Hernia ( Disc Herniation ) What Is It ?

The human spine consists of bones called vertebrae. The base of the spine and the spinal cord passes through the channel in a respective side of the body on many levels, it gives branches to the border regions. The structure that connects the vertebrae and are located between each vertebra is called a disk.The task of the disc to absorb the burden on the spine and provide the range of motion of falling ( shock-absorbing ) is. These discs for various reasons, with the injury on the disk overflow occurs. Given the level of the spinal cord at the collar itself, or the disease manifests itself in the branches of the nerve head. The head loss of power in the field to stimulate the nerve , numbness , tingling and pain will experience symptoms such as. Usually load-bearing and mobility in the formation of a hernia is more common more neck and waist area.

What Causes Neck Pain ?

Two of the discs between vertebrae consists of 2 parts. The nucleus pulposus and out in the middle softer and more fluid surrounding annulus fibrosus more robust and is close to center.Any strain on the inserted disk degeneration and tear can occur. This causes herniation of the center section out. Injury to the neck area is very lively and is open to press a region with the burden. Weaknesses in the surrounding muscles, postural disorders, sudden movements, and trauma in such cases, a hernia may occur suddenly or over time.

Risk Factors For Neck Pain

• Age : As the age progresses, degeneration of the disks increases. Tissue healing and regeneration capacity is reduced.
• Genetics : Yapılan araştırmalarda aile öyküsünde boyun fıtığı olan kişilerde görülme sıklığı aile öyküsünde boyun fıtığı olmayan kişilere göre daha  fazladır.
• Lack Of Physical Activity : It is surrounded with many muscles around the spine. Riding the spine will support the load. These muscles are shortened and weakened with a sedentary lifestyle. Joint mobility is reduced. The position of the spine deteriorates. People who exercise regularly are at greater risk of having neck pain in sedentary people.
• Professional Factors : Especially in neck posture desk or working on a computer in the driver gradually deteriorates. The natural curvature of the neck is reduced and the flattening occurs. Environmental muscles are weak and increases the risk of hernia.

Stages Of Neck Pain

• Bulging: You pulpoz nucleus (center) of the annulus fibrozusa (environmentally correct) it is the replacement.
• Protruzyon: The correct replacement can lead you damaged annulus nucleus pulpoz in the fibers. The nucleus pulposus annulus fibrosis fibers are solid and the Outer you is still inside.
• Extrusion: You pulpoz nucleus into the spinal canal overflows. You all have been torn annulus fibrosis fibers.
• Sequestration: The disk broke and in a Free State is the presence within the spinal canal.

What Are The Symptoms Of Neck Pain ?

According to the segment where the hernia, the symptoms varies with sightings. Usually one-sided affection is.

• Pain: Nerve stimulation in the areas of the head to the neck and shoulders can be seen. Especially one-sided arm and can spread to the tips of your fingers.
• Power Loss: Loss of strength in time to head to the border of the hernia can be seen. Is seen in the muscles that control the border. Usually, shoulder, arm and hand movements occurs. Lifting up the lever , push, pull, grip and movement disorder such as can be seen.
• Numbness and tingling: Sensory numbness and tingling in the field under the head can be seen. Spread the fingers and the arm in the shoulder area.
• Loss Of Function: The patient can be difficult to do certain movements and sensory motor that is affected. Overhead activity , push , pull , grip functions as may be affected.

Diagnosis and assessment of neck pain

Other problems in the neck hernia may show similar symptoms. Neck pain can be due to many other causes. Very often occur, especially around shoulders and neck muscles to spasm pain in the neck can be mixed with. For this reason, the patient should be eliminated for neck pain the differential diagnosis of similar diseases. Patient can be diagnosed with history and physical examination. Special tests to find out the degree of the hernia and the segment. For detailed evaluation, MRI , X-ray , CT imaging techniques are used.

Neck Pain Treatment What Are The Methods ?

The patient is evaluated in detail after it is determined whether to have the surgery needs. The current approach in surgery as the last option is preferred. The arm completely power loss , with loss of grip strength, hand dropping objects , ongoing pain, such as numbness and tingling is preferred for most patients, except for physical therapy in advanced cases. A hernia that occurs in the body already healing tendency. Applied correctly with physical therapy accelerates healing. Rise to the incorrect and correct positions of the patient and also the worsening of the situation prevents hernia.

Applications Used In Neck Pain Physical Therapy

• Manual Therapy: Special maneuvers to the neck area , massage , mobilization and manipulation techniques. The hernia is reduced and the pressure on the nerve herniation through manual therapy accelerates healing.
• Exercise: And the direction of the hernia according to the level of exercise is applied. Enhancing the healing of the nerve neural mobilization exercises may be preferred. Neck exercises to improve flexibility and range of motion apply. This area because it would increase the burden weakness of neck vertebra and surrounding muscles must be strong. Also in areas affected by hernia of strength and flexibility exercises you are given because it would be a waste for these areas.
• Electro Physical Agents:  Fizik tedavi uygulamalarına  destek olarak ve semptomları azaltmak amacıyla elektro fiziksel ajanlar kullanılır.
• Kinezyolojik Banding: Hernia occurs due to spasm of the neck muscles. Reduce spasms and low back muscles in order to support and kinezyolojik the banding technique is applied.
• Activity regulation, and the right training on the use of neck: Push the neck, and a hernia on movements that will increase the information provided. A person's given training about how to do the activities that are used in daily life. Especially in winter a desk employee, correct posture, provides information about the position of the head and neck.

After Surgery Physical Therapy For Neck Pain

As soon as studies for neck pain after surgery, the patient has shown that physical therapy should start and be mobile. After surgery, the longer you wait the duration of the patient's rest, the speed of recovery is so low. Following surgery, physical therapy, and exercise, the risk of a recurrence of the hernia is very high in individuals who do not.

Post-operative protocol of the patient with physical therapy and exercises are made in accordance with the strength and flexibility is increased. Do's and don'ts are given training on the patient. In this way, the healing takes place quickly, and the patient returns to normal soon.