Spinal disc herniation treatment

Without surgery with the help of FSWT - Directed Therapy

Disc herniation is an injury to the spine’s intervertebral disc which occurs as a consequence of a prolapse (herniation) and protrusion of the intervertebral disc’s gelatinous nucleus into the intervertebral openings (lat. foramina intervertebrales) where pressure is exerted to the roots of the spinal nerves, and sometimes also centrally to the vertebral canal and the space where the spinal cord is located.

Our director Nenad Nešić was a quest show " Glas Zdravlja ". Listen to the part of the interview on the video below that relates to solving the problem of the disc herniation with the help of FSWT - Directed Therapy.

Two most common disc herniation types are lumbar and cervical syndrome.

In the case of lumbar disc herniation, your back may ache due to sitting long in one position or performing the same activities continuously (standing, carrying heavy objects, etc.) which results in pain in the back muscles. We usually ignore it, which is the first mistake since the body is unmistakably giving us signals that there is a problem.

By continuing the activity while in pain, and without preparing the muscles, the process of degenerative changes on the body of the vertebra and the disc located between the vertebrae is accelerated.

As the last phase, there is neurological pain, which is caused by pressing the moved disc on the root of the nerve that runs along the spine. The pain very often "descends" along the leg and the backside, travels along the back of the thigh, all the way to the calf, and even to the toes. Also, the pain that spreads laterally, which indicates central pressure on the spinal cord, should not be ignored. This is a more difficult phase, which people very often disregard.

Lumbar and cervical disc herniation treatment in our center:

Lower back pain caused by a lumbar disc herniation is treated by our Protocol 4. Neck back pain, that is, the cervical syndrome is treated by our Protocol 2.

This Protocol contains many applicable therapeutic procedures. Let’s go through the process:

The first and very important therapy is the manipulation and after that, the decompression of the spine itself, which is done on a Chattanooga Triton DTS traction table.

The next therapy that’s applied is the RSQ1 device treatment. After that, we do kinesitherapy, where the RSQ1 treatment with high-frequency current increases the number of motor units and reduces the inflammatory process - 21 minutes of this treatment changes an hour and a half of exercise time.

The next therapeutic procedure is combination therapy, which represents the application of electrotherapy and ultrasound at the same time. With this combination of electricity and ultrasound, with one gel, we get the so-called sonophoresis. The devices used are Gymna and Astar.

This is followed by Irradia cold laser treatment, where we affect precisely the site of pain and the reduction of inflammatory processes, both at the nerve root and at the site of injury.

As the last therapeutic procedure which is indispensable for this problem is Salus Talent - a high-frequency magnet. With its penetration of over 10 cm, we manage to repair the damage to the disc itself, act on inflammatory processes and accelerate collagen production.

With more severe forms of disc herniation, which are accompanied by severe radiculopathy, after the 4th or 5th therapy, hypobaric therapy is included.

As our modern lifestyle is sedentary to a large extent, whether it is driving or working at a computer, our spine is kept at an unnatural position, which increases cervical lordosis and is one of the main causes of your problems.


Cervical syndrome

Cervical syndrome can be divided based on the segments of the vertebra where the problem occurs:

1. cervicocephalic - from the first vertebra (Atlas) to the C4 vertebra
2. cervicobrachial - from C4 vertebra to Th1 vertebra

The cervicocephalic syndrome manifests in changes from the level of Atlas, the first vertebra, to the level of the C4 vertebra. What’s characteristic of these changes in the first four vertebrae are headaches, tension headaches, related to the occipital part where the pain occurs, as well as tinnitus.

A very common and unavoidable symptom is the appearance of lights in front of the eyes. Many times, patients confuse these symptoms and associate them with high blood pressure.

In another example, we will show how complex the cervical syndrome itself is, through a cervicobrachial syndrome where there is a problem from the C4 vertebrae to Th1.

Patients express all the symptoms of cervicobrachial syndrome by complaining about: their hand tingling, not having the same freedom of movement as in the other hand, shoulder pain, so patients, not recognizing all these symptoms, associate them with a shoulder problem.

The tingling and paresthesias that appear along the arms initially appear only at night.

People are usually awakened by morning pain or before dawn, when the tingling intensifies, and this is due to the fact that then the discus is hydrated and filled with water.

How does the recovery and treatment of cervical syndrome look like in our center?

At the Fizionova Center, based on a diagnostic examination (with an MRI scan that you bring), with standardized examinations and tests that we conduct, we determine the problem in question, what is the degree of damage and based on that, we determine further therapeutic procedure.

In our center, the problem of cervical syndrome is treated by Protocol no. 2, which includes:

- Decompression of the cervical spine Chattanooga Triton DTS device.

- RSQ1 treatment for which we are unique in the Balkans and which is extremely important, because it speeds up the recovery (21 minutes of applying this device replaces an hour and a half of standard therapy). In the acute phase, it is only applied through relaxation, and already after the second/third therapy, it also goes through kinesitherapy treatment with the RSQ1 device.

- Hans Tim mild current treatment that relaxes the deep muscles of the neck.

- The next procedure that is applied is combination therapy, where we apply Tens and sonophoresis, which is used in neuropathies. If it’s for cervicobrachial syndrome, it will go along the whole arm, and if it is for cervicocephalic, we will include the shoulder-scapular part.

- Salus Talent electromagnetic stimulator, where we also work with lower frequencies in the acute phase, and as time and recovery progress, we increase the frequency.

- A mandatory therapeutic procedure for this problem is the application of the cold Irradia laser.

- And as the last procedure, very often when we have a spasm of the paravertebral muscles and trapezius, hypobaric therapy is applied through suction cups.

Thoracic syndrome

Thoracic syndrome includes a number of symptoms related to discomfort, pain and problems in the chest, that is, central, or thoracic part of the spine. That part includes 12 vertebrae to which the ribs are jointed (connected).

Despite its limited mobility, the central part of the spine is functionally important because it provides support to the muscles of the neck, shoulder blades and lower back. It also has a role in keeping the body in a sitting and standing position, and it is a strong support during movement.

Symptoms of thoracic syndrome:

- Pain, tightness and stinging in the central part of the spine
- Spreading of pain to the chest
- Pain while breathing deeply

In our physiotherapy center, the thoracic syndrome is treated with Protocol 36. The same Protocol is also used for the lumbar syndrome, except that in the case of thoracic syndrome, suction cups are used instead of the hypobaric bag.


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