椎间盘突出

什么是椎间盘突出？

The word “herniate” means to bulge or stick out. The spine is made of stacked bones (vertebrae) separated by round, rubbery pads called intervertebral discs that cushion the bones as you move your body. A herniated disc, also called a slipped or ruptured disc, occurs when a fragment of the disc is pushed out into the spinal canal through a tear. The displaced fragment presses on spinal nerves, producing pain that may range from mild to severe.

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At UTHealth Neurosciences, we first investigate options for nonsurgical treatment, including medical management, pain management, physical therapy, rehabilitation, and watchful waiting. When surgery is needed, our neurosurgeons routinely employ innovative minimally invasive techniques. Throughout the treatment process, our team works closely with the doctor who referred you to ensure a smooth transition back to your regular care plan. While you are with us, you can expect expert care, excellent communication, and genuine compassion.

椎间盘理学的原因

形成疝可能是由于突然扭曲或沉重lifting at any age, but they are more likely to occur in older people as the cartilage that forms discs begins to break down over time. Herniated discs are most common in the lumbar spine between the ribs and hips, and they may also occur in the cervical (neck) section of the spine. Over time, a degenerating disc may break down completely, leaving no space between two vertebrae, which can result in impaired movement, pain, and nerve damage.

椎间盘突出和诊断的早期迹象

症状在个体之间的差异很大，具体取决于椎间盘突出的位置，疝气的大小以及椎间盘是否压在神经上。随着时间的流逝，疼痛可能会缓慢发展，然后突然恶化。有些人根本没有痛苦。

移动脖子时，椎骨椎间盘在神经上紧迫的迹象表明。肩blade骨附近的疼痛；在手臂上射击疼痛；肩膀，肘部，前臂或手指麻木。椎间盘突出症的症状是腿，臀部或臀部的疼痛或麻木。小腿或脚部的背部疼痛或麻木；坐骨神经痛；和一条腿的弱点。

我们的脊柱专家通常使用MRI成像来诊断椎间盘突出和X射线射线以完成对椎骨的评估。

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Treatment

如果疼痛轻度到中度，大多数患有椎间盘突出的人都可以用非甾体类抗炎药或止痛药治疗。您的医生可能建议您在几天或几周内保持低活动水平，直到脊柱神经炎症减少。物理疗法可以与按摩，热和冰疗法，肌肉松弛剂和伸展运动结合使用。

If the pain continues, your doctor may refer you to an interventional pain management specialist for an epidural steroid injection. If the injection fails to provide relief, the specialist may recommend radiofrequency ablation, an office procedure, to turn off a nerve’s ability to send pain messages to the brain.

People who still experience pain or are significantly restricted in their daily movements after trying conservative treatments may consider surgery to remove the deteriorated disc and fuse the two vertebrae. One option for surgery is a lumbar laminotomy. If the spine needs to be stabilized, your doctor may recommend spinal fusion as well.

The UTHealth Neurosciences Spine Center brings together a multidisciplinary team of board-certified, fellowship-trained neurosurgeons, neurologists, researchers, and pain management specialists who work together to help provide relief for even the most complex problems. People who suffer from radiculopathy, spondylosis, spinal stenosis, herniated disc, degenerative disc disease, peripheral nerve disorders, spinal cord injury, or other trauma benefit from our collaborative expertise in managing spine disorders.

Spine Disease and Back Pain

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在Uthealth神经科学，我们为大休斯顿地区诊所的患者提供了患者的专门神经护理。要问我们一个问题，安排约会或了解有关我们的更多信息，请致电（713）486-8100，或单击下面向我们发送消息。如果发生紧急情况，请致电911或去最近的急诊室。

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