Difference between mild and severe lumbar disc
In mild cases of protrusion, there is usually no pressure on the nerves, but in severe cases, the nerves and spinal cord are pressed and nerve symptoms develop for the patient.
If the patient has a healthy disc and the damage is mild, in this case the protrusion of the disc will be mild and the patient may not have back pain... but most of the patients will have back pain... usually in mild protrusions there is no pressure on the nerves and spinal cord and as a result the patient will not have any symptoms in the legs... ### Symptoms of mild back disc
In mild cases, a person may have no symptoms, or he may experience back pain only when the intra-abdominal pressure increases, for example, when sneezing, coughing, defecating, and urinating... As a result, these patients tend to lie down. Also, as mentioned, due to the compressive effect of the disc on the roots of the nerves and nerves of the patient's spine, it is under pressure. (Because the nerve under pressure is called sciatica).... If you are facing advanced symptoms of back pain, it is better to visit a specialist surgeon... Dr. Mahmoud Yazdan Panahi is one of the best and most skilled doctors in this field, and our team's suggestion to you is #late_pregnancy... During pregnancy, due to increased weight and increased intra-abdominal pressure, more pressure is applied to the lumbar discs, but disc protrusion due to pregnancy is usually considered a rare event.. Unless the patient is obese and or have osteoporosis... but due to the pressure on the discs during pregnancy, the possibility of their protrusion increases due to injuries... it should be noted that the protrusion of the lumbar disc does not pose a risk to the baby... ### Mild lumbar disc treatment
In general, nearly 67% of people who suffer from a herniated disc recover almost completely within 6 months and the disc is back in its place.. So it is better not to decide on surgery right away and wait at least 6-8 weeks.. In general, more than 90% of patients recover completely and less than 10% of them need surgery.. Rest is one of the most important measures to improve lumbar disc protrusion.. but this does not mean lying in bed for a long time... according to the recommendations of reliable sources, bed rest should be a maximum of 24 to 48 hours, and after that the patient should continue his daily activities... the patient should adjust these activities according to his ability and avoid putting extra pressure on the back... for example, refrain from doing heavy sports activities for the lumbar disc for a while... doing a series of physical activities is beneficial for the lumbar disc.. One of these activities as follows:
- Lie on your stomach
Bend your hands at the elbows and place them under your shoulders
- Raise your shoulders like a push-up.. while your back and pelvis are on the floor.... - Maintain this position for 30 seconds.... - Repeat this activity several times a day for 5 to 10 minutes... There is no medical treatment that can completely solve a person's lumbar disc problem and return the disc to its place, and the treatments we use are only pain relievers and reduce the patient's pain.... - Histamine
- NSAID drugs such as diclofenac (Alfen X), naproxen, celecoxib, ibuprofen, indomethacin, meloxicam, piroxicam, etc., should be used with caution in people with kidney, liver, ulcer, and a history of gastrointestinal bleeding, heart failure, etc. Considering that these drugs can cause ulcers and gastrointestinal bleeding, it is better than antacids such as Omeprazole (20 mg half an hour before breakfast) or Famotidine (20 or 40 mg every 12 hours) are used to treat back pain, but despite their good effectiveness, they are not recommended. The patient is very severe and does not respond to other drugs.... The drugs that are used are hydrocomor, gourd, morphone: methadone and .... These drugs cause side effects such as itching, constipation and nausea.. Also, due to sleepiness, they increase the risk of accidents and accidents (accidents, falls from a height, etc.).
Therefore, when taking these drugs, one should avoid driving and doing high-risk activities.... The most important complication of taking opioids is their addiction; Therefore, do not use these drugs as self-treatment without a doctor's prescription.... Muscle spasm is one of the most common findings related to lumbar disc disease.... The use of muscle relaxants such as methocarbamol can eliminate this spasm and reduce the patient's pain.... Also, this drug has hypnotic effects; As a result, it is useful for patients who cannot sleep due to pain... The use of physiotherapy methods, massage therapy, electrical stimulation (electrodermal), none of them have been approved for the treatment of lumbar disc, but they are effective in controlling pain and can reduce the patient's pain. Finally, it must be said that in severe and persistent cases, each one should undergo surgery and the damage to the disc is removed in this method. It is common... severe lumbar disc
When the injury is severe and the patient does not have a healthy disc (for example, in obese people), in this case, the disc protrusion is severe and the disc may rupture... The most important symptoms of severe lumbar disc:
- Radicular pain (Radicular Pain); Shooting pain that starts from the back and spreads to one of the legs, this pain is usually felt along the sciatic nerve... - muscle weakness; In severe cases, pressure on the nerves can cause weakness in the leg muscles, especially during movements such as raising the leg or walking on the heel.... - Numbness or tingling.. Numbness, tingling or numbness in the legs, thighs or even the soles of the feet is common. Sudden and severe pain in the back or legs that interferes with daily activities... Quick diagnosis and treatment of lumbar disc disease is necessary to prevent permanent complications.. In cases where non-surgical treatments are not effective or there are advanced symptoms such as muscle weakness or urinary and stool control disorders, surgical options are considered....Discectomy surgery to remove pressure from the nerve and laminectomy to reduce pressure on the spinal cord are common methods...Choosing the appropriate treatment method is based on the diagnosis of the lumbar disc specialist..According to recent studies, non-surgical treatments are effective in many cases...For example, a study has shown that *85* Up to *90* percent of symptomatic lumbar disc herniations resolve within *6* to *12* weeks without the need for major medical intervention.... But in cases where symptoms persist for more than six weeks, the likelihood of recovery without intervention decreases... ### Acute lumbar disc care
A person suffering from lumbar disc disease must take special care. Sufficient rest is necessary to reduce pressure on the spine. It is also recommended to do therapeutic exercises under the supervision of a doctor to strengthen the back muscles and improve body posture. Avoiding sudden movements and lifting heavy objects is also very important. The correct use of sitting and standing can help reduce pain. Wang: "In cases of severe back disc protrusion, maintaining proper posture and performing physical therapy under the supervision of a specialist can reduce the risk of long-term nerve damage by 60%."
As Dr. Michael Wang, a neurosurgeon and one of the well-known figures in the treatment of lumbar disc, stated, constant adherence to proper posture and physical therapy under expert supervision can reduce the possibility of long-term damage to lumbar nerves by 60%. This statistic is especially important in patients with severe lumbar disc. Continuous control of clinical symptoms...
