Which medical professionals are qualified to diagnose and treat hernias. How to choose the right hernia specialist for your condition. What are the latest advances in hernia surgery and treatment options. When should you seek medical attention for a suspected hernia.

Understanding Hernias: Types, Symptoms, and Causes

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in the surrounding muscle or connective tissue. There are several types of hernias, each with distinct characteristics and potential complications.

Common Types of Hernias

• Inguinal hernia: Occurs in the groin area
• Femoral hernia: Appears in the upper thigh
• Umbilical hernia: Develops near the navel
• Incisional hernia: Forms through a surgical scar
• Hiatal hernia: Affects the upper stomach and diaphragm

Symptoms of hernias can vary depending on the type and severity. Common signs include a visible bulge, pain or discomfort in the affected area, and a feeling of heaviness or pressure. In some cases, hernias may not cause noticeable symptoms and are discovered during routine medical examinations.

The causes of hernias are multifaceted and can include factors such as:

• Congenital weaknesses in the abdominal wall
• Chronic coughing or sneezing
• Straining during bowel movements
• Heavy lifting or strenuous physical activity
• Pregnancy and childbirth
• Obesity
• Previous abdominal surgeries

Specialized Doctors for Hernia Diagnosis and Treatment

When it comes to hernia care, several types of medical professionals may be involved in diagnosis and treatment. The primary specialists who treat hernias are general surgeons and hernia specialists.

General Surgeons

General surgeons are often the first point of contact for patients with suspected hernias. These doctors have extensive training in various surgical procedures, including hernia repair. They can diagnose hernias through physical examination and imaging studies, and determine the most appropriate treatment plan.

Hernia Specialists

Some surgeons specialize specifically in hernia repair and are known as hernia specialists or herniologists. These doctors have advanced training and experience in various hernia repair techniques, including minimally invasive procedures and complex reconstructions.

Other Relevant Specialists

Depending on the type and complexity of the hernia, other specialists may be involved in patient care:

• Gastroenterologists: For hiatal hernias affecting the digestive system
• Pediatric surgeons: For hernias in children
• Urologists: For hernias affecting the reproductive organs
• Pain management specialists: For chronic pain associated with hernias

Diagnostic Procedures for Hernias

Accurate diagnosis is crucial for effective hernia treatment. Doctors employ various diagnostic tools and techniques to assess the type, size, and location of hernias.

Physical Examination

The initial step in hernia diagnosis is typically a thorough physical examination. The doctor will visually inspect and palpate the affected area, looking for any bulges or tenderness. They may ask the patient to cough or strain to make the hernia more visible.

Imaging Studies

To confirm the diagnosis and gather more detailed information, doctors may order imaging studies such as:

• Ultrasound: A non-invasive method to visualize soft tissues
• CT scan: Provides detailed cross-sectional images of the abdominal area
• MRI: Offers high-resolution images of soft tissues and organs
• Herniography: A specialized X-ray technique using contrast dye

Endoscopy

For suspected hiatal hernias, doctors may perform an endoscopy to examine the upper digestive tract and assess the extent of the hernia.

Treatment Options for Hernias: Surgical and Non-Surgical Approaches

The treatment approach for hernias depends on various factors, including the type, size, location, and symptoms of the hernia. While surgery is often the definitive treatment, non-surgical options may be considered in certain cases.

Non-Surgical Management

For small, asymptomatic hernias, doctors may recommend a “watchful waiting” approach. This involves monitoring the hernia for any changes or complications. Non-surgical treatments may include:

• Lifestyle modifications: Weight loss, avoiding heavy lifting
• Wearing a supportive garment or truss
• Pain management techniques
• Exercises to strengthen abdominal muscles

Surgical Repair Techniques

Surgical repair is the most effective treatment for most hernias. The two main approaches are:

1. Open hernia repair: Traditional surgery involving a larger incision
2. Laparoscopic or robotic repair: Minimally invasive techniques using small incisions and specialized instruments

The choice between these methods depends on factors such as hernia size, location, and the patient’s overall health. Surgeons may use synthetic mesh or the patient’s own tissue to reinforce the weakened area and prevent recurrence.

Choosing the Right Hernia Specialist: Factors to Consider

Selecting the appropriate hernia specialist is crucial for optimal treatment outcomes. Patients should consider several factors when choosing a doctor for their hernia care.

Experience and Expertise

Look for surgeons with significant experience in hernia repair, particularly for complex cases. Consider their training, board certifications, and any subspecialty focus in hernia surgery.

Treatment Approach

Inquire about the surgeon’s preferred treatment methods and their familiarity with various surgical techniques. Some specialists may offer advanced minimally invasive options or participate in clinical trials for innovative treatments.

Patient Outcomes and Reviews

Research the surgeon’s track record, including complication rates and patient satisfaction scores. Online reviews and testimonials can provide valuable insights into the doctor’s bedside manner and overall patient experience.

Hospital Affiliation

Consider the quality of the hospital or surgical center where the doctor performs hernia repairs. Look for facilities with high ratings in surgical care and low infection rates.

Insurance Coverage and Accessibility

Ensure the specialist is in-network with your insurance plan and that their office location is convenient for follow-up appointments.

Preparing for Your Hernia Consultation: Questions to Ask

When meeting with a hernia specialist, it’s essential to be prepared with questions to help you make informed decisions about your care. Consider asking the following:

• What type of hernia do I have, and what are the potential risks if left untreated?
• What treatment options are available for my specific case?
• If surgery is recommended, what technique do you suggest and why?
• What is your experience with this type of hernia repair?
• What are the potential complications and success rates for the proposed treatment?
• How long is the expected recovery period, and what limitations will I have during recovery?
• Are there any non-surgical alternatives I should consider?
• What can I do to prevent hernia recurrence after treatment?

By asking these questions, you can gain a better understanding of your condition and the proposed treatment plan, enabling you to make well-informed decisions about your hernia care.

Advances in Hernia Treatment: Emerging Technologies and Techniques

The field of hernia repair is continually evolving, with new technologies and techniques being developed to improve patient outcomes and reduce recovery times. Some notable advancements include:

Robotic-Assisted Surgery

Robotic systems provide surgeons with enhanced precision and control during minimally invasive hernia repairs. This technology allows for more complex procedures to be performed through small incisions, potentially reducing post-operative pain and scarring.

Biologic Mesh Materials

Researchers are developing new biologic mesh materials derived from human or animal tissue. These meshes may offer advantages in terms of biocompatibility and reduced risk of infection compared to synthetic meshes.

3D-Printed Custom Implants

Advancements in 3D printing technology are enabling the creation of custom-designed implants for complex hernia repairs. These personalized solutions may improve outcomes for patients with challenging anatomical considerations.

Non-Invasive Treatments

Researchers are exploring non-surgical approaches to hernia treatment, such as injectable therapies that strengthen the abdominal wall. While still in early stages, these innovations may offer alternatives to surgery for select patients in the future.

Enhanced Recovery Protocols

Many hernia specialists are implementing enhanced recovery after surgery (ERAS) protocols. These evidence-based approaches aim to improve patient outcomes by optimizing pre-operative preparation, intra-operative care, and post-operative management.

As these and other advancements continue to emerge, patients can expect increasingly personalized and effective hernia treatments. However, it’s important to note that not all new technologies are suitable for every patient, and their long-term efficacy may still be under evaluation.

Post-Treatment Care and Hernia Prevention Strategies

Proper post-treatment care and preventive measures are essential for optimal recovery and reducing the risk of hernia recurrence. Here are some key considerations:

Post-Operative Recovery

Following hernia repair surgery, patients should adhere to their doctor’s instructions regarding:

• Wound care and incision management
• Pain management techniques
• Gradual return to normal activities and exercise
• Follow-up appointments and monitoring

Lifestyle Modifications

To prevent future hernias or recurrence, patients may need to make certain lifestyle changes:

• Maintaining a healthy weight through proper diet and exercise
• Avoiding heavy lifting or using proper lifting techniques
• Quitting smoking to improve tissue healing and overall health
• Managing chronic cough or constipation

Core Strengthening Exercises

Strengthening the core muscles can help support the abdominal wall and reduce the risk of hernia formation. Patients should consult with their doctor or a physical therapist for appropriate exercises tailored to their individual needs.

Regular Health Check-ups

Routine medical examinations can help detect hernias early, even before symptoms become apparent. This is particularly important for individuals with risk factors for hernia development.

Nutritional Support

A balanced diet rich in protein, vitamins, and minerals can support tissue healing and overall health. Some patients may benefit from nutritional supplements as recommended by their healthcare provider.

By following these post-treatment care guidelines and preventive strategies, patients can optimize their recovery and reduce the likelihood of experiencing hernia-related complications in the future.

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:

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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.