Are herniated discs and race walking compatible? From flat feet to hernia: how Nordic walking is useful

Pain in the sacrum and coccyx can bring a lot of trouble. The main difficulty is that it is almost impossible to distinguish coccygeal pain from pain in the sacrum. Only a specialist can do this with absolute certainty. The sacrum and the coccyx themselves do not hurt so often - usually a painful sensation in this area indicates the presence of any diseases of the spine or internal organs. Therefore, if discomfort occurs in this area, you should visit a doctor as soon as possible.

Sources of pain

To identify the source of pain, it is necessary to accurately determine the nature of the pain. Pain in the sacrum and coccyx can be divided into two types: primary and secondary. Primary pain can be caused by such causes as trauma to the sacrum or coccyx, degenerative diseases of their connection, neoplasms of a benign or malignant nature.

Secondary pains are only a consequence of diseases that are localized in adjacent areas: intestines, organs of the reproductive system, bladder and kidneys and others.

Injuries

Injury to the sacrum or coccyx is not as difficult as it seems - a sharp fall on the buttocks while skating, walking on the street or in any other situation can lead to a tear of the sacrococcygeal junction or other injury to this area. In women, the process of childbirth often leads to similar injuries. Older people are more prone to bruises, fractures and dislocations - a decrease in bone density increases the possibility of injury even in the most harmless situation.

At the same time, acute pain usually disappears quite quickly - within a week, back pain in the sacrum appears during movement, in a sitting position or when walking. Also, increased pain is possible with defecation.

In some cases, the pain goes away completely, but returns after many years. This happens if the correct treatment has not been carried out. In this case, degenerative processes may occur in the sacrum and coccyx, provoking coccygeal neuralgia and other problems.

To diagnose the condition of the coccyx and sacrum, it is necessary to contact a traumatologist as soon as possible after the injury. The specialist can palpate and take an x-ray of the coccyx, which allows you to examine in detail the condition of all bones.

Treatment

The effectiveness of treatment directly depends on how quickly you seek help from a specialist. With a bruise, as a rule, painkillers, anti-inflammatory drugs and physiotherapy are sufficient. Fresh dislocation or subluxation needs to be reduced. If you seek help too late and the concern is related to an old injury, the dislocation is not performed and the treatment is carried out using anti-inflammatories and pain medications.

Most serious case is a fracture or fracture-dislocation. If necessary, reduction is carried out, and then splinting of the damaged area. The patient is prescribed bed rest and maximum rest. Also, for a full rehabilitation, it is necessary to take vitamins, anti-inflammatory drugs, as well as physiotherapy - massage, exercise therapy, etc.

Osteoarthritis of the sacrococcygeal joint

The connection of the coccyx and sacrum is almost motionless, and after reaching the age of 30 it completely freezes. This process is not a sign of any pathology, but the coccygeal plexus and sacrococcygeal ligaments may also be involved in it.

Injury during the curing process can lead to serious consequences. In such cases, conservative medication and physiotherapy are prescribed. It includes taking non-steroidal anti-inflammatory drugs, muscle relaxants, ozonation, mud therapy and other procedures.

Neoplasms

In the region of the sacrum and coccyx, neoplasms such as chordoma, dermoid cyst of the sacrococcygeal region and teratoma most often appear.

Chordoma is a benign neoplasm that most often appears in the coccyx region. The tumor itself is not so common, but in 40% of cases it appears in this department. Pain in this case can be quite strong, they give to the lower limbs, genitals and perineum.

Dermoid cyst and teratoma are congenital diseases. The first is more often found in childhood, the second - in adults. They are also not so common and are characterized by mild, but constant aching pain in the coccyx and sacrum.

For the diagnosis of the area of the coccyx and sacrum for the appearance of neoplasms, a visual examination, palpation, ultrasound procedure and magnetic resonance imaging. Treatment is only surgical methods. If there is a degeneration of the tumor, chemotherapy is performed.

Neurological diseases

This group includes osteochondrosis, hernia lumbar, sciatica and other pathologies. From all these diseases, the back hurts in the sacrum, coccyx and buttocks. With osteochondrosis, the pains are shooting in nature, they radiate to the back of the leg (usually only to the right or left). My patients use a proven remedy, thanks to which you can get rid of pain in 2 weeks without much effort.

For the treatment of neurological diseases, the following methods are used:

Conservative methods - taking anti-inflammatory drugs non-steroidal origin, muscle relaxants, vitamins and medicines that improve blood circulation.
Taking painkillers, novocaine blockade.
Physiotherapy, treatment with magnets, electrophoresis.
Surgical methods.
Spinal fusion with implant placement

Diseases of the rectum

Since the intestine is located very close to the sacrum and coccyx, it is very often the cause of intestinal pathology. anal fissure is damage to the mucous membrane of the anus. This can happen due to too much straining or mechanical damage. Pain is given to the coccyx. Also, symptoms of this disease are anal bleeding. An accurate diagnosis can be established by a proctologist. Treatment consists in following a special diet, drinking plenty of fluids. Pain medications may be prescribed to relieve pain rectal suppositories. In rare cases, surgery may be required.

Paraproctitis is an inflammatory disease in the rectum. Usually caused by staphylococcus aureus coli or streptococcus. The disease can be triggered by the following factors:

Frequent constipation.
Long-lasting anal fissures.
Exacerbation of hemorrhoids.
Injuries of the pelvic region.
Inflammation of the anal glands.

Diagnosis for pain in the sacrum and coccyx

If you are worried about pain in the coccyx and sacrum, the most important thing is to see a doctor as soon as possible. If you have recently fallen, hit, or been exposed to any other situation that could lead to injury, contact a traumatologist.

If you cannot independently determine the source of the disease, consult a therapist. He will refer you to narrow specialists to find out exactly the source of the pain. You may need to visit a gynecologist or urologist, proctologist, orthopedist, surgeon, neurologist and other doctors.

specialist examination, X-ray, palpation and other methods will allow the doctor to determine the source of pain, put accurate diagnosis and start treatment. To get rid of pain in the sacrum and coccyx, you must follow all the doctor's prescriptions and in no case self-medicate.

Physiotherapy exercises may be needed for complete rehabilitation. Although it does not always seem effective, classes should be regular - only in this case you can completely eliminate the cause of the disease and get rid of the pain syndrome forever.

Exercises for a hernia of the lumbar spine

Degenerative-dystrophic processes in the spine are often diagnosed only at an advanced stage. At the moments when strong pain interferes with movements in the lumbar region, the patient hurries for medical help. However, the fibrous ring surrounding the intervertebral disc is torn, and the nucleus pulposus is significantly displaced to the side. This is how the most common complication of osteochondrosis of the lumbar segment develops - disc herniation. If the disease affects the structures below, in the area sacral department spine, then the pain is even stronger, radiating to the leg, which interferes with the function of walking.

Despite the many options for conservative and surgical treatment of the disease, none of them can do without therapeutic exercises. Many exercises are performed at home, and photos of achievements are easy to find on the Internet. One of the most popular is the technique of Sergei Bubnovsky, which is also effective for Schmorl's hernia of the lumbar spine (pushing cartilage tissue spongy substance of an adjacent vertebra without rupture of the fibrous capsule - pseudohernia). The video of the classes is presented on the YouTube channel, where all the exercises can be carefully studied.

Exercise Requirements

The main task of physical activity is to strengthen the frame of the lower back. This is achieved by daily dosed loads that stabilize the position of the intervertebral disc. Although all exercises are quite effective, they are not able to fully cope with painful condition. Radical treatment of a hernia is exclusively an operation to eliminate it.

All physical. training must meet the following requirements:

to be feasible to the patient;
improve blood flow in the lumbar region;
effectively affect the muscular frame;
be simple and easy to use;
have an effect in the shortest possible time.

There are several groups of physical activities. Therapeutic gymnastics is specially designed medical specialists, so it takes into account the patient's condition with a hernia of the lumbar. However, therapeutic exercises have a major disadvantage - they are rather weak, as they are suitable even for untrained people. Therefore, muscle strengthening is achieved for a long time, and the patient needs supportive medications for anesthesia.

Another group of exercises is strength. They require considerable training of the patient, but lead to early results in the formation of a protective frame of the back. Strengthening of the positions of the intervertebral disc occurs in the shortest possible time, which leads to a refusal to administer analgesics much faster. But power physical activity is shown only to those people who initially have a good athletic shape.

Even the best exercises are not able to cure a hernia of the lumbar zone of the spinal column. The displacement of the intervertebral disc will slow down, which will help reduce pain and increase motor activity. But due to involutional changes in the body itself, the problem will soon make itself felt again. Therefore, the only correct choice of radical treatment is to perform a corrective operation, and only then stabilize the muscular skeleton with the help of exercises to prevent hernia recurrence.

Forbidden exercises

Despite the seeming simplicity physical training, some exercises directly harm a patient with an intervertebral hernia in the lumbar segment. General principles prohibited exercises - what specifically can not be done:

sudden movements of the body;
run with accelerations and decelerations;
do weightlifting;
plan a sharp load on the lower back;
participate in sports competitions;
lift sports equipment weighing more than 5 kg;
bend over without bending your knees.

The general principles apply to all workouts, but there are also harmful exercises that are undesirable when you are ill. The most dangerous of them are described below, leading to a deterioration in the condition of the intervertebral disc.

Jumping on a hard surface. In this case, there is not enough cushioning for the lumbar spine. As a result, the hernia continues to move, which, with frequent repetition of jumps, can lead to complications.
Pulling up or just hanging on the horizontal bar. Despite the popular belief that the spine will straighten out, this does not happen. The burst fibrous ring is stretched, which will accelerate the progression of the disease, and also enhances the pain syndrome.
Rough self-massage in the lumbar area. Many guides suggest massaging your back after workouts. However, with an incorrectly chosen load, it is easy to displace the intervertebral hernia even more, which will lead to a sharp exacerbation of all existing symptoms.
Torso twisting. These exercises lead to an uneven load on the hernial protrusion. The result will not keep you waiting long - after 3 days of training, the pain in the lower back and leg will increase dramatically.
Long jump. This exercise is characterized by a sharp overstrain of the muscles of the lower back, which is completely contraindicated in the presence of a hernia.
Strength exercises for legs. They are performed lying on your back with tension in the rectus dorsi muscles. This is unacceptable, as muscle strength decreases around the annulus fibrosus. As a result, the disease progresses.

Proper physical activity is very useful for strengthening the spine. But their implementation must be agreed with the attending specialist so that prohibited gymnastics does not fall into the complex of classes.

Exercise therapy techniques

Therapeutic exercise in case of damage to the lumbar or sacral spine is prescribed. It helps to stabilize the work of the muscles in the affected area, which has a positive effect on the relief of pain or rehabilitation after surgery. The complex of classes, regardless of the developer, includes the same type of exercises to alleviate the suffering of the patient. However, all methods of exercise therapy are divided into 2 large groups: gymnastics during an exacerbation, when the level of pain is extremely high, and also during remission to prevent relapse.

Below are simple exercises applied during the period of severe pain reaction. The essence of these exercises is the stabilization of the spine by choosing special relaxing positions.

Pose number 1 - lying on your back with bending the legs at the knees at an angle close to a straight line. A rounded roller can be placed under the lower back to improve blood flow in the affected area. The duration of stay in this position is 30 minutes, but you need to get up very slowly, avoiding twisting of the body.
Pose number 2 - in the position on the stomach face down. For an elevated position of the lower back under the anterior abdominal wall, it is desirable to put a rounded roller, not exceeding 10 cm in diameter. The pose is suitable for people who are not too obese, since in the presence of excess body weight, respiratory difficulties are possible. The duration of stay in this position is not more than 20 minutes.
Deep breathing. This simple workout will help improve oxygenation of the affected area. The essence of the exercises - lying on your back, you need to take a very deep breath, hold your breath, after a few seconds, slowly exhale. Repeat up to 15 times. Breathing movements it is better to perform with the participation of the diaphragm and abdomen.
Foot movements. Starting position - lying on your back. The legs are slightly apart to the sides, and the feet are raised at right angles to the floor. The essence of the exercise is to alternately change the position of the feet, lowering and raising them. The number of repetitions does not matter much, it is only important that the training is carried out without the efforts of the lower back. The duration of classes is up to 3 times a day for 15 minutes.
Leg flexion. This exercise is a little more difficult, therefore, with the sharpest pain in the lumbar region, they will have to be neglected. Position on the back, you can directly in bed. Both legs are extended and lie on a hard surface. It is necessary to alternately bend the knee joint, but do not tear the heel off the floor or bed. The number of repetitions for the affected limb should be 2 times more than for the opposite. Total workout time up to 30 minutes per day.

Even with a sequestered hernia, when there are depressions in the bone tissue, the exercises described above can be used during an exacerbation. The pain syndrome will decrease, and the relief of the patient's condition will come faster.

With intervertebral hernia during remission or subsiding exacerbation, when the symptoms of the disease are already slightly expressed, there is a more extended set of exercises. They are also suitable for Schmorl's hernia with pain, since in this situation the fibrous ring does not suffer. The most popular exercise therapy exercises are described below.

Bending the legs. The practical benefits of this simple workout are obvious - not only the muscles of the back are strengthened, but also the limbs, where blood flow also improves. Starting position - lying on your back, legs brought together and unbent at the knee and hip joint. The essence of training - alternating lifts lower extremities with flexion at the knee and hip joint. The number of repetitions is not important, it is important to withstand the duration of the load for 20 minutes.
Body lifts. Starting position - lying on your back. Arms and legs are extended. It is necessary to lift the body of the body, bending it in the lumbar spine until taking a semi-sitting position. Then slowly return to the starting position. The number of repetitions - no more than 20 per day, trained people can increase the intensity of training up to 30.
Swimming. great way restore the blood supply to the lower back. Water pressure on the affected area will create additional load to stabilize the muscular corset. Swimming style is not important, better in prone position. Lessons are up to 40 minutes per day. Open water bodies have a more effective effect on the spine than chlorinated pool water.
Simulation of cycling. An exercise that has been known since childhood. Its essence lies in the slow alternate flexion and extension of the limbs in the knee and hip joints at a rhythmic pace. Performed in a supine position. The duration of continuous training should not exceed 3 minutes. After each approach, you need a break of at least 10 minutes, during which time it is recommended to perform other exercises.
Bridge. Starting position - lying on your back. Legs are closed, hands are pressed to the floor. The essence of the training is lifting the pelvis with the help of the efforts of the limbs and the muscles of the lower back. In this case, the body takes an arcuate shape based on the heels and upper limbs. It is advisable to alternate the exercise with the simulation of cycling.

The same exercises described above can be used for late rehabilitation after hernia removal. In the early postoperative period, classes according to the method of Sergei Bubnovsky are suitable.

Treatment of a hernia with exercise

Physical training will help to completely get rid of the hernia only after its prompt elimination. Regular exercises before and after hernia removal help to reduce the rehabilitation period and normalize the quality of life as soon as possible. A set of exercises for the formation of a muscular frame, which is optimal for most patients, is presented below.

Head lifts. Starting position - lying on your stomach. Hands are removed under the head, a roller is placed under the legs in the area of the shins. The essence of the exercise is lifting the head with the tension of all the muscles of the spinal column. The number of repetitions is up to 15.
Back bending. The starting position is the knee-palm position, in which the patient leans on bent knees and straightened arms. The essence of the exercise is the movement of the hands sliding along the floor forward with the simultaneous deviation of the pelvis back. Completed position - the hands lie completely on a hard surface, and the head and back rise above them. The number of repetitions is no more than 20 per day.
Martin. This difficult exercise is completely unsuitable in the early postoperative period and with a sequestered hernia. Position - knee-palm. The essence of the training is to simultaneously raise the arms and legs while stretching the limbs in opposite directions. If pain intensifies at the time of lower back tension, you should stop doing gymnastics and consult with an exercise therapy instructor.
Crossing legs. Starting position - lying on your back. The right limb is bent at the knee joint, the left is fully extended. The essence of the lesson is raising and holding the heel on a bent knee. Then you should swap the limbs. Repeat in slow mode up to 20 minutes during the day.
Extending the arms and bending the legs. Starting position - lying on your back, arms are located on the chest, legs are unbent, brought together. The essence of gymnastics is the extension of the arms together with the bending of the legs at the knee joints. Repeat at least 20 times in one workout.

The physical level of training can be increased depending on the condition of the patient's body. If the exercises bring discomfort, then even with a hernia of Schmorl L4-L5 of the lumbar vertebrae, the load should be reduced.

With an intervertebral hernia, yoga can bring positive results. The most popular asanas (positions) used for this pathology are listed below.

Apanasana.
Pavanmuktasana.
Virabhadrasana.
Padangushthasana.
Ardha Svanasana.
Savasana.

The use of yoga must necessarily be carried out under the supervision of a specialist. With a vertebral hernia of the sacral region in unprepared patients, the pain syndrome may increase. A full video of yoga classes with a hernia of the lumbar segment is presented here:

Techniques of Sergey Bubnovsky

Author's techniques are quite popular for improving movements in the lumbar spine. The most relevant gymnastics Sergei Bubnovsky. Below are a few exercises typical of this author.

Lifting the pelvis. An exercise similar to the bridge from the principles of physiotherapy exercises. Its essence is to slowly raise the pelvis with the help of the muscles of the legs, lower back and arm strength. Training is performed slowly, but with a gradual increase in intensity as the pain decreases.
Back arching. Starting position - standing on all fours. It is necessary to bend the back in the lumbar region as far down as possible and return to the starting position. The number of repetitions does not matter, the intensity is important. The essence of all Bubnovsky's exercises is to strengthen the muscular frame by gradually increasing the load. Therefore, you should start training with 5 minutes, gradually bringing them up to 30 minutes a day.
Buttock movements. Initially, the patient sits on them, legs are straightened, and hands are brought to the back of the head. The essence of the exercise is a kind of “walking with the buttocks”, by raising the pelvis with the strength of the lower back and lower extremities. It is allowed to move around the entire area of the training room.

In addition to the Bubnovsky technique, Dikul's gymnastics is gaining popularity. These are strength exercises aimed at the speedy formation of a protective corset. However, such exercises are absolutely not suitable for poorly trained people, since significant physical effort is required. In addition, Dikul's exercises are not intended for the recovery period after surgery, as they require strong muscle tension.

Not only doctors offer exercises for the treatment of a hernia of the lumbar spine. Gymnastics Shamil Alyautdinov, who is the Imam-Khatib of the Moscow Mosque, has some followers. The essence of the exercises that are carried out in a position on the stomach and back is to expand the intervertebral spaces in order to alleviate pain. However, the technique has no medical justification, therefore wide application not found in medical circles.

Gymnastics of the lumbosacral region

Therapeutic exercise is an integral part therapeutic process getting rid of the disease. It is prescribed both before and after surgery to stabilize the work of the muscles of the lower back. With a vertebral hernia, physiotherapy exercises are combined with conservative drugs that facilitate the patient's movements. Loads should be strictly metered, but in the following situations it is better to refrain from exercising:

sharp and subacute period heart attack;
the presence of proven aneurysms of large vessels;
ejection fraction of the heart is less than 30%;
the general serious condition of the patient;
thromboembolic complications in the postoperative period or a high risk of their occurrence;
for some exercises - body weight more than 150 kg, as respiratory disorders are possible.

After removing the hernia, all loads must be agreed with the doctor. Even Schmorl's pathology sometimes leads to a serious pain syndrome, but in the absence of damage to the fibrous capsule, physical exercises can not be carried out in a gentle mode. In this situation, the Dikul technique is suitable, since it is necessary to protect the intervertebral space as quickly as possible.

For the spine, the preservation of physiological curves, which are laid genetically, is of current importance. Those classes that do not take into account the natural curvature of the spinal column are considered incorrect with medical point vision, so their use is unreasonable.

Is it possible to practice Nordic walking with a hernia of the spine, depends on the condition of the patient. Quite a few important role it also plays in which part of the spine there are hernias, as well as how many of them. Some people live with hernias all their lives, experiencing discomfort from time to time when bending over, exercising, or standing for a long time. Other patients suffer from unbearable pain, while others require surgery.

Therefore, what types exercise permitted, and which are contraindicated, the doctor must decide.

The human spine is made up of vertebrae separated by vertebral discs. The cervical region consists of 7 vertebrae, the thoracic - of 12, and the lumbar - of 5. The disc consists of a fibrous ring, inside which is the pulpous nucleus. Herniated discs occur when the annulus fibrosus is compressed, after which part of the nucleus pulposus bulges outward. Because of this, compression of the nerve roots occurs, so there are pain sensations in various parts body or paralysis.

If the lumbar spine is damaged, pain occurs in the lower back, legs; in severe cases muscle atrophy may occur. With hernias in the thoracic region, pain occurs in the chest, often there is numbness of the hands or a feeling of "goosebumps". Patients often turn to a cardiologist believing that they have heart disease.

Hernias in the cervical spine are manifested by tinnitus, headaches, dizziness, increased blood pressure. Often, patients develop neurotic disorders in the form of fear, phobias and panic attacks.

Indications for physical activity

Treatment of vertebral hernias requires complex therapy. It's no secret what to cure musculoskeletal system it is impossible with injections or tablets alone. Therefore, experts have developed a set of exercises that allow;

eliminate pain;
relieve muscle spasms, tension;
stretch the spine;
improve blood circulation in the pelvic organs;
strengthen muscle corset;
stimulate immunity;
activate metabolic processes.

If the patient is able to move, then walking with a hernia is a necessary daily procedure. To strengthen the muscles of the back, doctors also recommend swimming. However, not all people have the opportunity to visit the pool. Therefore, Nordic walking is gaining great popularity. Experts have recognized this unusual type of walking as effective in diseases of the musculoskeletal system.

Walking does not require expensive equipment, special clothing and can be practiced anywhere. Scandinavian skiers, due to the lack of snow, could not conduct natural training, so they came up with walking with sticks.

Such walking is useful because due to the sticks, the load is evenly distributed on the arms and shoulder girdle, so the pressure on the spine and joints is reduced.

But ordinary ski poles are not suitable for such a walk. Manufacturers produce special sticks that need to be selected taking into account the height of a person.

Nordic walking in diseases of the musculoskeletal system

Hiking in the fresh air is useful for all people without exception. Even with the most severe diseases, doctors recommend walking, moving, if the condition allows. Nordic walking creates a certain load on the body, so before embarking on it, you should discuss all issues with your doctor. Usually people who have vertebral hernias suffer from overweight, lead sedentary image life or have sedentary work. Therefore, Nordic walking allows you to solve these problems. With regular walking with sticks, you can:

reduce weight;
improve the functioning of the cardiovascular system;
strengthen the musculoskeletal system;
correct posture;
improve coordination;
stabilize blood pressure;
increase blood circulation;
restore metabolic processes;
reduce the risk of other diseases;
improve psycho-emotional state.

With an intervertebral hernia, some physical activity can not only increase pain, but also harm. Nordic walking is not contraindicated in this disease if the patient is able to move around. However, classes should start with minimal loads. Whether it is possible to engage in Nordic walking with hernias in the spine also depends on whether the disease is in the acute stage. With a strong inflammatory process first you need to stop the pain with medication, and then start training.

In some cases, it is required to perform daily exercises to stretch the spine, and after a while you can start walking with sticks. It is necessary that the walk bring pleasure, and with strong painful sensations it is impossible to achieve this.

Nordic walking should not be practiced after spinal hernia surgery. It is important for the patient to undergo rehabilitation within 2–6 months.

Features of Nordic walking

Nordic walking resembles intensive walking with sticks, which allow you to distribute the load on all muscle groups. During such a walk, the muscles of the shoulders, arms, neck, upper and lower extremities are involved. At the same time, a person does not run, namely, he walks, pushing off with sticks. This reduces the load on the lower body, which is important for hernias in the lumbar spine.

In normal walking, only 40% of the muscles work, and in Nordic walking - 90%. A rhythmic load on all muscle groups expands blood vessels, saturates the body with oxygen, improving the nutrition of damaged tissues in the spine.

Although this type of walking is quite simple, the following nuances must be taken into account;

before starting, do a little warm-up;
do not start a lesson with high blood pressure;
walking is prohibited with ARVI;
when stepping, the foot should move smoothly from heel to toe;
you should not slap the whole foot on the ground;
when stepping with the left foot right hand walks forward (same principle with the right foot);
you need to lean on the stick, pushing off with your hands, and not just rearrange it;
do not hit the sticks very hard on the ground;
adjust the load on the arms, back and legs alternately.

pregnant women who have intervertebral hernia may experience lower back discomfort in the third trimester. Therefore, doctors may recommend Nordic walking as a walk and preventive measure. If during a walk with sticks a person experiences shortness of breath, darkening of the eyes, fatigue, palpitations, headache, nausea and heavy sweating, then it is necessary to stop training and consult a specialist.

There are much fewer contraindications to Nordic walking than indications. Spinal hernias are not a contraindication to this species sports. However, all questions should be discussed with your doctor. If exercise increases pain in the spine or joints, it is possible that walking is not performed correctly. You should also choose sticks for growth. Keep in mind that the higher the sticks, the greater the load.

There are several methods of treating this pathology, and their choice depends on various factors, such as the severity of the disease, the individual characteristics of the patient, and so on. In some cases, it is necessary, while in others you can get by with conservative means in the form of medicines.

Be that as it may, a person who is faced with this problem must adjust his own lifestyle towards a healthy and correct one.

He should follow all the prescriptions of the attending physician, form an approximate scheme rational nutrition and strictly follow it, as well as include in your plans the additional activities recommended by the same doctor -, and.

Let us consider in more detail such a variety of the latter technique as race walking with a hernia of the spine.

Method features

Treatment of spinal hernia by walking is one of the possible ways to cope with this problem, which a neurologist can advise. So, does walking help with spinal hernia?

In favor of this method, there are a number of positive factors of its influence on human health:

The main cells of cartilage tissue (chondrocytes) receive nutrition exclusively in the process of a person performing measured and calm movements.
Walking with a vertebral hernia has positive influence on the respiratory system, since during such walks the lungs are abundantly filled with air, and the whole body with life-giving oxygen.
For people suffering not only from a hernia, but also from being overweight, such exercises are an additional opportunity to get closer to the desired shape. About thirty grams of fat is burned per hour.
The benefits of calm movements are the activation of almost all muscle groups.
Hiking improves the functioning of the digestive system.

By the way, walking can be used not only to treat a hernia, but also to prevent diseases such as muscle atrophy (when the blood in the body stagnates and the nutrition of internal organs is disrupted), osteochondrosis and rheumatism.

Like any other complex of physiotherapy exercises, walking with a hernia of the lumbar or any other spine requires consistency. That is, you need to start with a slow, acceptable pace for the body that has not yet been restored, as well as short distances.

For the first few workouts, one hundred to two hundred steps will be enough, with which you can prepare your body for new physical exertion. When he gets used to such a quantity, you can begin to increase the distance - up to one or two kilometers.

Do not let your ego guide you, do not strive to overcome long distances or walk for several hours in the very first days. Remember that your task is not to set a record, but to steadily, gradually, regardless of the weather and mood, move towards your goal, towards recovery.

Once you feel progress, you can continue to increase the distance, gradually bringing the distance traveled up to seven to eight kilometers.

Basic Rules

Since the goal of hernia treatment intervertebral disc walking is the development of endurance, you can not overstrain the body, overload the spine. Otherwise, you risk only further harming him. In this case, all the measures taken for recovery will be meaningless.

When walking, be careful not to let sudden movements. Running, jumping and squatting is also not worth it. In the process of a sports walk, you need to monitor your posture, but do not be zealous in order to prevent discomfort.

They can occur because your body is too accustomed to a certain position, and changing habits will require additional effort. Just adjust them a little, and you can come to grips with the identified problems after recovery.

Varieties of training

Depending on what the overall level physical training patient, the doctor prescribing walking as exercise therapy may choose one of several options. So, Nordic walking is considered a kind of such medical procedures.

This method implies that a person moves with sticks specially designed for this purpose, but outwardly very reminiscent of ski poles. With their help, you can unload the spine, transferring part of the weight to the sticks. In addition, the devices serve as a support for maintaining balance.

As for harm or contraindications, walking with intervertebral hernias is one of the few medical procedures that do not have side effects.

However, for this to be true, it is important to observe the state of your body throughout the workout and calculate the right pace and distance that is right for you.

Over time, you can supplement the chosen technique with other types of training, such as: walking on the buttocks and similar aerobic exercises, skiing, and so on. Take care of yourself and follow your doctor's instructions.

Denial of responsibility

The information in the articles is for general information purposes only and should not be used for self-diagnosis of health problems or for medicinal purposes. This article is not a substitute for medical advice from a doctor (neurologist, internist). Please consult your doctor first to know the exact cause of your health problem.

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As you know, this pathology has unpleasant symptoms that make the patient clearly control their physical activity. At the same time, moderate exercise is complex method treatment of intervertebral hernia.

Proper physical activity helps to strengthen the muscle corset as much as possible, as well as restore even posture, and it is in these ways that the further development of a serious pathology can be effectively prevented.

And yet, are people allowed to run with a hernia of the lumbar spine? What types of sports activities can be engaged in the presence of such a pathology?

Permissible physical activity

Any load when diagnosing a hernia of the spine can be performed only after consultation and approval from the attending doctor.

It must be remembered that each patient is always individual clinical picture So, what is good for one may be bad for another.

It is also important to know that, regardless of the degree of pathology, during the period of exacerbation, all patients are strictly recommended to limit any physical activity, since active life can contribute to the prolapse of the spinal disc, and then even more pinched nerve.

To prevent the development of pathology, as well as to cure it, some physical activity is permissible:

How to run with a hernia of the spine?

According to statistics, the most common type of light physical activity is running with a herniated spine. Before you start running, you need to get approval from a doctor. In addition, it is very important to prepare the body for physical activity, which is why experts recommend doing more gentle sports before running, for example, Pilates or yoga - they form and strengthen the lumbar corset.

After running is allowed by the doctor, and the patient’s body is carefully prepared for this sport, it is important to observe 2 more important fundamentals:

Pick the right shoes. It is allowed to run only in sneakers with shock-absorbing soles, they will help to avoid unpleasant consequences (protrusion of discs) and will help you to do your favorite sport without harm to your back.
Choose a comfortable place to run. An ideal place for running is a dirt road, only such a coating protects the patient from accidental displacement of the feet, as well as pinching of nerve endings. Running on an asphalt road with an intervertebral hernia of the lumbar is not recommended.

Nordic walking - harm or benefit?

A hernia of the lumbar spine is not a sentence. With this pathology, it is necessary to lead a correct lifestyle, which will contribute to a speedy cure and prevent the development of the disease. Most patients ask doctors quite a reasonable question: is walking useful for a hernia of the lumbar spine. Doctors in this case unanimously answer: “Yes, walking is useful. It is walking regular walks that are an integral part of the correct and healthy routine day!"

Nordic walking deserves special attention today. This sport has several advantages. Firstly, Nordic walking can be practiced even by a physically unprepared person, which is especially important for the elderly. Secondly, Nordic walking with a hernia of the spine is a kind of sport that is gentle on the body. In addition, this sport also contributes to the improvement of the general condition of the patient, of course, for this it is necessary to observe the conditions for the regularity of physical activity on the body.

In order for walking with an intervertebral hernia of the lumbar to become a therapeutic physical workout, you need to choose the right outfit:

Clothing for therapeutic walks must be light and as comfortable as possible, it should not hamper the movements of a person;
If Nordic walking is practiced in the winter season, then it is important to take care in advance of purchasing warm and soft mittens that have an anti-slip coating;
Proper Nordic walking involves the appropriate choice of sticks, which are selected individually depending on the height of the person. The ideal length of Scandinavian poles is the size of the equipment to the middle of the athlete's forearm.

What are the advantages of this sport and is walking useful for spinal hernia? Daily exercise helps:

strengthening the muscles of the back;
elimination of excess fat deposits in the spine, which create an additional load on the entire spinal corset;
normalization of blood pressure.

Nordic walking is a fairly simple sport, but in the first lessons it is important for an athlete to take care of concentration. It is strictly forbidden for a hernia of the spine to take the courage of a professional athlete, that is, to work physically at full strength.

Are jumping allowed?

A very common problem is the question, is it possible to jump with a hernia of the spine? Some physical movements become unacceptable in the presence of a spinal hernia. Many doctors also refer to them as jumping rope. Doctors are sure that jumping rope with a hernia of the spine is inappropriate and not recommended. The main ban comes from the fact that jumping contributes to increased compression of the lower spine, which threatens to cause serious complications for a person. In the same case, if a person, along with a hernia of the spine, is also overweight, then he is strictly forbidden to jump.

In addition to jumping, it is forbidden to engage in:

weightlifting;
football;
basketball;
hockey
professional skiing;
bodybuilding.

The effect of walking on the human body

From early childhood, we are taught that we need to walk a lot. Walking is the most versatile means of physical activity on the body. She has practically no contraindications, she does not need special clothing and devices.

You can walk at any age. This lesson can be successfully combined with work, leaving 1-2 stops earlier than necessary. If you are a young mother, then there are no problems at all, take a stroller with a baby, and go for a leisurely walk to the nearest park. And the child is walking, and you are resting! Many mothers with strollers just sit on the bench, although walking is much more beneficial for the body and more interesting for herself. If you are determined to do such a simple thing as walking, you can not do without counting steps. To do this, there are special devices called pedometers. They allow you to count the number of steps. If you do this every day, you can gradually increase the number of steps and, accordingly, improve the result you are striving for. If it is not possible to purchase this device, focus on your body, on the feeling of tension in your legs and gradually increase the time and pace of walking.

Types of walking

Walking is of several types.

Health walking is available to everyone. Depending on the tempo, it can be slow, medium, fast and very fast. Does not involve the use of special equipment.

Nordic walking involves the use of special sticks, which can be purchased at a sports store at a price of 1,000 to 2,000 rubles apiece. There are also more expensive options. The sticks are very strong yet light. This is a less traumatic sport that allows you to avoid unwanted injuries. Sticks take on up to 1/3 of the load, which during normal walking falls on the arms and back. This type of walking is very popular lately. It has no contraindications, evenly distributing the load on all parts of the body. At the same time, the spine straightens, does not overload, remains in good shape. Sticks allow you to increase the length of the step and transfer part of the load to the upper shoulder girdle. With such walking, they first step on the heel, then on the toe. The body leans slightly forward.

During energy walking, the hands participate very actively along with the body, activating the whole organism. At the same time, the work of the hematopoietic organs improves, energy arrives to the whole body, more energy is spent. This walking is similar to running. In this case, special sticks can also be used, but not the same ones that are used for Nordic walking.

Race walking - fast movements at a speed 2-3 times higher than health walking. At the same time, the hands are also involved, the steps are made more often and longer than usual. The main principle of such walking is that all the time one leg is in the air - the right, then the left. Both feet must not be on the ground at the same time. One leg is kept straight until the weight is transferred to it. At the same time, a person works with his hands and shakes his pelvis. This type of walking is an Olympic sport. The only limitation is flat feet, with which the load cannot be redistributed correctly and you can get injured.

Walking for weight loss is walking at a fast pace. In order to lose weight, you need to move fast enough and for long distances. But at the same time, the pace should be fast, not slow. Otherwise, you will just walk around, and this does not help to lose weight.

When trying to lose weight by walking, the average walking speed should be around 6 km/h. Walking time is at least 30 minutes. The longer you walk, the faster you can lose weight. At the same time, you should feel how the muscles tense up. You must be thrown into a sweat, then you can achieve the desired result. At the same time, it is useful not only to walk, but also to do physical activity. And of course, no one canceled proper nutrition.

Benefits of walking for the body

Walking is beneficial for the body in many ways, it rejuvenates, prevents the appearance of chronic age-related diseases, normalizes blood pressure, mobilizes strength, helps to keep strength and thoughts in good shape, and helps to lose weight.

Walking helps to activate the whole body as a whole. Even at an average pace, the body will feel incomparable benefits. See the video below for the health benefits of walking.

The effect of walking on the spine

First of all, walking is good for the spine, strengthening it and massaging the vertebrae, which, when walking, strengthen and take their place. Blood begins to be supplied even to hard-to-reach places, the swaying of the vertebrae creates a massage effect.

Walking saturates all organs with oxygen, removes toxins from the body. The work of the heart is activated, the level of cholesterol in the body decreases, and the pressure decreases.

Walking is available to absolutely everyone, it does not require extra costs in the form of a suit and equipment. Walking trains the muscles of the legs, being the prevention of osteoporosis, trains breathing, the heart muscle, the blood begins to pump from greater strength. This type of load allows you to get rid of shortness of breath.

Half an hour of walking can lower blood sugar levels, strengthen bones and muscles, improve your well-being, increase resistance to stress.

Harm and contraindications

Walking can cause harm only if you neglected the safety rules: put on uncomfortable shoes or clothes, did not take off jewelry, increase the pace too quickly. It is also important to control your breathing. Wrong breathing walking can do more harm than good. When walking fast, there is a risk of harming the knee joints, so keep an eye on the condition of the knees. If they start to hurt you, then it is better to postpone classes for a while and consult with a specialist.

There are very few contraindications to this sport. Let's list them:

Viral infections
Recent surgeries
Chronic diseases in acute form
High blood pressure
flat feet
Hand and joint injuries
Deviations in the development of the musculoskeletal system
Heart disease

In all these cases, you should consult your doctor about the possibility of walking at a leisurely pace over short distances. With flat feet, the load during walking is distributed incorrectly, and you can harm your condition even more.

What do you need for walking

Before walking and after you need to drink a glass of water to make up for the loss of fluid. For a walk, you can take a bottle of warm, not hot water with you and drink during breaks. Clothing should be comfortable, not restricting movement. A sports suit and sneakers are best suited for this. Heeled shoes should be excluded. You can take the player for a walk, combining business with pleasure. After class, when you come home, you can have a snack, but do not overeat. When you get into a rut and classes become a habit for you, the pace can be increased. Walking is useful to combine with morning exercises.

Norm of steps per day

It is believed that for good health, you need to take at least steps a day - which is 6-8 km, depending on the length of the step. It is estimated that the average person does about a day of walking, taking into account walking at work and around the house. Therefore, in order to gain the required number of steps, you need to try hard, and additionally devote about an hour a day to walking.

True, many experts believe that only “pure” steps are taken into account here, i.e. walking around the house or on business has nothing to do with it. If it's cold or raining outside, a treadmill can replace walking. On it you can not only run, but also walk at a hasty pace. It is important to control your breathing and your condition and do not forget about mileage.

When, how much and at what age can you walk

Walking is the only type of exercise that is indicated at any age and in any weather. The main thing here is not to overdo it. Even very heavy people can walk.

The optimal time for walking is in the morning, because. the body will be able to wake up better, metabolic processes will start, the body will begin to break down fats after an overnight fast, helping you lose weight. Such a walk can be done in the evening, but not just before bedtime.

If you are just starting to walk, then you do not need to chase the results right away. At first, it is better to walk at a slow pace, gradually increasing the time of the lesson, then increase the pace of walking. You need to start walking with short walks, increasing the time of classes to 1 hour.

When walking, the back must be kept straight, the shoulders should be pulled back and spread apart, it is impossible to slouch. Also, one should not forget about proper breathing: inhalation is done through the nose, exhalation - only through the mouth. Breathe better in proportion to the steps. When walking, it is better to be silent so as not to choke your breath.

At the beginning and at the end of the workout, the pace should be unhurried. After 5-10 minutes at good health pace can be increased.

Elderly people can and should also walk, while controlling their breathing and heartbeat. If you feel short of breath, just slow down your walking pace. With the normalization of breathing, the pace can again be increased. For the elderly, walking time should not exceed 1 hour in good health. Older people are better off walking on level ground, you need to start at a pace of 70 steps per minute, after 2 weeks the pace must be increased to 110 steps per minute. It is useful for older people to take a walk in the evening, relieve daytime fatigue.

Is it possible to treat the spine only by walking?

My friend, wealthy lady? travels from Russia to Ukraine to a healer who recommends only walking with a straight back without weight for several hours a day as the main treatment for spinal hernia. Do you think this treatment is effective?

Treatment of the spine only by walking is very doubtful and ineffective, in my opinion. What about swimming? An excellent type of exercise for stretching the vertebrae and training the muscles of the back. To restore yourself and remove a hernia, and this is quite possible, you just need chiropractor which will stretch the spine. But it must be a proven specialist, who can be chosen only on the advice of people who have been in his hands. I affirm this from personal experience. I can tell about the details in a personal correspondence.

There are also drug treatment of the spine, for example, in the form of injections of papain (an extract from papaya) directly into the paravertebral region, which is performed only by an experienced neurologist (not even a nurse).

On the islands of Indonesia, where papaya grows, people do not know what sciatica and diseases of the spine and joints are.

The fact is that, according to scientists and doctors, diseases of the spine are a legacy of a person's upright posture. And for example Chinese medicine practices exercises for the treatment of the spine, namely walking in the pose of animals. So there is an exercise - the bear is walking. As well as various poses of a snake and a cat. To be more specific, this is walking on all fours. So in case of diseases of the spine, upright posture will not cure it, but on the contrary, it will increase the pain.

What kind of healer is there? Tell me where he lives and what his name is so that my relatives do not go there. Walking upright is complete nonsense!

On the contrary, you need to stretch your back, first examine, better tomography do if it's too bad.

This word is more like a saint, or something. This is a very delicate topic - the back. There may be hernias and pinched nerves.

One friend could not get up for 2 months due to hernias. Only: tomography of 2 parts of the spine, examination by professional doctors, NUGABEST bed, Alflutop in ampoules (20, not less in soft tissues or 10 in the back), exercises to stretch the back in the form of a cat.

Only this helped him and no diclofenacs that kill the stomach, only the above.

Well, if the hernia is more than 6mm - this is already in Novosibirsk or Moscow to the professors from God. And only operable elimination.

If arthritis or arthrosis of the spine, in which the joints of the vertebrae dry and crack, then of course this kind of ailment cannot be cured. Even with all endogenous diseases caused by disorders of the autoimmune system, for example - Ankylosing spondylitis, it is also not.

If these are precisely problems with the muscles of the back, let's say dystrophy, then by walking they can be pumped and strengthened.

Personally, my opinion is very doubtful. When walking, the load on the spine is static for me, how interesting will it affect the hernia? Thank God I don’t have a hernia, only disc protrusions, but even so, everything is very problematic - nerve endings are infringed, my shoulder hurts. Exercises for the spine - yes, I saw a few good videos, I'm doing it. Stretch marks are possible, osteopathy helps a lot. Just walking is nonsense in my opinion. And in general it is curious, what kind of healer? How does he heal?

Actually, walking is good, but it is not a cure. With a hernia, it is very useful to do muscle stretching exercises, as well as massage. Walking makes the muscles work, which, in turn, speeds up the movement of blood, which is very good, including for the spine. But this alone is not enough, it is just part of the healing process.

Wellness walking

The most effective remedy for back pain is the observance of the motor regimen. Fluid enters the intervertebral discs only when they move relative to each other. But even in movements it is necessary to observe the measure.

The most accessible muscle load is walking. During movement, large groups of muscles and joints are involved in the work, and the respiratory system is activated.

Physiologists call large muscles the "peripheral heart", which, when exercised, pumps blood from the legs and organs to the heart. abdominal cavity, where she stagnates with a long stay in a sitting position.

During the day, we have to walk 7-8 km and take 10 thousand steps - the minimum rate prescribed by doctors. Experts give an interesting example: a city dweller of the last century took 4-5 times more steps per day than a modern one.

Therapeutic walking begins with a gradual load. At first, 30 minutes is enough to walk 2-3 km. Set yourself a specific task: to go a few steps more than yesterday; climb one floor higher, reach a certain landmark, etc. Do not forget that you are training not for speed, but for endurance. Once you start doing therapeutic walking, don't stop exercising. Walk in any weather, daily. After 2-2.5 months, you will get used to it so much that it will not be difficult for you to walk a long distance.

Walking is especially useful for obese people, which cannot be said about running, since you have to sharply push off the ground due to high body weight, and this is bad for the spine and joints.

Walking promotes weight loss. In one hour brisk walking burns 35 g of fat. Walking improves digestion, which is beneficial for overweight people. Walking to work is an excellent prophylactic against osteochondrosis and rheumatism.

Many people who have suffered a long illness have seen from their own experience that the lack of motor activity atrophies the muscles. At rest, only 60-70% of the blood moves; the rest of the blood does not participate in the work, stagnation in the organs.

Antonina Fedorovna K., 60 years old, had an accident and suffered a severe polytrauma: brain concussion, fracture of the left clavicle and pelvic bones on both sides, contusion of the spine. The victim was taken to the hospital, where she was on bed rest for a long time, not only because of the severity of the injury, but also because the bones in the elderly grow together slowly. When, finally, she was allowed to sit up in bed, and then get up from it, Antonina Fyodorovna found that her arms and legs obeyed her much worse than before. Forced inactivity led to atrophy of many muscle groups. It took a long rehabilitation treatment, including physiotherapy exercises, physiotherapy and vitamin therapy, before the strength in the muscles was restored, and even then not in the same volume.

Walking is dosed by distance and speed. When walking slowly, they take steps per minute; at an average pace; with fast steps. Pay attention to walking culture. Don't slouch, stay upright. Walk with your chin up, your belly tucked in, and your shoulders back.

An excellent form of walking is skiing. Skiing develops muscles, improves metabolism, improves blood circulation. It has a very positive effect on the state of the musculoskeletal system. Bones and ligaments are strengthened, the motor function of the joints is increased.

Here, too, consistency is important. Ski regularly, beware of injury. To develop a sense of balance, practice walking without sticks.

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All information on the site is for informational purposes only. Do not use this information for self-medication. Possible contraindications. Be sure to consult your doctor.

Walking as a method of spinal rehabilitation

The spine is the main component of the skeleton. Any pathological changes in it lead to serious diseases of the whole organism, and not just the musculoskeletal system.

Often, a sedentary lifestyle and sedentary work provoke the development of protrusion of the lumbar spine. AT advanced cases you can "earn" and a hernia.

The main treatment is surgical intervention. As conservative method consider wellness walking, which allows you to restore the natural state of the spine.

Important Features

One way to solve the problem is moderate walking with protrusion. You need to start with a slow pace and short distances.

To begin with, it is enough to take steps to prepare the body for physical exertion. When this load becomes the norm for you, you can gradually increase the distance to 1-2 km.

No need to immediately strive to overcome long distances and many hours of walking. The main task is to do it stably, in any weather and in any mood.

Gradually, the distance increases to 7-8 km. It is enough to give the treatment procedure at least 4 days a week to achieve the optimal effect.

Positive points

So is walking good for back pain? It is worth paying attention to the positive impact of hiking on health.

The purpose of the therapeutic event is the development of endurance, which is necessary to overcome the distance. Therapeutic loads should be started at a moderate pace, without loading the spine and the body as a whole.

In case of violations in the vertebral section, sudden movements should be abandoned, including running, jumping and squats.

It is worth noting several advantages of walking procedures:

Nutrition of the vertebral discs. Chondrocytes receive nutrition only during quiet movements.
Treatment of protrusion by walking has a positive effect on the respiratory system. The lungs are filled with air, the body is saturated with oxygen.
Therapeutic walking with protrusion is useful for people with overweight. Why? For them, this is a good opportunity to keep fit. Calm movements activate almost all muscle groups.
Therapeutic walk plays an important role in losing weight. It is enough to give this lesson an hour of time to burn about 30 g of fat. Stable wellness classes will delight you with good results.
The benefits of hiking are also observed in the work of the digestive system.
As a prophylactic, walking can be considered in diseases such as rheumatism and osteochondrosis.
Walking is shown as a preventive measure atrophic changes muscles. Their long stay at rest leads to stagnation of blood in the body, which disrupts the nutrition of all organs.
It is important to observe posture during the therapeutic walk. But don't be overzealous in changing your habits if it hurts you.

Varieties

One of the varieties of medical procedures is Nordic walking. As a support, special sticks similar to ski sticks are used.

Their use helps to partially transfer weight to them, thereby unloading the spine.

At the same time, they are an additional support, helping to keep balance. This is a good help if you plan to increase the pace of the step.

It is important to learn to hear and feel your body. Experiencing pain while walking, you should reduce the load. In this case, it is enough to change the pace or reduce the distance.

Isn't it harmful?

Having highlighted the benefits of walking, you need to talk about its harm. Perhaps this is the only medical procedure that does not have side effects.

It is enough to feel your body to choose the right pace and the distance that you can overcome.

In winter time hiking can be complemented by skiing. This contributes to:

high energy costs;
activation of metabolic processes;
resistance to negative manifestations of the environment;
increase the endurance of the body;
increase the efficiency of the whole organism as a whole.

Therapeutic walking is one of the physical exercises, which can be performed at any time of the year and under any weather conditions.

By the way, now you can get my free electronic books and courses to help you improve your health and wellness.

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Walking with a hernia of the lumbar spine

Pain in the sacrum and coccyx: what is the reason?

Sources of pain

Secondary pains are only a consequence of diseases that are localized in the adjacent areas: intestines, organs of the reproductive system, bladder and kidneys, and others.

Injuries

Treatment

The most serious case is a fracture or fracture-dislocation. If necessary, reduction is carried out, and then splinting of the damaged area. The patient is prescribed bed rest and maximum rest. Also, for a full rehabilitation, it is necessary to take vitamins, anti-inflammatory drugs, as well as physiotherapy - massage, exercise therapy, etc.

Osteoarthritis of the sacrococcygeal joint

Neoplasms

In the region of the sacrum and coccyx, neoplasms such as chordoma, dermoid cyst of the sacrococcygeal region and teratoma most often appear.

For the diagnosis of the area of the coccyx and sacrum for the appearance of neoplasms, a visual examination, palpation, ultrasound and magnetic resonance imaging are performed. Treatment is carried out only by surgical methods. If there is a degeneration of the tumor, chemotherapy is performed.

Neurological diseases

This group includes osteochondrosis, lumbar hernia, sciatica and other pathologies. From all these diseases, the back hurts in the sacrum, coccyx and buttocks. With osteochondrosis, the pains are shooting in nature, they radiate to the back of the leg (usually only to the right or left). My patients use a proven remedy, thanks to which you can get rid of pain in 2 weeks without much effort.

For the treatment of neurological diseases, the following methods are used:

Conservative methods - taking non-steroidal anti-inflammatory drugs, muscle relaxants, vitamins and medicines that improve blood circulation.
Taking painkillers, novocaine blockade.
Physiotherapy, treatment with magnets, electrophoresis.
Surgical methods.
Spinal fusion with implant placement

Diseases of the rectum

Since the intestine is located very close to the sacrum and coccyx, it is very often the cause of intestinal pathology. An anal fissure is an injury to the lining of the anus. This can happen due to too much straining or mechanical damage. Pain is given to the coccyx. Also, symptoms of this disease are anal bleeding. An accurate diagnosis can be established by a proctologist. Treatment consists in following a special diet, drinking plenty of fluids. To relieve pain, painkillers in the form of rectal suppositories can be prescribed. In rare cases, surgery may be required.

Paraproctitis is an inflammatory disease in the rectum. It is usually caused by staphylococcus aureus, E. coli, or streptococcus. The disease can be triggered by the following factors:

Frequent constipation.
Long-lasting anal fissures.
Exacerbation of hemorrhoids.
Injuries of the pelvic region.
Inflammation of the anal glands.

Diagnosis for pain in the sacrum and coccyx

Examination by a specialist, x-ray, palpation and other methods will allow the doctor to determine the source of pain, make an accurate diagnosis and begin treatment. To get rid of pain in the sacrum and coccyx, you must follow all the doctor's prescriptions and in no case self-medicate.

Exercises for a hernia of the lumbar spine

Degenerative-dystrophic processes in the spine are often diagnosed only at an advanced stage. At times when severe pain interferes with movements in the lumbar region, the patient rushes for medical help. However, the fibrous ring surrounding the intervertebral disc is torn, and the nucleus pulposus is significantly displaced to the side. This is how the most common complication of osteochondrosis of the lumbar segment develops - disc herniation. If the disease affects the structures below, in the region of the sacral spine, then the pain is even stronger, radiating to the leg, which interferes with the function of walking.

Despite the many options for conservative and surgical treatment of the disease, none of them can do without therapeutic exercises. Many exercises are performed at home, and photos of achievements are easy to find on the Internet. One of the most popular is the technique of Sergei Bubnovsky, which is also effective for Schmorl's hernia of the lumbar spine (pushing through the cartilaginous tissue of the spongy substance of the adjacent vertebra without rupturing the fibrous capsule - pseudohernia). The video of the classes is presented on the YouTube channel, where all the exercises can be carefully studied.

Exercise Requirements

The main task of physical activity is to strengthen the frame of the lower back. This is achieved by daily dosed loads that stabilize the position of the intervertebral disc. Although all exercises are quite effective, they are not able to completely cope with the painful condition. Radical treatment of a hernia is exclusively an operation to eliminate it.

All physical. training must meet the following requirements:

to be feasible to the patient;
improve blood flow in the lumbar region;
effectively affect the muscular frame;
be simple and easy to use;
have an effect in the shortest possible time.

There are several groups of physical activities. Therapeutic gymnastics is specially designed by medical specialists, so it takes into account the patient's condition with a hernia of the lumbar. However, therapeutic exercises have a major disadvantage - they are rather weak, as they are suitable even for untrained people. Therefore, muscle strengthening is achieved for a long time, and the patient needs supportive drugs for pain relief.

Another group of exercises is strength. They require significant training of the patient, but lead to the fastest results in the formation of a protective frame of the back. Strengthening of the positions of the intervertebral disc occurs in the shortest possible time, which leads to a refusal to administer analgesics much faster. But power physical activity is shown only to those people who initially have a good athletic shape.

Forbidden exercises

Despite the seeming simplicity of physical training, some activities directly harm a patient with a herniated disc in the lumbar segment. General principles of prohibited exercises - what exactly can not be done:

sudden movements of the body;
run with accelerations and decelerations;
do weightlifting;
plan a sharp load on the lower back;
participate in sports competitions;
lift sports equipment weighing more than 5 kg;
bend over without bending your knees.

Jumping on a hard surface. In this case, there is not enough cushioning for the lumbar spine. As a result, the hernia continues to move, which, with frequent repetition of jumps, can lead to complications.
Pulling up or just hanging on the horizontal bar. Despite the popular belief that the spine will straighten out, this does not happen. The burst fibrous ring is stretched, which will accelerate the progression of the disease, and also enhances the pain syndrome.
Rough self-massage in the lumbar area. Many guides suggest massaging your back after workouts. However, with an incorrectly chosen load, it is easy to displace the intervertebral hernia even more, which will lead to a sharp exacerbation of all existing symptoms.
Torso twisting. These exercises lead to an uneven load on the hernial protrusion. The result will not keep you waiting long - after 3 days of training, the pain in the lower back and leg will increase dramatically.
Long jump. This exercise is characterized by a sharp overstrain of the muscles of the lower back, which is completely contraindicated in the presence of a hernia.
Strength exercises for legs. They are performed lying on your back with tension in the rectus dorsi muscles. This is unacceptable, as muscle strength decreases around the annulus fibrosus. As a result, the disease progresses.

Exercise therapy techniques

Below are simple exercises that are used during a period of severe pain reaction. The essence of these exercises is the stabilization of the spine by choosing special relaxing positions.

Pose number 1 - lying on your back with bending the legs at the knees at an angle close to a straight line. A rounded roller can be placed under the lower back to improve blood flow in the affected area. The duration of stay in this position is 30 minutes, but you need to get up very slowly, avoiding twisting of the body.
Pose number 2 - in the position on the stomach face down. For an elevated position of the lower back under the anterior abdominal wall, it is desirable to put a rounded roller, not exceeding 10 cm in diameter. The pose is suitable for people who are not too obese, since in the presence of excess body weight, respiratory difficulties are possible. The duration of stay in this position is not more than 20 minutes.
Deep breathing. This simple workout will help improve oxygenation of the affected area. The essence of the exercises - lying on your back, you need to take a very deep breath, hold your breath, after a few seconds, slowly exhale. Repeat up to 15 times. Breathing movements are best performed with the participation of the diaphragm and abdomen.
Foot movements. Starting position - lying on your back. The legs are slightly apart to the sides, and the feet are raised at right angles to the floor. The essence of the exercise is to alternately change the position of the feet, lowering and raising them. The number of repetitions does not matter much, it is only important that the training is carried out without the efforts of the lower back. Duration of classes - up to 3 times a day for 15 minutes.
Leg flexion. This exercise is a little more difficult, therefore, with the sharpest pain in the lumbar region, they will have to be neglected. Position on the back, you can directly in bed. Both legs are extended and lie on a hard surface. It is necessary to alternately bend the knee joint, but do not tear the heel off the floor or bed. The number of repetitions for the affected limb should be 2 times more than for the opposite. Total workout time up to 30 minutes per day.

Bending the legs. The practical benefits of this simple workout are obvious - not only the muscles of the back are strengthened, but also the limbs, where blood flow also improves. Starting position - lying on your back, legs brought together and unbent at the knee and hip joint. The essence of the training is alternate lifting of the lower extremities with flexion at the knee and hip joint. The number of repetitions is not important, it is important to withstand the duration of the load for 20 minutes.
Body lifts. Starting position - lying on your back. Arms and legs are extended. It is necessary to lift the body of the body, bending it in the lumbar spine until taking a semi-sitting position. Then slowly return to the starting position. The number of repetitions - no more than 20 per day, trained people can increase the intensity of training up to 30.
Swimming. A great way to restore the blood supply to the lower back. Water pressure on the affected area will create an additional load to stabilize the muscle corset. Swimming style is not important, better in prone position. Lessons are up to 40 minutes per day. Open water bodies have a more effective effect on the spine than chlorinated pool water.
Simulation of cycling. An exercise that has been known since childhood. Its essence lies in the slow alternate flexion and extension of the limbs in the knee and hip joints at a rhythmic pace. Performed in a supine position. The duration of continuous training should not exceed 3 minutes. After each approach, you need a break of at least 10 minutes, during which time it is recommended to perform other exercises.
Bridge. Starting position - lying on your back. Legs are closed, hands are pressed to the floor. The essence of the training is lifting the pelvis with the help of the efforts of the limbs and the muscles of the lower back. In this case, the body takes an arcuate shape based on the heels and upper limbs. It is advisable to alternate the exercise with the simulation of cycling.

The same exercises described above can be used for late rehabilitation after hernia removal. In the early postoperative period, classes according to the method of Sergei Bubnovsky are suitable.

Treatment of a hernia with exercise

Head lifts. Starting position - lying on your stomach. Hands are removed under the head, a roller is placed under the legs in the area of the shins. The essence of the exercise is lifting the head with the tension of all the muscles of the spinal column. The number of repetitions is up to 15.
Back bending. The starting position is the knee-palm position, in which the patient leans on bent knees and straightened arms. The essence of the exercise is the movement of the hands sliding along the floor forward with the simultaneous deviation of the pelvis back. Completed position - the hands lie completely on a hard surface, and the head and back rise above them. The number of repetitions is no more than 20 per day.
Martin. This difficult exercise is completely unsuitable in the early postoperative period and with a sequestered hernia. Position - knee-palm. The essence of the training is to simultaneously raise the arms and legs while stretching the limbs in opposite directions. If pain intensifies at the time of lower back tension, you should stop doing gymnastics and consult with an exercise therapy instructor.
Crossing legs. Starting position - lying on your back. The right limb is bent at the knee joint, the left is fully extended. The essence of the lesson is raising and holding the heel on a bent knee. Then you should swap the limbs. Repeat in slow mode up to 20 minutes during the day.
Extending the arms and bending the legs. Starting position - lying on your back, arms are located on the chest, legs are unbent, brought together. The essence of gymnastics is the extension of the arms together with the bending of the legs at the knee joints. Repeat at least 20 times in one workout.

With an intervertebral hernia, yoga can bring positive results. The most popular asanas (positions) used for this pathology are listed below.

Apanasana.
Pavanmuktasana.
Virabhadrasana.
Padangushthasana.
Ardha Svanasana.
Savasana.

Techniques of Sergey Bubnovsky

Author's techniques are quite popular for improving movements in the lumbar spine. The most relevant gymnastics Sergei Bubnovsky. Below are a few exercises typical of this author.

Lifting the pelvis. An exercise similar to the bridge from the principles of physiotherapy exercises. Its essence is to slowly raise the pelvis with the help of the muscles of the legs, lower back and arm strength. Training is performed slowly, but with a gradual increase in intensity as the pain decreases.
Back arching. Starting position - standing on all fours. It is necessary to bend the back in the lumbar region as far down as possible and return to the starting position. The number of repetitions does not matter, the intensity is important. The essence of all Bubnovsky's exercises is to strengthen the muscular frame by gradually increasing the load. Therefore, you should start training with 5 minutes, gradually bringing them up to 30 minutes a day.
Buttock movements. Initially, the patient sits on them, legs are straightened, and hands are brought to the back of the head. The essence of the exercise is a kind of “walking with the buttocks”, by raising the pelvis with the strength of the lower back and lower extremities. It is allowed to move around the entire area of the training room.

Not only doctors offer exercises for the treatment of a hernia of the lumbar spine. Gymnastics Shamil Alyautdinov, who is the Imam-Khatib of the Moscow Mosque, has some followers. The essence of the exercises that are carried out in a position on the stomach and back is to expand the intervertebral spaces in order to alleviate pain. However, the technique does not have a medical justification, therefore it has not found wide application in medical circles.

Gymnastics of the lumbosacral region

Therapeutic exercise is an integral part of the therapeutic process of getting rid of the disease. It is prescribed both before and after surgery to stabilize the work of the muscles of the lower back. With a vertebral hernia, physiotherapy exercises are combined with conservative drugs that facilitate the patient's movements. Loads should be strictly metered, but in the following situations it is better to refrain from exercising:

acute and subacute period of a heart attack;
the presence of proven aneurysms of large vessels;
ejection fraction of the heart is less than 30%;
the general serious condition of the patient;
thromboembolic complications in the postoperative period or a high risk of their occurrence;
for some exercises - body weight more than 150 kg, as respiratory disorders are possible.

For the spine, the preservation of physiological curves, which are laid genetically, is of current importance. Those exercises that do not take into account the natural curvature of the spinal column are considered incorrect from a medical point of view, so their use is unreasonable.

Whether it is possible to engage in Nordic walking with a hernia of the spine depends on the patient's condition. An important role is also played by the part of the spine in which the hernias are located, as well as how many of them. Some people live with hernias all their lives, experiencing discomfort from time to time when bending over, exercising, or standing for a long time. Other patients suffer from unbearable pain, while others require surgery.

Therefore, which types of exercise are allowed and which are contraindicated, the doctor must decide.

The human spine is made up of vertebrae separated by vertebral discs. The cervical region consists of 7 vertebrae, the thoracic - of 12, and the lumbar - of 5. The disc consists of a fibrous ring, inside which is the pulpous nucleus. Herniated discs occur when the annulus fibrosus is compressed, after which part of the nucleus pulposus bulges outward. Because of this, compression of the nerve roots occurs, so pain occurs in various parts of the body or paralysis.

If the lumbar spine is damaged, pain occurs in the lower back, legs; in severe cases, muscle atrophy may occur. With hernias in the thoracic region, pain occurs in the chest, often there is numbness of the hands or a feeling of "goosebumps". Patients often turn to a cardiologist believing that they have heart disease.

Hernias in the cervical spine are manifested by tinnitus, headaches, dizziness, and increased blood pressure. Often, patients develop neurotic disorders in the form of fear, phobias and panic attacks.

Indications for physical activity

Treatment of vertebral hernias requires complex therapy. It is no secret that it is impossible to cure the musculoskeletal system with injections or pills alone. Therefore, experts have developed a set of exercises that allow;

eliminate pain;
relieve muscle spasms, tension;
stretch the spine;
improve blood circulation in the pelvic organs;
strengthen the muscular corset;
stimulate immunity;
activate metabolic processes.

Such walking is useful because due to the sticks, the load is evenly distributed on the arms and shoulder girdle, so the pressure on the spine and joints is reduced.

But ordinary ski poles are not suitable for such a walk. Manufacturers produce special sticks that need to be selected taking into account the height of a person.

Nordic walking in diseases of the musculoskeletal system

Hiking in the fresh air is useful for all people without exception. Even with the most severe diseases, doctors recommend walking, moving, if the condition allows. Nordic walking creates a certain load on the body, so before embarking on it, you should discuss all issues with your doctor. Usually, people with vertebral hernias are overweight, lead a sedentary lifestyle, or have a sedentary job. Therefore, Nordic walking allows you to solve these problems. With regular walking with sticks, you can:

reduce weight;
improve the functioning of the cardiovascular system;
strengthen the musculoskeletal system;
correct posture;
improve coordination;
stabilize blood pressure;
increase blood circulation;
restore metabolic processes;
reduce the risk of other diseases;
improve psycho-emotional state.

With an intervertebral hernia, some physical activity can not only increase pain, but also harm. Nordic walking is not contraindicated in this disease if the patient is able to move around. However, classes should start with minimal loads. Whether it is possible to engage in Nordic walking with hernias in the spine also depends on whether the disease is in the acute stage. With a strong inflammatory process, it is first necessary to stop the pain with the help of drugs, and then start training.

Nordic walking should not be practiced after spinal hernia surgery. It is important for the patient to undergo rehabilitation within 2–6 months.

Features of Nordic walking

Although this type of walking is quite simple, the following nuances must be taken into account;

before starting, do a little warm-up;
do not start a lesson with high blood pressure;
walking is prohibited with ARVI;
when stepping, the foot should move smoothly from heel to toe;
you should not slap the whole foot on the ground;
when stepping with the left foot, the right hand goes forward (the same principle with the right foot);
you need to lean on the stick, pushing off with your hands, and not just rearrange it;
do not hit the sticks very hard on the ground;
adjust the load on the arms, back and legs alternately.

Pregnant women with herniated discs may experience lower back discomfort in the third trimester. Therefore, doctors may recommend Nordic walking as a walk and preventive measure. If during a walk with sticks a person experiences shortness of breath, darkening of the eyes, fatigue, palpitations, headache, nausea and heavy sweating, then it is necessary to stop training and consult a specialist.

There are much fewer contraindications to Nordic walking than indications. Spinal hernias are not a contraindication to this sport. However, all questions should be discussed with your doctor. If exercise increases pain in the spine or joints, it is possible that walking is not performed correctly. You should also choose sticks for growth. Keep in mind that the higher the sticks, the greater the load.

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Questions and answers on: walking with a hernia of the lumbar spine

2013-12-17 19:04:05

Julia asks:

Hello! Help deal with the situation. MRI examination of the lumbar spine was performed in the sagittal and axial projections in T1 and T2 WI. The height of the vertebral bodies is not changed. The endplates of the L1-L3 vertebral bodies are deformed by Schmorl's hernias. Subchondral reaction of L4-L5 vertebral bodies. The height of m / n disks in the L4-S1 segment is reduced, the intensity of the MR signal in T2VI is reduced due to dehydration of the pulpous nuclei of the disks. Dorsal protrusions of m/n discs are visualized: - L5-S1 - 0.4 cm - median variant, s/m channel - 1.1*1.3 cm; - L4-L5 - 0.45 cm - wide median version, s / m channel - 1.0 * 1.7 cm. Cone spinal cord and ponytail without features. Conclusion: Signs of osteochondrosis of the lumbar spine. Mri was done on 08/14/13. I am 23 years old. Height 169 cm, weight 52 kg. Say these are large protrusions, far from hernias, the word median dorsal protrusion is very frightening. What is the wide median? I am very afraid of lumbago, because I endured two of them, but such that now it’s just a phobia! The first one was a year ago before the MRI, the 2nd in September, she was treated with injections, ointments, then physical procedures. 2. A month ago I was treated in a balneological hospital, where I underwent underwater traction of the spine, paraffin therapy, acupuncture, massage, electro-procedures, radon baths, bioregulator, bioptron. Now almost every day I do physical therapy, which was done in the hospital. But the problem is that the pain is still there, sometimes less then more, and this has been going on for a year. When walking, they quickly get tired and the muscles of the lower back begin to hurt, constant feeling stiffness in the region of the sacrum. Sometimes when walking, the feeling that the legs are wadded. They brought me an inversion table, hung on it at an angle of 30 degrees, but after a couple of days the pain in my lower back intensified. I don’t work now, I lie down a lot, I try to sit at the computer as little as possible, I don’t want to burden the spine. Is lying good for protrusions or is it better to move more? Tell me whether it is possible to cure protrusions at all or is it for life and you need to maintain a physical condition so that it doesn’t get worse. Am I eligible for conservative treatment? How bad are dorsal median protrusions?

Responsible Zolotoverh Alexander Mikhailovich:

Dear Julia,
Judging by the MRI descriptions you sent, there are no indications for surgery. Answering your questions, I would like to note that it is better to go into the details of the MRI description less, since the content of the description of the MRI picture is intended purely for a specialist.
Definitely, with degenerative diseases of the spine, it is better to move more and maintain your physical condition. Conservative therapy must be carried out during an exacerbation or 1-2 times a year, sanatorium-and-spa treatment is also indicated.

2013-07-28 08:29:03

Marina asks:

Hello. My name is Marina and I am 24 years old. I am a disabled person of the 2nd group. Since birth, I have a spinal hernia, pinched nerve in the sacrum, flaccid paraparesis of the lower extremities. when I was 3 years old, I had an operation to find out that they found a pinched nerve and a hernia with me, but they were afraid to crush the nerve and remove the hernia. so everything was left. there was no treatment other than massage, but it did not give any results either. At the same time, I feel good even when walking. I have a question can I have children with this diagnosis? I had an MRI scan and the result is attached. Description: In the endplates of the vertebral bodies Th11 Th12 L 1 L 2 L 3, niche-like defects of various sizes, insignificant in height, made by the substance of the adjacent intervertebral discs - intracorporeal Schmorl hernias, were revealed. The contours of the endplates of the bodies of all visualized vertebrae are clear, the pituitary glands are unevenly hypertrophied. The contour of the endplates of the bodies of the lumbar vertebrae is uniformly concave inward. From the side of the co-directional endplates of the vertebral bodies L1 L2, beak-shaped circular osteophytes are determined. Pathological changes in the MR signal from the bone tissue of the vertebral bodies were not detected. Throughout the vertebral bodies, small-focal degenerative changes are determined by the type of fatty degeneration. The height of the intervertebral discs is preserved. There is a decrease in the intensity of the MR signal on T2-weighted images from the intervertebral disc Th11 Th 12 due to dehydration. Initial signs of dehydration were revealed in the intervertebral discs L1-L2, L2-3, L3-L4, L4-L5, L5-S1 in the form of a linear hypointense area on T2-weighted images, horizontal with respect to the length of the disc reaching the annulus fibrosus. Protrusions and extrusions of the intervertebral discs were not detected. The vertebral column is expanded, the sagittal size of the dural sac is at the level of the intervertebral discs L1-L2-15mm, L2-L3-18mm, L3-L4-21mm, L4-L5-23mm, L5-S1-31mm. On Mp-myelograms, the usurated nature of the anterior contour of the dural sac is determined, the blockage of the cerebrospinal fluid point is not detected. The intervertebral foramen is not narrowed. The spinal cord in the form of a thin thread of uniform thickness is visualized up to the level of L4-L5. In the spinal canal at the level of L5-S3, extending beyond the caudal border of the study area, a delimited lenticular-shaped accumulation of homogeneous adipose tissue measuring 75x25x38mm (vertical x sagittal x transverse) was revealed. In the facet joints L4-L5, L5-S1, there is an increase in the size of the heads of the articular processes of the underlying vertebrae, subchondral osteosclerosis, uneven narrowing of the joint spaces. Paravertebral soft tissues without features. CONCLUSION: MR-tomographic signs of the syndrome of the fixed spinal cord: low location of the cauda equina cone with a shortened thread, intradural limpoma. Osteochondrosis of the lumbar spine. Schmorl's hernias Th11 Th12 L1 L2 L3

Responsible Maykova Tatyana Nikolaevna:

Marina, in order to give Vm a recommendation, I do not have enough information - if you are disabled, then what is the violation of functions, if you write that you walk well? Write not diagnoses, but about your well-being, I will have more information.

2011-12-10 13:53:20

Anna asks:

Hello! My name is Anna. I am from Ukraine, Odessa city. My mother is 42 years old, she can not make an accurate diagnosis. She's desperate, and so am I. I'd love to hear useful advice. The situation is as follows: 3 weeks ago, my mother suddenly (at lunchtime) “wounded” her leg (or rather, the inner part of the thigh). Initially, we thought that the reason was in her problematic back, which had been constantly making itself felt for 20 years (it was hard to bend over, washing the floors and head brought a lot of discomfort). At first it was a dull, intermittent pain that lasted a week. Soon the pain intensified. Became localized, moved to the front of the thigh. We decided to resort to "self-treatment" through the purchase of Olfen transdermal patch, Olfen gel ibuprofen and Voltaren. At first they helped (in particular - the gel). But then it only got worse. In general, she went to a military hospital for an appointment with a neurologist. He examined, "felt", bent - but all in vain - there was no pain in the back or in the leg in any of the positions. Only when sharp turn legs, while aligning, raising, etc. The doctor put provisional diagnosis: osteochondrosis of the hip joint, wrote out a referral for MRI of the lumbar and X-ray of the hip joint, and also prescribed "Olfen" intravenously.
An MRI was done the next day, because the pain when walking became simply unbearable. Below is the MRI report:
MRI examination of the lumbar spine does not reveal bone tissue destruction. Lumbar lordosis is moderately pronounced. Reduced MR signal and height of the intervertebral discs L1-L2, L3-S1 with signs of subchondral sclerosis of the endplates. At the L1-L2 level, a circular protrusion of the disc up to 4.0 mm is determined with a moderate narrowing of the root canals. At the L3-L4 level, a circular protrusion of the disc up to 4.8 mm is determined with a moderate narrowing of the root canals. At the level of L4-L5, a paramedian left disc protrusion of up to 5.8 mm is determined with a moderate narrowing of the radicular canal on the left. At the L5-S1 level, a right paramedian disc herniation up to 7.8 mm with moderate deformation of the dural sac and narrowing of the radicular canal on the right and pushing the right root out is determined. The cone of the spinal cord is not deformed. Hypertrophy of the facet joints. Schmorl's hernia TH11-L3. Marginal bone growths along the anterolateral surfaces of the vertebral bodies. There is a displacement of the vertebra L5 in relation to S1 posteriorly up to 6.5 mm.
Conclusion: MR-picture of intervertebral osteochondrosis of the lumbar spine with the presence of paramedian to the right L5-S1 disc herniation, L1-L2, L3-L5 disc protrusions. Retrolisthesis L5. Spondylosis. Spondylarthrosis of the facet joints.
After huge amount re-read the info on the Internet, after a bunch of advice from friends, we went to the regional one, straight to the head of the department of neurosurgery. To say that it was a reception is to say nothing (besides, it was, of course, paid). By the way my mother entered (this is a strong word with her pains) and, glancing with one eye at the MRI image, the doctor issued a verdict: “It was necessary to operate yesterday ...”. We asked about an alternative solution in the form of Conservative treatment (exercise therapy, kinesitherapy) - to which the doctor said skeptically: “Do it, it might help, it will become easier, but then you will lose sensitivity urethra". He named the cost of the operation (including the anesthesiologist, the assistant doctor, a one-time contribution to the hospital for the needs, the postoperative period, and his own price “How much it is not a pity”) and sent him home for the weekend, so that on Monday the mother would already come to go to the hospital. And on Tuesday, surgery. With all this, he did not examine his mother, did not ask what was bothering her, he looked at the MRI in daylight. Mom is in a panic. We went to a rehabilitation doctor, a physiotherapist, who honestly conducted an appointment (1.5 hours). Completely examined the picture, described, explained (it turned out that in addition to a hernia, there are a lot of other equally important problems: and fatty degeneration, and Schmorl's hernia and a twisted, displaced vertebra in the lumbar region, and thin walls). After a complete characterization of the picture, I examined my mother, and thoroughly. standing, sitting, lying position. There was no back pain. In the leg - a little (when I lifted the straightened leg by 60-90 degrees). I made an unequivocal conclusion that the pain in the leg is not from the back (hernia and other things), but definitely from the hip joint. Wrote a referral for an MRI of the hip joint. That is, in fact, a diametrically opposite diagnosis to the one made by the neurosurgeon. He suggested doing kinesitherapy and taking a complex of medications.
We don't know what to do. Who to believe? Should I decide on an operation, or try conservative treatment? Now the pain is getting stronger, only in the leg, only the thigh. Only "Olfen" intramuscularly helps. Please help with advice. No more strength to go anywhere. How many people, so many opinions, but you can’t build an unambiguous diagnosis on this ... It’s hard for mom. Me too. Please, help. Thanks in advance for any advice!

Responsible Kachanova Victoria Gennadievna:

Hello Anna. Let's start with the fact that a rehabilitation doctor, a physiotherapist cannot unequivocally remove the diagnosis made by a neurologist and a neurosurgeon. My opinion, according to the data that you give, the condition is due to a hernia of the lumbar spine. Before going for surgery, you need to undergo intensive medical treatment, including blockades, Olfen alone is not a treatment. In your case, on surgical treatment need to go to last resort, since there is still retrolisthesis at the level of the hernia, this is not very good. Manual therapy excluded.

2011-08-28 11:34:01

Lena asks:

Hello! I really need help

About 9 months ago there were pains in the abdomen, on the left, it cut in the pancreas and below. I went to the doctor, from the analysis and research I did an ultrasound of the organs - everything is normal, nothing is enlarged, the structure is not broken, etc. In general, organs - approx. General blood test is normal. FGDS (probe) - an absolutely healthy stomach (!), Everything is normal. I have a slight shock, the doctor prescribed drops of Iberogast, drank for a week, it seemed to let go and passed. For three months she lived and did not know grief. But that was only the first circle of hell.

At the beginning of June, pain appeared again, to the left of the navel and above, where the pancreas is. It has a constant aching character, gives to the lower back, pelvic bone, back. It is also noticeable when moving. There is a clear painful point - to the left of the navel, when pressed, it radiates to the back. The pain is such that it begins to throb inside when pressed, the feeling that I touch the wound. Again doctors, examinations. Ultrasound of the organs - the norm, KLA - the norm, urine - the norm, coprogram - the norm. Thoughts began to appear that this is the intestines, there is nothing else in that area (from the organs). The doctor prescribed Spazmomen, Duspatalin, nothing helped, did not relieve the pain for a second.

In the end, I could not stand it and went to the hospital. She said that her stomach hurts very badly, she was hospitalized for surgery. The following studies have been made:

urine is normal
blood - normal, as the doctor said "calm"
abdominal x-ray - normal
X-ray of the lungs (fluorography) - normal
irrgrografiya of the intestine (with barium) - colonoptosis, but it was congenital before, and did not feel any pain. Organic pathologies - not revealed.
They did a colonoscopy of the colon - normal (!)
MRI of the thoracic spine - 2 Schmorge hernias, 2 hemangiomas (in the thoracic region). The neurosurgeon consulted, said that SUCH PAIN could not be because of this.
Discharged from surgery and gastro-department WITHOUT DIAGNOSIS. I don’t believe in the bullshit of a gastroenterologist that it could be a back. And this was confirmed by a neurosurgeon.

At the same time, pain began to appear on the right, in the liver wound when walking. It was like running a couple of laps in the stadium. Stitches in the side during normal walking! I continue to walk with this pain, went to work. On August 25, at the end of the day, she felt a sharp, dagger-like pain on the right in the area of appendicitis and right kidney, couldn't breathe on full chest, it became bad, threw in a fever. I called an ambulance and they took me to the surgery. They observed me there for a day, examined three surgeons, did not cut me, since neither appendicitis nor other "acute" conditions were found. In general, they said they would not cut, there is no evidence. There is nothing more to explore..

was discharged again without a diagnosis, on all 4 sides.

I have a question for doctors and those who have experienced similar, share your thoughts, ANY INFORMATION useful. What to do in such a situation, it’s very bad for me, I walk with pain, it cuts, it pricks, it aches, it’s a spilled character, there is localization from top to bottom to the left, but sometimes it hurts everywhere and on the right (liver) and in the right kidney and below . Dull, aching, intense pain is constantly on the LEFT + soreness when pressed at a point to the left of the navel.

What other research can be done? I want a CT scan of the internal organs with contrast. Tell me how to do it CORRECTLY and which organs. The surgeon advised an MRI of the lumbar spine, but is it necessary?

I’ll keep silent about the moral state, hands drop ... (((

Thanks in advance

Responsible Ventskovskaya Elena Vladimirovna:

Hello! Perhaps the problem is due to irritable bowel syndrome (IBS). This is a functional disorder, very common at a young age, in which no organic changes are determined. It is associated primarily with stress, feelings. So take care of this issue. And I would also advise you to do an additional examination of the spine.

2016-02-27 05:01:56

Hope asks:

Good afternoon.
Mom is 79 years old. Height 164, weight 84. Hysterectomy (2001), herniotomy (2009). Since 2001, diagnoses: hypertension, coronary artery disease, cardiosclerosis, CVD in cerebrosclerosis and osteochondrosis. Until 2014, she did not take the drugs of the year, she got rid of the headache with Citramon.
Complaints of severe dizziness, if he throws his head back, tries to look up, lies on his left side, "blood does not enter the brain from the left side."
In April 2014, she fell off the table (gluing wallpaper) after throwing her head back. She hit her head, lower back, broke her arm. There was no concussion. After 2-3 months, "tremors" began, a slight unsteadiness when walking. Then there was a small tremor of the right hand.
- neurologist at the Institute of Gerontology 10/11/14: discirculatory a/c and hypertensive encephalopathy 2 tbsp. with [....] mainly in the vessels of the VBB, essential tremor of the hands and head. Mildronate 1 month, actovegin - 2 months, neovital - 1 month, epadol - 1 month, cerebrovital - 1 month.
On 13/12/14 at night she wanted to get up to go to the toilet, felt a sharply painful blow in the lumbar region, "as if four arrows were fired up the spine" and lost consciousness, fell back on the bed and slept (?) until the morning. Presumably, some time lay on the left side. In the morning I could not get up, it was difficult to open my eyes, severe nausea, they called an ambulance, they suggested a hypertensive crisis, they made injections, there was no improvement. She lay for two days
15/12/14 hospitalization in the Chernihiv city hospital, neurology, diagnosis on discharge 29/12/14:
CVH, CPMC 2st in VBB in the stage of acute (13/12/14) with mild vestibulo-ataxic syndrome. A/c arteries of the brain (І67.8.7), hyper. ailment 2st, 3rd, risk 4. Transverse osteochondrosis with major lesions of the cervical spine. Instability of CV-CVI. Cervicalgia with mild pain syndrome. IXC. Angina pectoris Іst., stable, 2 f.c. to save the systolic function of the left line. Postinfarction (ECG) cardiosclerosis. Chronic cystitis, remission stage.
Recommendations: atherocardium, Cardiomagnyl, dicorlong, rosart. Hospitalization for 6 months.
Discharged in a satisfactory condition under the supervision of a local neurologist in Chernihiv.
On April 15, 2015, against the background of SARS, the house fell “out of the blue”: she felt a sharply painful blow in the lumbar region, “as if an arrow had been fired up the spine”, fell “like a mowed down” back, hit the back of her head.
Examination by a neurologist at the Meddiagnostika Center 22/04/15
Complaints about: dizziness clockwise, occur when changing position, in the position on the left side, when throwing back the head, unsteadiness when walking, instability, hand tremor. Morning stiffness - no. Meteorological dependence - is. Articular syndrome: pain in the legs, no night pain; no subfebrile condition. Previous treatment: giloba, mildronate, vasoserk, neuroxon, mexidol.
Objectively: Neurological status: at the time of examination, cranial innervation - smoothed left n/labial fold, slight deviation of the tongue to the left, otherwise without acute pathology. Tremor of the head of the type of essential intermittent, tremor of the hands, more on the right. Muscle strength is diffusely reduced, gait is atactic, muscle tone unevenly increased in the extrapyramidal type. Tendon and periosteal reflexes of moderate liveliness with a slight predominance in the left hand. Shtrumpel's syndrome from 2 sides, the left plantar reflex is perverted (the right one is reduced). Tension symptoms: Lassegue is positive on the right, Wasserman (Matskevich) on the right from 2 sides. In the Romberg position, it is unstable, falls back and to the right. The function of the pelvic organs is increased. Limitation of flexion abduction rotation in symmetrical hip joints.
Diagnosis: DEP 2-3 st in the form of a pronounced vestibulo-atactic syndrome, extrapyramidal disorders by the type of hyperkinesis, hydrocephalus.

In the summer of 2015, she moved along the street on her own, went to the store, but sometimes there were bouts of dizziness and "tremors".
Consultation at the Parkinsonism Center September 2015.
Diagnosis: extrapyramidal yeast syndrome on the background of DEP 2st, hypertension 2st.
Recommendations: Levodopa is not currently indicated.
From the fall of 2015 until 18/2/16, traffic problems escalated in waves.
Dizziness is common (against the background of taking vestibo 24). Pressure surges: during the day from 170-180 / 110 to 80 / 55 (low is always around 11 am, passes after an hour of sleep).
Survey results:
Duplex scanning of extracranial brachiocephalic vessels and transcranial duplex scanning:
7/10/14 A/s arteries. Vertebrogenic non-straightness of the course of both vertebral arteries.
28/1/15 A/s arteries. Vertebrogenic indirectness of the course of the vertebral arteries. Deformation of the right vertebral artery in segment VI. Wave-like course of the ICA.
28/4/15 Sonographic signs of stenotic a/c. Decreased blood flow velocity in the basin of both middle cerebral arteries, more pronounced in the left middle cerebral artery. Vertebrogenic deformity of the V2 segment at the level of C5-6 vertebrae of both vertebral arteries, which has no systemic hemodynamic significance. Signs of dysgemia and a decrease in the rate of blood flow in the arteries of the VB basin on both sides, more pronounced on the right, probably due to influences of vertebrogenic origin in the area of the cranio-vertebral junction.
Signs of impaired venous outflow from the cranial cavity, accompanied by a decrease in volumetric blood flow in the left internal jugular vein and overload of the volume of the right internal basin jugular vein, with signs of increased blood flow through the deep veins of the brain on both sides. Expansion of the cavity of the third ventricle. Significant decline translucency of temporal ultrasonic windows on both sides, more pronounced on the left.
Evaluation of the results of functional cerebrovascular tests:
Decreased functional (perfusion) reserve of cerebral circulation in the basin of both middle cerebral arteries. In the study of cerebrovascular reactivity, signs of tension in the autoregulation system are determined with the development of functional vasospasm of the arteriolar bed in the basin of both middle cerebral arteries.
When conducting vertebrobasilar tests, signs of an increase in the severity of dysgemia in the basin of the left vertebral artery are determined.
MRI of the brain:
On 15/12/14 MR, no sign of concaval pathological changes in the brain was detected. Atrophic expansion of the liquor spaces (zmishana hydrocephalus ex vacua). Changes in the paranasal sinuses of a chronic inflammatory character. Pristinkov about the "I am the closure of the right maxillary sinus (high protein cyst).
CT scan of the lumbar
24/03/15
CT picture of intervertebral osteochondrosis L3-S1, herniated discs L4-S1.
CT cervical
10/4/15
CT picture of intervertebral osteochondrosis of C3-C7 discs, herniated discs C5-C6, C6-C7.
CT scan of the chest
CT picture m / n osteochondrosis Th3-Th10. Osteopros.
Blood test 17/12/15
ALT 17
AST 22
Bilirubin total 6.2
Bill direct-2.3
Bill Nepr- 3.9
Glycated hemoglobin - 5.84 (normal 4.8-5.9)
C-peptide- 1.73 (0.9-7.10)
Serum glucose -5.31
Insulin 9.06 (2.6-24.9)
Ind HOMA- 2.14 (up to 3.0)
COE 29
Since December 2015, she has been doing exercise therapy according to the Bubnovsky system three times a week.
In mid-February 2016, complaints of unstable pressure (after getting up 150-160/100, around 10 am -90-85/60, after sleeping at 12 o'clock -130/80, in the evening rising to 150-160/100, sometimes 180/110 ; periodic dizziness, especially in windy weather or on rainy days, unpleasant sensations in the legs: heaviness, tingling, feeling that there are "pillows" on the soles of the feet that it is impossible to stand on, coldness in the feet (while the feet are warm); lack of sensitivity in toes (especially the right one).Unpleasant sensations in the feet are present in an upright position (sitting and standing), rarely in the lying position.Weakness, it is very difficult to raise the foot on a step, get into the car.Tremor of arm tension, mainly on the right.Tremor of the head (rarely ) Sometimes a feeling of foggy, heaviness in the head.In the dark and with eyes closed falls.
Took: vestibo 24 - 2 wd, vazar 160 in the morning, vazar 80 in the evening, magnicor 75 - 1 wd, balance phytocomplex before bedtime, vitamin B12-1000mcg 1wd, vit B + vit C complex.

On February 18, 2016, we applied to the Chernihiv city hospital for an examination to determine the advisability of stenting the vertebral arteries.
On February 19, 2016, an angiographic examination of the brachiocephalic and coronary arteries was performed with simultaneous placement of a stent (if indicated) in the LAD of the left coronary artery.
Extract from 25/2/16
Diagnosis:
IXC. Angina pectoris Stable fc.2. Postinfarction cardiosclerosis (ECG). CVH (19/2/16) 90-95% stenosis of the proximal LMSC LCA, 50-60% stenosis of the proximal OH LCA, 50-60% stenosis of the middle RCA. 19/2/16 - stenting of 1 proximal LMSC of the LCA (DES Nobori 3.5x24mm), CH 2A fc.3 to preserve the systolic function of the left duct. Hypertonic ailment 3 st 3 with p4. Hypertensive heart. CVH DE 2-3 st in the VBB with a mild vestibulo-ataxic syndrome. Syndrome of vessel parkinsonism. A / s vessels of the brain. Rozpovsyudzheny osteochondrosis of the ridge with the most important lesions of the transverse-krizhkovy vіddіl. Lumbalgia.
Decoupling:
- Carotid arteriography (19/2/16) - tortuosity of the vertebral artery
- Doppler ultrasound of the arteries of the lower extremities
22/02/16
Result evaluation:
Dopplerogram of the arteries of the main type on BOTH, PKlnA, PTA on the right, BOTH, PKlnA, PTA, RTA on the left;
The blood flow velocity is maintained in all vessels;
IRSD is normal on 1,2,3,4 cuffs on the right, 1,2,3,4 cuffs on the left.
Conclusion:
Blood flow through the arteries of the lower extremities within the age norm.
Analysis
ZAK 19/2/16
RBC

P / i - 2%, s / i - 57%, mon - 4%, lymph - 35%, l - 2%
18/2/16 glucose - 4.5 mmol/l
Bioch. Cr. 22/2/16
Zag. Protein 51g/l, zag. Bilir - 14.9 µmol/l, ALT-22.1 MO/l, AST-28.7 MO/l, sechovin 12.2 mmol/l, creatinine 108 µmol/l; potassium 4.5 mmol/l, sodium 140 mmol/l, chlorine 100 mmol/l
02/22/16 fibrinogen 4.2 g/l, PTI 94%
Signed for a place of residence in the old camp
Recommendations of a neurologist (the examination was carried out very inattentively, the mother complained of instability and pain in her legs, referring to the calf muscles and discomfort in the lower back):
Vestibo 24 - 2 wd - 1 month
Revmoxicam 7.5 mg-2 qd - 5 days
On February 22, 2015, after 2 days of strict bed rest and the removal of a very tight hemostatic bandage (the surgical access was through the groin), the problems with his legs intensified. Now:
The pressure is 90/60 at 10 am, the rest of the time - 110/70-120/80 without taking antihypertensive drugs, the pulse is about 80
Headaches and dizziness absent (no vestibulum)
Thinking is clear, absolutely adequate, memory is not disturbed, there is no confusion.
There is a tension tremor in the right hand, in the morning after getting up, an "internal trembling" may appear, which comes from the lumbar region and spreads to the whole body. It goes away after breakfast. Legs: soreness in the calf muscles, numbness of the feet, after the massage, only numbness of the fingers on the right foot remains, a feeling of cold (really warm), cold touches; almost uncontrollable: uncertainty in the knees, legs move with great difficulty, support is needed when walking, falls without support. Completely helpless in the dark.
Accepts: Brilinta 2 rd, Magnikor 1 rd, Rosart 1 rd, Pantasan 1 rd
What can be done to restore the ability to walk?

Responsible Starish Natalya Petrovna:

Hello! Considering the patient's age and complicated medical history, as well as big bouquet comorbidities, it can be concluded that the violation of the function of walking has both central and peripheral origin. Therefore, it is not possible to say unequivocally - such and such a drug will help you, and your mother will start walking after taking it - it is not possible. In your case, you need a hospital - a sanatorium with a large diagnostic and treatment base, as well as non-standard rehabilitation opportunities. I am not aware of such medical institutions on the territory of the former CIS countries. Clinics in Israel and Germany offer something similar. You can find them yourself on the Internet, contact them, even call you back and send them your mother's medical history. After studying which - they will give you their verdict - as far as possible further treatment and rehabilitation at this stage. If the implementation of my proposal is not possible for you for any reason, it makes sense to go to the hospital every six months for a course of maintenance therapy, and in between - look for a sanatorium according to the profile of the disease (your doctor will tell you this). And I also want to remind you - what doctors cannot (they are just as mortal as all of us), Higher powers can - go to the Temple, pray, invite a priest to your mother, if your prayer comes - you will not need Israel, nor Germany. Patience and wisdom to you, and health to your mother!

2015-03-19 16:32:45

Tatyana asks:

Hello! I am Tatyana, I am 44. I have a very great weakness in the legs. It is very difficult to climb stairs. I don’t even look at a bus with a high seating position, if I sit down, I won’t just get up, I get down on my knees, and then I get up with the help of my hands. During normal walking, everything seems to be normal. I went to the hospital, they said that the problems were due to the spine. But I doubt. D/h: widespread osteochondrosis of the spine with a predominant lesion of the thoracic and lumbar regions, with painful muscular-tonic static-dynamic disorders of the spine and walking. Disc herniation l5-s1. Can you please tell me if this could be the reason? Or where else should I go?

2014-08-26 08:05:30

Tatyana asks:

Good afternoon! I am 46 years old. In June of this year, it began to hurt to lie on my sides, feeling like they were hurting hip joints. Joints are felt even when walking for a long time. A little later, the lumbar part of the spine and the sacrum began to hurt, the pain was severe, it radiated to the right leg, even lying down, there was pain in the muscles of the buttocks when pressed.
The blood then was: hemoglobin 105 (but always strong critical days), erythrocytes 3.6, coe25/
The neurologist wrote - lumboischialgia. Meloxicam, detralex, diaflex, preparations with iron.
In July, blood: hemoglobin 110, soy 4, the rest is normal. I did a CT scan and an x-ray - osteochondrosis of the lumbar spine, disc herniation, osteoporosis, spondyloarthrosis.
Now - the pain in the sacrum, which prevented sleep, has passed. Joints hurt thumbs arms, wrists, elbow with strong flexion, hips with long walking. There are no signs of inflammation - swelling, redness, fever - no. And some flying pains in the muscles. Either the front of the thigh will hurt, then the arm, then where the ribs are, then the lower leg .... It hurt - let go, for a few seconds. There is no pain at night.
Blood: hemoglobin 130, coe5, leukocytes 4.3, platelets-erythrocytes are normal. The rheumatic factor is weakly positive. According to biochemistry, fibrinogen is 4.7. The rest is normal.
I already have depression against the background of carcinophobia, I can’t sleep. A friend died of myeloma...

Responsible Vepritsky Roman Anatolievich:

Hello, Tatyana.
Based on the information provided, you should:
1. You should be examined and treated by a rheumatologist. Consult with a rheumatologist about the scope of the examinations and treatments listed below.
2. Exclude ankylosing spondylitis (x-ray of the sacroiliac joints, repeated complete blood count, rheumatic tests). The probability is low, but it is necessary to exclude it in order for the treatment to be effective.
3. Exclude rheumatoid arthritis (complete complete blood count, rheumatic tests in dynamics, ATCCP, X-ray of the hands).
4. Start treatment of osteoarthritis and osteoporosis according to generally accepted schemes. In your situation, it is also necessary to be examined by an endocrinologist (exclusion of thyroid diseases) and a gynecologist (exclusion of gynecological pathology). You should also find out the cause of anemia (start with a gynecologist, then a therapist / hematologist).

2014-06-24 08:45:24

Vitaly asks:

Hello! Concerned about pressure drops, palpitations, dizziness, unsteadiness when walking, weakness in the legs, burning sensation in the thoracic spine. Panic attacks when walking.
treated in neurology several times. Diagnoses range from: churchroniaogia with muscular tonic syndrome against the background of ACD, instability of the C4-C5 motor segment, VA pathology. - to vertebrogenic churchcronialgia stage of progress vegetovascular dystonia against the background of acute respiratory disease to cardiomyopathies.
treatment with vascular drugs does not bring improvement
Surveys since 2011:

1.CT Angiography of the neck (contrast Iomeron 350-100ml)
right PA - 2.4 mm in diameter
Left PA - 4.5 mm in diameter
The course, diameter, arrangement of vessels are not changed.

2. MRI (3 Tesla machine) Examination of the brain with contrast (magnevist 19 ml.)
Conclusion: There were no data for focal lesion, space-occupying lesions of the brain. (The mucous membrane in the basal sections maxillary sinus locally thickened up to 10 mm)
3. MRI Research Cervicothoracic spine:
In the C5-C6 segment, a hernia of the intervertebral disc is determined posteriorly and to the left up to 2.5 mm, with partial compression of the dural sac. The anteroposterior diameter of the spinal canal is narrowed to 9 mm. The intervertebral foramen is not narrowed.
In the T6-T7 segment, there is a herniation of the intervertebral disc posteriorly and to the left up to 5 mm, with partial compression of the dural sac and the left root of T7. The anteroposterior diameter of the spinal canal is narrowed to 10 mm. The intervertebral foramen is not narrowed.
In the segments C6-C7, T2-T6, circular protrusions of the intervertebral discs up to 1.5-2 mm are determined, with partial compression of the dural sac. The anteroposterior size of the spinal canal is narrowed to 9-10 mm. Intervertebral foramen is not narrowed
In the T8-T9 segment, there is a protrusion protruding beyond the edges of the adjacent bodies into the spinal canal, paramedian to the right, 3-3.5 mm, with compression of the dural sac and nerve roots. At the T8 level, a cystic formation measuring 12x8x14 mm is determined parovertebrally on the right. Multiple Schmorl's nodes.
4. MRI Examination of the lumbosacral region:
The disc height is preserved. Disc L4-5 on the background of diffuse protrusion forms a wide posterior hernia protruding beyond the edges of the adjacent bodies into the spinal canal by 6.5 mm with compression of the dural sac.
The disk L5-S1 forms a protrusion protruding beyond the edges of the adjacent bodies into the spinal canal, most pronounced centrally - by 4 mm.
The facets of the joints are pointed.
There is instability C4-C5 at the same level, the left PA enters.

Responsible Maykova Tatyana Nikolaevna:

Vitaly, anxiety disorders Neuropathologists do not treat, psychiatrists treat it. If they find it necessary to refer you to a psychotherapist, you need to go.

To date, about 150 million patients with diabetes mellitus have been registered in the world. According to WHO forecasts, by 2025 their number will double. Severe metabolic disturbances that occur when diabetes are the basis for development.

When treating osteochondrosis, it is important to consider all aspects of recovery musculoskeletal system. Along with physiotherapy that can improve blood circulation, reduce intoxication and restore nutrition to the spine, physiotherapy exercises have a good effect.

Nordic walking is one of these sports that has a beneficial effect on the joints, muscles, cardiovascular and nervous systems.

Nordic or Nordic walking was invented by Finnish skiers who, in order not to lose their physical form during the warm period, made hiking trips with ski poles in their hands. Soon this type of fitness became popular due to good performance. physical condition athletes and Nordic walking have been adopted by many rehabilitation centers specializing in the restoration of the musculoskeletal system after a person has suffered spinal injuries and surgeries.

What is the secret of Nordic walking

During normal walking, the human body experiences two opposite forces - attraction and transfer of support when taking a step. These forces act on the spine and lower limbs with a force equal to the body weight, when using additional support on sticks when making a step, the load is distributed evenly on all the muscles of the body, while the spine and limbs get tired less.

The load in the form of sports walking strengthens the muscles of the upper and lower extremities, as well as the muscular corset of the body and the abdominal press. Such an incredible effect is achieved by observing the posture while walking, as well as the work of the entire body, while during normal walking the upper body and arms can be relaxed.

Nordic walking, used for osteochondrosis, strengthens the muscles in the lumbar and cervical region, promotes weight loss, improves cardiovascular system which, in turn, promotes increased blood circulation. Of great importance is the correct deep breathing while walking in the fresh air, which saturates the body with oxygen and enhances cellular metabolism.

As the results of a statistical study in a rehabilitation center for people with diseases of the musculoskeletal system show, after 3-4 weeks of regular Nordic walking, patients feel a surge of energy and strength, movements are much easier, motor function is restored in case of lumbar osteochondrosis. There is also a normalization of weight. In the first month, the patient may notice a small plumb line on the scales, but at the same time a decrease in volume. Such indicators are not accidental, because the fat mass is replaced by a heavier, but dense - muscle mass. Over time, the weight returns to normal, and the body acquires a toned silhouette, which cannot but affect the functions of the spine for the better.

Nordic walking is accessible to everyone

In order to engage in Nordic walking, much is not required - equipment in the form of special sticks, fresh air and a desire to be healthy. Equipment can be purchased at a sports store - sticks are made of durable plastic, move apart to the desired height and have easy-to-grip handles. Also, some models are equipped with rubber ends that easily transform into a steel sharper, like in ski poles for comfortable walking on the countryside. When choosing the size of the sticks, you should multiply your height by 0.68, the resulting number will be the optimal height.

Walking can be done both at the stadium and in the park. The latter option is preferable, since when moving at distances with different terrain, the load increases. Everyone chooses the time of classes according to their abilities, but best option, these are walks for 40-50 minutes 3-4 times a week.

This type of fitness has no age restrictions, and when compared with yoga, swimming and Pilates, Nordic walking leads in terms of the number of calories burned - 400 kC in 60 minutes.

How to practice

It is advisable to conduct the first classes with a trainer or join a group that has been involved in this sport for a long time, but you can start by independently following all the instructions for the correct setting of sticks, relative to the body.

To begin with, you should do a five-minute warm-up using a stick as a pole. These can be deflections based on a vertically placed stick, turns, lifts of a stick held horizontally in the hands relative to the floor, above the head. With osteochondrosis of the cervical region, it is possible to push up a transversely clamped stick from the chest. Then you can start the healing walk.

The position of the body while walking should be slightly directed forward, as when skiing. The step is made from heel to toe and at the same time supporting the opposite stick under a slight slope, for example, the left foot and right hand, and vice versa. During such a walk, up to 90% of the muscles of the body are involved, but the load on spinal column decreases. Also known is the drawing technique, in which the sticks are pushed back a little, and the hands are pressed to the body. When performing the technique, drawing is not supported by sticks. To achieve the maximum positive effect from training, it is recommended to alternate these two techniques and by all means start and end classes with a light warm-up.

Contraindications for walking

Nordic walking has practically no contraindications and age restrictions, and yet it is not recommended to engage in severe pain syndromes, as well as exacerbations. chronic diseases. Elderly people with heart disease, hypertension should first consult with their doctor. The pace of walking, as well as the duration of classes, should be increased gradually so that a large load does not discourage the desire to continue training. Gradually, Nordic walking will become one of the most useful life habits that can alleviate the manifestation of symptoms and improve the condition of the spine with lumbar, thoracic and cervical osteochondrosis, as well as strengthen the muscles of any part of the back and trunk.

Are herniated discs and race walking compatible? From flat feet to hernia: how Nordic walking is useful

Sources of pain

Injuries

Treatment

Osteoarthritis of the sacrococcygeal joint

Neoplasms

Neurological diseases

Diseases of the rectum

Diagnosis for pain in the sacrum and coccyx

Exercises for a hernia of the lumbar spine

Exercise Requirements

Forbidden exercises

Exercise therapy techniques

Treatment of a hernia with exercise

Techniques of Sergey Bubnovsky

Gymnastics of the lumbosacral region

Indications for physical activity

Nordic walking in diseases of the musculoskeletal system

Features of Nordic walking

Method features

Basic Rules

Varieties of training

Denial of responsibility

Permissible physical activity

How to run with a hernia of the spine?

Nordic walking - harm or benefit?

Are jumping allowed?

The effect of walking on the human body

Types of walking

Benefits of walking for the body

The effect of walking on the spine

Harm and contraindications

What do you need for walking

Norm of steps per day

When, how much and at what age can you walk

Is it possible to treat the spine only by walking?

Wellness walking

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Treatment of a hernia with exercise

Techniques of Sergey Bubnovsky

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Features of Nordic walking

Questions and answers on: walking with a hernia of the lumbar spine

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