In the past, people with lumbar and neck hernia and radicular (root problems) were given bed rest for approximately 60 days to ensure full recovery. Now, considering today's conditions, a rest period of about 1 week is generally given. In studies conducted on people with disc problems, it has been observed that those who take more bed rest recover in a shorter time than those who do less. In an acute situation before the disease becomes chronic, more bed rest means less load on the disc.
So, does pain alone indicate a hernia? No. In disc pathologies, if you have a disc problem, the examination is generally sensitive and painful when you press on the vertebra. If the pressure is large, sometimes it may spread depending on the area it covers. Facet joint blockages in the vertebrae, arthrosal conditions (calcification), spondylosis conditions (slippages), fractures, soft tissue and intra-articular edema due to impact and fall may also cause pain. Depending on where the problem is, nerve involvement may also occur. With some functional, dynamic and neurological tests (these tests are performed by placing the person in certain positions), it can be understood whether the source of the pain is disc pathology. Or, when you stand and lean to one side, the pain eases and increases when you lean to the other side. It increases with standing and sitting, and there is an increase in the tone of the muscles next to the spine.
Let's say the person has a hernia problem, osteopathically, the vertebra in the segment where the hernia is located cannot be worked on. The vertebra where the herniation occurs is generally hypermobile (too mobile). The vertebrae in the upper and lower segments are hypomobile. In the osteopathy approach, the hernia is generally examined, not the surrounding tissues, and healing is achieved. By working from the surrounding segments, Beta cells send signals to the dorsal horns and develop pain inhibition (suppression) with interneurons. How correct is it to directly manipulate the area where the hernia is located? Wouldn't manipulating the vertebrae of a person who does not have an MRI result, or who has not been examined well, or sometimes even not examined at all, and who has not had security tests and neurological tests, cause the disc to rupture and cause more injuries? Especially if this manipulation is performed by inexperienced and insufficiently trained people... At first, the pain may decrease through Neuroreflex, but then those who follow the patient can see that the pain spreads. ir. For this reason, manipulation should be done to the right person at the right stage of the problem. It is important to approach it with mobilizations, soft tissue studies or other osteopathic methods. Treatment should be supported and wound healing should be ensured with collagen-enhancing and edema-reducing exercises performed at regular intervals.
The second indispensable factor in addition to manual therapies is nutrition. At this stage, the person should consume healthy foods without carbohydrates and drink plenty of water to ensure good blood flow to the tissue.
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