Up to 80% of individuals in the community suffer from low back pain at least once in their lifetime. Most of the causes are mechanical, but some of them have an underlying lumbar disc hen. Today, MRI has become the most frequently used method because of the ease of access to radiological examination methods. However, research has shown that the pathologies in the interverteral discs (cushions between our vertebrae) are also present in asymptomatic individuals without pain. This rate is 30-50% in the general population. Sometimes there is a dramatic disc herniation in individuals without complaints. Disc herniation most commonly occurs in the lumbar spine (lumbar spine) and is used when the disc material overflows into the spinal canal. Anatomically, in simple terms, the spine consists of vertebrae stacked on top of each other. Between each vertebra, there are discs that act as a pillow. These discs absorb the excess load that occurs during our movements and prevent the vertebrae from rubbing against each other. It also has a gel-like substance (nucleus pulposus) within these intervertebral discs. When the disc is hen, this gel-like structure enters the canal either by pushing the surrounding outer layer towards the spinal canal or by tearing the outer layer itself, causing pain by pressing the nerves passing through it.
Low back pain (usually the first symptom)
Leg numbness or tingling (travel pain)
Loss of bowel or bladder control (very rare and requires immediate medical attention)
Surgical decision When evaluating patients surgically, the physician may recommend surgery for patients with uncontrolled pain despite preventive treatment options such as physical therapy and / or medication. He will talk to the patient about the available surgical methods and determine which procedure may be more appropriate depending on the particular situation. As in other surgeries, the patient’s age, general health and comorbidities will be effective in deciding surgery. The physician will always weigh the benefits and risks of the surgery and take into consideration the benefit it can provide to the patient by surgery.
The physician will give special instructions after surgery and will usually prescribe painkillers. It will provide information on when the patient can start normal activities such as returning to work, driving and exercising. Some patients may benefit from supervised rehabilitation and physical therapy after surgery. For the patient who is gradually returning to normal daily activity, a number of pains that he may feel may stimulate the patient to progress more slowly.
TIPS FOR PREVENTING PAIN ATTACKS
It may be important for the prevention of low back pain attacks and especially for those with a family of disc herniations.
Exercise for greater spine stability. For this purpose, swimming, stationary cycling and fast walking in the flat area are good aerobic exercises that usually do not exert excessive strain on the spine.
Use proper lifting and handling techniques, such as squatting, to lift a heavy object. Never bend the waist, feel the load on your legs.
Maintain the correct anatomical posture while sitting and standing.
Stop smoking if you smoke.
Avoid stressful situations, if possible, as this can lead to muscle tension.
Maintain a healthy weight. Each extra weight to be taken will put additional burden on the waist area.