Preventing and Treating Herniated Disc: Causes, Symptoms, and Treatment Options

2023-10-20 21:00:00

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#Mr. Lee (29 years old, male), who participated in an in-house badminton competition, suffered back pain after falling during the game. She tolerated it, thinking it was just muscle pain caused by moving vigorously without warming up, but the back pain and tingling in her left leg persisted for two weeks. Mr. Lee, who visited the hospital, had to receive treatment for a herniated disc.

#Housewife Choi (52 years old, female) would involuntarily make noises due to back pain when doing housework. She thought the pain was caused by working too much, but a few days ago, she suddenly couldn’t move due to severe back pain, so she had to rush to the emergency room and was diagnosed with a herniated disc.

Fall is a good season for outdoor activities, but the temperature drops significantly in the morning and evening. The daily temperature difference increases and on chilly days, my back, which was normally fine, sometimes hurts even more. When the weather gets cold, our bodies contract blood vessels to preserve body temperature. This is because the control function of the autonomic nervous system is reduced, and if blood supply is not smooth, muscles become tense, flexibility decreases, and pain becomes more likely to occur.

Lumbar disc herniation, which is considered the most common pain disease in Koreans, is a disease in which the intervertebral disc protrudes or bursts and puts pressure on the nerves, causing pain in the lower back, pelvis, and legs. Acute disc herniation may occur due to a momentary impact to the lower back, such as trauma during exercise, but it may also occur due to disc problems due to degenerative changes. Most herniated discs progress without any symptoms or pain, but at some point, due to overload, sudden pain occurs and the patient is diagnosed with a lumbar disc herniation. It is common for back pain to be accompanied by pain in the pelvis, hips, or legs, but there are also cases where only leg pain is felt without back pain, so caution is required.

In the early stages of acute disc herniation, recovery is possible through conservative treatment in most cases, but if symptoms do not improve despite conservative treatment, symptoms can be improved through epidural decompression, a non-surgical treatment. However, chronic diseases that have progressed over a long period of time are not easy to treat in a short period of time. First of all, in the early stages of severe pain, it is best to give the body time to recover through rest along with medication and physical therapy, and then strengthen the weakened areas through exercises to strengthen the muscles of the back and spine. However, if pain persists despite conservative treatment, surgical treatment should be considered. In this case, it is better to choose minimally invasive treatment that saves the patient’s bones, ligaments, and muscles as much as possible through spinal endoscopy. Because the surgery is performed through a small hole rather than an incision, there is little bleeding and the recovery rate is fast.

If you suddenly experience back pain after spraining your back, resting and getting enough rest is the best first aid to prevent your symptoms from worsening. If your back hurts only during certain movements and the symptoms improve over time, it is likely a simple sprain or muscle pain. However, if the pain goes down to the buttocks, the thighs and buttocks feel tight and numb, or the entire lower back feels like it’s shaking when coughing, it’s a good idea to visit a hospital and get an accurate diagnosis and treatment.

Excessive stretching or exercise can add impact to the lower back and further increase the risk of lumbar disc herniation, so it is best to refrain from doing so until symptoms improve.

To prevent back pain, it is best to do strength training that stimulates the back, waist, and butt muscles that hold the spine. Consistently engaging in light exercise, such as walking comfortably, will help keep the muscles around your waist flexible and healthy.

Director Seong-Hoon Min (Barunsesang Hospital Spine Clinic/Neurosurgery Specialist)

[email protected] Reporter Kang Jung-mo

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