What are the different types of doctors who treat hernias. How do you choose the right hernia specialist. What factors should you consider when selecting a hernia doctor. What qualifications should a hernia surgeon have. When should you see a doctor for a hernia. What treatment options are available for hernias.

Understanding Hernias and Their Treatment

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. Hernias are common and can affect people of all ages. While some hernias may not require immediate treatment, others can lead to serious complications if left untreated.

What exactly is a hernia? A hernia is a protrusion of tissue through a weak spot in the muscles that hold it in place. This can happen in various parts of the body, but most commonly occurs in the abdominal area. The most frequent types of hernias include inguinal (inner groin), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach).

Common Symptoms of Hernias

• A visible bulge or lump in the affected area
• Pain or discomfort, especially when bending over, coughing, or lifting heavy objects
• A feeling of weakness or pressure in the abdomen
• Burning or aching sensation at the site of the bulge
• In some cases, nausea or vomiting (particularly with hiatal hernias)

When should you seek medical attention for a hernia? It’s advisable to consult a doctor if you notice any persistent bulge or experience pain in your abdominal or groin area. Prompt medical evaluation can help prevent potential complications and determine the most appropriate treatment plan.

Types of Doctors Who Treat Hernias

Several types of medical professionals are qualified to diagnose and treat hernias. The most appropriate specialist for your case may depend on the type and severity of your hernia, as well as any underlying health conditions you may have.

General Surgeons

General surgeons are often the primary doctors who diagnose and treat hernias. These physicians have extensive training in a wide range of surgical procedures, including hernia repair. They are skilled in both open and laparoscopic surgical techniques, allowing them to choose the most suitable approach for each patient.

Gastroenterologists

While gastroenterologists typically do not perform hernia surgeries, they play a crucial role in diagnosing and managing certain types of hernias, particularly hiatal hernias. These specialists focus on disorders of the digestive system and can provide valuable insights into how a hernia might be affecting your gastrointestinal health.

Bariatric Surgeons

Bariatric surgeons specialize in weight loss surgeries and related procedures. They often have experience in treating hernias, especially in patients who are overweight or obese. These specialists can provide comprehensive care that addresses both weight management and hernia repair.

Pediatric Surgeons

For hernias in infants and children, a pediatric surgeon is often the most appropriate choice. These specialists have specific training in surgical procedures for young patients and can provide care tailored to the unique needs of children.

Choosing the Right Hernia Specialist

Selecting the right doctor for your hernia treatment is crucial for ensuring the best possible outcome. Consider the following factors when making your decision:

1. Experience and Expertise: Look for a surgeon who has significant experience in treating hernias, particularly the type you have.
2. Board Certification: Ensure the doctor is board-certified in their specialty, which indicates they have met high standards of education, training, and practice.
3. Hospital Affiliation: Consider the quality of the hospital where the surgeon operates, as this can impact your overall care experience.
4. Patient Reviews and Outcomes: Research patient reviews and ask about the surgeon’s success rates with hernia repairs.
5. Communication Style: Choose a doctor who communicates clearly and makes you feel comfortable asking questions about your condition and treatment options.

How can you find a reputable hernia specialist in your area? Start by asking your primary care physician for recommendations. You can also use online resources provided by medical associations or healthcare networks to search for specialists near you. Don’t hesitate to schedule consultations with multiple doctors to find the best fit for your needs.

Diagnostic Procedures for Hernias

Accurate diagnosis is crucial for effective hernia treatment. Hernia specialists employ various diagnostic methods to assess the type, size, and location of a hernia.

Physical Examination

The initial step in diagnosing a hernia is typically a physical examination. The doctor will visually inspect and palpate the affected area, often asking you to stand, cough, or strain to make the hernia more visible or palpable.

Imaging Tests

In some cases, imaging tests may be necessary to confirm the diagnosis or gather more information about the hernia. These may include:

• Ultrasound: A non-invasive test that uses sound waves to create images of internal structures
• CT Scan: Provides detailed cross-sectional images of the body, helpful in assessing complex hernias
• MRI: Offers high-resolution images and is particularly useful for detecting certain types of hernias, such as sports hernias

What can you expect during a hernia diagnostic procedure? Most diagnostic procedures for hernias are non-invasive and painless. Your doctor will explain each step of the process and answer any questions you may have about the tests being performed.

Treatment Options for Hernias

The treatment approach for a hernia depends on various factors, including the type and size of the hernia, its location, and the patient’s overall health. Hernia specialists offer several treatment options:

Watchful Waiting

For small, asymptomatic hernias, your doctor may recommend a “watch and wait” approach. This involves monitoring the hernia for any changes or developments of symptoms. Regular check-ups are essential to ensure the hernia doesn’t worsen or cause complications.

Lifestyle Modifications

In some cases, lifestyle changes can help manage hernia symptoms and prevent them from worsening. These may include:

• Maintaining a healthy weight
• Avoiding heavy lifting
• Quitting smoking
• Improving diet and exercise habits

Surgical Repair

Surgery is often the most effective long-term treatment for hernias. There are two main surgical approaches:

1. Open Hernia Repair: The surgeon makes an incision near the hernia site to push the protruding tissue back into place and reinforce the weakened area with stitches or synthetic mesh.
2. Laparoscopic Hernia Repair: A minimally invasive technique where the surgeon makes several small incisions and uses a laparoscope (a thin tube with a camera) to guide the repair. This method often results in faster recovery and less post-operative pain.

What factors determine the best treatment approach for a hernia? The choice between watchful waiting and surgery depends on several factors, including the hernia’s size and location, the severity of symptoms, the patient’s overall health, and their personal preferences. Your hernia specialist will discuss these factors with you to develop the most appropriate treatment plan.

Preparing for Hernia Surgery

If surgery is recommended for your hernia, proper preparation can help ensure a smooth procedure and recovery. Here are some steps to take before your hernia surgery:

Pre-operative Consultation

During this appointment, your surgeon will:

• Review your medical history and current medications
• Perform a physical examination
• Explain the surgical procedure and potential risks
• Provide instructions for pre-operative preparation
• Answer any questions you may have about the surgery and recovery

Lifestyle Adjustments

Your doctor may recommend certain lifestyle changes in the weeks leading up to surgery, such as:

• Quitting smoking to improve healing and reduce the risk of complications
• Losing weight if necessary to reduce surgical risks and improve outcomes
• Adjusting medications or supplements as advised by your doctor

Preparing for Recovery

Taking steps to prepare for your post-operative recovery can make the process smoother:

• Arrange for someone to drive you home after surgery
• Prepare your home for recovery, including setting up a comfortable resting area
• Stock up on easy-to-prepare, nutritious foods
• Gather loose, comfortable clothing to wear during recovery

What should you expect on the day of hernia surgery? On the day of your procedure, you’ll typically be asked to arrive at the hospital or surgical center a few hours before your scheduled surgery time. You’ll be given specific instructions about eating, drinking, and taking medications before the procedure. The surgical team will review the procedure with you and answer any last-minute questions before you’re taken to the operating room.

Recovery and Follow-up Care After Hernia Surgery

Proper post-operative care is crucial for a successful recovery from hernia surgery. Here’s what you can expect during the recovery period:

Immediate Post-operative Period

After surgery, you’ll spend some time in a recovery area where medical staff will monitor your vital signs and manage any pain or discomfort. Depending on the type of surgery and your overall health, you may be able to go home the same day or you might need to stay in the hospital overnight.

Pain Management

Your doctor will provide instructions for managing post-operative pain, which may include:

• Over-the-counter pain relievers
• Prescription pain medications for more severe discomfort
• Ice packs to reduce swelling and numb the area
• Techniques for supporting the surgical site when coughing or moving

Activity Restrictions

Your surgeon will provide specific guidelines for activities during recovery, which may include:

• Limiting strenuous activities and heavy lifting for several weeks
• Gradually increasing activity levels as you heal
• Following a specific schedule for returning to work and normal activities

Follow-up Appointments

You’ll have one or more follow-up appointments with your hernia specialist to monitor your recovery. During these visits, your doctor will:

• Check the surgical site for proper healing
• Address any concerns or complications
• Adjust your recovery plan if necessary
• Provide guidance on returning to normal activities

How long does it typically take to recover from hernia surgery? Recovery times can vary depending on the type of hernia, the surgical approach used, and individual factors. Generally, patients can expect to return to light activities within a week or two after laparoscopic surgery, and within three to six weeks after open surgery. Full recovery, including a return to strenuous activities, may take four to six weeks or longer.

Preventing Hernia Recurrence

While successful hernia repair significantly reduces the risk of recurrence, it’s important to take steps to prevent future hernias. Here are some strategies to help maintain your health after hernia treatment:

Maintain a Healthy Weight

Excess weight puts additional pressure on your abdominal muscles and can increase the risk of hernia recurrence. Maintaining a healthy weight through proper diet and exercise can help reduce this risk.

Practice Proper Lifting Techniques

When lifting heavy objects:

• Bend at the knees, not the waist
• Keep the object close to your body
• Avoid twisting while lifting
• Use your leg muscles to lift, not your back

Manage Chronic Cough and Constipation

Both chronic coughing and constipation can increase abdominal pressure and strain the repair site. Work with your healthcare provider to manage these conditions effectively.

Quit Smoking

Smoking can weaken tissues and impair healing. Quitting smoking can significantly reduce your risk of hernia recurrence and improve overall health.

Regular Exercise

Engaging in regular, moderate exercise can help strengthen your core muscles and maintain overall health. However, be sure to follow your doctor’s guidelines on when it’s safe to resume exercise after surgery.

What are the signs of a recurring hernia? If you notice a bulge or pain at or near the site of your previous hernia, especially during activities that increase abdominal pressure, contact your hernia specialist promptly. Early detection and treatment of recurrent hernias can help prevent complications and ensure the best possible outcomes.

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Hernia Repair Specialist | Dr Iraniha Hernia Repair

Dr Iraniha Hernia Repair Specialist

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. For example, the intestines may break through a weakened area in the abdominal wall.
Hernias are most common in the abdomen.

However, they can also appear in the upper thigh, belly button, and groin regions. Though the majority of hernias are not immediately life threatening, they will not go away on their own and will require surgical procedure by a hernia repair specialist to prevent potentially dangerous complications.

Inguinal Hernia

Inguinal hernias are the most common type of hernia. They make up about 70 percent of all hernias, according to a hernia repair specialist doctor at the British Hernia Centre. These hernias occur when the intestines push through a weak spot or tear in the lower abdominal wall, often in the inguinal canal.
The inguinal canal is found in the groins of both men and women. In men, it is the area where the spermatic cord passes from the abdomen to the scrotum. This cord holds up the testicles. In women, the inguinal canal contains a ligament that helps to hold the uterus in place.
This type of hernia is more common in men than in women and it can be detected by a hernia repair specialist. This is because a man’s testicles descend through the inguinal canal shortly after birth, and the canal is supposed to close almost completely behind them. Sometimes, the canal does not close properly, leaving a weakened spot prone to hernias.

Hiatal Hernia

A hiatal hernia occurs when part of your stomach protrudes up through the diaphragm into the chest. The diaphragm is a sheet of muscle that helps you breathe by contracting, drawing air into the lungs. It separates the organs in your abdomen from those in your chest.
This type of hernia is most common in patients over 50 years old. If a child has the condition, it is typically caused by a congenital (birth) defect. Hiatal hernias can be treated by your hernia repair specialist. Hiatal hernias may be associated gastroesophageal reflux (when the stomach contents leak backward into the esophagus, causing a burning sensation).

Umbilical Hernia

Umbilical hernias are common in children under six months of age. The defect or weakening of the abdominal wall is near or at the bellybutton. Parents may notice a bulge in or near their child’s bellybutton, especially when the child is crying.
Umbilical hernia is the only kind that have the potential to go away on its own. Therefore, umbilical hernia repair is usually not recommended for children until they are 5 years old and If the hernia has not gone away by this point, a surgery with your hernia repair specialist may be used to correct it.

Incisional Hernia

Incisional hernias can occur after you have abdominal surgery. Your intestines may push through the incision scar or the surrounding, weakened tissue. If you are having some abdominal pain please don’t hesitate in contact a hernia repair specialist near you.

Hernia Repair Specialist

A hernia repair specialist is a surgeon who has a lot of experience in hernia repair, Laparoscopy and Robotic Surgery. Hernia surgery is crucial because it is known for risk of recurrence. So, it should be performed by a hernia repair specialist in order to avoid complications. So, to have a surgery find a specialist around you who have history of doing the best hernia repair surgeries, please call Dr Iraniha at (949) 646-8444. He is one of the best hernia repair specialists in California.

Osteopaths. Making an appointment with an osteopath doctor in Moscow. Where does a good osteopath see?

Treatment without pain, medication or surgery

Herniated disc (often called herniated disc ) is a very serious disease. It is not only accompanied by very severe back pain, but also leads to dysfunction of the spine and the functioning of internal organs.

For example, a herniated disc in the cervical spine causes headache and pain in the arms. A hernia in the thoracic spine can lead to disruption of the lungs and heart. A hernia in the lumbar spine leads to pain in the legs. A neglected hernia can even cause complete paralysis. Therefore, when back pain occurs, it is necessary to carry out a complete diagnosis as soon as possible and, if a hernia is detected, immediately begin treatment.

Hernia is one of the main causes of back pain. According to statistics, it is diagnosed in almost 75% of people who come to clinics because of back pain.

What is a herniated disc and what causes it?

Intervertebral hernia develops gradually due to the accumulation of negative factors. These include spinal injuries, inadequate physical activity, poor posture, weak back muscle corset, metabolic disorders, age-related changes, heredity, and even infections. Often this disease affects those who are engaged in physical labor or lifting weights with age, but in recent years, the intervertebral hernia has become “younger”. The reason is the sedentary lifestyle of young people, which breaks posture and weakens the muscular corset.

The intervertebral disc consists of a nucleus surrounded by annulus fibrosus. With strong twisting against the background of compression or stretching, the vertebrae put pressure on the nucleus, and it on the annulus fibrosus. If at some point the fibrous ring does not withstand the load, a protrusion or rupture of the disc (herniation) occurs. Often the deformed area affects the nerve processes and roots of the spinal cord, which leads to disruption of the organs controlled by this section.

How is a herniated disc usually treated?

With the problem of intervertebral hernia, a person most often turns to a neurologist, surgeon, orthopedist or vertebrologist (chiropractor). Doctors diagnose a severe pain syndrome, deformity of the intervertebral disc and compression of the nerve roots. Accordingly, the treatment is aimed at removing these manifestations and the apparent cause (hernia), without delving into why it was formed. An X-ray, ultrasound, CT or MRI is prescribed, and, depending on the condition of the hernia, they offer manual or other techniques for traction of the spine and reduction of the hernia, or surgical intervention.

Recently, there has been a widespread interest in operations all over the world. Previously, it was prescribed only when the hernia caused paralysis of an arm, leg, or other organ, or with rapid deterioration. Now the indications for surgical intervention are expanding all the time. It turns out that classical medicine prefers to simplify the situation by quickly and abruptly intervening in the process, instead of long and carefully restoring the natural state of the spine. In addition, with any treatment techniques, patients are prescribed painkillers and anti-inflammatory drugs, which, with prolonged use, are not harmless to the body.

Meanwhile, according to statistics from American scientists, about 70% of people with herniated discs can successfully recover without surgery.

What treatment of herniated discs does osteopathy offer?

In contrast to the approach of classical medicine, in the view of osteopathy, a hernia is only a consequence of some other disorders. It does not appear suddenly, out of nothing. And therefore, osteopathic doctors try to identify the root causes of the pathology and eliminate them in the first place. The most common causes are:

• Violation of blood circulation and innervation of the intervertebral disc.
• Osteochondrosis and other degenerative diseases of the spine.
• Curvature of the spine, scoliosis, posture disorders.
• Pathologies of internal organs that can distort muscle tone and, through them, distort the skeleton.

Many of these root causes can be eliminated or delayed for many years with the help of osteopathic techniques that restore the mobility of the vertebrae and the circulation of blood, lymph and cerebrospinal fluid. When the intervertebral disc begins to receive a sufficient amount of blood with oxygen and nutrients, it recovers better and withstands damaging loads.

Therefore, the osteopath aims not only to quickly relieve pain or set the disc back into place, but eliminates all the factors that led to this state of affairs. In osteopathy, techniques are used that, on the one hand, have a softer and more precise effect on a person than, for example, in manual therapy, and on the other hand, they penetrate deeper and affect not only bones and muscles, removing blockages and clamps in all structures. organism.

The result is pain relief, reduction of hernia and normal distribution of the load on the spine. Concerning the effectiveness of osteopathy in the treatment of intervertebral hernias, evidence-based studies have been conducted and a number of scientific papers have been written. It has been established that the effect of osteopathic treatment, unlike other methods, persists for several years.

Case study

Vladimir, 45 years old. Six months ago, I was diagnosed with a herniated disc, I was worried about constant pain in my right hand, numbness in my fingers. Surgery was recommended. After the first session of osteopathic treatment, the intensity of pain decreased markedly, the patient stopped taking painkillers. With each session, the pain became less and less noticeable, mobility and sensitivity were restored. After 6 sessions, the spine recovered.

Doctor: Lukashov Nikolai Petrovich
Osteopath, sports medicine doctor, specialist in exercise therapy and rehabilitation.

Patient reviews

I want to thank the talented doctor Loshkareva Larisa Spartakovna for returning to a full life! Six months ago, was diagnosed with a hernia of the intervertebral disc , she was worried about constant pain in her right hand, numbness of the fingers, surgical treatment was recommended. After the first session of Larisa Spartakovna, the intensity of the pain decreased noticeably, I stopped taking painkillers. With each session it became easier and easier, after 6 sessions the pain was completely gone. Many thanks to the excellent specialist Larisa Spartakovna! Vladimir Alekseevich

• Doctor: Loshkareva Larisa Spartakovna
  Osteopath, surgeon, resuscitator, anesthesiologist, gerontologist

What can I say about Alexander Semyonovich?… After my first visit, I was shocked. This simply cannot be! I have intervertebral hernia , recommendations from all doctors – surgery, any movement – pain in the lumbar, moved so “grimacing” that it looked like a question mark. After the first session, the spasm was almost completely relieved, I was able to lean forward a little, which I could not do for 1.5 months. After the second session, there was practically no pain left. Returning to normal life after 5 weeks of constant pain is an indescribable feeling! And to everything else, this is the only doctor who explained to me in a simple and understandable language the essence of the processes occurring in the body. The most striking thing is how the doctor feels someone else’s body, that it is not going the way nature should. And, most importantly, he knows how to fix it. Unfortunately, there is no way to contact him regularly, but as far as possible I try to get to him for a session. Thank you, Alexander Semyonovich, I am very grateful to you! Igor

• Doctor:

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A herniated disc, or, as it is often called, a herniated disc of the spine is a very common pathology that affects several aspects of the patient’s health at the same time. First of all, this disease causes severe pain to the patient. In addition, it can lead to the development of numerous complications, among which are:0005

• decreased sensitivity of the muscles of the buttocks, thighs, legs;
• paresis and complete paralysis of the muscles of the lower extremities;
• various disorders of the functioning of the pelvic organs.

Patients with scoliosis and other posture disorders, obesity, lack of certain vitamins and nutrients in the body, as well as the elderly, whose intervertebral cartilage may undergo age-related changes, are primarily at risk of developing this pathology.

How can manual therapy help with spinal hernia?

Some patients consider manual therapy to be nothing more than one of the different types of massage. Despite the outward similarity, the chiropractor works in a completely different way. Its main task is to properly warm up the patient’s muscles in the affected area, after which, with the help of gentle pressure, he tries to eliminate the displacement of the “popped out” intervertebral disc and release the pinched nerves, relieving pain.

A qualified chiropractor – and in our medical center in St. Petersburg, such specialists accept patients – will not take responsibility for the treatment of an unexamined patient. Be sure to bring an x-ray of the area of ​​the spine that causes concern with you to your appointment! The hernia should be visible on it in several projections.

Manual therapy is one of the most effective ways to treat herniated cervical and lumbar spine. At the same time, treatment can be started at any stage of the disease, regardless of how strongly the fibrous ring surrounding the intervertebral disc protrudes. However, by seeking the help of a specialist at the very beginning of the disease, it is possible to prevent its progression and the development of numerous complications. Do not wait until the discomfort and pain become unbearable – contact us!

Methods that a chiropractor uses in the treatment of a patient with a hernia

Depending on which part of the spine the hernia is located in and the cause of its development, as well as the presence of concomitant diseases in the patient, the treatment regimen is developed individually in each case. At the same time, manual therapy methods are not its only component. Treatment also includes making adjustments to the patient’s lifestyle, and recommendations for changing his diet, and selecting the optimal physical activity for him, and many other equally important aspects.

In most cases, in patients with intervertebral hernia, the chiropractor carefully stretches the spine in the first sessions – this is necessary to release pinched nerves and eliminate pain. After that, the patient’s treatment regimen can be adjusted – in particular, the specialist introduces into it such manual therapy techniques that contribute to the regeneration of destroyed cartilage and muscle tissues.

Spinal herniation is often the result of a patient being overweight. In this case, the use of acupuncture, as well as exercise therapy and dieting, will also help to make the treatment more effective. If the deformation of the intervertebral cartilage is provoked by the patient’s posture disorders, then osteopathy and wearing a special corset that supports the patient’s body in the correct position will help achieve a stable positive result.

How does it work?

The positive effect of spinal hernia treatment by manual therapy methods is based on several aspects:

• first of all, it is the restoration of blood circulation in the muscle tissues, helping to maintain the anatomically correct position of the spinal column;
• in addition, under the hands of a chiropractor, structures “come to life” that nourish the cartilage tissue and provoke the flow of fluid, oxygen, and collagen naturally produced by the body into it;
• this contributes to the natural regeneration of tissues, during which it is important to take timely measures so that the restored intervertebral disc assumes the correct position.

The main sign that manual therapy really helps to eliminate a spinal hernia is the elimination or at least a decrease in the severity of spasms and pain in the affected area. Already during the first session, the patient should feel a pleasant warmth replacing them.

Results of hernia treatment with manual therapy

The effectiveness of the treatment can be judged by the presence of the following changes in the patient:

In fact, manual therapy is a universal technique for the treatment of herniated discs. It works in cases where drug treatment is ineffective or impossible for some reason. A course with a good chiropractor in many cases allows you to avoid surgical treatment, restoring health to the joints and bones without drastic measures.