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Herniated Disc

What a herniated (or slipped) disc?

A herniated (or slipped) disc is expulsion in the spinal channel of a part of the intervertebral disc. This one being normally located in the space between two vertebras which he separates.
A hernia occurs in 87 % cases at the level of the last lumbar vertebras: most often between vertebras L4 and L5 (4th and the 5th lumbar vertebra) as a consequence of a wrong movement or of a traumatism. This hernia can draw away a compression of roots at this level: bed of sciatic nerves.
herniated disc diagram

Pain felt by the patient cannot however explain only by a mechanical phenomenon.

Other notably chemical phenomena can intervene and there are many hernia of significant volume which are asymptomatic.

These hernia as a protrusion, can lead to a compression of the nervous roots located in regard to the disc.

According to the level of the herniated disc, clinical expression can be a lumbar pain and/or a radicular pain (cruralgia, sciatic nerve).

Normal intervertebral disc:

It is necessary to know that the spinal cord ends at the level of back vertebra D12. And that at lumbar level this one persists by nervous roots which when they are irritated (by pinch) are the bed of pain.

Common intervetebral disc hernia:

To make easier the understanding of the simplified diagrammes describe main types of hernias met according to the anatomic plan in which they are situated:

In an axial plan:
  • Median
  • lateral Posterior or Para median
  • Foraminal
  • Extra foraminal
In sagittal plan hernias are described:
  • Ascending
  • Descending
Hernia can be:
  • Excluded (in relation to the posterior longitudinal ligament)
  • Extruded (by definition)
  • Protrude (incomplete form of herniated disc)
  • Protrue (forme incomplète de hernie discale)
It is possible that a damaged disc is dehydrated. It appears black to imagery. This dehydration of the disc produces an intervertebral packing which can be painful, by crushing of nerves passing between two vertebras


ANATOMY OF THE BACK

The spinal column is constituted of 26 vertebras. Vertebras are separated by gristly discs and every disc is formed by an external fibrous ring and a white internal part which acts as “amortisseur” during the movement of vertebras.

These discs can degenerate following a bad position, following a traumatism which has the effect it is ageing. If it occurs, it’s internal part can break and go out across the fibrous ring and constrict or irritate the corresponding nervous root at its level and even hurt it.

When symptoms appear (a pain, a discomfort sensation and a weakness), medical treatment consists in giving medicine to the patient such as antiinflammatory or of muscular relaxant is typically used.

However, if pain persists or if nervous problems appear, it may be necessary to choose a more efficient treatment.

For that, Discogel therapy with an Ozone treatment is used more often as an alternative to open conventional surgery. The reason for this is that it respects the anatomy of the column and the treatment allows for a short recovery for the patient.

Typically the patient will leave Puerto Vallarta pain free or at the very least with a minimal amount of pain, substantially less than when the patient arrived.} The percutaneous treatment consists of association of 2 Therapies
  • Step One Ozone Therepy where oxogen is introduced into the pain area in 3 treatments.
  • Step Two (a biotherapy) accomplished at the same time during the treatment:
    • A reduction of pressure intra-herniated disc with jellified alcohol injection (DISCOGEL® )
    • A reduction of the inflammation of pronunciations between the vertebras which encircle the suffering disc thanks to infiltration of corticoids.

TREATMENT OF HERNIA



The treatment consists in decreasing intraherniated disc hyper pressure of the pathological discs.

Injection technique percutaneous is generally accomplished under sedation.

The doctor will pick the discs to be treated, once studied, using an MRI, he will inject jellified ethanol DISCOGEL® into the herniated disc. This of course is done after 3 treatments of ozone.

DISCOGEL® INFILTRATION RESULTS NEUROMUSCULAR STIMULATION

Hernias lead to suffering, a shortening and to symmetry loss in vertebral muscles which support the column.

It is for that reason that when you use Discogel it helps reduce intra-herniated disc hyper pressure and joint inflammation, it is fundamental in treating the muscular region which may be the reason for disc pain and to help avoid the reappearance of symptoms.

Pain caused by hernias, has an influence on our emotional state, creating feelings of anxiety, stress, sadness, etc. By eliminating the pain using our Ozone and Discogel therapy which is a minimally invasive procedure not requiring hospitalization you will get your life back on track and be pain free.

Contact us to schedule your therapy.