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The "pain of the century", a common expression to designate the pain of back. The hernia discale is one of the reasons of it. This affection of the intervertebral disks is characterized the most often by a lombalgie or a sciatica. Symptoms, diagnosis and treatments, Doctissimo makes a tour of horizon of the hernia discale.  Often at the origin of lumbar pains, accompanied or no of sciatica, the hernia discale would be responsible for 2% of the pains of back. The guilty party:  an intervertebral disk fissured. The point on this affection, of the symptoms to the treatments.
A distortion of the intervertebral disk in reason The hernia discale is an illness bound to the displacement of one of the intervertebral disks. Our backbone is constituted of 24 vertebras of which 7 cervical, 12 dorsal and 5 lumbar. Between each among them:  an intervertebral disk, sort of cushion shock absorber. This disk is composed of two elements:  a central core (nucleus) surrounded of a fibrous ring (annulus) that attaches the two vertebras one to the other. If the ring fissures, the substance of the core makes protrusion outside of the backbone. It is what one calls a hernia discale. This overflow of the intervertebral disk can provoke the compression of a nervous root or the spinal cord then. The hernia discale concerns the men more frequently that the women. She generally occurs between 35 and 55 years following the overworking, to the uprising of a heavy load or after an abrupt torsion of the trunk. Pregnancy and the overweight are also factors of risk. Some genetic predispositions are often at the origin of the precocious cases, since the age of 20 years.
Hernia:  of the symptoms to the diagnosis The demonstrations of the hernia discale are very variable of a patient to the other. Sometimes asymptomatique, she is characterized the most often by sharp pains. These are often concentrated in the low of the back, because 95% of the hernias discales are situated to the level of the lumbar vertebras. The classic symptoms are therefore a pain of back or lombalgie. The backbone is then very painful. If the disk compresses the nervous root, one speaks of neuralgia sciatica. Let's note that 85% of the sciaticas result from a hernia discale. The pains spread then to the buttock, the thigh and the leg, with a sensation of tingle and sometimes a paralysis. In the sterner cases, it is the spinal cord that is touched, provoking a paralysis of the members or sphincters thus anal and urinary. It is necessary in this case to consult a physician most urgently. The patient generally consults his physician when the dorsal pains intensify. They constitute the first reason of anti-pain centers consultation besides. At the time of the visit, the physician interrogates the patient on the frequency, the intensity and the localization of the pains. The clinical exam is completed then by a x-ray of the sufficient rachis to put the diagnosis. But if the physician doubts, he can propose a scanner or an IRM, that will permit to visualize the hernia.
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