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What type of doctor for hernia. Hernia Treatment: Finding the Right Specialist for Your Care

Who are the best doctors to treat hernias. What specialties handle hernia diagnosis and repair. How to choose a qualified hernia surgeon. When should you see a doctor about a potential hernia.

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Types of Doctors Who Treat Hernias

Hernias are a common medical condition that require specialized care. Several types of doctors are qualified to diagnose and treat hernias:

  • General Surgeons
  • Bariatric Surgeons
  • Gastroenterologists
  • Primary Care Physicians

General surgeons and bariatric surgeons are typically the most experienced in hernia repair procedures. However, the best doctor for your specific case depends on the type and severity of your hernia.

The Role of General Surgeons in Hernia Treatment

General surgeons play a crucial role in hernia care. They are trained to perform a wide range of surgical procedures, including various types of hernia repairs. General surgeons can handle:

  • Inguinal hernias
  • Femoral hernias
  • Umbilical hernias
  • Incisional hernias
  • Hiatal hernias

These specialists have extensive experience in both open and laparoscopic hernia repair techniques. They can assess your condition and recommend the most appropriate treatment approach.

When to Consult a General Surgeon

You should consider seeing a general surgeon if you have been diagnosed with a hernia or suspect you may have one. Symptoms that warrant a consultation include:

  • A visible bulge in the abdomen or groin area
  • Pain or discomfort, especially when lifting or straining
  • A feeling of heaviness in the affected area
  • Difficulty with bowel movements

Early intervention can prevent complications and improve outcomes.

Bariatric Surgeons: Specialists in Complex Hernia Cases

Bariatric surgeons, while primarily focused on weight loss surgery, also have extensive experience in treating hernias. Their expertise is particularly valuable in cases involving:

  • Obese patients
  • Large or complex hernias
  • Recurrent hernias
  • Hernias associated with previous weight loss surgery

Bariatric surgeons often employ advanced techniques such as robotic-assisted surgery and complex abdominal wall reconstruction.

Benefits of Choosing a Bariatric Surgeon

Opting for a bariatric surgeon for hernia repair can offer several advantages:

  • Specialized knowledge of obesity-related complications
  • Experience with large-scale abdominal surgeries
  • Familiarity with the latest minimally invasive techniques
  • Comprehensive approach to patient care, including nutritional guidance

For patients with obesity or complex hernia cases, a bariatric surgeon may provide the most comprehensive care.

The Importance of Board Certification in Hernia Care

When selecting a hernia specialist, board certification is a crucial factor to consider. Board-certified surgeons have demonstrated a high level of expertise in their field. They have:

  • Completed rigorous training
  • Passed comprehensive exams
  • Committed to ongoing education and professional development

Choosing a board-certified surgeon ensures you receive care from a qualified and up-to-date professional.

Verifying Board Certification

To verify a surgeon’s board certification status:

  1. Visit the American Board of Medical Specialties website
  2. Enter the surgeon’s name and specialty
  3. Review their certification status and any additional qualifications

This simple step can provide peace of mind when selecting your hernia specialist.

Evaluating a Hernia Surgeon’s Experience and Expertise

Experience plays a significant role in surgical outcomes. When choosing a hernia surgeon, consider the following factors:

  • Number of hernia repairs performed annually
  • Years of experience in hernia surgery
  • Familiarity with various repair techniques
  • Track record of successful outcomes
  • Complication rates

Don’t hesitate to ask potential surgeons about their experience and success rates with procedures similar to yours.

Questions to Ask Your Potential Hernia Surgeon

During your consultation, consider asking the following questions:

  • How many hernia repairs do you perform each year?
  • What is your approach to minimally invasive surgery?
  • What is your recurrence rate for hernias similar to mine?
  • How do you handle potential complications?
  • What is the expected recovery time for the procedure you recommend?

These questions can help you gauge the surgeon’s expertise and determine if they’re the right fit for your needs.

The Role of Gastroenterologists in Hernia Diagnosis

While gastroenterologists typically do not perform hernia repairs, they play a crucial role in the diagnosis process, particularly for certain types of hernias. Gastroenterologists are specialists in digestive health and can provide valuable insights in cases involving:

  • Hiatal hernias
  • Paraesophageal hernias
  • Internal hernias

These specialists use advanced diagnostic tools such as endoscopy and specialized imaging to accurately identify and assess hernias affecting the digestive tract.

When to See a Gastroenterologist for Hernia-Related Symptoms

You might be referred to a gastroenterologist if you experience:

  • Chronic heartburn or acid reflux
  • Difficulty swallowing
  • Chest pain or pressure
  • Unexplained nausea or vomiting

These symptoms could indicate a hiatal hernia or other digestive tract issues that require specialized evaluation.

Primary Care Physicians: Your First Line of Defense

Primary care physicians (PCPs) often serve as the initial point of contact for patients with hernia symptoms. While they may not specialize in hernia treatment, PCPs play several important roles:

  • Initial assessment and diagnosis
  • Referrals to appropriate specialists
  • Coordination of care between different providers
  • Monitoring of overall health during treatment

Your PCP can help guide you through the process of seeking specialized care for your hernia.

The Importance of Regular Check-ups

Regular visits to your primary care physician can help catch hernias early. During routine exams, your doctor may:

  • Perform physical examinations to check for hernias
  • Discuss any new symptoms or concerns
  • Provide guidance on lifestyle factors that may impact hernia risk
  • Recommend preventive measures to reduce your chance of developing hernias

By maintaining a good relationship with your PCP, you can ensure that any potential hernia issues are addressed promptly and effectively.

Choosing the Right Hernia Treatment Center

The facility where you receive your hernia treatment can significantly impact your experience and outcomes. When selecting a hernia treatment center, consider the following factors:

  • Reputation and accreditation
  • Range of available treatment options
  • Quality of surgical facilities
  • Access to latest technology and techniques
  • Comprehensive care teams
  • Patient support services

Look for centers that specialize in hernia repair and have a track record of excellent patient outcomes.

Benefits of Specialized Hernia Centers

Opting for a specialized hernia center can offer several advantages:

  • Access to highly experienced surgeons
  • Multidisciplinary approach to care
  • Advanced diagnostic and treatment technologies
  • Specialized nursing and support staff
  • Comprehensive pre- and post-operative care

These centers often provide a more focused and efficient treatment experience for hernia patients.

Understanding Different Hernia Repair Techniques

Hernia repair techniques have evolved significantly over the years. Modern surgeons employ various methods, each with its own benefits and considerations. Common techniques include:

  • Open repair: Traditional method involving a larger incision
  • Laparoscopic repair: Minimally invasive technique using small incisions
  • Robotic-assisted repair: Advanced minimally invasive approach with enhanced precision
  • Tension-free repair: Uses mesh to reinforce the weakened area

The choice of technique depends on factors such as hernia type, size, location, and patient characteristics.

Comparing Open and Laparoscopic Hernia Repair

Here’s a brief comparison of open and laparoscopic hernia repair techniques:

AspectOpen RepairLaparoscopic Repair
Incision sizeLarger (2-4 inches)Smaller (several 0.5-1 inch incisions)
Recovery timeTypically longerOften shorter
Pain levelsMay be higherGenerally lower
Suitability for complex casesOften preferredMay be challenging
Visibility during surgeryDirect viewMagnified view via camera

Your surgeon will recommend the most appropriate technique based on your individual case and overall health status.

Preparing for Your Hernia Consultation

To make the most of your initial consultation with a hernia specialist, it’s important to be well-prepared. Here are some steps you can take:

  1. Gather your medical history, including any previous surgeries or health conditions
  2. List all medications and supplements you’re currently taking
  3. Write down your symptoms, including when they started and what triggers them
  4. Prepare questions about your condition and potential treatment options
  5. Bring any relevant imaging studies or test results

Being prepared can help ensure that you receive the most accurate diagnosis and appropriate treatment plan.

Questions to Ask During Your Consultation

Consider asking the following questions during your hernia consultation:

  • What type of hernia do I have?
  • Is surgery necessary, or are there non-surgical options?
  • What are the risks and benefits of different treatment approaches?
  • How many similar procedures have you performed?
  • What is the expected recovery time?
  • Will I need to make lifestyle changes after treatment?

Don’t hesitate to ask for clarification if you don’t understand something. Your surgeon should be willing to explain everything in detail.

Post-Operative Care and Recovery After Hernia Surgery

Proper post-operative care is crucial for a successful recovery after hernia surgery. Your care team will provide specific instructions, but general guidelines often include:

  • Rest and gradual return to activities
  • Pain management techniques
  • Wound care instructions
  • Dietary recommendations
  • Follow-up appointment schedule

Adhering to these guidelines can help prevent complications and ensure optimal healing.

Signs of Potential Complications

While complications are rare, it’s important to be aware of potential warning signs. Contact your doctor if you experience:

  • Fever or chills
  • Excessive pain or swelling at the surgical site
  • Redness or warmth around the incision
  • Drainage from the wound
  • Difficulty urinating
  • Persistent nausea or vomiting

Prompt attention to these symptoms can prevent more serious complications from developing.

Long-Term Outlook and Hernia Recurrence Prevention

After successful hernia treatment, maintaining long-term health and preventing recurrence becomes a priority. Here are some strategies to reduce the risk of future hernias:

  • Maintain a healthy weight
  • Practice proper lifting techniques
  • Avoid straining during bowel movements
  • Quit smoking
  • Manage chronic cough
  • Engage in regular, moderate exercise

Your doctor may provide additional recommendations based on your individual case and risk factors.

Follow-Up Care and Monitoring

Long-term follow-up is essential for monitoring your recovery and detecting any potential issues early. Your follow-up care may include:

  • Regular check-ups with your surgeon
  • Periodic imaging studies to assess the repair site
  • Ongoing discussions about lifestyle modifications
  • Prompt attention to any new symptoms or concerns

By staying vigilant and maintaining open communication with your healthcare team, you can ensure the best possible long-term outcomes after hernia treatment.

Find a Hernia Specialist Near You | Treatment, Surgery, & More for Hernias | University Hospitals Cleveland Medical Center



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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:

Answers to questions

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Article views: 25506

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:

  • elimination of hypertonicity and muscle spasm;
  • restoration of normal mobility of the spine, normalization of the patient’s gait;
  • as the normal blood circulation of the affected area is restored – the complete disappearance of sharp, “shooting” pains.
  • 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.