Therapeutic approach in a patient with spinal disc herniation

Krsteva, Elena and Vasileva, Dance and Dzidrova, Elizabeta (2019) Therapeutic approach in a patient with spinal disc herniation. In: XVIII International Congress of Medical Sciences, 9-12 May 2019, Sofia.

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Sequestered fragment of the IV discs usually migrated caudally, but rarely can and proximal. The fragmented disc is actually a torn part of the IV disk placed in the spinal canal.IV disc has no blood vessels and the exchange of matter is carried out by diffusion.
Aim: The purpose of the study is to demonstrate the complex therapeutic approach in patients with sequestered IV discus.
Materials and metods: The examination involves a patient at the age of 60
who complains of severe pain in the lumbar area
and pain along the right leg. The patient has an antalgic posturebecause of the tightening of the musculature by the herniated discus. It has an impaired movement and a weakened sense of touch on the right leg. Pseudolaseque is + at 30 ° to the right.
The following diagnostic methods have been applied:
laboratory examination of the clinical picture, Sedimentation, CRP, Alkaline phosphatase, Native radiography of the L-S spine, MRI on L-S on the spine. The MRI of the L-S spine shows a disc herniation with sequestration at L-4 L-5 level with a disc herniated from the dorso-medio lateral direction,right with compression of the dural sac and right radix. There is also a disc hernial degree 1 at the level L-5 S-1. Degenerative changes in the vertebral bodies and IV discs of the described levels are registered.The spinal canal at these levels is reduced by hypertrophy of the facet joints and the ligament flea.
Results: After the applied medical and non-medicated physical therapy symptoms have been disappeared.
Conclusion: Experience shows that by the time the herniated discus is decreasing.This is due to the fibrovascular tissue that is created around the herniated, ie the free fragment of the disc. Proper therapeutic approach for patients with disc herniation and �the application of complex drug treatment and physical therapy leads to disappearing of symptoms.

Item Type: Conference or Workshop Item (Poster)
Uncontrolled Keywords: Therapeutic approach, spinal disc herniation
Subjects: Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Dance Vasileva
Date Deposited: 25 Jun 2019 08:35
Last Modified: 25 Jun 2019 08:35

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