“Suddenly my back was stiff, I was stuck”, “I can’t get out of bed in the morning, my back breaks when I turn right and left”, “I have a pain that goes all the way down to my feet, it seems like they are hollowing”, “When I stand for a while, my hip gets a pain, my leg goes numb”… Complaints about these and similar complaints The number of those who suffer from ‘low back pain’ is increasing day by day. Acıbadem University Atakent Hospital Algology (Pain Treatment) Specialist Prof. Dr. Alp Yentür said, “The complaints of low back pain that we encounter every day, which are very common in our society, are all caused by different reasons. Therefore, their treatments are also different. While the load on the spine increases the pain, especially if the person is overweight, in this case, it becomes much more inevitable to suffer from low back pain. Low back pain patients constitute a very important part of the patients who apply to pain treatment (Algology) clinics. Emphasizing that every low back pain does not mean a hernia, not every hernia requires surgery. Dr. Alp Yentür talked about effective methods in the treatment of low back pain, gave important warnings and suggestions.
Low back pain, which is among the most common complaints today, has become widespread especially during the pandemic process. Low back pain, which is not only common in adults, but also in children; Stating that many factors such as a sedentary lifestyle, not doing regular exercise, long-term posture disorders in front of the computer and excess weight play a role, Acıbadem University Atakent Hospital Algology (Pain Treatment) Specialist Prof. Dr. Alp Yentür continues his words as follows: “As a cause of low back pain; calcification in the lumbar spine, narrow canal, deformation and degeneration of the discs between the vertebrae, calcification of the hip joint, inflammation, lumbar slippage, hardening of the muscles around the spine, compression of the sciatic nerve by the hip muscle that went into spasm, a possible tumor and herniated disc and pain relief after back surgery Many reasons can be counted, such as sometimes even more.” For this reason, it is necessary to determine the cause of the pain correctly and to start the appropriate treatment as soon as possible.
Surgery is not required in 95 percent of lumbar hernias!
Although lumbar hernia is one of the least common complaints of low back pain, a significant portion of patients describe their complaint as “I have a herniated disc”. Stating that in order to diagnose a herniated disc in a person, the patient’s complaints and examination findings must be compatible with this, as well as the MRI image. Dr. Alp Yentür says that more than 95 percent of real lumbar hernias do not require surgery, so surgery should not be the first option in lumbar hernia.
Back pain? A hernia?!
Algology Specialist Prof. Dr. Alp Yentürk states that the most common low back pain complaints are muscle spasm-related pain, and that the cause of most low back pain differs according to age, and says: “For example, herniated disc is seen at younger ages, while calcification and stenosis pain occur in older ages. In other words, the possibility of an elderly person’s low back pain due to hernia is very low. Another important feature is that in almost all of the disorders that cause low back pain, pain is felt in the waist and hip region, while herniated disc pain causes pain that spreads to the leg on the side of the hernia rather than the waist. Even in patients with advanced hernia, numbness up to the toes, pins and needles, tingling and loss of strength in the muscles can be seen in addition to the pain.
Treatment methods are collected under 5 main headings!
Since there are many factors that cause low back pain, treatment options also vary according to the cause of the pain complaint. Stating that classically low back pain treatment options are gathered under 5 main headings, Prof. Dr. Alp Yentür includes these; rest, drug therapy, physical therapy, interventional pain therapy and surgery. However; Emphasizing that excess weight, a sedentary lifestyle and weak abdominal / waist muscles are the most important factors that invite these complaints, Prof. Dr. Alp Yentür continues his words as follows: “In our patient spectrum, there is a group of patients who did not benefit from the first three applications. In other words, these are patients who have not benefited from rest, medication and physical therapy, but who do not need or do not want to have surgery. The treatment methods of algology are generally called interventional methods, most of them are highly effective treatments that are applied to the exact point where the problem is, under the guidance of scopy or ultrasound with various needles. Apart from this, methods such as spinal cord batteries, catheters, and radio wave (RF-radio frequency) applications using special devices can be counted among the options.”
Attention! If these complaints!
Algology (Pain Treatment) Specialist Prof. Dr. Alp Yentür explains the situations that require surgery as follows: “If a hernia patient with pain that goes from his leg to his feet cannot walk on the tips of his toes or on his heel, if he is unable to urinate or urinate, if men have erection problems, then surgery should be performed immediately under these conditions. Apart from this, if the pain cannot be relieved despite all the treatments, surgery can be performed depending on the patient’s request under these conditions. The reason why I say optional here is that the picture does not show an urgency, and a permanent neurological damage is not expected in a short time if surgery is not performed. Again, stenosis and lumbar shift complaints are other conditions where relief is not expected without surgery in the future.”
Source: (BYZHA) – Beyaz News Agency
