when overloading or making a wrong movement.
First of all, it should be noted that only 1% of the cases of back pain are due to very serious reasons and urgent intervention is required. In the remaining cases, it is possible to completely get rid of low back pain by creating an appropriate treatment program and using various treatment modalities such as exercise, manual therapy, electrotherapy, kinesiological taping, superficial and deep heaters.
The most feared and What he fears is having this problem due to a herniated disc. Hernia; Although it has a rate of only 5% of the conditions that cause low back pain, it is a nightmare for many people due to the pain and distress it creates in patients.
How Does a Herniated Disc Occur?
There are discs between the vertebrae that serve to absorb the load on the spine and distribute it evenly to the surrounding tissues. These discs act as shock absorbers.
When the soft jelly-like part inside the disc goes beyond its limits by pushing or tearing the harder part around it, it is called "herniation". Lumbar herniations are evaluated in 4 stages: bulging (swelling), protrusion (protrusion), extrusion (fragmentation), and sequestration (separation and displacement into the nerve canal).
The herniated disc is located in the spine of different sizes depending on the degree of protrusion. enters the channel and thus The nerve sac and the right and left nerves branching from it are compressed. Localized pain in the waist area, pain radiating from the hip to the legs, loss of strength and sensation in the lower extremities, loss of reflexes and at advanced levels; Urinary, fecal uncontrol, and sexual function insufficiency may occur.
How is the Treatment of a Herniated Disc?
A good clinical examination is essential in the treatment of a herniated disc. A good clinical examination will provide significant information about the course and degree of the disease. If necessary, radiological imaging methods such as MRI can also be used for diagnosis. Afterwards, a comprehensive examination of the patient's history, age, weight, level of hernia, reflex and sensory loss, and area of influence can be obtained. An evaluation is made and a decision is made about the treatment method to be applied. If, as a result of the clinical examination and radiological imaging, there is a situation that requires the patient to go to surgery, the patient should be taken to surgery by a specialist physician without wasting any time. If there is no situation that requires the patient to be urgently referred to surgery, physical therapy methods suitable for the patient must be applied first. Depending on the patient's condition, a good exercise program should be created and the patient should be kept as active as possible. It is necessary to consult a physiotherapist to create a personalized exercise program that best suits the patient's condition. Afterwards, an appropriate treatment program should be created using physical therapy modalities such as manual therapy, electrotherapy, kinesiology taping, superficial and deep heaters. After the treatment, the patient should be taught how to protect the waist area during daily living activities and should be guided to avoid experiencing a similar problem by showing exercises that will keep the waist area muscles strong.
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