For those who have a lot of sitting: How to keep your back healthy
Between the bones of the spine the intervertebral discs are located is cartilaginous structures that absorb well and makes the spine flexible. In the center of each disc is a soft core surrounded by a dense ring of fibrous or fibrous — tissue. When this sealing ring is damaged the engine can go beyond it is accompanied by pain in the back and is called a herniated disc. What to do to prevent the development of disease and how to live with the diagnosis, we found out from the experts: neurologist clinic evidence-based medicine "Dawn" Yuri Eliseev, doctor of medical Sciences, head of the Department of spinal neurosurgery SMRC of neurosurgery named after academician N. N. Burdenko, Nikolai Konovalov and FPA certified coach Vladimir Kuksov.
Where does the hernia[править]
A herniated disc can occur in the cervical or thoracic spine, but most often it occurs in the lumbar region — this Department accounts for the largest load. When a person is lying or standing, the pressure on the intervertebral discs is evenly distributed, but in a sitting position often have round the waist or strongly bend forward.
As a result, the spine appears uncharacteristic bend and the inner core of the vertebra puts pressure on the fibrous ring.
If this happens too often — for example, a person spending hours each day sitting at a computer or behind the wheel, gradually formed a herniated disc. Lifting with indirect back, overweight, or long walks in high heels can give the same effect. But most often the problem faced by those who have little moves during the day and spends a lot of time sitting, especially the legs.
When to do an MRI[править]
Neurologist Yuri Eliseev notes that back pain only three to five percent associated with disc herniation. Sometimes discomfort in the area erroneously called osteochondrosis when the real reason is age-related changes in the intervertebral discs, which are the majority of people over forty years. But most often discomfort in the back is the "suffering" of the muscles, joints or ligaments due to excessive load.
According to doctors, what usually happens is that the patient complains of lower back pain the next day after a long monotonous physical work like snow removal on the site. Discomfort may become stronger when bending
and turns and decrease alone. If, upon inspection, the doctor will not find the so-called red flags — indications of serious pathology, then offer conservative therapy, including course pain medications and exercises physical therapy.
Magnetic resonance imaging of the lumbar should be done
no earlier than four to six weeks of such treatment, if it yields no results. MRI may be preceded by conventional radiography — for example, to see the displacement of the vertebrae or fracture. If acute back pain is accompanied by loss of sensation or impairment of movement in the leg (this is called a neurological deficit), MRI is prescribed, usually once.
Who needs operation[править]
According to Yuri Eliseev, the view that the larger the hernia, the closer the operation is wrong. The doctor notes that a large hernia may not cause discomfort if it does not affect the surrounding nerve structures. Surgical treatment can be effective when it helps conservative therapy (medications and exercises) or the benefits of the operation exceed its risks — and they are. For example, you need to be prepared for the fact that after the installation of the metal structure between the vertebrae of a motion task and the depreciation will lie on the adjacent vertebrae and discs, which they will wear out quickly.
Every year neurosurgical techniques become safer, but for a serious operation often enough to make a few small incisions on the skin. However, surgical treatment is assigned in error, will not relieve the unpleasant symptoms — pain, numbness, and other discomfort. Nikolay Konovalov notes that in the last time physicians were less likely to prescribe surgery. The reason — the re-emergence of hernia and other unpleasant consequences; some complications after the removal of the disc herniation lead to disability.
What a load of useful[править]
Therapeutic exercises, the complex of which must be matched by a doctor, experts advise to perform the first days of the appearance of discomfort in the back
not forgetting to drink the prescribed medication. First is to perform exercises under the supervision of a specialist to practice proper technique and, if necessary, to adjust the property if the pain increases with certain movements.
This load helps to strengthen the muscles that support the spine,
and restore joint mobility. But peace in this case, by contrast,
will not give any improvements. When there is no pain, that is in remission, regular physical activity is also needed, and will fit almost any kind of activity — swimming, Pilates, yoga, gym sessions, but with some limitations. For example, yoga enthusiasts in most cases are contraindicated asanas with hyperextension in the lumbar spine.
According to coach Vladimir Kuksov, an important condition during any workout — not to give additional axial load on the spine, to abandon the jerk movements and big weights to
not to provoke the aggravation of the hernia. Working out in the gym, squats should replace the bench press platform, visy on the bar — pull-UPS
in the gravitron, and the classic hyperextension — the reverse (when there is no load
lower back and well-used buttocks).
How to unload the spine[править]
Back health depends largely on lifestyle. With a balanced
and varied diet body weight is normal, and no excess weight
there is increased load on the spine. Very important
and regular exercise — physical activity creates strong muscle corset. Those who spend hours in the office, you need to remember about short breaks — enough for a little exercise, walk down the hall or simply stand up and stand for a few minutes.
If the habit of sitting with legs crossed and slouch forever
with the help of willpower, do the experiment: replace your office chair on the special chair-corrector. From usual it differs,
when sitting the pelvis is not tipped forward, and the buttock are in the same plane with the spine. This chair is impossible to sit comfortably
and relax. We have to keep the back straight and she