X-ray is one of the traditional examinations that helps to identify pathologies from the musculoskeletal system. The pictures clearly show the bones and spinal problems such as fractures and curvature. But does he show a spinal hernia? The issue to be sorted out.
We will speak directly about intervertebral tumors, which are nothing more than the loss of one of the discs between the vertebrae. As a result of this pathology, the correct position of the vertebrae changes, the nerve endings of the spinal cord are under enormous pressure, which causes a lot of anxiety and discomfort.
The need for radiographic examination
With an unidentified diagnosis, the method helps to exclude injuries, birth defects, distortions, etc. This narrows the search range. However, the loss of the cartilage disc in the images is not detected.
When conducting X-ray and fluoroscopy, the rays freely pass through the soft tissue. They are reflected from dense formations, with the result that the doctor sees the state of the spine. Since the hernia is a connective tissue, it is not visible during X-rays.
The study does not accurately identify the loss of cartilage disc, but the results may indirectly indicate the presence of the disease.
For example, in advanced cases, the lumen between the vertebrae changes due to tissue growth. This helps determine the future direction of diagnosis.
Signs of disease
The clinical picture depends on the localization of education:
- Intervertebral hernia lumbar. It is characterized by pain in the back. The most severe discomfort appears in the lower back. In the initial stages, the pain is dull, anxious attacks. Strengthening occurs after exercise, long stay in one position and with a sharp muscular tension. When squeezing the roots of the spinal cord, numbness of the extremities appears. In the later stages, the pain radiates to the hips, buttocks and legs. There are violations of posture associated with attempts to reduce discomfort.
- Intervertebral hernia of the cervical spine. When a nerve is pinched, pain arises in the arm. Discomfort is localized in the area from the shoulder to the hand. Tingling and numbness are possible. Unpleasant sensations appear and disappear suddenly. Depending on the location of the hernia, weakness in the area of the deltoid muscle, biceps or wrist can be traced. Often there is a partial loss of mobility of the fingers, difficulty in compression.
- Intervertebral hernia of the thoracic. The pain is concentrated in the upper back and in the diaphragm. Feeling worse when coughing and sneezing. If the formation affects the spinal cord, myelopathy develops. The patient experiences weakness, loses balance when walking, making it difficult to empty the bladder and intestines. In some cases, paralysis of the lower extremities occurs.
Intervertebral hernia lumbar. It is characterized by pain in the back. The most severe discomfort appears in the lower back.
Intervertebral hernia of the cervical spine. When a nerve is pinched, pain arises in the arm. Discomfort is localized in the area from the shoulder to the hand.
Intervertebral hernia of the thoracic. The pain is concentrated in the upper back and in the diaphragm.
What will show the x-ray
In the pictures you can see the following:
- distance between segments,
- Vertebral structure density
- osteophytes (if available).
Sometimes with pathology there is a slight concavity of the vertebrae. At an early stage, pointedness of the semilunar islands in the cervical region is noted. On the side of the projection can be found straightening lordosis. There is a slight narrowing of the intervertebral fissure, but this may indicate other diseases, including osteochondrosis.
Functional X-ray of the cervical spine
Dr. Myasnikov about back pain
When a pulpous nucleus falls out, the changes become more pronounced. Often there are marginal growths. At a later stage, osteophytes can be detected. The intervertebral gap narrows greatly. The changes are characteristic of a number of other pathologies (spondylosis, osteochondrosis, ankylosing spondylitis, etc.); therefore, additional diagnostic measures are required, but deviations suggest that a hernia is suspected.
Preparation for intervertebral hernia X-ray depends on the area of study. When checking the chest and neck there are no difficulties. However, when examining the lower back gas accumulated in the intestine, can distort the results.
Since the changes that occur during the formation of a hernia are mild, it is important to properly prepare for the procedure.
To obtain reliable results when conducting x-ray of the lumbar spine, you must adhere to the following recommendations:
- Follow the diet. 2-3 days before the procedure, eliminate from the diet all foods that can cause fermentation and the formation of gases. These include beans, cabbage, milk, potatoes, etc.
- Clean the intestines with an enema. In severe conditions, this procedure is sometimes sufficient to conduct an emergency examination.
- Do not eat breakfast before visiting the hospital.
It is believed that more accurate results can be obtained after a single dose of enzyme preparations and sorbents.
To obtain reliable results when performing X-rays for 2-3 days before the procedure, exclude from the diet all foods that can cause fermentation and the formation of gases.
Clean the intestines with an enema. In severe conditions, this procedure is sometimes sufficient to conduct an emergency examination.
It is believed that more accurate results can be obtained after a single dose of enzyme preparations and sorbents.
When a survey is undesirable
It is not recommended to conduct an x-ray in the following cases:
- Childhood. During routine examinations, it is desirable to prefer other methods that can reduce radiation exposure.
- Excessive nervousness. It is difficult for patients to remain still, which may lead to distorted results. If necessary, research the doctor may prescribe additional drugs to correct the problem.
- Obesity. Overweight makes it difficult to get an accurate picture. As a result, an incorrect diagnosis may be made.
- Pregnancy. Radiation exposure can provoke the appearance of various defects in the fetus, because there are errors in cell division. It is recommended to prefer other research methods. Especially vulnerable child in the first trimester.
In childhood, during routine examinations, it is advisable to prefer other methods that can reduce radiation exposure.
With excessive nervousness, if necessary research doctor may prescribe additional drugs to correct the problem.
Overweight prevents you from getting an accurate picture, with the result that a wrong diagnosis can be made.
During pregnancy, X-rays are contraindicated, since radiation exposure can trigger the appearance of various defects in the fetus.
Advanced X-ray technology
The preferred diagnostic methods for suspected intervertebral hernia are CT (computed tomography) and MRI.
CT, like fluoroscopy, is performed using x-rays, but the result is a three-dimensional image. During the examination, the equipment takes a lot of pictures, which is why the doctor sees the full picture. The use of X-rays does not accurately detect a hernia, but the pathological changes can be traced more clearly.
Magnetic resonance imaging for the detection of intervertebral hernia is considered a more informative study. This is due to the use of electromagnetic radiation, which allows you to analyze the state of soft tissues.
The procedure reveals circulatory disorders in the affected areas, changes in the structure of the spinal cord and deformation of the intervertebral discs, including hernias.
The principle of x-rays
Functional diagnostics using the rays discovered by Wilhelm Conrad Roentgen, the world-famous German physicist, is based on the ability of a special apparatus to generate this radiation. Particles making the rays, passing through the tissues of the human body, tend to accumulate in formations containing large amounts of calcium, such as bone structures.
At the same time, soft tissues remain completely unnoticed, and, therefore, it is not possible to study them. After refraction, the rays are displayed on the monitor screen or on special devices to create X-ray photos of the investigated parts of the spinal column. Because of its peculiarity, spinal radiography has become one of the most popular methods for diagnosing multiple diseases of the vertebrae and the departments forming them.
How harmful is a spinal x-ray?
Everyone has long known that, apart from many advantages of radiography, there is one significant and usually frightening minus for many patients - this is receiving radiation exposure during the procedure. In fear of being irradiated, patients are trying to persuade the doctor to prescribe an MRI (magnetic resonance imaging), which does not emit a radiation field and is not a very expensive method.
But as a rule, the attending physician tries to convince the patient, explaining how MRI differs from X-rays and what the x-ray of the spine shows. And the differences, apart from the presence of radiation exposure, also lie in the impossibility of visualizing bone tissue when using MRI, that this method is aimed at a detailed study of the soft organs. Therefore, for the study of bone structures, fluoroscopy is always a priority - inspection with the use of X-rays.
Then the next question arises, if the described research can bring some harm, how often can you x-ray the spine? Passing a X-ray of the spinal column, a person receives a dose of 1.5 mSv (milievert), corresponding to the natural exposure to which he is exposed for six months. And when compared with the use of diagnosis and cure of the disease, its value leaves no doubt.
The creation of modern equipment used for the procedure, allows you to x-ray the spine with much lower doses of radiation. Therefore, when it is appointed, it is worthwhile to look for a clinic with instruments made according to new developments, where it will be much safer to make diagnostics. In the case when you have to regularly undergo X-ray examination, physicians should record the number of procedures that have been completed, controlling the patient’s received radiation doses.
Also, the patient should take care of minimizing radiation in his body. This can be done by including natural grape juice, milk, green tea in your diet, and immediately after research you can drink a glass of red wine, which will help to rid the body of radiation exposure more quickly.
What diseases of the spine can be detected by X-ray?
A properly performed X-ray will provide the doctor with all the necessary information regarding the state of the spine, its structure and, accordingly, its functionality. Moreover, the diagnosis makes it possible to assess the spinal column as the whole in the complex, and the sections forming it separately. The very first stage of the study of the resulting image is the assessment of the shape of the spine, physiological curvature (in the thoracic region - lordosis, in the lumbosacral - kyphosis).
Also, the diagnostician has the opportunity to clarify the integrity of the vertebral bodies, their arcs, processes and evaluate the symmetry. The image in the photo shows the structural features of the bone tissue of the vertebrae, the density and thickness of the cortical layer, manifestations of osteoporosis, cancer processes and pathologies of the articular surfaces.
Thus, spinal radiography can detect almost all metabolic and destructive-dystrophic disorders, including:
- fractures, deformities and compression of the spine,
- curvature (physiological and pathological),
- lesions of the joints and cartilage surfaces,
- fluid accumulation in articular cavities
- spondylolisthesis (displacement) of the vertebrae,
- osteochondrosis, osteoporosis, osteoarthrosis,
- oncological processes
- congenital abnormalities
- intervertebral hernia,
- infectious diseases.
To obtain the most informative image of the spine, radiography is done in two projections - a straight line, in which the patient is lying supine and lateral or oblique. To improve the quality of images of the lumbosacral requires special training, and all other parts of the spine do not need additional measures.
If the results of the examination are urgently required, for example, in case of complex injuries that require immediate medical intervention, preparatory measures must be abandoned in order not to risk precious time. In addition to training, almost every department has its own specific diagnostic features, which are necessarily taken into account when appointing.
The cervical spine is one of the most mobile parts of the spine and often subject to various pathologies. Therefore, if a patient goes to a medical facility complaining of headache for no particular reason, dizziness, ripples in front of the eyes, pain when turning the head, trauma in the neck, symptoms of infectious diseases, the attending physician in most cases recommends to undergo an x-ray examination of the cervical thoracic spine.
Then the radiologist will tell you what position to take so that the image of the spine being diagnosed can be seen as best as possible. Such a procedure usually takes no more than 10–15 minutes. It takes a few more minutes to print pictures if x-rays are done on a digital device.
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X-ray (X-ray) is a study of the organs of the human body with the help of X-rays.
In this case, the image of the object under study is projected onto a sensitive film or photographic paper.
The doctor receives a projection image of an organ by passing X-rays through it.
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What is x-ray
Obtaining an image on a special sensitive film is based on the fact that X-rays are attenuated as it passes through certain tissues.
As a result, an image with varying degrees of intensity is produced on the film. The so-called average image is obtained on the X-ray film.This suggests that inhomogeneous organs are examined to obtain the desired image.
It is necessary that the pictures were taken at least in two projections. This is due to the fact that a three-dimensional object is being studied, and the radiograph is a flat, two-dimensional image.
The location of the pathological area can be seen in just two projections.
The power of x-ray radiation depends on the organ under study, the patient's dimensions. Record the same image in the Russian Federation is carried out, as a rule, on a sensitive film.
What pathology can reveal?
To date, this type of diagnosis remains one of the most popular. This is due to its simplicity, low cost and highly informative.
Compared with magnetic resonance imaging and computed tomography, spinal radiography is more accessible.
So, what does a spinal x-ray show?
- spinal curvatures (lordosis, kyphosis, scoliosis, etc.),
- intervertebral joint changes
- subluxations of the spine
- compression injuries
- spinal tumors
- infectious organ lesions (for example, as a result of tuberculosis).
However, radiography does not allow to see the pathology of intervertebral discs.
According to this study, one can indirectly judge the state of this part of the spine, which has a certain value in complex diagnostics.
When radiography is prescribed
Radiography of the spine is assigned for such purposes:
- determining the cause of pain in the spine or limbs,
- a feeling of weakness or numbness in the spine,
- diagnostics of intervertebral disc changes,
- detection of spinal injuries of various origins,
- detection of osteochondrosis and inflammatory processes in the spine,
- diagnosis of spinal curvature of various forms and origin,
- determination of congenital abnormalities of the spine in newborns,
- diagnosis of the state of the vertebral arteries.
X-ray of the lumbosacral spine is a simple and fairly informative procedure. It allows you to detect even the smallest abnormalities in this part of the spine.
The doctor can adequately assess the condition of the lumbosacral, the state of the cortical layer. The structure of the vertebrae, their soft tissues, is clearly visible.
This study is prescribed for such pathological conditions:
- back and limb pain
- recurrent numbness of the limbs
- herniated intervertebral discs
- suspected spinal swelling,
- if the patient is tormented by a feeling of weakness,
- complications after fractures,
- congenital malformations of the spine.
Diagnosis of the cervical spine
In this part of the spine, damage occurs quite often, as it is very vulnerable and, moreover, poorly protected by muscle tissue.
Meanwhile, hernia, osteochondrosis in this department develops quite quickly and can cause great harm to health.
Doctors recommend making an x-ray of the cervical spine in the presence of such indications:
- persistent headaches of various origins,
- dizziness, which occur frequently and for no apparent reason,
- the appearance of "flies" before the eyes, ripples in the eyes,
- numbness of arms and legs, change in gait.
The advantage of such a study - low cost, the ability to see all the changes in the cervical vertebrae. The doctor can also see the presence of osteophyte formations on the bones.
In addition, such changes are visible on the radiograph of this section of the spine:
- effects of scoliosis, birth trauma,
- fractures in the cervical region,
- mixing vertebrae
- neoplasms of different nature,
Radiography of the thoracic spine
This study provides an opportunity to obtain a detailed image of the thoracic vertebrae. According to the images, the doctor will judge the condition of the intervertebral discs, the presence of spinal curvature, and other organ deformities.
X-ray gives you the opportunity to see:
- all thoracic vertebrae
- pathological spinal curvature,
- the presence of tumors in the spine
- defeat of the thoracic infectious process.
It usually happens that the lower two or three vertebrae are not visible in the picture clearly. This is due to the fact that they overlap the dense tissues of the abdominal organs.
It is necessary to take into account the fact that with the development of pronounced kyphosis of the thoracic region, the image of the vertebrae can be significantly distorted.
Radiography of this section is shown to do with such diseases:
- pain in the abdomen, breasts,
- dizziness that occurs when sharp bends or turns of the head,
- dizziness or pain resulting from poor neck turns,
- numbness of the limbs.
What can be seen on the X-ray
The information content of images taken to diagnose a hernia of the spine is extremely low.
Hernial protrusion on the X-ray is not visible, so doctors have to take into account a set of indirect signs that speak of a hernia.
For example, pathology can be stated with high accuracy if the gaps between the vertebrae are practically undetectable.
With the help of this inspection detect degenerative processes in the tissues. Indeed, the result of such processes is intervertebral hernia, but it does not always occur, so with absolute certainty it cannot be argued that pathological changes in the vertebrae are necessarily a hernia.
To more accurately diagnose, use additional diagnostics - functional radiography. This study also does not give a direct indication of the presence of a hernia, but detection of vertebral instability will be a great success in diagnosis. If the displacement of one vertebra relative to another is more than four millimeters, then it is likely that the patient has a hernial formation. By the way, and this technique does not allow to see a hernia, but only speaks about the predisposition of the spinal column to its occurrence.
Do I need radiography
Is the hernia of the spine visible on the x-ray, if it is done digitally? This question is often asked by patients to doctors, thinking that the prefix "digital" gives the study increased accuracy. Far from it, because the difference between these X-ray methods in storing information, but digital is not at all more informative.
Since the hernial protrusion cannot be seen, doctors prefer not to prescribe an x-ray to the patients - the body should not be irradiated with high doses of radiation, but diagnostics should be carried out when absolutely necessary. Much more informative is magnetic resonance and computed tomography, which helps to see the pathology of the back from several angles.
Preparation for the procedure
Spinal X-ray is a very simple procedure - just strip to the waist, take an X-ray and get a result. However, in order to have diagnostic valuable data, before the X-ray examination it is worthwhile to carry out the correct preparation of the patient's body, because often the symptoms depending on the location of the hernia are regarded as other diseases.
Doctors make the following recommendations for preparing for the study:
- start preparing for the procedure for three days and all this time to comply with the recommendations of the doctor.
- exclude from the diet those foods, the use of which increases flatulence in the intestine. These include fresh vegetables and fruits, fresh juices, dairy products, drinks with gas. It is not recommended to eat legumes, which are heavily tolerated by the intestines and provoke bloating before the examination.
- It is recommended to eat more light meals - broths, drink the necessary amount of liquid, tea.
- Before eating, it is advisable to drink the medicine "Mezim" or "Pancreatin" to improve the digestive process.
- After meals, it is recommended to take the drug "Filtrum" - 2-3 tablets.
- To eliminate stress, take ten drops of valerian three times a day.
- before taking an x-ray, it is advisable not to eat at least ten to twelve hours. Otherwise, intestinal peristalsis or fecal masses may create an incorrect visualization of the test results.
- In the evening, before going to bed, they do an enema. If it failed, it is advisable to clean the bowels in the morning.
- if the enema was ineffective, take one packet of "Fortrans" or "Forlax", but this should be done overnight.
- immediately before the X-ray is prohibited to drink or eat anything, even water.
If all the recommendations for the preparation for the examination were carried out, the doctors receive informative results of the examination and attach them to other diagnostic results. If there are problems with conducting a study (for example, on a full stomach), it is either not performed at all, or after it is not administered, it is not re-examined, since the person has already undergone a significant dose of radiation.
X-ray examination, as well as other diagnostic procedures, has contraindications. Doctors definitely do not prescribe an x-ray of the spine to the following patients:
- pregnant women
- those who have done a barium test in the last four hours,
- people who can not stand still for some time.
Positive and negative aspects of diagnosis
The undoubted advantage of radiography is the diagnosis of complications associated with intervertebral hernia, as well as degenerative-dystrophic changes that could provoke it.
However, X-ray has disadvantages, among which doctors note:
- the inability to more clearly consider the intervertebral discs,
- x-ray does not see intervertebral protrusions,
- the body is exposed to radiation
- low information content in pathologies such as osteoporosis, which is associated with a hernia.
X-ray examination is an ambiguous examination that has both positive and negative sides. With regard to intervertebral hernia, the images obtained by this method do not carry valuable information, since no hernia is indicated on them. Whether it is possible to see other indirect signs - yes, but not the hernia itself, so the doctors selectively prescribe an x-ray.
Diagnosis of hernia
Most intervertebral hernia is determined in the thoracic and lumbar spine. In order to diagnose an intervertebral hernia in a patient, the following data and research methods are used:
- Indirect signs on the roentgenogram, testifying to the prolapse of intervertebral discs.
- Neurological changes diagnosed during examination by a neurologist.
- Local sensitivity disorders. They are the result of compression of the nerve roots leaving the spinal canal through the intervertebral holes in the place of the hernial protrusion. The narrowing of the gap leads to the narrowing of these holes, pinching the roots.
- Disorders of motor activity in the lower limbs for the same reason.
- Decreased tendon reflexes.
- MRI, CT, electroneurophysiological examination.
X-ray examination is the simplest and cheapest method for the diagnosis of spinal pathologies.
However, it is not always sufficiently informative. The most reliable method for diagnosing a hernia is MRI. Informative and CT. These methods can be assigned initially, without prior radiography, or appointed after it to confirm the diagnosis.
However, the ability to perform MRI and CT is not in any clinic. They exist only in large medical institutions and relatively large cities. In addition, they are significantly more expensive. Therefore, sometimes it is the radiological method that can become the main one. A good specialist can diagnose a hernia with a high degree of probability, given the clinical manifestations, indirect signs, patient examination data.
Radiographic signs appear with long-term osteochondrosis, the development of a hernia of significant size.
Unfortunately, in the early stages, changes are determined only by CT and MRI. But at the beginning of the disease, when complaints are not yet clearly expressed or absent, patients do not seek medical help. Only in the later stages, when the pain becomes significant, do patients come to the doctor. In such cases, the changes in the X-ray image are already detected.
Identify changes in the snapshot
Changes in the location, shape, and structure of the vertebrae may indicate that there is an intervertebral hernia between them:
- The picture analyzes in comparison the right and left halves of the spine, and vertebrae in particular. They must be completely symmetrical.
- The distance between the vertebrae located in the neighborhood is determined.
- The intensity and clarity of their contours.
- The intensity of color, the uniformity of their bone structure.
- Additional outgrowths on the bone tissue of the vertebrae.
- The stability of the vertebrae in relation to each other.
Indirect signs of intervertebral hernia are the following:
- Rachiocampsis. Intervertebral hernia contributes to the development of inflammation and edema in the surrounding tissues. In addition, as the hernia progresses, pain in the spine increases. Against the background of these phenomena, the surrounding muscle tissue spasms.
The patient also tends to take a sparing position that will reduce pain in the spine. As a result, an uneven spasm of the back muscles occurs. Its long existence is reflected by the curvature of the spinal column, a change in its physiological curves: lumbar lordosis and thoracic kyphosis.
Curvature of the spine can be traced in the picture. They may be different depending on the location of the hernia. As a rule, hypercyphosis, hypolordosis are detected.
- The narrowing of the intervertebral fissure. During the formation of a hernia, there is a destruction of the intervertebral disc. This leads to its thinning. On the radiological image, it looks like a decrease in the size of the intervertebral joint space. This symptom is specific for a hernia, but it does not acquire a wedge-shaped appearance immediately, but with a prolapse of the pulpous nucleus 5 mm or more. With smaller numbers, the changes may not be determined, and the X-ray examination will be uninformative.
- Seals in the area of the hernia. In the place of the precipitated disc, calcium deposition occurs, calcification is formed, which is visualized in the image.
- On the image, made in the lateral projection, a decrease in lordosis is diagnosed. In the cervical region there is a sharpness of the semilunar processes, their hardening.
- Osteosclerotic changes of the vertebrae, growth of bone tissue along the edge, along the anterior and lateral parts of the vertebrae.
- The beak-like growths of bone tissue. These manifestations may occur during spondylosis, but there is no change in the height of the intervertebral gap. What is characteristic of changes in osteochondrosis.
- Osteoporosis and osteosclerosis of the vertebrae. Increasing the transparency of the bone structures of the spine is a symptom of many of its pathologies. Including osteochondrosis and the formation of intervertebral hernia.
When do spinal x-rays perform?
X-ray examination of the spinal column is recommended for the following symptoms:
- Sensation of numbness in the fingers, feet, thigh, groin.
- Pain of the upper, lower limbs, lower back, neck, subscapular region.
- Periodic pain in the head.
- Drastic unreasonable changes in blood pressure.
- Violation of sensitivity in the limbs.
Informative X-ray in the differential diagnosis of intervertebral hernia with the following pathologies:
- spinal tumors and metastases in it,
- aortic aneurysm,
- injuries in the spine due to injury
- congenital dysplasias
- hypertrophy of the yellow ligament,
- pathologies of the urogenital system.
For a long time it was X-ray that was one of the main methods for diagnosing an intervertebral hernia. And today, a specialist will be able to make an accurate diagnosis on the basis of radiographic images, complaints of the patient, his examination. But time does not stand still. MRI allows you to see more than a hernial protrusion quickly, by a series of consecutive images, sections of the spine and soft tissues. Such images can reliably show the area of inflammation and changes in surrounding tissues.
If the patient complains of discomfort and pain in the chest, then he probably shows an x-ray of the thoracic region. As well as for examining the cervical region, the patient does not need to be prepared for the procedure, with the exception of getting rid of the upper body of clothing and jewelry. The attending physician, relying on the localization of the patient's pain, may recommend undergoing an x-ray of the thoracolumbar department, if the pain worries closer to the lower back, and cervico-thoracic, if near the neck. The survey also runs fairly quickly, without taking more than 15 minutes.
Radiography of the lumbar spine is prescribed for spinal curvature, accompanied by numbness of the arms, legs, and pain in the back and lower back. It also does not do without this examination in case of suspected cancer or a hernia.
From the diagnostics of the above-listed departments, the x-ray of the lumbar department is characterized by the need for the patient to prepare for the procedure. Preparation consists in taking measures to reduce the process of gas formation in the stomach and intestines, since when taking pictures the gas tends to be visualized, and thus distort the results.
Therefore, 3-4 days before the examination, if the procedure is scheduled in a planned manner, the patient should follow a diet that includes the exclusion of legumes, bakery products, fatty meats, fish, cheeses and dairy products. And also remove from the diet raw vegetables and fruits, strong tea and coffee, alcohol, soda and drinks.
The last meal should be no later than 8–9 hours, and be sure to stop smoking for this period. The second part of the preparatory process will be bowel cleansing, which can be done with enemas, laxatives or special drugs that prevent fluid retention in the colon. The latter include Fortrans, Fleet, Duphalac, and others.
It is necessary to carry out intestinal cleansing a few hours before the planned study, so you should carefully read the existing methods of purification, and when choosing one of them, find out all aspects of the preparation. With sufficient preparation of the patient, the procedure usually does not exceed 20 minutes, but basically the time of the study depends on the number of images taken.
Sacral department and tailbone
Examination of the sacrum and coccyx, in view of their relatively small area and close ligament and lumbar region, is often carried out together without dividing them. This helps to see a wider pathological picture and facilitates the process of choosing a therapy. So, the diagnosis of the lumbosacral is recommended for back pain and coccyx, after injuries of various kinds, pathologies of intervertebral discs, as well as oncological inflammatory processes.
The procedure is no different from any radiographic examination of the spine - the pictures are taken in two projections, but sometimes additionally fixed at other positions, for example, in an unbent or bent. This provides a complete picture of the condition of these parts of the spine. Such methods are called functional tests, and there are cases when it was only thanks to them that it was possible to fix various pathological changes in the spine. Therefore, in controversial situations, their use is appropriate and necessary for the appointment of adequate treatment.
What is available in the picture to see an ordinary person?
Of course, only a specialist can read the X-ray image correctly, but anyone can recognize some deviations from the norm. The picture shows a black and white image of the test organ with areas different in color intensity. The brightest and most pronounced are the bone structures, but the soft tissues are practically invisible - the rays do not linger in them and are not fixed, passing through them.
It is easy to see a fracture in the picture - it looks like a crack or displacement of bone areas. Scoliosis is determined by the deviation of the spine to the side. Round-shaped darkening with a clear visualization of the borders often indicate the presence of tumors. Cartilage is usually not detected by X-rays, but a decrease in their thickness can be determined by the distance between the vertebrae, which is characteristic of osteochondrosis.
Indications for examination
When treating a patient with back pain, the specialist, after collecting the necessary medical history data, prescribes a direction for an X-ray. Many doubt the need for this procedure, because they are not sure whether it is possible to see a spinal hernia on an X-ray. It is necessary to pass the examination for one reason: only he can determine with the maximum accuracy the scale of the problem: whether the muscles and ligaments are damaged, or discomfort and pain occur against the background of the deformation of the bone and cartilage tissue. In addition, only X-rays can show the change in the distance between the vertebrae, which is the first sign of neoplasm in the intervertebral space. Deformation of areas, bulging, irregularities, displacement, subluxation - all this is clearly seen during the examination.
The same applies to the suspicion of osteochondrosis and bias. After all, the obvious problem will not be identified, and the person will receive a share of radiation.
X-ray and spinal hernia
In order to accurately clarify the situation regarding whether spinal hernia is seen on X-rays, it is necessary to delve a little into the essence of the method and features of the pathology.
X-ray - a method based on the passage of x-rays through soft tissue. At the same time, the rays “stop” at dense areas. Intervertebral hernia is the same compacted area, characterized in that it extends beyond the spinal column. How much this bulging depends on the severity of the disease.
Thus, it turns out that the snapshot will show a vertebral hernia, but it is unlikely to detail it. There will be no expected accuracy at once in some points:
- The change in the position of the vertebrae,
- Bone changes,
- The general condition of the intervertebral discs,
- It is impossible to determine the degree of impact of a hernia on the spinal cord and vertebral vessels.
The inability to describe the nature of the neoplasm is fraught with the lack of treatment, and, therefore, the patient's condition will only worsen.
To X-ray examination showed the presence of vertebral hernia, it must be large. Small parts of the pathology of X-ray can not be considered, for these purposes are shown CT or MRI.
Reasons for inefficiency
X-rays with spinal hernia are not effective with the appearance of certain factors:
- There is no possibility to track the problem in the dynamics of its development. During the procedure, it is possible to use only two projections: a straight line and a side one. Both are static. To track the status of the problem in detail, they do not allow. In other words, each subsequent image will show no improvement or deterioration in the patient even after intensive therapy. This is fraught with serious consequences, especially if the tumor continues to grow and squeeze blood vessels and nerve endings. Certainly other forms of diagnosis will be required.
- On a radiographic image, it is possible to establish only a preliminary diagnosis, for an accurate MRI is required.
- Since the cartilaginous tissue, which is a hernia of the spine, passes the rays of the X-ray apparatus through itself, it is quite problematic to see its pathology.
In connection with all the above, a fair question arises, if there is no vertebral hernia on the X-ray, then why do doctors so strongly recommend this type of diagnosis. It's all about its accessibility for all categories of citizens.
What doctors will see
Two main projections of the procedure allow you to see the vertebral arch and spinous processes. Regardless of the degree of development of hernial neoplasm, the picture will definitely show the following nuances:
- The distance between the disks.
- distinct contouring of each of the vertebrae: the slightest disturbance in the outlines can be a signal. For example, when Schmorl's hernia is present, there is a peculiar concavity of the vertebra, and when additional processes are detected, osteochondrosis is diagnosed.
- The degree of bone density. The bones fixed on one place differ in especially bright coloring on the image.
At first glance, that all this is enough for a correct diagnosis. In fact, it turns out quite differently. All this is indirect signs of vertebral hernia, to consider in reality a serious pathology will not work. But at the same time, one should not underestimate the effectiveness of X-ray examination as part of the overall identification of back problems.
If it is not possible to undergo a deeper examination, the specialist will be forced to decode the X-ray photograph data as much as possible. The diagnosis is made when correlating specific points:
- Comparison of opposite sides of the spine to identify an asymmetric arrangement,
- In the analysis of the distance between the vertebrae is determined by the area of their closest approach,
- The clarity of the contours of each vertebra is determined,
- Identify bone homogeneity throughout the entire image,
- Excludes or confirms growths on the vertebrae,
- It is very important to identify the curvature of the spinal column: it arises from the fact that a person, experiencing discomfort, tries to change the position of the body.
The general diagnosis is made only in the totality of the X-ray results and signs of the disease, among which are numbness of the extremities, decreased sensitivity, sharp jumps in pressure, sudden headache, pain in the lower back, neck.
Examination of the cervical or thoracic region does not require any preparation. What can not be said about the lumbar hernia. The main preparatory measures are aimed at eliminating gases in the intestine, since their fermentation can seriously distort the result of diagnosis:
- A week before X-rays, exclude all products that provoke fermentation in the intestines (cabbage, rye bread, beer, legumes),
- Conduct a cleansing enema just before X-rays.
In addition, the information content of the image depends on how well the patient behaved during the procedure: the laboratory technician determines the correct position, it is important to observe it to the end.
What methods diagnose hernial protrusion of the spine
Magnetic resonance imaging is the best method for diagnosing a hernial intervertebral disc protrusion. A high degree of reliability in the study of soft tissue structures of the spinal column is achieved due to the registration of radio waves after passing hydrogen through a magnetic field.
The study is subjected to tissue saturated with water.
The cartilaginous tissue of the discs is rich in hydrogen atoms.
Computed tomography is an X-ray diagnostic technique that creates a lot of radiation exposure. During the procedure, “cuts” are made, which are modeled with the help of software into a three-dimensional image.
Computed tomography is inferior in quality to magnetic resonance scanning. Additional human exposure requires the appointment of this diagnostic method only for strict indications.
Discography is an outdated method. With the advent of MRI, the rationality of traumatic manipulation of the introduction of a contrast agent into the intervertebral disc has disappeared.
The dye makes the disc visual on the radiograph. The procedure allows you to identify its structure, to determine the localization of the fallout.
Whether X-ray shows intervertebral hernia - deficiencies of X-ray
In most cases, for pain in the back, the doctor gives a referral to an x-ray of the spinal column. And only after it is impossible to see any negative changes in the picture, they resort to other examinations.
However, modern diagnostics does not recommend using this method in the first place. This is explained by the fact that the intervertebral hernia affects the soft tissues that are not visible on the X-ray.
Therefore, as far as possible, they try to eliminate unjustified radiation exposure.
The disadvantages of vertebral radiography are poor visualization. Damage to the ligaments, muscle stretching - these pathological features are not determined by X-ray.
Ionizing radiation is the most significant drawback of the procedure. In the presence of cancer in the body at the initial stage, the progression of the tumor.
Before the appointment of the survey requires careful diagnosis of the patient's condition. If there are alternative non-radiation methods, they should be used first.
Only in the absence of the necessary information is rational radiography.
To make a diagnosis of intervertebral hernia requires polymorphism of the examination. The use of existing diagnostic criteria allows to establish the pathology even without X-ray.
A competent neuropathologist will be able to suspect pathology by reducing tendon reflexes, identifying other typical signs of local neuritis, and reducing tactile and pain sensitivity.
1. Simple, 2. Difficult, 3. Wandering, 4. Free
With simple prolapse, the formation is located in the area of the interosseous ligament. The wandering form is characterized by the destruction of ligaments with the presence of free movement of education along the spinal canal.
The free form is accompanied by the outflow of the pulpous nucleus beyond the disk, but with preservation of the connection with the posterior ligaments.
• Paramedian, • Zadnesrinnaya, • Dorsomedina, • Median-Paramedian, • Anterior, • Posterior.
The direction allows to detect magnetic resonance imaging.
Preparation for radiography
Preparation for the examination depends on the part of the spine that needs to be diagnosed.
Preparation for the x-ray of the lumbar spine includes such actions:
- exclusion from the diet of products that stimulate gas formation, for two - three for before the procedure,
- taking enzyme preparations (for example, Festal, Mezim), activated carbon,
- conducting a cleansing enema on the eve of the study,
- The last meal should be no later than seven o'clock in the evening on the eve of the X-ray.
Radiography of other parts of the spine requires no special preparation.
How to diagnose?
Before the diagnostic procedure, the patient must follow all the doctor's instructions.First of all, in the doctor's office, you have to strip to the waist, and also remove all jewelry from yourself.
During the diagnostic study, the patient must, on the request of the doctor, lie down on his back, on his side, bend down. For quite a long period (and this may be about 10 - 15 minutes) you need to lie still.
Patients who cannot lie in one position for such a long time are not prescribed tests. The patient must be prepared for the fact that it is necessary to hold the breath at the moment when the doctor asks for it.
X-ray examination is often prescribed because it is harmful to the body. The doctor tries to select the radiation intensity only in the minimum dose.
Pros and cons of research
The positive qualities of this type of diagnosis include:
- the possibility of immediate examination of the patient as soon as he turned to the clinic,
- X-ray equipment is in almost every medical institution, so there is always the opportunity to take a picture in an emergency,
- low cost of diagnosis,
- there is a possibility to digitize the image,
- preliminary preparation of the patient in most cases is not necessary, which reduces the time for examination.
At the same time, spinal X-ray has some drawbacks. Here are some things to look out for first:
- compared to other research methods, radiography is the least informative,
- X-rays have a radiation effect on the body.
Which is better: radiography or MRI
In order to understand which of these diagnostic methods is better, you need to know their purpose.
Tomography well shows disorders in soft tissues.
The choice in favor of radiography or MRI is done on the basis of the diagnosis.
The doctor will prescribe the necessary examination and will never offer to do what is not necessary.
Who is not assigned this type of diagnosis?
The main contraindication for such a diagnosis is pregnancy.
X-rays can adversely affect the condition of the fetus.
If a patient has undergone a barium mixture test for 4 hours, then spinal X-rays are also not performed.
Pictures are obtained indistinct and uninformative, if the patient cannot be stationary for a long time, and also if he has obesity.
Since there are X-ray machines in many clinics in the country, it does not pose any difficulties to make an examination in the Russian Federation.
Turning to any clinic, you can undergo the necessary procedures.
The price of spinal radiography depends on the quality of the service, the credibility of the clinic, the volume of services provided. It will also vary by region.
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Spinal X-ray - an accessible and informative examination. It allows you to detect many pathologies of the spine, trauma, neoplasms. It can be carried out in many emergency cases.
Nevertheless, due to the specificity of the effect of X-rays on the body, it is not recommended to conduct such a study very often.
Causes and methods of treatment of numbness of the toes
Numbness of the fingers or feet may occur from natural causes. Numbness of the fingers can cause wearing tight shoes or clothing, or a prolonged uncomfortable position when working. Clamped vessels interfere with the free movement of blood flow and create a lack of oxygen in the tissues of the feet.
- Unpleasant sensations in the thumb
- Why can the toes go numb
- What examinations to pass
- Treatment methods
- Preventive measures
You can get rid of unpleasant sensations simply by removing disturbing objects, or by changing position. With a long stationary sitting will help a little warm-up.
- Take a few dozen steps to the muscles and blood vessels to work and numbness of the fingers and feet on the legs disappeared.
- The rotation of the body will help stretch the muscles and joints of the back and has a beneficial effect on the spine. Relieving the nerve endings that are clutched from the uncomfortable posture will relieve numbness from the toes.
- Squats will help restore blood circulation in the tissues and vessels of the upper legs and relieve numbness along the entire leg.
- Lifting to the toes and rolling on the heels of the right and left foot alternately and two together, can be done even while sitting on a chair. Such exercises for the toes and feet have a positive effect on the ankle and all the muscles and tendons of the foot. This avoids numbness in the legs during prolonged sitting.
If numbness occurs frequently and for no apparent reason, then it is worth thinking about conducting a medical examination to identify the cause of the discomfort. Unfortunately, the lack of seriousness in relation to the symptoms can cause major health problems. After all, the feeling of goose bumps in the toes indicates a malfunction of the vessels of nerve endings and, accordingly, the presence of serious diseases. Nerve endings running from the spine to the toes, while clamping, create numbness and pain in the thumbs, sometimes leading to severe pain.
Manifestations of diabetes can cause not only numbness in the fingers of the right or left leg, but also the rotting of soft tissues.
Why can the toes go numb
- Metabolic disorders
- Pinching nerve endings
- Intervertebral hernia
- Rheumatism, arthritis and other diseases of the joints
- Diseases of the cardiovascular system
- Problems in the liver, kidneys and pancreas
- Brain tumors.
What examinations to pass
In order to clarify the specific cause of numbness, it is necessary to undergo a consultation with a therapist and receive an appointment to conduct the appropriate procedures. Modern medicine uses many ways to identify and study the problems that arise in the human body.
- Complete blood count and specific urine and feces will show a picture of inflammation or its absence.
- X-ray or radiography allows you to determine whether there is damage to the organs and tissues.
- Magnetic resonance imaging and computer diagnostics will determine the presence of problems in the spine.
- An encephalogram will answer questions related to brain function.
- Ultrasound will help to find the cause of the disease, if it is associated with problems of internal organs.
Depending on the causes identified, the therapist will refer the patient for consultations to narrow specialists. And only then can the correct treatment be prescribed.
Treatment of any disease should be comprehensive. Depending on the specific cause of numbness and discomfort in the fingers and toes, treatment of the diseased organ and general therapy aimed at improving the whole body can be prescribed.
- Drug treatment includes mandatory drugs for the treatment of a particular organ. Perhaps the appointment of funds with analgesic effect. Be sure to use a complex of drugs that improve the functioning of blood vessels. And of course, not to do without taking vitamins.
- Hormonal drugs are prescribed if the problem of numbness in the toes arises due to a metabolic disorder and problems with the thyroid gland.
- The presence of tumors will require examination by an oncologist and prescription of treatment.
- In severe cases, surgery is possible. For example, the presence of intervertebral hernia involves an operation to remove it. Varicose veins in a neglected form can hardly be treated without surgery.
- Appointment of massage, physiotherapy and physiotherapy using various techniques.
- Alternative methods such as acupuncture, hirudotherapy and others may be recommended as an additional treatment for numbness in the toes.
The apparent lack of seriousness of symptoms can be misleading for a sick person. The numbness of the toes is only the first bell, indicating that the body requires to pay attention to yourself and take seriously health.
- To maintain your own health, you may have to change your lifestyle. First, it is worth getting rid of bad habits, such as smoking and alcohol. It is no secret that nicotine has a destructive effect on the entire body, but especially on the vascular system. For example, one of the main causes of varicose veins is an excessive passion for smoking and alcohol. Narrowing and widening of blood vessels from nicotine exposure makes blood flow to the legs problematic and makes the fingers and feet numb.
- Residents of large cities are forced to breathe air containing a huge part of the periodic table. Polluted with heavy metals and harmful substances, the air does not contribute to the improvement of the body. It is necessary to provide fresh air as often as possible. Hiking in parks and squares, trips to the forest and to the reservoirs should be a mandatory pastime.
- Changing your wardrobe with the selection of proper comfortable clothes or shoes will help avoid stagnation of blood and your legs will no longer go numb. If unpleasant numbness does not occur very often and is associated with tight clothing, this will save you from visiting the doctor and causing health problems.
- Physical education or constant simple loads are useful for the general condition of the body. Walking 2–3 km a day in calm steps is a must for a person who cares about his health. A mobile lifestyle contributes to the healing of the whole organism. The legs will not go numb if the load is constant and measured.
- The importance of proper nutrition is indisputable. Constant snacking and eating dry food leads to diseases of the gastrointestinal tract and automatically disrupts the work of many organs and body systems. For some reason, many consider the problems of each body separately.
- Fingers may become numb from prolonged immobilization. Why not move your fingers, having spent for them a small charge. Exercises are simple and do not require time and additional devices. It is enough to sit on a chair, alternately raise the fingers of the right and left feet, starting with the thumb and ending with the little finger.
- The lack of oxygen entering the legs due to the poor performance of the vessels causes the toes to become numb. You can temper the vessels with the help of a contrast shower.
- Walking barefoot through the grass and small stones are a kind of massage for the toes and feet. Feet after such a warm-up will stop numb.
Hernia is called protrusion (sometimes loss) in the direction of the gelatinous pulposal nucleus of the intervertebral disk. This happens due to the rupture of the disc ring after injury or due to diseases such as osteochondrosis, spondylosis.
The most common intervertebral hernia of the cervical spine. Moreover, as a rule, men and women of 30–50 years old with excessive physical activity fall into the risk zone. However, a hernia of the C5-C6 disk occurs in office staff as well. The reason - the wrong posture, physical inactivity, great weight. It can also be formed in elderly people with degenerative-dystrophic spinal lesions.
With timely treatment can be treated hernia without surgery for its removal.
Due to the compression of the hernia of the nerve roots of the spinal cord, a person has severe pain in the neck, back, dizziness. As soon as these symptoms appear, it is necessary to consult a doctor. He will carry out a palpation of a sick area, and also will direct on additional researches which will show what type of hernia you had formed.
An intervertebral hernia may bulge ventrally (that is, forward), dorsally (posteriorly) or into the body of adjacent vertebrae (the so-called Schmorl's hernia).
Common symptoms of a hernia of the cervical spine:
- Pain occurs not only in the neck, but also in the shoulder blades, shoulders, give in the hands.
- There is a headache in the lower part. If you make bends or turns, the pain increases.
- Numbness of the upper limbs occurs.
- Also, problems arise with the coordination of movements.
- Bad memory becomes, distracted attention.
- Constant pressure surges. Because of this, a person has headaches, dizziness.
- Extraneous noise, aggravated by any movement of the head.
- General tiredness.
- A person may lose consciousness.
Each cervical hernia is manifested in its own way. It all depends on the individual structure of the human body, the place of localization. For example, if the root is compressed at level 5 of the disc, then the pain will affect the shoulder, and weakness will appear in the deltoid muscles of the arm.
When C6 is compressed, weakness often occurs in the area of the anterior biceps, as well as in the muscles of the wrist. In this case, the pain spreads over the entire arm.
The weakness of the triceps, forearm, extensor fingers arises in the case of compression of the nerve root at level 7 of the disk. Also characteristic is the appearance of pain from the triceps all over the arm up to the middle finger. Limb partially loses sensitivity.
The last cervical vertebra is C8. If squeezing of the nerve root near it occurs, then weakness will appear in the muscles of the forearm and in the flexors of the fingers. From the shoulder all the way to the little finger, you will feel pain, numbness and such types of paresthesia as a burning sensation, crawling.
In addition to collecting history and manual examination, to diagnose a hernia in the cervical region, it is necessary to do a CT scan, x-ray of the spine, MRI.
Treatment without surgery
Hernia of the cervical spine in approximately 80% of cases is treatable without surgery. The main thing - do not miss the time when you can still stop the development of the disease.
All doctors advise to limit the movement of the head as much as possible so that there are no sharp neck turns. Most often, a corset is put on the neck for this. You also need to monitor your posture while walking, when you sit.
Methods of treating a hernia without surgery to remove it:
- Drug therapy.
- Manual therapy
- Physiotherapy procedures.
- Exercise therapy.
Many experts recommend treating the disease with folk remedies. But these methods go as an additional treatment for a hernia of the cervical spine, and not as the main one.
If you have a hernia of the cervical spine, then during treatment you will have to forget about visiting the shower (you can take a bath), saunas, and baths. The inflammatory process is also aggravated by the use of warming compresses, ointments.
Hernia in the cervical region is always accompanied by severe pain in the spine. Therefore, in the first place, treatment without surgery is based on the use of painkillers, anti-inflammatory drugs. Also prescribed drugs that will help eliminate neurological symptoms (such as dizziness, nausea).
What medications can be prescribed to the patient by the doctor:
- Medicines group NSAIDs. These include Diclofenac, Meloxicam, Indomethacin, Ibuprofen.
- Analgesics: Analgin and Spazmolgon, Berelgin and Ketorol.
- Muscle relaxants: Sirdalud, Mydocalm.
- In the event of neurological symptoms such as numbness of the muscles in the cervical region, nausea, dizziness, you will also need to take drugs.
Diseases of the neck, including hernias, often affect the human psyche. Because of this, irritability appears, sleep is disturbed. With such complaints, the patient may be prescribed sedatives: Glycine, Fenozepam, Radeorm, Elenium. If a depression occurs, then Coaxil or Stimulon can help.
Drugs that will help treat a hernia should only be selected by a doctor, because they all have a number of contraindications. The consequences of self-medication can be catastrophic.
With very strong pains, they can make a novocainic or lidocaine blockade. But this measure is only temporary, it has no therapeutic effect.
Since the hernia of the cervical spine is accompanied by pain in this area, treatment with physiotherapy, exercise therapy, massages, and manual therapy can be started no earlier than 2 weeks after the cessation of pain. Also, these manipulations are contraindicated in the acute course of the disease.
By physiotherapeutic procedures for cervical hernia imply:
- Magnetic therapy
- Thermal, cold treatments.
Considered effective is physiotherapy with gymnastics. Often use complex R. MacKenzie. When performing exercises, one has to sag not only in the back, but also in the shoulders, so it is very important not to make mistakes so that unpleasant consequences do not arise. It will be better if you spend the first few times gymnastics under the guidance of a specialist.
Traction (stretching of the spine) is carried out by a special device with straps. This procedure helps not only to increase the intervertebral space, but also dulls the pain.
Do not ignore manual therapy and massage. During the session, the doctor hands on the joints, muscles, ligaments, so that it is possible to restore the function of the neck without having to remove the hernia.
When a person has a hernia of the cervical spine, in order to avoid surgery to remove it, he resorts to any means, both traditional and alternative medicine. Therefore, it is worth mentioning some methods of treatment of folk remedies.
The basis of many ointments, compresses, which recommend to treat a hernia of the neck, is horse fat. There are several ways to use it:
- First you need to cool the fat in the refrigerator to a consistency that will allow you to rub it. Leave for some time at room temperature, and then apply ointment on the gauze and apply to the affected area. Wrap your neck with a warm scarf, and go to bed like that. The pain begins to decrease after about 2 hours.
- You can melt the fat with a water bath. As in the first method, a lotion is made from it and left overnight.
Treatment with horse oil should be carried out for several days (sometimes a week), and then a small break is mandatory.
For a greater effect of treatment with folk remedies, it is desirable to do massages. For example, in the morning you can use a regular massage cream with the addition of a few drops of fir oil. In the evening, use honey or mummy, and after the massage, apply Finalgon or another ointment. Neck must be wrapped.
What other folk remedies can you use to avoid hernia surgery:
- Overlay compresses with Kalanchoe.
- Garlic compresses.
In order to avoid serious consequences after treatment with folk remedies, consult your doctor before use.
In some situations, when spinal cord compression occurs or non-surgical treatment does not help, it is necessary to remove the hernia. Unfortunately, after surgery, no doctor can guarantee a positive result. In addition, scars remain, adhesions may form, and this entails new problems.
The surgery that the surgeon can do:
- Cervical discectomy. There are 2 types: the incision is made either in front of the neck, or behind. During surgery, the surgeon removes a small piece of the disk, which, in fact, puts pressure on the nerve root.
- Replacing a disk. Such an operation is often done in the case of anterior discectomy. When it is carried out, the removed joint is replaced with an artificial one. The main advantage is that after it, practically in all patients the mobility of the neck is not disturbed.
- Microendoscopic discectomy.
- Laser treatment.
Many patients are interested in, what is a hernia of the cervical section dangerous? So, the absence of any treatment can lead to radiculitis, stroke, and paralysis. Therefore, at the first suspicions it is necessary to seek medical help.