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When back pain is severe
We often have back and waist pain. Most of the time they are caused by wrong posture and are nothing serious. But if it is caused by disc herniation, it is serious.
There are 33 vertebrae in the spine. The cartilage between the two vertebrae consists of a rounded disc-like part; which is called disk. They are made up of jelly-like material. The anterior longitudinal ligament, posterior longitudinal ligament hold the discs between the vertebrae. The anterior ligament is very strong while the posterior ligament is slightly weaker. When for some reason the posterior ligament is damaged and the disc nucleus protrudes into the spinal canal, it is called a disc herniation; Slipped disc in simple terms.
How to understand
Disc herniation or slipped disc pain is usually on one side of the body. Depending on the location of the disc herniation, symptoms appear in different parts of the spine. Common symptoms of a slipped disc in the lumbar spine (lower back): back pain, severe pain when bending over, sudden pain when sitting or moving, leg pain, numbness in one leg or arm, pain in the sole of the foot, etc. If the disc herniation is located in the cervical region of the spine, pain will be felt in the neck and arms.
because
A disc can dislocate with little pressure if the muscles surrounding the spine are weak, or if the muscles become weak with age. Improper injuries, injuries from heavy lifting, sedentary desk work, obesity or excess weight are also causes.
We often have back and waist pain. Most of the time they are caused by wrong posture and are nothing serious. But if it is caused by disc herniation, it is serious.
There are 33 vertebrae in the spine. The cartilage between the two vertebrae consists of a spherical disc-like part; which is called disk. They are made up of jelly-like material. The anterior longitudinal ligament, posterior longitudinal ligament hold the discs between the vertebrae. The anterior ligament is very strong while the posterior ligament is slightly weaker. When for some reason the posterior ligament is damaged and the disc nucleus protrudes into the spinal canal, it is called a disc herniation; Slipped disc in simple terms.
treatment
● For general pain, doctors treat conservatively or conventionally.
● For those whose herniation has not progressed to the final stage, complete rest for a few days, some exercise, sleep on a firm bed, do not lift heavy objects and do not do heavy work, sleep on a thin pillow, bend when getting out of bed, avoid excessive travel, do not ride a motorcycle. There are a few things to follow.
● But surgery is considered for severe slipped disc, muscle and spinal cord weakness (myelopathy). Especially if the patient has urinary-toilet, sex nerve damage or paralysis of any part of the body, surgery should be done within 24 hours.
Professor Dr. Haradhan Debnath, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University.