Lumbar Pain

Lumbar Pain

The spine is the most important balance and support axis of your body and at the same time it protects the nerves from the spinal cord and spinal cord. Spinal cord is a nerve tissue extension that goes down from the brain to the waist down. There are 31 pairs of right and left nerves in the spinal cord; After these nerves have separated from the backbone, they are separated from each other and separated from each other by branches and distributed to arms, legs or trunk; The future fulfills the sense and motion functions of the region. The nerves coming out of the neck region are distributed to the arms, and the nerves coming out from the waist region are distributed to the legs. For example, the "sciatic nerve", which is known to almost everybody, is formed by the merging of several nerve branches that go to the bass and moves from the heel to the foot to perform the motion and sense functions.

There are cartilage pads called "disc" between the bone parts which form the vertebrae and are called "vertebrae". In the middle of the disk gyrus is a gel-like core. During the forward and backward movement of the spine, the core in the size of the chickpea is displaced in line with the movements, thus allowing the load on that area to spread over as wide a surface as is the case with car dampers. Apart from the discs, there are also small joints called "facet joints" behind the vertebrae, which help to make the spinal motion smooth. The complex structure of the bone and nervous tissue in close proximity to each other, the presence of elastic disc tissue and the addition of elastic muscle tissue, makes the spine vulnerable to external influences and leads to the development of neck - neck sores which are very common in society.

Spine Disorders

Nowadays, waist and neck sores have started to be seen very often. The effects of various factors in the home and work environments, mainly inactivity, have increased the discomforts associated with the spine and have become a major health problem that most disturb people after headache. The causes of waist - neck sores are very diverse. Except for direct traumas such as falling - bumps, the most common cause is painful situations that result in incorrect posture - sitting positions or excessive strain. Accordingly, much of the neck - neck pain is related to mechanical forces. However, it is wrong to think that this is all the spinal disorders. The spine can also be painful due to various inflammations, rheumatic diseases and even tumors. In this respect, it is absolutely necessary to consult an expert and make necessary examinations in waist - neck pain which does not go through rest and increases or wakes up more towards sabahat. Although it is difficult to determine the actual cause in some parts of the waist and neck pain, it is possible to say that such painful situations are mostly caused by discs between the vertebrae, facet joints or muscles that stick to the vertebrae.

What's a Herniated Disc? How Does It Happen?

The discs between the vertebrae, due to their elastic properties, shape in harmony with the movements of the spine and allow the burden on the vertebrae to spread over as large a surface as possible. Thanks to millimeter shifts in the center of the discs the load carrying capacity of the spine is further increased. For example, a healthy young person's L5 disk can withstand loads of about 800 kg. But the interesting thing is that even with much smaller weights, this limit can be exceeded and the disinfection is impaired. As age progresses, wear and tear in the vertebrae and discs, weariness of discs and decreased risk of herniation. Especially when lifting a heavy body, the distance of the arms from the body and the forward angle of the spine are very important. As the knees do not bend forward, the heavy burden on the discs during the heavy lifting causes the burden to burn and eventually the disc texture is damaged and the core inside becomes herniated to the back. This is what we call waist or neck stool. Since the nerves going from this point to the arm or legs are passing, the arm or leg pain may appear according to the region where the pressure is. Sensory and movement deficits are sometimes added to this painful picture, which is the result of dyskinic nerve compression. It can even lead to problems such as urinary incontinence or inability to move the foot at all in very severe cases. C5 - C6 or C6 - C7 discs are the most affected spots on the neck, characterized by pain spreading to the arms and fingers along with the neck region. The most popular discs in the town are between L4-L5 and L5-S1, and with the herniation of these discs, well-known "sciatic" aches occur. Very rarely, discs in the dorsal region may be damaged and may cause severe pain in the chest or back. In the waist and neck, pain increases with movement. Sometimes there may be sensory symptoms such as burning, numbness, numbing, loss of sensation in the corners or stools with pain.

How is the treatment?

During the acute painful period of the waist, 2-3 days of bed rest can be given but it is not right to extend this period longer and sleep for weeks. With the help of pain relievers or injections, you should begin full-day bed rest after simple pain relief and simple exercises. Long periods of sitting in this period can also increase pain. For that reason it is more convenient to take short walks and to rest tired. It is useful to start the physical therapy program after the first 2-3 days of acute pain. In a comprehensive physical therapy program, pain relief can be achieved by influencing muscle and bone tissues with high frequency sound waves such as painful electrical currents and ultrasonic as well as superficial heaters such as painful zone infra or warm packs. In cases of marked nerve pressure, traction therapy is also introduced into the program. Traction is a method of treatment by pulling the neck or lumbar vertebrae through an electrical system. In this way, it is aimed to relieve the nerve roots that are trapped between the vertebrae. For the neck region, usually tensile forces of 25 to 35 kilograms are applied for the waist region of 10 to 15 kilograms.

After these treatments, the pain is reduced and the patient begins to move more easily. In this period, it is necessary to start exercising the waist and abdomen. As the pain decreases, the number and level of movements should gradually increase. When waist movements are made completely normal and painless, it is possible to use hydrotherapy facilities such as sea - pool or spa according to the season. When going to the spa it is absolutely necessary to consult a specialist medicine. Especially those with heart disease, uncontrolled hypertension, uncontrolled diabetes or kidney disease should be very careful. It is not enough to enter the water only in a pool or spa environment. Active in-water exercises should be performed instead of standing still in the water. It may be advisable to wear corsets in an acute painful period in patients with significant deformities in the waist or in patients with increased lordosis (waist backward opening) due to weakness of the abdominal muscles. However, since the waist muscles cause further weakening, prolonged use of the corset is not recommended. Surgical treatment can be decided in patients who have severe neurological deficits, such as loss of strength or incontinence, despite the application of all these treatments. Today, there are various surgical methods open or closed, and depending on the situation of the patient, a specialist should evaluate the findings and decide on the operation method.

Patients who have a waist or neck problem have some important conditions to obey and should pay attention to them without any contempt.

Rules To Be Protected From Waist And Neck Hernia

1. Pay attention to posture, sitting and working positions.

2. Do not lift more than 5 kg.

3. Bend your knees as close as possible while not getting anything from the ground, do not lean forward.

4. Do not smoke; Cigarette breaks the circulation of the discs and reduces its durability.

5. Do not lean towards the steering wheel while supporting the car, support the waist curve, take frequent breaks on short journeys and take short walks.

6. Do not sleep on the back or side on the hard bed.

7. Do not use medication without consulting your doctor.

8. Do not respect the treatment of ignorant people.

9. Do conditioning exercises such as fast walking, light running or swimming.

10. Do not make sudden and compulsive movements.

11. Get rid of excess pounds.

12. Do not let your waistline, back, neck, air conditioning or ventilator breeze.