Hernia Repair – MultiCare

A hernia occurs when an organ, fatty tissue or intestine breaks through a weak area in the abdominal wall. Hernias can happen in the inner or outer groin, upper thigh and stomach or through an incision or scar in the stomach.

Hernias are often caused by a combination of weak muscle or connective tissue and excess straining. For example, coughing, lifting something heavy or straining to go to the bathroom because you’re constipated.

While some hernias do not cause any complications, a large hernia may cause pain and symptoms that require treatment. At MultiCare, our general surgeons are experts at surgically repairing all types of hernias.

What is hernia repair?

Surgery is often the only successful way to repair a hernia. There are two main types of surgery:

• Laparoscopic, or minimally invasive repair – A surgeon will first make small incisions on your stomach. The surgeon will then insert a fine tube attached to a camera to help guide surgery to repair the hernia.
• Open repair – A surgeon will make a larger incision near the hernia, repair the hernia and close with stitches. Open repair may be useful for a hernia that is small or infected.

Either of these surgeries can be performed with or without a surgical mesh. Surgical mesh is a device that’s placed to help support weakened tissue. Hernias can sometimes return even after repair, and a surgical mesh can be used to prevent this. It can also help reduce your surgery time and minimize recovery time post-surgery.

The type of surgery your provider recommends will depend on the hernia’s size, your age and your personal health.

Who should get hernia repair?

Not all hernias require surgery, especially those that aren’t causing problems. Your primary care provider can examine yours and let you know if you should visit with a general surgeon.

However, you might need emergency surgery if a hernia causes pain, swelling and vomiting or keeps you from being able to use the bathroom. This is often a sign that blood supply to your intestines has been cut off, which is called strangulation. Call your provider right away if you suspect strangulation is causing your pain.

What to expect for surgery

Before surgery, you’ll be given either local anesthesia and a sedative or general anesthesia to help you relax and not feel pain during the procedure. A surgeon will use special tools to repair the hernia and insert the fine surgical mesh to strengthen your stomach wall.

Once you wake up, you may feel some initial mild pain. Your physician will give you medications to relieve any discomfort. The pain typically stops within two weeks after surgery.

Most people find they can easily return to daily activities within three to five days after a hernia repair. The recovery process is different for everyone — speak with your physician about when to safely return to work and physical activity.

What to Expect, WakeMed Health & Hospitals, Raleigh & Wake County, NC

• Talk to your doctor about any medications/vitamins/herbs you are taking as you may need to stop certain ones before surgery.
• Stop taking aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), Clopidogrel (Plavix), warfarin (Coumadin), and other blood thinners one week prior to surgery.
• Discuss any possible bleeding disorders or other medical conditions that you may have
• The day before surgery, do not eat or drink anything after midnight the night before the surgery.
• You will have blood samples taken in case you need a blood transfusion.
• Do not smoke. This will help you to recover quicker.

On the Day of the Surgery

• Do not eat or drink anything after midnight the night before the surgery.
• Take the drugs your doctor told you to take with a small sip of water.
• Your doctor or nurse will tell you when to arrive at the hospital.

After Surgery

• Hernia repair surgery normally only requires a 23-hour or less stay. Most patients go home the same day.
• Abdominal wall hernia repairs may require up to a two-day hospital stay due to the internal stitches and healing that is required.
• Expect some soreness around the surgical site during the first 24 to 48 hours following surgery.
• Walking is encouraged, based on your energy level.
• This surgery has a quick recovery with most patients feeling much better within the first few days after surgery.
• Hiatal hernia repair patients may eat a modified liquid diet after surgery and will graduate to solid foods over time.

Recovery: what to expect in the next few weeks

Most patients will be fully recovered in one week and can resume some normal activities, such as driving, walking and some duties at work; however, due to the use of internal stitches or staples, your surgeon will advise you when it is safe to resume any heavy lifting pushing or pulling.

Alternative Names

Hernia repair; inguinal hernia surgery; groin hernia surgery, Laparoscopic Anti-Reflux Surgery, Laparoscopic Nissen Fundoplication, GERD surgery

Hernia Repair Q&A

What does the procedure involve?

The surgeon makes a few small incisions and inserts a tiny camera to the surgery site. This gives clear visualization of the surgical field and allows him great precision when placing surgical mesh over the hernia. This mesh is stapled, giving support the hernia site. In the case of a hiatal hernia, no mesh is used, but the site is wrapped with stomach tissue to reinforce the weakened area. The surgery is performed typically under general anesthesia.

How many incisions are made?

Three to four tiny incisions are made around the site of the hernia.

How long do I stay in the hospital?

In most cases, patients are discharged the same day; however, some patients who have had abdominal wall hernia repair may need to stay in the hospital for two days.

What is the recovery time?

Most patients are fully recovered within one week, but should get advice from the surgeon on when it is safe to lift, push or pull heavier objects.

What reasons would the surgeon have to perform an open surgery instead of a minimally invasive procedure?

The surgeon may recommend an open procedure due to a patient’s weight or history of prior surgery that has left scar tissue, making visualization of organs with the camera more difficult.

What are the risks of waiting to have my hernia?

While many hernias do not cause severe pain or discomfort, they can worsen over time or become inflamed, infected or trapped. When this happens, it is an emergency that requires surgery. Talk with your surgeon to determine the best options for you.

WakeMed has many board-certified general surgeons who perform laparoscopic hernia repair. Find a WakeMed surgeon.

Hernia Surgery | Michigan Medicine

Michigan Medicine’s hernia specialists are experienced in repairing simple and complex hernias with a goal of helping patients to return to pain- free health as quickly as possible.

A hernia occurs when an organ or tissue squeezes through a weak spot in muscle or connective tissue. Prompt hernia treatment is important as hernias cannot heal on their own and can increase the risk of complications. We will assess your condition promptly and recommend the most effective approach, including a variety of surgical options. When appropriate, small incisions may be used that cause less pain and help you recover faster. When larger, complex hernias are present, or risk factors and complications such as infection are a concern, larger incisions may be necessary. Choosing the right treatment for your condition increases the likelihood you will have a positive outcome, and decreases the risk of complications and hernia recurrence.

Types of Hernias we treat:

Why Choose Michigan Medicine for Your Hernia Surgery?

We are high-volume referral center. This means physicians trust us to send their most complex patients. Referring physicians know that we achieve consistent, quality results, and offer solutions that address the type of hernia you have.

We offer a priority program for hernia treatment. We encourage the repair of hernias as quickly as possible.  Hernias cannot get better without surgical intervention. For patients who are good candidates for surgery – non-smokers or those without other health conditions that would postpone surgery – a fast track to surgery is available. Prompt treatments reduce the possibility of the hernia worsening and more complex surgery at a later date.

We offer comprehensive, patient centered care. We have specialists to meet your individual needs including general surgery, thoracic surgery, gastrointestinal, colorectal and gynecological specialists, and plastic surgeons. We work together to repair your hernia.

We specialize in innovative surgical techniques. Our surgeons perform open and laparoscopic procedures for hernia repair. Your surgeon’s knowledge about what causes hernias, and new surgical approaches in hernia repair mean you receive the best possible treatment recommendation for your type of hernia.

Make an Appointment

To discuss a potential hernia surgery, contact the Surgery Call Center at (734) 936-5738.

Hernia Surgery: Types, Symptoms, and Surgery

Hernia Surgery

Abdominal wall hernia repair is one of the most common types of surgery. More than 1 million hernia repairs are performed each year in the United States, according to the U.S. Food and Drug Administration (FDA), and worldwide these surgeries are estimated to top 20 million annually. The prevalence of hernia repairs makes it especially important for people to be aware of their options—for surgery, anesthesia, and postoperative pain relief.

What is a hernia?

A hernia is the protrusion of an organ through the structure or muscle that usually contains it. The condition occurs most often in the abdominal wall, when the intestine pushes through a weak spot in the wall. The most common abdominal wall hernia is an inguinal hernia.

According to the FDA, inguinal hernias account for approximately 800,000 of the annual hernia repair surgeries in the United States. Men are eight to 10 times more likely than women to develop an inguinal hernia, and the risk rises with age: Occurrence is most common in people ages 75 to 80.

What are some types of hernias?

Some of the most common types of hernias are explained below.

• Inguinal hernias, in the inner groin area, occur when the intestine protrudes through either of two passages in the lower abdominal wall called inguinal canals. Researchers have estimated that about 27% of men and 3% of women will develop an inguinal hernia at some point in their lives.
• Femoral hernias, in the upper thigh/outer groin area, occur in deeper passages called femoral canals. They are much less common than inguinal hernias and are far more likely to occur in women than in men. They also present a higher risk of complications if they are not repaired.
• Ventral hernias occur though an opening in the muscles of the abdomen. There are three types of ventral hernias:
  • Epigastric hernias occur above the bellybutton.
  • Incisional hernias are caused by a weakening of the abdominal muscle resulting from an incision made during a previous abdominal surgery.
  • Umbilical hernias, which occur near the bellybutton, are most common in newborns, especially those born prematurely. These hernias usually close on their own by the time the child turns 4. Umbilical hernias can be more problematic when they occur in adults.
• Hiatal hernias occur when the upper part of the stomach bulges into the chest through a small opening (the hiatus) in the diaphragm. The hiatus allows the esophagus, which carries food from the mouth to the stomach, to pass through the diaphragm.

What are some hernia symptoms?

A common symptom of most hernias is a noticeable lump or bulge, and potentially some discomfort or pain. The lump or bulge may not always be present; for example, it might go away when you lie down. Symptoms may worsen when you are standing, straining, or lifting heavy objects. Most hernias can be confirmed by a doctor during a physical exam, but sometimes imaging is necessary.

Hiatal hernia symptoms are an exception to the general rule, as they do not cause a bulge. But hiatal hernias may cause symptoms such as heartburn, acid reflux, and regurgitation of food or liquids, which are often treated with medication.

What are the options for hernia surgery?

Hiatal hernia symptoms can often be treated with medication, but most other types of hernias require surgical repair, although not always immediately. There are two primary options:

• Open hernia surgery. The surgeon makes a cut in the groin to view and repair the hernia. After repairing the hernia, the surgeon uses stitches alone or stitches and a piece of mesh to close the abdominal wall. The mesh is designed to strengthen the weak area of the abdominal wall where the hernia occurred.
• Laparoscopic hernia surgery. The surgeon makes several small cuts in the lower abdomen and inserts special tools to view and repair the hernia. The surgeon typically uses a piece of mesh to close and strengthen the abdominal wall. There are some surgeons who opt for robotic repair, which means they sit at a console controlling robotic arms that perform the surgery.

While the use of mesh is predominant and has been shown to help prevent the recurrence of hernias, it also has potential complications, including a risk of chronic pain.

“Despite reduced rates of recurrence, there are situations where the use of surgical mesh for hernia repair may not be recommended,” the FDA advises. “Patients should talk to their surgeons about their specific circumstances and their best options and alternatives for hernia repair.”

What are the alternatives to surgery?

“Watchful waiting” is considered a potential alternative to surgery when a hernia is causing minimal or no symptoms. People who delay surgery, especially men with an inguinal hernia, should watch for symptoms and see a doctor regularly.

About 70% of men with an inguinal hernia who delay surgery will develop new or worsening symptoms and will need surgery within five years, according to the National Institute of Diabetes and Digestive and Kidney Diseases. One risk of waiting too long is that a larger hernia is more difficult to repair.

When might I need emergency surgery?

Seek immediate medical attention if there are signs that your hernia has become stuck or strangulated, which can be life-threatening and usually requires emergency surgery. Signs of this condition include:

• A hernia bulge that is suddenly larger than before
• A hernia bulge that used to go back inside the abdomen but no longer does
• Fever
• Redness in the area of the hernia
• Sudden or severe pain or tenderness in the area of the hernia
• Symptoms of intestinal obstruction, such as abdominal pain, bloating, nausea, and vomiting

What type of anesthesia should I receive for surgery?

Several anesthesia options may be discussed with your physician anesthesiologist:

• Local anesthesia with sedation, also referred to as local with monitored anesthesia care, or MAC. This is the most frequently used option. Local anesthesia is usually administered as a one-time injection of medicine that numbs a small area of the body. Sedation relaxes you and is usually administered and adjusted through an IV placed in your arm. The level of sedation can range from minimal (you’ll feel drowsy but able to talk) to deep (you probably won’t remember the procedure).
• Nerve block and sedation. This might be used for inguinal or femoral surgeries, especially if the patient has severe heart or lung disease that precludes the use of general anesthesia. Nerve blocks involve the injection of an anesthetic into specific nerves to block pain signals.
• Spinal block and sedation. This less frequently used option numbs the body from the waist down. The medication for the spinal block is injected through a needle inserted in the lower back into the spinal canal.
• General anesthesia. This type of anesthetic renders you completely unconscious. It also impairs your breathing, so a breathing tube, ventilator, and inhalation anesthetic are used.

Discuss the options with the physician anesthesiologist assigned to your surgery. Physician anesthesiologists are experts in determining the safest and most effective anesthesia for a particular patient. Although they consider surgeon and patient anesthesia preferences, the type and size of the hernia could preclude some options. For example, general anesthesia is required if the surgeon needs to use a scope during the surgery or if the hernia is particularly large.

The physician anesthesiologist should ask you about your prior experience with anesthesia and about any anesthesia reactions among your family members, going back multiple generations if possible. You should also be asked about your current health and your health history, including any chronic pain that could make it difficult for you to remain comfortable under sedation instead of general anesthesia.

Let the physician anesthesiologist know if you use marijuana, CBD products, or other substances, as these can affect the type and amount of anesthesia you can safely receive. You may also be advised to temporarily stop using CBD in the days leading up to and after surgery because of its potential to increase the risk of bleeding.

How can I reduce and manage pain after hernia surgery?

Hernia surgeries typically do not cause a high level of postoperative pain, and most pain can be managed with medications such as acetaminophen (Tylenol or other brands) and ibuprofen (Motrin, Advil, etc.). These pain relievers can be supplemented with opioids, although this often is not necessary.

Limiting the use of opioids helps avoid negative side effects, including problems urinating after hernia surgery, which have been known to occur in a minority of patients after inguinal hernia repair. Postoperative urinary retention occurs most often in people over age 50, especially males. Taking medications as directed prior to surgery, including medicines for benign prostatic hyperplasia, which is caused by enlargement of the prostate, also helps prevent postoperative urinary retention.

Under medical direction, measures might also be taken before surgery to limit postoperative pain and nausea, such as taking acetaminophen for pain and a small dose of promethazine to prevent nausea. Consult your physician anesthesiologist about whether these are appropriate options for you.

How soon can I resume normal activities after hernia surgery?

Your surgeon will provide you with a specific plan but may not be able to give you an exact time frame in advance. Doctors usually cannot fully diagnose the severity of a hernia until they perform the surgery.

Hernia procedures are usually outpatient surgeries. In general, the sooner you can start moving afterward, the better. This movement helps prevent constipation and blood clots. Be sure to adhere to the doctor’s instructions about what you can lift, how to lift, and how long to remain on any restrictions; some may be permanent.

Can hernia surgery result in chronic pain?

Chronic pain affects about 10% of inguinal hernia patients after surgery, according to the International Guidelines for Groin Hernia Management. The guidelines define chronic pain as bothersome moderate pain impacting daily activities for at least three months.

The guidelines also indicate that chronic pain is a higher risk for patients who are young or female, experience high preoperative or high early postoperative pain, have a recurrent hernia, or undergo open repair. Mesh can also cause or contribute to chronic pain. Studies indicate that the risk of chronic pain is less with laparoscopic repair than with open repair, but the type and size of the hernia sometimes preclude the laparoscopic option.

If you suffer from chronic pain, consult with a pain management specialist to consider options such as medication and nerve blocks. Many physician anesthesiologists are pain management specialists.

Physician anesthesiologists work with your surgical team to evaluate, monitor, and supervise your care before, during, and after surgery—delivering anesthesia, leading the Anesthesia Care Team, and ensuring your optimal safety.

Hernia Care & Treatment NYC | Mount Sinai

Mount Sinai surgeons are leaders in the treatment of hernias. Collaborating with other specialties, such as plastic surgeons and gastroenterologists, we provide our patients with individualized and comprehensive care from the time of diagnosis through recovery.

About Hernias

A hernia is a weakness or defect in the wall of the abdomen or diaphragm, present at birth or acquired later in life. They grow large over time, as the pressure inside the abdomen pushes on the area of weakness. 

Hernias can be diagnosed by your healthcare provider and may involve a physical examination or CT scan. There are many types of hernias, based on factors such as location in the body and cause.

• Femoral hernia: Located in the groin, this type of hernia may be caused by poor wound healing after surgery, heavy lifting, or straining.
• Incisional hernia: This type of hernia is a protrusion of tissue at the site of a healing surgical scar.
• Inguinal hernia: This common hernia occurs in the groin near the opening of the inguinal canal, and it may grow larger over time.
• Paraesophageal hiatal hernia: In this type of hernia, a portion of the stomach protrudes up through the hiatus and next to the esophagus.
• Umbilical hernia: An umbilical hernia is a weakness that forms in the abdominal wall through and around the belly button. Most people with this hernia first notice discomfort or a belly button bulge.
• Ventral hernia: This type of hernia develops when a weak spot in the abdomen enables abdominal tissue or an organ to protrude through a cavity muscle area.

Treatments for Hernias

Surgery for hernias can help eliminate discomfort and prevent complications. At Mount Sinai, our highly experienced surgical team offers the newest techniques for treating all types of hernias, including minimally invasive (laparoscopic) surgical procedures. Our multidisciplinary approach brings various specialists—such as plastic surgeons and gastroenterologists—together to design a customized treatment plan for each of our patients. This combination of surgical expertise and advanced technology allows our patients to achieve the safest and most durable repair with the least discomfort and fastest recovery.

Our skill in treating all types of hernias has advanced over the years, as treatment options have progressed from traditional incisional surgery, to the use of minimally invasive techniques and robotic surgery..

• Traditional repair: In a traditional repair, surgical mesh is often used to reinforce the hernia repair site providing long-term reinforcement.
• Laparoscopic hernia repair: In laparoscopic hernia repair procedures—such as laparoscopic inguinal hernia repairs or laparoscopic repairs for ventral and incisional hernias—patients receive general anesthesia and are completely asleep for the surgery. This procedure is less invasive, using only small incisions to insert the laparoscope. Patients are usually able to leave a few hours after surgery.
• Robotic repair: In some cases your surgeon may be able to use a surgical robot to repair a hernia, using small incisions similar to a laparoscopic surgery.

At Mount Sinai, we take the time to perform a thorough diagnosis and listen to your concerns and preferences in order to choose the best treatment plan for you.

Hernia Surgery – California Hernia Specialists

span::after {

content: “What to expect on your day of hernia surgery”;

}

]]>

Hernia surgery today is much more advanced than even five years ago. The use of laparoscopic surgery techniques and the newest, lightweight meshes (if needed), often allow patients to heal faster, in less pain, and have a more cosmetic outcome.

Patients who are deciding on where to have hernia surgery should make sure that their surgeon has all the tools available to offer the most state-of-the-art techniques and mesh to their patients. In addition, a surgeons volume of hernia surgeries, and the associated techniques, can impact a patients outcome.

Hernia surgery can be described based on three specific categories:

1. Where the hernia is located: inguinal hernias (groin hernia), umbilical hernias (belly button hernia), as well as less common incisional, femoral and ventral hernias
2. How the hernia is repaired: traditional open repair or laparoscopic
3. They can be further classified as: unilateral (one side of the body), bilateral (both sides of the body), or recurrent (after a prior surgical repair)

i.e. Laparoscopic, bilateral, inguinal hernia repair

Open versus Laparoscopic Hernia Surgery

The two major types of hernia surgery are traditional open surgery, and laparoscopic surgery. No one approach is suitable for every patient. Patients with certain types of hernias may benefit from open hernia surgery while another similar patient may need laparoscopic hernia repair. The size of the hernia, the location, and whether it is unilateral or bilateral influences the best approach. Patients can read our:

to read the pro’s and con’s of each type of surgery, as well as compare them to each other.

Tension Free Hernia Surgery

The term ‘tension free’ hernia surgery is commonly used to describe hernia surgery. Hernias are caused by a weakening of the abdominal muscles. Some surgeons choose to sew the muscles back together, thus causing ‘tension’ on the muscles around the hernia. However, the muscles around a hernia are already weak, and over time those muscles tend to pull apart and the hernia can recur, or come back.

Therefore, most hernia specialists today utilize a mesh to help strengthen the muscles after hernia repair. When using a mesh, the muscles themselves are not sewn together (see below). Instead, a mesh is placed over or under the hole in the muscle to prevent anything from pushing through the abdominal wall.

Some patients have heard or read negative information about mesh surgery. However, the unbiased government agency The National Institutes of Health performed a study of whether mesh should or should not be used for hernia surgery. Read the article by clicking on the logo to the right:

While there are some risks with any surgery, by utilizing the newest mesh available, these risks are minimized. Patients can read more on our ‘Truths About Hernia Mesh‘ page.

Our Approach

Dr. Harris specializes in surgical repair for all hernia types. For patients who require a laparoscopic surgery, Dr. Harris commonly performs these procedures. When performing a tension free mesh hernia repair, Dr. Harris uses the latest and most advanced lightweight mesh available which significantly reduces pain and discomfort after the surgery. Many surgeons still use mesh which was invented 10 or 20 years ago which can increase the chances of post operative mesh pain. Today’s advanced mesh reduces those risks to almost zero.

How To Choose a Hernia Surgeon and Center

Dr. Harris discusses what things to look for when choosing a surgeon for your hernia.

Although basic open surgical hernia repair is still an important option for some patients, every patient should consider being seen by a surgeon who can perform advanced laparoscopic hernia surgery and who uses the newest lightweight mesh. Only a small handful of the hundreds of general surgeons in Orange County, Los Angeles, Riverside and San Diego have the experience to perform hernia surgeries using laparoscopic techniques and use cutting edge lightweight mesh.

Where Do You Go From Here?

Dr. Harris discusses what steps you should take to get your hernia repaired. He discusses how much hernia surgery costs and the next steps to getting you on the road to recovery.

How Can You Minimize Recurrent Hernias and Complications?

Although patients often cannot affect their risk of developing a primary (first time) hernia, they actually can impact their development of a recurrent hernia. Recurrent hernias are ones that form after a surgeon has already attempted to repair the primary hernia. There are important steps a patient can take to minimize their chances of having a recurrent hernia. The best way a patient can help prevent a hernia recurrence is to find a surgeon who performs a high volume of hernia surgeries. This volume of surgeries clearly imparts a high level of surgical experience which can reduce a patients chance at developing a recurrent hernia and post operative complications. Patients can read more about recurrent hernias and complications from hernia surgery on our ‘Complications of Hernia Surgery‘ page along with how our center minimizes these risks.

What to Expect From Hernia Surgery

We know that visiting a doctor can be an uneasy experience. Most patients will (hopefully) only visit a few surgeons in their life. Not knowing what to expect and not knowing anything about the surgeon you are seeing can cause anxiety! We are extremely proud of our patient centered care and the experience our patients have with us. That’s why we encourage our past patients to give feedback about our practice and Dr. Harris. Whether this feedback is in the form of a letter, or on HealthGrades and Yelp, our past patients ease the anxiety of our future patients. In the videos below, some of our past patients discuss what their experience was like with hernia surgery at our center.

What Was Your Hernia Surgery Experience Like?

Past patients of Dr. Harris discuss what their experience was having hernia surgery at our center and with our team.

What Hernia Surgery Did You Choose?

Past patients of Dr. Harris discuss what type of surgery they ultimately chose for their hernia repair and what helped them make that decision.

Inguinal Hernia Surgery Procedure – Repair Options

About Your Hernia Surgery

Hernia repair has been around for a long time. That means traditional techniques have been perfected while new options and materials have been developed. While not every technique is right for every hernia, they all have common goals: to provide the strongest repair and least chance of recurrence with the least possible discomfort and quickest recovery.

Your (Grand) Father’s Hernia Repair: Open Tension Repair

Until about 25 years ago, hernias were repaired one way, referred to as ‘open tension’ repair. Here’s what that means:

• Open — An incision of 3″ to 6″ is made in the abdomen to give the surgeon access to the hernia.
• Tension — The edges of healthy tissue around the hernia are pulled together and sewn with sutures.
• The incision is then closed with dissolving sutures or abdominal adhesive.

This method has been tried and true for decades and may be the only way to repair a very large hernia. The incision tends to be painful and recovery can take as long as five to six weeks. The incision also leaves a scar, although it’s usually very low on the abdomen. Tension repair has a higher recurrence rate than non-tension, or mesh, repair.

Today’s Hernia Repair Options — The Best Reason to Fix Your Hernia Early!

Today’s hernia repair options include new techniques and materials that can make surgery less invasive, recovery faster, and recurrence less likely. And the smaller your hernia (meaning the earlier you fix it), the more options you’re likely to have.

Non-Tension or Mesh Repair

Non-tension means just that. Instead of pulling the tissue around the hernia together, a piece of mesh is positioned to reinforce the area and fixed in place with sutures and/or staples.

The mesh is made of a flexible material that stays in the abdomen and encourages new tissue to grow into it.

Mesh repair has a lower incidence of recurrence than tension repair. There are also different kinds of mesh, including patches, plugs, three-dimensional, expanding, self-absorbing, and even self-gripping mesh that requires few to no sutures to keep it in place. A surgeon who specializes in hernia repair is most likely to have experience using the latest procedures. Ask which ones he or she uses, which may be best for you, and why. Sometimes the best procedure for you is the one with which your surgeon has the most experience and is most comfortable. Don’t hesitate to ask!

Laparoscopic or Closed Repair

Many inguinal hernias can be repaired using a ‘closed’ or laparoscopic procedure — especially when they’re smaller. Laparoscopic repair entails inserting special instruments through tiny incisions in the abdomen through which the surgeon is able to visualize and perform the procedure. Laparoscopic repair uses mesh for reinforcement, so it has a lower recurrence rate. Plus, a smaller incision means less discomfort after surgery, little to no scarring, and a quicker return to normal activity. Many people return to work within a few days.

Anesthesia

While open hernia repair may be done under general, regional (spinal), or even local anesthesia with sedation, laparoscopic hernia repair is always done under general anesthesia. If the idea of general anesthesia makes you nervous, it shouldn’t. General anesthesia is extraordinarily safe with today’s precise administration and monitoring. Your anesthesiologist is present throughout your surgery and monitors you continuously. When your procedure is finished and the anesthesia is stopped, you’ll wake up very quickly.

And if you’re concerned about side effects from general anesthesia, such as nausea and vomiting or headaches, you should know these are rare — the exception rather than the rule. Even if you’re having open repair, your surgeon may prefer to perform the surgery with general anesthesia. It may be easier and more comfortable for you, too. After all, what’s easier than going to sleep, waking up and…it’s done?

Before Your Surgery

A few days before surgery, your surgeon may order a pre-op exam consisting of blood tests, an EKG (electrocardiogram), and a chest X-ray to be sure your heart and lungs are in good condition. You may be instructed to stop taking some over-the-counter medications for a week to 10 days before surgery, such as aspirin or ibuprofen (Advil), which can increase bleeding. Make sure your surgeon knows all the prescription and over-the-counter medications you take, including natural or nutritional supplements. You may also be given a prescription for pain medication to take after surgery, in case you need it. Fill it before your surgery, so you don’t have to think about it after.

That’s It — You’re Done.

You’ll be waking up in the recovery room with your surgery behind you. Sound easier than dealing with your hernia? It is. Now you can concentrate on your recovery and getting back to your life.

Herniated disc: how to detect and treat

Herniated disc: how to detect and treat

10/22/2019
10:30
828
0

There is hardly a person who has never had a back pain in his life. However, the pain of pain is different, and sometimes it indicates very serious pathologies – in particular, the appearance of a herniated disc.A neurologist “Clinic Expert” Vladikavkaz Dinara Figorovna Tasoeva tells about how this disease is detected and how it is treated.

– Dinara Figorovna, what is a herniated disc?

– This is a displacement of the disc located between the vertebrae, accompanied by rupture of the annulus fibrosus.

– Does this pathology have other names?

– Yes, it can be called like this: intervertebral hernia, intervertebral hernia, herniated spine, herniated disc, herniated disc.

– Why does a herniated disc occur?

– The intervertebral disc is a cartilaginous tissue, in the center of which is the nucleus pulposus, and around the annulus fibrosus. The disc provides cushioning and mobility of the spine. Excessive physical exertion, lifting weights, sedentary work, excess weight and spinal injuries lead to squeezing of the discs, their displacement and, accordingly, to “protrusion” from the intervertebral space.

– Osteochondrosis and herniated intervertebral discs are somehow related?

– There is a direct connection between them.Osteochondrosis is a disease of the spine characterized by degenerative-dystrophic lesions of the intervertebral discs. Subsequently, this leads to the formation of a herniated disc.

– What does the term “disc protrusion” mean?

– This is a pathological process in which the intervertebral disc bulges into the spinal canal without rupture of the annulus fibrosus. If the ring is broken, the pathological process is called extrusion. That is, hernia and extrusion are identical concepts.

– How are herniated intervertebral discs manifested?

– As a rule, the first sign is the onset of pain. They can occur in the cervical, thoracic, or lumbar spine, depending on the location of the hernia. If it is in the lumbar region, the pain can spread to the buttocks, to the lower extremities – along the back, lateral surface of the thigh. Hernias in the thoracic spine can cause girdle pain, which is often confused with that that occurs with coronary heart disease).By the way, similar pains also occur in diseases of the gastrointestinal tract. Identifying such pains can be difficult, as patients often cannot accurately describe their feelings. The doctor should exclude the pathology of the internal organs and the cardiovascular system.

Hernias in the cervical spine can cause pain in the neck and spread to the occipital region, shoulder and forearm.

– What methods are used to detect a herniated disc?

– The most modern and reliable method is magnetic resonance imaging) (MRI).X-ray of the spine, ultrasound in this regard are not entirely informative, often give erroneous conclusions during the study.

– How is intervertebral hernia treated?

– When the diagnosis of a herniated disc is made, complex treatment is carried out, which includes medical and physical treatment, and the appointment of physiotherapy exercises.

– Which doctor should be consulted for pain in the spine?

– Any complaints, whatever they may be, should first be addressed to a general practitioner or general practitioner.And if the pain syndrome is associated with the spine, then the patient is referred to a neurologist or vertebrologist.

– What preventive measures will help to avoid the appearance of a herniated disc?

– Prevention of hernia formation is rational physical activity, physiotherapy exercises, swimming, lack of excess weight.

When carrying a load in your hands, it is better to distribute it on both hands so that the load is even.

For information:

Tasoeva Dinara Figorovna

In 2012graduated from the North Ossetian Medical Academy.

In 2014 – clinical residency in the specialty “Neurology” on the basis of the Republican Clinical Hospital (Republic of North Ossetia – Alania).

Since 2018, a neurologist “Clinic Expert” Vladikavkaz. Receives at the address: Vladikavkaz, st. Barbashova, 64.

Clinic website: https://www.mrtexpert.ru/vkz

CONTRAINDICATIONS POSSIBLE, SPECIALIST CONSULTATION REQUIRED

🧬 Physician vertebroneurologist – services, consultation, make an appointment at GMS Clinic

What services of a vertebral neurologist do we offer

The sphere of professional interests of the vertebral neurologist includes deep knowledge of physiology, therapy, neurology, dynamic anatomy and biomechanics of movement.

Our clinic offers comprehensive services of a vertebral neurologist in the diagnosis and treatment of osteochondrosis, radiculitis and other diseases:

• herniated discs;
• curvature of the spine;
• ishalgia, spondylolisthesis, kyphosis;
• encephalopathy of various etiology;
• disc protrusion, lumbago, whiplash;
• consequences of previous head, neck and spine injuries, including birth injuries;

90,099 condition after spinal surgery;

• overload pains after injuries of various nature – fractures, sprains;
• non-inflammatory joint diseases.

Just one visit to a vertebroneurologist can replace a long walk through the numerous offices of narrow specialists. A vertebral neurologist will not only relieve painful symptoms, but will eliminate the very cause of their occurrence. Our direction of traumatology and orthopedics provides services of a vertebral neurologist, which include:

• development of personal treatment and rehabilitation programs, taking into account individual indicators and characteristics of the course of the disease;
• drug treatment with drugs of the last generation (in the acute period of the disease) with the use of near and intra-articular injections;
• conservative treatment using physiotherapy and reflexology, manual therapy.

Modern medicine does not stand still, and diseases that not so long ago could have a person to bed for a long time, or even forever, are now quite successfully treated. This is exactly what vertebrology does.

How is the appointment of a vertebroneurologist going

At the first appointment with a vertebro-neurologist, it is advisable to come with the results of laboratory and instrumental studies (if any). In general, the consultation of this specialist is not fundamentally different from the appointment of a neurologist.First of all, the vertebroneurologist will collect anamnesis, listen to complaints, conduct a visual examination, study the examination results and select an individual treatment and rehabilitation program.

The doctor will test your reflexes and palpate your back to determine the cause of your pain. Also, the specialist may ask you to perform a couple of simple exercises and name the exact location of the pain or discomfort. Based on the results of the examination, the specialist may prescribe additional studies.Already at the first appointment, the vertebrologist will significantly reduce or eliminate discomfort, tension and back pain. After the consultation, you will receive a specialist opinion, which will indicate the diagnosis and a detailed treatment plan, with a list of treatment procedures and recommendations for lifestyle.

90,000 Which doctor treats a hernia of the spine?

Which doctor treats a hernia of the spine? This question is often asked by patients, since this condition is a fairly common disease.

This pathology is one of the complications of osteochondrosis – a disease that is treated by several doctors of different specialties at once.

It is necessary to figure out which specialist you need to contact for the treatment of intervertebral hernia.

Therapist

Most likely, the first specialist that most patients see is a general practitioner. This doctor is usually a community doctor and serves the assigned population in a particular area.

The therapist deals with the treatment of the most common human diseases, which include osteochondrosis. With the development of complications of the disease, in particular, an intervertebral hernia, the doctor will recommend a consultation with narrow specialists.

Treatment provided directly by the therapist:

1. Initial appointment, examination, examination of the patient.
2. Assignment of additional methods of instrumental diagnostics.
3. Appointment of consultations of other specialists.
4. Dynamic monitoring of the patient’s condition.
5. Therapy of concomitant diseases in a specific patient.
6. Discharge of most prescription drugs.
7. Referral to sanatorium treatment.

If you are at a loss as to which specialist you need to contact, the first step is to make an appointment with your local therapist.

This doctor will help you make the correct diagnosis and refer you to the right narrow profile doctor.

Instrumental diagnostics doctor

Before consulting with most narrow specialists, the diagnosis should be confirmed using instrumental research data.

A spinal hernia is a condition that is diagnosed using different methods of examination. The instrumental diagnostics doctor controls most of the diagnostic procedures.

This specialist does the following:

• Performs an X-ray of the spine.
• Performs magnetic resonance imaging or computed tomography if necessary.
• Decrypts the received pictures.
• For consultation with other doctors may issue a copy of the results to the patient.
• Does not make a diagnosis, only gives a preliminary conclusion on the image.

Sometimes a hernia is detected by ultrasound. This procedure is carried out in large clinics by a separate specialist.

Neurologist

Since the pathology in question most often, during its formation, leads to a number of neurological disorders, a neurologist deals with its therapy.

His competence includes the following points:

1. Establishing the final diagnosis.
2. Detection of the degree of neurological deficit.
3. Appointment of additional diagnostic methods, including examination of the state of nerve structures.
4. Appointment of specific pathogenetic and symptomatic treatment.
5. Recommendations for lifestyle changes, diet, exercise therapy.
6. Referral to doctors of a surgical profile, if necessary.
7. Monitoring the patient’s condition in dynamics, correction of the treatment.

A specialist in neurology is mainly engaged in the conservative treatment of hernia and other complications of osteochondrosis.

He prescribes drug therapy, determines the need for physiotherapy, massage, physiotherapy exercises.

The listed methods often require consultation from individual specialists.

Surgeon

Surgical doctors are also often involved in the treatment of a spinal hernia, since this complication is often an indication for surgical treatment.In large cities, neurosurgeons operate on a hernia.

These specialists perform the action according to the following algorithm:

• Examine the patient and confirm the diagnosis.
• Determine the need for surgical treatment.
• Perform removal of education, plastics of the disc, decompression of nerve structures.
• If necessary, the damaged disc is replaced with a prosthesis.
• They monitor the results of the operation and guide the patient throughout the postoperative period.
• A complex of rehabilitation measures is prescribed.

Before seeing a surgeon with symptoms, you should see a general practitioner. It is possible that surgery is not required in this case.

Vertebrologist

In modern clinical medicine, a separate specialty has emerged at the intersection of orthopedics, neurology and surgery – vertebrology. Doctors of this profile deal with diseases of the spine.

Vertebrologists do not receive appointments in every Russian hospital, usually these narrow specialists work in large medical institutions.

These doctors are the most competent in the treatment of complications of osteochondrosis. They select a complex of effects based on the latest clinical studies, and if there are indications for an operation, they recommend it.

If you have the opportunity to get an appointment with a vertebrologist, this must be done.

Physiotherapist

Various methods of physiotherapy are often prescribed for both osteochondrosis and its complications. A herniated disc causes inflammation of the surrounding tissues, disrupts blood circulation, and leads to acute pain in the spine. Various methods of physiotherapy are capable of influencing these processes.

This method of action is included in the complex therapy of the disease. The attending physician determines the need and possibility of physiotherapy, after which he prescribes the appropriate procedures.

The physiotherapist is directly involved in such treatment, however, he can also advise the patient about the indications and contraindications for this method of exposure.

With a hernia, the physiotherapist can perform the following procedures:

• Magnetotherapy.
• Laser exposure.
• UHF therapy.
• Electrophoresis.
• Phonophoresis.
• Electromyostimulation.

Physiotherapy has a number of limitations and contraindications.It is necessary to carry out procedures within the walls of a medical institution under the supervision of a professional.

Chiropractor

Regarding manual therapy, modern doctors have a lot of doubts and disputes. This method of action has something in common with massage, but it also involves deep-lying tissues, including the spinal column.

Manual therapy is contraindicated in case of exacerbation of osteochondrosis, active radiculitis and other acute manifestations of spinal hernia.However, many specialists recommend this method of exposure during remission and to prevent the onset of the disease.

Use the following treatment tips:

• Manual therapy should be recommended by your healthcare professional.
• You should not visit chiropractors without a professional certificate.
• Manual therapy should not be the only method of influence, it must be combined with other methods of treatment.
• If the condition worsens after the procedure, it should be abandoned.

Physician Exercise therapy

In many medical institutions there are specialists in physiotherapy exercises. In case of intervertebral hernia, this method of influence is one of the key ones.

The exercise therapy doctor participates in the therapy process as follows:

1. Performs an initial examination of the patient and determines his condition.
2. Prescribes the necessary set of therapeutic exercises.
3. Consults the patient and supervises the first sessions.
4. Gives advice on home treatment.
5. Recommends complementary activities in a gym or pool setting.

Complete therapy of a spinal hernia is possible with the joint management of the patient by several qualified specialists. Remember this when you find a similar pathology.

treatment, the cost of an operation to remove an umbilical hernia in St.

Petersburg

Umbilical hernia is a surgical pathology in which the abdominal organs go beyond their physiological position through the structures of the umbilical ring.

In the hernial sac, intestinal loops, parts of the omentum or peritoneum can be found. This disease is less common in adults, more often it occurs in childhood. However, it takes place in the structure of surgical diseases and requires careful attention.

Why does an umbilical hernia occur?

The main mechanism for the occurrence of a hernia in the navel is the weakness of the muscles of the anterior abdominal wall.Their edges can diverge, thereby freeing up space for the formation of a hernia. This process occurs under the influence of a number of provoking factors:

• Consequences of pregnancy. The increased risk is multiple pregnancies, significant fetal size, or polyhydramnios. Increased pressure on the anterior abdominal wall of a woman can provoke a hernia in the future.
• Weight gain or vice versa – rapid weight loss. Uneven loading on the abdominal wall leads to muscle weakness.
• Increased intra-abdominal pressure, which occurs in some pathologies.
• Regular constipation.
• Features of connective tissue, impaired collagen metabolism.
• Postponed injuries of the anterior abdominal wall.
• Operative laparotomy interventions.
• Low physical activity.

In order for a certain factor to lead to the appearance of a hernia, its long-term influence or a combination of several reasons is necessary.Congenital features of the muscles of the abdominal wall also play a significant role.

What are the manifestations of an umbilical hernia?

The clinic of the disease depends on the clear localization of the hernia, the size of the hernial sac, the involvement of internal organs in the process, as well as reducibility indicators. In some patients, the pain symptom is constantly expressed, while in others there is only minor discomfort. If the condition aggravates, the clinical picture becomes more pronounced and varied.

An umbilical hernia can be recognized by the following signs:

• Protrusion in the umbilical region. It occurs gradually and in the early stages does not bring discomfort to a person. you may not even notice it at first. In the supine position, the hernia is adjusted and disappears. However, the longer the pathology lasts, the more significant the protrusion and deformation of the anterior abdominal wall in the navel becomes. Accordingly, it is impossible to correct a large hernia.
• Change in the size of the hernia depending on the position of the body. If a person is standing, the hernia can increase, as well as change its size when coughing, straining, exercising, eating;
• Soreness occurs when there are adhesions or infringement. Umbilical hernia patients also experience discomfort and soreness after exercise;
• With a large hernial sac, the skin above it becomes thin and allows you to feel intestinal motility;
• Involvement of the digestive system in the process leads to constipation, belching, nausea and an unpleasant taste in the mouth. These symptoms indicate the appearance of an adhesions and aggravation of the condition.

Indications for umbilical hernia surgery

Hernioplasty in this case is a planned operation, which is prescribed by the surgeon from the moment the pathology is detected. Conservative treatment of an umbilical hernia is possible only at the age of 6 years, for which special gymnastics and exercises are prescribed. In an adult, the formation of the anterior abdominal wall and muscles has already been completed, therefore it is necessary to resort to surgery.

Indications for emergency surgery are aggravated conditions:

• infringement of the contents of the hernial sac;
• involvement in the inflammatory process of the peritoneum;
• the occurrence of intestinal obstruction;
• bleeding.

If you delay with the operation in such cases, a necrotic change in soft tissues occurs. This can lead to general complications and is life threatening.

Diagnostic program for a hernia in the navel area

The diagnosis begins with interviewing the patient. It is important for the surgeon to find out the circumstances of the onset of the disease, its course. Objective examination includes examination of the hernia, palpation of the abdominal wall, detailed examination of the patient’s appearance.

Additional diagnostic methods:

If the patient’s condition is critical, laboratory diagnostic methods may be needed.They will show the state of metabolism in the body, as well as the readiness of a person for the upcoming surgery.

Modern treatment of umbilical hernia

Hernia treatment can prevent serious complications, as well as restore the patient’s comfort and normal lifestyle. Many patients hope for self-reduction of the hernia, but only surgical treatment is indicated for adult patients.

Umbilical hernia surgery

There is traditional surgery and laparoscopic hernioplasty , in both cases – with the possible use of a mesh implant.

Surgical treatment with an open method is carried out using classical techniques. For this, the umbilical ring is sutured in the extreme places of the aponeurosis. Sutures are applied in a vertical or transverse position. Such an intervention has a long recovery time, as well as a high risk of recurrence.

Hernioplasty with mesh placement has a number of advantages. The mesh implant strengthens the abdominal wall. The surgeon can position it under or above the aponeurosis.Materials for implants do not cause reactions from soft tissues, are safe and resistant to damage. This treatment is successful in helping the patient return to their normal routine. The operation has a shorter and more comfortable rehabilitation period and reduces the likelihood of recurrence.

Laparoscopic surgery is the best option for treating a hernia. Hernioplasty with a laparoscope is performed through several small incisions, which reduces the invasiveness of the intervention. Such treatment is most effective: after all, the mesh is attached from the side of the abdominal cavity, and not the aponeurosis.The patient is in the hospital for one to several days and, after confirmation of a satisfactory condition, is discharged home.

Features of the postoperative period in patients after hernioplasty

In the postoperative period, the main priority is the prevention of local complications. The attending physician monitors the patient’s condition for inflammation, suture failure, and bacterial complications. High-quality food and hygienic standards are a prerequisite for keeping the patient in the clinic.The determining factor of the rehabilitation period is the type of surgical intervention. The laparoscopic technique significantly reduces the risk of complications after surgery.

Discomfort after surgery lasts only a few days. This is facilitated by high-quality anesthesia and minimal tissue trauma. It is necessary to consult with your doctor about returning to habitual loads, sports and work. The surgeon takes into account the patient’s age, physical form, activity and makes recommendations.In the postoperative period, depending on the size of the hernia, the age of the patient, his constitutional status, it is recommended to wear a bandage on the anterior abdominal wall. The attending physician may prescribe repeated consultations for a preventive examination. Failure to follow these tips can lead to recurrence of the hernia and the need for reoperation. If symptoms recur, it is necessary to contact your doctor, as he knows the characteristics of the body and will qualitatively assess the situation.

Treatment of intervertebral hernia in St. Petersburg

To identify hernial protrusion in the intervertebral discs (IVD), instrumental diagnostic methods are used:

• X-ray of the spine: images in frontal and lateral projection, to determine the nature of the lesion (traumatic or degenerative) 90 100
• CT (assessment of the state of bone tissue) 90 100
• myelography: X-ray contrast examination of the spinal cord 90 100
• Ultrasound: the study of intervertebral discs and ligaments 90 100
• MRI of a vertebral hernia: a highly sensitive method for visualizing all paravetebral structures: vertebral joints, bone marrow, musculo-ligamentous apparatus, spinal roots, vertebral foramen, etc.

Treatment of a hernia of the spine

The main goal of treatment is to stop the progression of hernial protrusion, completely eliminate pain, restore lost functions and stabilize motor activity. For each patient, depending on the size and location of the hernia, a comprehensive treatment regimen is selected, which may include therapeutic or surgical methods of exposure.

Conservative treatment

In the initial stages of protrusion formation, without rupture of the annulus fibrosus, conservative therapy is widely used.Spinal hernia treatment without surgery includes a whole range of methods. It includes:

• drug correction 90 100
• physiotherapy procedures 90 100
• traction traction 90 100
• manual techniques 90 100
• exercise therapy 90 100
• kinesiotherapy 90 100
• reflexology methods 90 100
• therapeutic massage 90 100

More information on conservative treatment for degenerative diseases of the spine can be found here.

Physiotherapy

In clinical practice, physiotherapeutic techniques are widely used, which have a local and systemic nature of the effect:

• impulse currents (diadynamic, darsonval, amplitude impulse, etc.) 90 100
• ultrasound 90 100
• UHT (shock wave therapy for hernia of the spine) 90 100
• treatment with a low-intensity laser 90 100
• transcutaneous electrostimulation 90 100
• magnetic therapy 90 100 100 99

Physiotherapy for spinal hernia has anti-inflammatory, analgesic, decongestant, reparative and antioxidant effects.During the course of treatment of intervertebral hernia with ultrasound, darsonvalization of the back and other methods of physical influence, nonspecific responses of the body develop. As a result, tissue hypoxia is stopped, vascular insufficiency is corrected, resorption of adhesions is enhanced, manifestations of pathological syndromes and symptoms are reduced, and clinical and functional disorders are corrected.

Massage for herniated spine

Back massage for herniated disc is aimed at eliminating excessive load on the affected disc and restoring the normal functioning of the spinal column.In this case, the zone surrounding the protrusion area is being worked out. Among the permissible massage procedures, the most effective are:

• therapeutic 90 100
• classic (including acupressure) 90 100
• zonal 90 100
• hydromassage 90 100
• canned 90 100
• manual influence on active points of the extremities 90 100

Manipulation should be performed with great care, without the use of force, which may increase muscle spasm and lead to further protrusion of the hernia into the spinal canal.For home treatment, the doctor may recommend a manual or electric massager, massage mattress, back and neck cover, and other devices designed to delicately affect soft tissues.

Manual therapy

Osteopathy with a hernia of the spine has the proper therapeutic effect in the case when there is additionally a displacement of the vertebrae. In this situation, the chiropractor uses gentle manipulation techniques aimed at stretching the vertebral structures and eliminating functional blocks.

Depending on the department to which the osteopath directs his efforts, there are lumbar, thoracic and cervical tractions. In the case of a compression fracture, impaired cerebrospinal circulation or the presence of a vertebral malignant neoplasm, manual therapy for a hernia of the spine is contraindicated.

Traction traction

Traction therapy has been successfully used to relieve the spinal motion segments and quickly relieve pain. Traction of the spine with a hernia helps to reduce the pressure between the vertebral bodies, reduce muscle tension and contractures, eliminate subluxations and restore correct biomechanical relationships.In orthopedic practice, several types of traction treatment are used: vertical, horizontal, dry, water traction, etc. When choosing the optimal method of exposure, the patient’s age, weight, mechanism of injury, available indications and contraindications must be taken into account.

Acupuncture

Acupuncture is an obligatory component of conservative treatment. Special needles are installed in the acupuncture zones that lie along the two main meridians (the posterior-median and the bladder canal) and, according to the scheme, directly at the points of the affected cervical, thoracic or lumbar spine.

Acupuncture for herniated discs promotes blood flow activation, release of biologically active substances, restoration of trophism of the affected areas. Upon completion of the therapeutic course, there is a pronounced regression of clinical symptoms and a significant decrease in the size of the hernial protrusion.

Other methods of treatment

Among the additional methods used in the complex treatment of intervertebral hernias, the most effective are:

• hirudotherapy
• kinesio taping
• reflex micromassage with application devices
• vacuum therapy (cups on the back)
• local irritants (pepper plaster, NSAIDs for external use, etc. )) 90 100

Medicinal leeches for hernia of the spine help relieve inflammation and edema, and restore blood supply. Kuznetsov’s applicator or Lyapko’s applicator, acting directly on the problem area, enhance and prolong the therapeutic effect of other methods used. Back taping for herniated discs helps to accelerate the outflow of lymphatic fluid, reduces swelling and inflammation, limits pathological mobility, and relieves pain.

Drug treatment

Pharmacotherapy is an obligatory component of conservative correction of neurological manifestations of osteochondrosis. In case of intervertebral disc prolapse, the following groups of drugs are used:

• anti-inflammatory and analgesics for intervertebral hernia: non-steroidal analgesics 90 100
• venotonics that improve the quality of the vascular walls 90 100
• antispasmodics: tablets and droppers that help to relax smooth muscle muscles and relieve spasms 90 100
• drugs with sedative effect
• ointments for pain in the spine

In case of vertebrogenic lesions of the peripheral nervous system, it is recommended to administer drugs into the epidural space. A spinal block with a hernia reduces inflammatory edema of the nerve roots and relieves pain. Tablets, injections for back pain and chondroprotectors for the spine with a hernia are prescribed individually, taking into account age, general health and the characteristics of a particular case.

Surgical treatment

If neurological symptoms progress and conservative treatments are ineffective, patients are advised to undergo spinal surgery.There are 2 main methods of surgical correction: traditional (open anterior approach) and endoscopic removal of a hernia of the spine.

In the first case, microsurgical removal is performed through a 3-cm incision, under the control of a microscope. With the help of an endoscope, a minimally invasive operation is performed (with an incision not exceeding 1.5 cm). In addition, combined, microendoscopic discectomy, as well as laser removal of a hernia are widely used in clinical practice.

To reduce the pressure in the nucleus pulposus and eliminate compression of the nerve root, nucleoplasty (interventional discectomy) is recommended:

• Hydroplasty (using a high-speed saline jet) 90 100
• Laser vaporization of herniated discs 90 100
• RF ablation 90 100
• Coblation (cold destruction by plasma) 90 100

Osteochondrosis and hernia of the spine, treatment of osteochondrosis of the spine in Yekaterinburg, prices

Osteochondrosis is difficult to miss. If you have this not the most pleasant disease, you will probably feel all its main signs: pain that can be localized in the sacral, lumbar or cervical spine, between the shoulder blades or even in the sternum region. In some cases, unpleasant sensations can “shoot” in the limb. In this case, you should think about going to a specialist at the Spine Team medical center.

What is osteochondrosis and why does it appear?

Our spine is made up of many vertebrae.Each of them, in turn, rests on 3 components of the inferior vertebra. One section is the intervertebral disc, the other two are the facet joints. Spinal osteochondrosis is a disease that is associated with damage to the intervertebral disc.

The causes of damage are associated with the structure of the human body and with a decrease in the physical activity of patients. A sedentary lifestyle, prolonged static loads, stressful situations and hypothermia, which cause overstrain of the muscles surrounding the spine, lead to weakness of the ligaments between the vertebrae, the elasticity of the annulus fibrosus decreases, and blood flow in the spinal structures deteriorates. These are all predisposing factors and cause disc degeneration (i.e., a decrease in the disc’s ability to retain water)

And now, when the “barrel” with the predisposing factors is overfilled, one awkward, sharp movement is enough, especially in an uncomfortable position, in a tilt, when lifting weights, and the following phenomenon occurs – the intervertebral disc begins to stretch the fibrous ring, tearing its fibers of connective tissue, trying to get out like a “cherry bone”, there is a protrusion (protrusion) of the disc.

Here the body turns on its defense mechanisms, namely, a pronounced muscle spasm occurs, which is accompanied by pain and restriction of movement in the spine, while, as a rule, pain in the limb does not give away.

For many people, the process ends at the protrusion stage, and does not develop further during life.

Possible complications

And it also happens that the disc completely breaks the annulus fibrosus, then a so-called spinal hernia is formed. In fact, this is an injury to the annulus fibrosus, its rupture. Then the situation is much more dangerous than with protrusion. Indeed, in the spinal canal, where the disc breaks through, there are many very important structures – these are nerves, and the spinal cord, and blood vessels. And then how lucky: either a herniated disc will compress one important structure, or several important structures. Sometimes a herniated disc does not harm the nervous and circulatory structures (in this case, we only randomly find it on MRI in a person who has not complained about anything).

Our body is trying to fight in this case too – it directs the mass of so-called killer cells to the hernia, trying to eliminate it, as a result a very dense edema forms around the hernia (it consists of these cells).Unfortunately, a hernia is often too tough for these cells. And inside the spinal canal there is a real “crush”, there is a hernia, and a mass of killer cells, and all this damages blood vessels, nerves, spinal cord.

This is where a person begins to experience real difficulties – this is pain, which is not only in the spine, but in the leg or in the arm (depending on the level at which this hernia “crawled out”), this is also a restriction of movement, difficulty walking, a violation sleep at night due to back or leg pain. When the nerve is compressed, there may be “goosebumps”, numbness, brains in the arm or leg.All this is a manifestation of an intervertebral hernia.

Contact a specialist!

Our center has advanced experience in the treatment of intervertebral hernias. This becomes possible thanks not only to knowledge and understanding of the processes occurring in the body, but also with the presence of state-of-the-art equipment – this is a high-intensity laser (HIL-therapy), which removes edema in a hernia at a depth. It overcomes the skin barrier and muscles, therefore, eliminates muscle spasms at a depth, as well as areas of painful formations that form with a herniated disc. And much more. Only professionals using special protocols are able to achieve maximum results! We guarantee 87.4% efficiency.

There is also sequestration, hernia migration, but these are the subtleties and severity of the hernia itself. To correctly determine the level of its manifestation, you need to do an MRI. This is necessary for the doctor to determine the methodology and prognosis of treatment.

In addition to osteochondrosis in its various manifestations, we also work with various arthrosis, including uncovertebral, and other diseases.We offer medical and apparatus therapy at the best prices.

A feature of our work is a soft but high-quality impact on the problem. We try to solve your health issues as comfortably as possible for you, therefore, in the arsenal of “Spine Command” tools there are many non-surgical techniques that give excellent results! Call and sign up, we are waiting for you!

90,000 symptoms and treatment in Kiev ~ UCM

Diagnostics

Self-diagnosis of herniated disc is not possible. It is only the doctor who can determine if she is or there is another problem with similar symptoms after a complete examination of the patient with complaints.

Diagnosis of intervertebral hernia includes: physical examination of the patient, study of the history of the disease, the presence of concomitant health problems and a number of examinations – MRI, CT, myelography with contrast. X-ray is not indicative, since it does not reveal intervertebral hernias.

Main criteria for making a primary diagnosis:

• decreased muscle tone;
• concentration of pain;
• location of zones with reduced sensitivity;
• violation of tendon reflexes;

90,099 history of trauma and surgery;

• drastic change in weight.

The primary task of the physician is to differentiate a hernia from other medical problems. Among them: osteochondrosis, spondyloarthrosis, myositis, etc.

Treatment

The diagnosis of “intervertebral hernia” is not a reason for panic, but there is no need to delay treatment of the disease. It is necessary to eliminate the problem at the stage when it can be done without surgical intervention. In the clinic “Center for Brain Stimulation”, the treatment of intervertebral hernia in 90% of cases occurs without the intervention of surgeons.This is possible due to our approach, which provides:

• power recovery for disks;
• improved blood circulation;
• restoration of natural regeneration;
• Improved mobility in all segments of the spine.

The duration of therapy is individual for each specific case and depends on the neglect of the disease, the general condition of the patient.

Our hernia clinic uses the Super Inductive System, a new technology for high-intensity magnetic therapy.There are practically no contraindications for procedures using this device, and the first result is noticeable after the first session. This physiotherapy technique is most effective in the fight against hernia without surgery. However, it can be used at any stage of pain to relieve pain in accordance with various theories of pain control.