What type of doctor for hernia. What Type of Doctor Treats Hernias: Expert Guide to Hernia Specialists
Which medical professionals are best equipped to diagnose and treat hernias. How to find a qualified hernia specialist in your area. What to expect during hernia treatment and surgery.
Understanding Hernias: Types and Symptoms
Hernias occur when an organ or fatty tissue pushes through a weak spot in the surrounding muscle or connective tissue. They can develop in various parts of the body, but are most common in the abdomen and groin area.
Common types of hernias include:
- Inguinal hernias (inner groin)
- Femoral hernias (outer groin)
- Umbilical hernias (belly button)
- Incisional hernias (resulting from an incision)
- Hiatal hernias (upper stomach)
Symptoms of a hernia may include:
- A visible bulge or lump
- Pain or discomfort, especially when bending over or lifting heavy objects
- A feeling of weakness or pressure in the affected area
- In some cases, nausea, vomiting, or constipation (with abdominal hernias)
Do all hernias require immediate medical attention? While some small, asymptomatic hernias may be monitored by a doctor, any hernia that causes pain or grows in size should be evaluated promptly by a medical professional to prevent potential complications.
Primary Care Physicians: Your First Point of Contact
When suspecting a hernia, many patients first consult their primary care physician (PCP). PCPs play a crucial role in the initial diagnosis and management of hernias.
How can a primary care doctor help with hernias?
- Perform a physical examination to assess the hernia
- Order imaging tests like ultrasounds or CT scans for confirmation
- Provide advice on lifestyle modifications to manage symptoms
- Refer patients to specialists for further evaluation or treatment
Is a referral from a PCP always necessary to see a hernia specialist? While many insurance plans require a referral, some allow direct access to specialists. Check with your insurance provider to understand your options.
General Surgeons: The Go-To Specialists for Hernia Treatment
General surgeons are often the primary specialists who diagnose and treat hernias. These medical professionals have extensive training in a wide range of surgical procedures, including hernia repair.
What qualifications should you look for in a general surgeon for hernia treatment?
- Board certification in general surgery
- Experience in both open and laparoscopic hernia repair techniques
- Familiarity with the latest advancements in hernia treatment
- A history of successful outcomes in hernia surgeries
How do general surgeons approach hernia treatment? They typically assess each case individually, considering factors such as the type and size of the hernia, the patient’s overall health, and their lifestyle to determine the best course of action. This may include watchful waiting for small, asymptomatic hernias or surgical repair for larger or symptomatic ones.
Specialized Hernia Centers: Comprehensive Care Under One Roof
For complex cases or patients seeking highly specialized care, dedicated hernia centers offer a multidisciplinary approach to hernia treatment.
What advantages do specialized hernia centers provide?
- Access to a team of hernia experts, including surgeons, pain specialists, and nutritionists
- Advanced diagnostic tools and cutting-edge treatment options
- Expertise in handling complicated or recurrent hernias
- Comprehensive pre- and post-operative care
Are specialized hernia centers necessary for all hernia patients? While not essential for every case, patients with complex hernias, those who have had failed previous repairs, or individuals with multiple health issues may benefit from the focused expertise available at these centers.
Finding a Hernia Specialist: Key Considerations
When seeking a hernia specialist, consider the following factors:
- Experience and expertise in hernia repair
- Board certification and additional specialized training
- Patient reviews and satisfaction rates
- Availability of minimally invasive surgical options
- Affiliation with reputable hospitals or medical centers
How can you verify a surgeon’s credentials? Check with your state’s medical board or use online resources like the American Board of Surgery to confirm a surgeon’s certification and standing.
Gastroenterologists: Addressing Hiatal Hernias
While most hernias are treated by general surgeons, hiatal hernias often fall under the purview of gastroenterologists. These specialists focus on disorders of the digestive system and are well-equipped to diagnose and treat hiatal hernias.
When should you consult a gastroenterologist for a hernia?
- If you’re experiencing symptoms of gastroesophageal reflux disease (GERD)
- When a hiatal hernia is suspected based on upper GI symptoms
- For non-surgical management of small hiatal hernias
Can gastroenterologists perform hernia surgeries? While they don’t typically perform surgeries, gastroenterologists work closely with surgeons when surgical intervention is necessary for hiatal hernias.
Pediatric Surgeons: Specialists for Hernias in Children
When it comes to hernias in infants and children, pediatric surgeons are the specialists of choice. These surgeons have specific training in the unique anatomical and physiological aspects of treating young patients.
What types of hernias are common in children?
- Inguinal hernias
- Umbilical hernias
- Epigastric hernias
How do pediatric surgeons approach hernia treatment in children? They typically use minimally invasive techniques when possible to reduce recovery time and minimize scarring. The timing of surgery is carefully considered based on the child’s age, the type of hernia, and any associated symptoms.
The Role of Radiologists in Hernia Diagnosis
While radiologists don’t treat hernias directly, they play a crucial role in the diagnostic process. Advanced imaging techniques are often necessary to confirm the presence of a hernia and assess its size and location.
What imaging studies are commonly used for hernia diagnosis?
- Ultrasound: Non-invasive and radiation-free, ideal for initial screening
- CT scan: Provides detailed images of the hernia and surrounding structures
- MRI: Useful for complex cases or when other imaging is inconclusive
How do radiologists contribute to hernia treatment planning? By providing detailed imaging reports, radiologists help surgeons determine the best approach for hernia repair, including whether minimally invasive techniques are feasible.
The Importance of Accurate Imaging in Hernia Diagnosis
Precise imaging is crucial for several reasons:
- It confirms the presence and exact location of the hernia
- Helps differentiate hernias from other conditions with similar symptoms
- Allows surgeons to plan the most appropriate surgical approach
- Can identify potential complications or associated conditions
Can imaging studies definitively diagnose all hernias? While imaging is highly accurate, some small hernias may not be visible on scans. In these cases, a combination of physical examination and patient history remains important for diagnosis.
Anesthesiologists: Ensuring Comfort During Hernia Surgery
Anesthesiologists play a vital role in hernia surgeries by ensuring patient comfort and safety during the procedure. They work closely with surgeons to determine the most appropriate type of anesthesia based on the patient’s health status and the complexity of the surgery.
What types of anesthesia are used for hernia surgeries?
- Local anesthesia: For small, uncomplicated hernias
- Regional anesthesia (e.g., spinal or epidural): For larger hernias in the lower abdomen or groin
- General anesthesia: For complex hernias or lengthy procedures
How do anesthesiologists contribute to post-operative pain management? They often play a key role in developing a pain management plan, which may include nerve blocks or patient-controlled analgesia systems to ensure comfort during recovery.
The Importance of Pre-Operative Anesthesia Consultation
A pre-operative consultation with an anesthesiologist is crucial for several reasons:
- Assessing the patient’s overall health and any potential anesthesia risks
- Discussing the patient’s medical history and current medications
- Explaining the anesthesia process and addressing any concerns
- Developing a tailored anesthesia plan for the individual patient
What questions should you ask during an anesthesia consultation? Consider inquiring about the type of anesthesia recommended, potential side effects, and any specific preparations required before surgery.
Physical Therapists: Aiding in Post-Hernia Surgery Recovery
While not directly involved in hernia diagnosis or treatment, physical therapists play a crucial role in the recovery process following hernia surgery. They help patients regain strength, improve mobility, and prevent recurrence of hernias.
How can physical therapy benefit hernia patients?
- Teaches proper body mechanics to prevent strain on the surgical site
- Provides exercises to strengthen abdominal and core muscles
- Assists in managing post-operative pain and swelling
- Guides patients in safely returning to daily activities and exercise
When should hernia patients start physical therapy after surgery? The timing varies depending on the type of surgery and individual recovery progress. Most patients begin gentle exercises within a few days of surgery, with more intensive therapy starting a few weeks post-operation.
Long-Term Benefits of Physical Therapy for Hernia Patients
Engaging in a structured physical therapy program after hernia surgery can provide several long-term benefits:
- Reduced risk of hernia recurrence
- Improved overall core strength and stability
- Enhanced body awareness and posture
- Faster return to normal activities and work
Is physical therapy necessary for all hernia patients? While not all patients require formal physical therapy, most can benefit from some level of guided exercise and activity modification during recovery. Your surgeon can advise whether physical therapy is recommended in your case.
Nutritionists: Supporting Hernia Prevention and Recovery
Nutritionists and dietitians can play a supportive role in both hernia prevention and post-surgical recovery. Proper nutrition can help maintain a healthy weight, reduce strain on abdominal muscles, and support wound healing after surgery.
How can nutrition impact hernia risk and recovery?
- Maintaining a healthy weight reduces pressure on abdominal walls
- Adequate protein intake supports tissue repair and healing
- Fiber-rich foods can prevent constipation, which may strain surgical sites
- Proper hydration aids in overall recovery and prevents complications
What dietary changes might a nutritionist recommend for hernia patients? Recommendations may include increasing protein intake, incorporating anti-inflammatory foods, and adjusting fiber intake based on individual needs and surgical recommendations.
The Role of Nutrition in Preventing Hernia Recurrence
A balanced diet can contribute to long-term hernia prevention in several ways:
- Helps maintain a healthy BMI, reducing abdominal pressure
- Provides nutrients necessary for strong connective tissue
- Supports overall health, reducing risk factors for hernias
- Helps manage chronic conditions that may contribute to hernia formation
Can dietary changes alone prevent or treat hernias? While nutrition plays a supportive role, it cannot prevent or treat hernias on its own. A comprehensive approach including proper medical care and lifestyle modifications is necessary for effective hernia management.
Pain Management Specialists: Addressing Chronic Post-Hernia Pain
While most patients experience only temporary discomfort after hernia surgery, some may develop chronic post-hernia pain. In these cases, pain management specialists can provide valuable expertise in managing long-term pain issues.
What treatments do pain specialists offer for post-hernia pain?
- Medication management, including non-opioid pain relievers
- Nerve blocks or injections to target specific pain sources
- Physical therapy and rehabilitation programs
- Cognitive behavioral therapy for pain management
- Advanced interventional procedures for severe cases
When should a hernia patient consult a pain specialist? If pain persists beyond the expected recovery period or significantly impacts daily life, it’s advisable to seek a referral to a pain management specialist.
Understanding Chronic Post-Hernia Pain
Chronic pain after hernia surgery, while uncommon, can have various causes:
- Nerve damage or entrapment during surgery
- Formation of scar tissue
- Mesh-related complications
- Recurrence of the hernia
Is chronic pain after hernia surgery always permanent? Many cases of chronic post-hernia pain can be successfully managed or resolved with appropriate treatment. Early intervention and a multidisciplinary approach often lead to the best 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.