Physiotherapy-Corfu

Between two vertebrae is the intervertebral disc. The intervertebral disc consists of a core (nucleus) and a ring of fibers (annulus fibrosus). The fibers extend from the vertebrae above the underlying main diagonal. To back up the position of the nucleus of the intervertebral disc wipe the vertebrae. The core consists of a gelatinous mass. When a herniated disc of the core (nucleus) of the intervertebral disc tissue by fixing it is pressed to the outside. Latin words of the herniated disc prolapse pulposi nuclei, Discushernie, prolapsed disc.
Why are there but the incident of the disc? Several factors may interact.Unfavourable movements, unilateral stance, high stress, lack of exercise, …. As a rule found in patients with a herniated disc, the combination of an already present damage the disc and an overload. The disc can also emerge without overloading.
A herniated disc usually causes severe to very severe pain. The pain is usually not limited locally. Depending on the affected nerve in the spinal segment, the pain radiates into the course of the nerve. In one incident in the area of ​​the neck (cervical herniation), the pain radiates into the arm (brachialgia) or in the chest. Incidents in the area of ​​the loin (lumbar herniation) can cause leg pain (lumbago, sciatica). But the pain may also be other causes, such as blockades. Quite often go hand in hand with blockades incidents. There may also be numbness or supplying the muscles can no longer be activated (paralysis). In very rare cases it can also lead to cross-sectional appearances. If the incident in the lower segments of the lumbar spine, so it also can lead to urinary and fecal incontinence.
As in other areas of joint (shoulder, knee), the tissue is not directly fed by the bloodstream. This was evolutionary, not necessary. Instead, the tissue is nourished by diffusion. In Germany, it is therefore “who engages, or lose it”. But I will not reveal where the saying comes into reality. A survey on that later. The tissue nourished by diffusion is called in technical language bradytrophic tissue. In the case of the intervertebral disc must be the liquid now not only by the interstitial fluid, it must also penetrate more membranes. In disorders of the cartilage rings, these membranes are disturbed in their function. The nucleus is in the ideal case of 80% water, and relatively few cells. Thus, the core function as a hydraulic sphere. About the brunt of it is transmitted. The small joints between the vertebrae (facet joints) are more likely to lead to their lodges for the vortex motion to each other.
For most physicians today, the X-ray apparatus, magnetic resonance imaging or computed tomography is still the ultimate test. But more important than the imaging processes in each case, a measurement of nerve conduction is through a Elektomyogramm. But studies show boarding and XC: The differentiated manual therapeutic examination by an experienced physician is the safest method.
The three main treatment strategies are now the conservative treatment, surgery for removal of prolapsed intervertebral disc (normal operation or micro-surgical) or surgical reinforcement of the adjacent vertebral body.
The conservative treatment works primarily with drugs to reduce pain, reduce inflammation and tension of the muscles. The medication can be administered orally (by mouth / digestive tract) and local (introduction of the drug by syringe). Through conservation, heat or cold therapy and an exercise program the patient is accompanied by the acute phase. Newer approaches to therapy also sat on acupuncture, Osteophathie and early activation.