The latest research conducted in the USA is a game-changer about herniated discs.
80 out of every 100 people in Turkey experience a herniated disc at some point in their lives. The real nightmare for the patient begins after this. While time for treatment is rapidly running out, the patient who is writhing with the intensity of the pain must make a decision. You have two options in front of you. He will either apply to a health center or 'alternative' medicine.
“Is lumbar herniated surgery necessary or not?” Most patients who cannot get a reassuring answer to the question prefer the second method. 'Fear of knives' and 'money' play important roles in this choice of the patient. Patients are afraid of going under the knife for the treatment of this disease, which they see as risky. Since it is a sensitive surgery, surgery is not considered at first for fear of "what if I become paralyzed". These fears of people are not unfounded. As a society, we have a subconscious mind full of fears about herniated discs. News such as "He had a herniated disc surgery and died" and "He had a herniated disc surgery and was paralyzed" in newspapers and television remain fresh in our memories. The idea of financially weak people that "if we go to the doctor, he will perform surgery to earn money even if surgery is not required" increases the customer portfolio of fake alternative medicine doctors day by day. p>The latest research from the USA will change our minds about herniated discs. Research shows that not all pain is caused by a herniated disc, and the findings seen on film and MRI do not mean a herniated disc. Dr. Physiotherapist Gamze Şenbursa gave the following information about the details of the interesting and thought-provoking research that led to the diagnosis of a herniated disc even in people who do not have a herniated disc: It indicates that the pain is not caused by a herniated disc and that the findings seen on MRI do not require surgery.
There are stages of a herniated disc: 1-Disc bulging, 2-Disc protrusion, 3-Disc herniation/extrusion, 4- Sequestered disc.Spine. It is actually a structure that acts as a cushion between the bones, causing herniation between the bones. is. This structure consists of 2 parts. It has a gel-like substance inside and a durable connective tissue layer surrounding it. Herniation begins with the gel-like substance on the inside gradually tearing the fibers on the outside. While tears are few at the bulging level, as the level progresses, it may even lead to complete tearing and even the gel overflowing into the nerve path. Generally, there is not much pressure on the nerve at the level of bulging and protrusion. Of course, rare cases of the opposite may also be observed, but this must be determined by a clinical evaluation by an expert. Many recent studies indicate that hernias at these levels can heal themselves. If you have urinary incontinence, severe strength in your feet, and cannot perform more than 70 percent of your daily living activities, surgery is mandatory. In other cases, success can be achieved with manual treatment. In other words, the hernia you see on MRI does not always cause low back pain due to herniation. In the research published in the 'New England Journal Of Medicine', 'Lumbar MRI was imaged in people who did not have low back pain and interesting results were obtained.
In the research conducted on 98 people who did not have low back pain or any symptoms; Bulging was found in 52% of the participants in the study, protrusion was found in 27%, and extruded disc was found in 1%. Bulging, protrusion and extrusion were found in 80 percent of MRIs. So, a diagnosis of herniated disc pain has been made. In the study conducted in the journal Radiology, extruded and sequestered discs were investigated by lumbar MRI examination in volunteers who did not show any symptoms; 60 people under the age of 35 who had no back pain were examined with lumbar MRI. Result: 24 percent bulging, 40 percent protrusion, and 18 percent extruded disc were found. Bulging, protrusion, and extrusion have been found in 82 percent of the general population. These studies have also shown that technology has misled experts and caused the diagnosis of a herniated disc even in patients who do not suffer from herniated disc pain. Instead of relying on technology, your doctor or therapist should have combined your own clinical experience with examinations by taking your disease history, physical, neurological and functional evaluation.
CHANCE OF SUCCESS IN HERNIATED SURGERY: PERCENT. 50
For all these reasons, only 50 percent of herniated disc surgeries are successful. We can give the following warnings to those suffering from herniated disc pain:
- Not every back pain is caused by a hernia. Compression of the nerve at the hip level also causes symptoms of a herniated disc, but it cannot be solved by surgery because the source of the problem is different.
- Surgeries performed by opening small holes may cause injury to the nerve root if the surgeon does not have sufficient experience.
- Re-herniation in the operation area indicates that the operation has failed.
CAUSES OF HERNIATED DISC
- The most important cause of waist problems is stress. Economic, social and psychological problems increase back pain.
- Gaining weight increases the load on the waist. 1 kg you gain is reflected as 10 kg load on your waist. Increasing the person's weight after surgery will cause serious load on this area, which will make the operation fail. Herniation may also occur at another disc level.
- Smoking is one of the reasons for failure as it will slow down the blood flow and healing to that area.
- The patient should strengthen the waist, abdominal and pelvic floor muscles by exercising after the operation. is necessary. Exercise therapy should be applied before and after surgery. Weakness in the muscles may cause the problem to recur.
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