The magnetic resonance offers very detailed images of the soft parts within the rachidian conduit and neighboring weaves. Treatment Can be a medical treatment or by means of a surgery. The medical treatment takes control of drugs antiinflammatories and analgesic for the pain, physical therapy if it is indicated, certain type of exercise like swimming, rest and preventive measures. Indications De Ciruga In the Discal Hernia – progressive Diminution of the secondary muscular force to the injury by a nervous root, demonstrated when examining to the patient or by means of the electromyography who measures the force and capacity of involved muscles. – Alteration of on-speed operation of the internal or the urinary bladder or other signs of compression of the spinal marrow. – Incapacitante Pain that does not respond at least to a treatment with medicines maintained during four weeks. – Repetitive or total Incapacity in spite of the medical treatment. – Also the surgery must be considered when the neurological pain or upheavals does not yield indeed in a period of four to twelve weeks.
Handling Of the Lumbar Pain the majority the people who suffer of lumbar pain does not look for medical attention, generally automedican with medicines of free sale and changes in the life style, measures that when the alteration is slight they improve the annoyances in the course of two weeks more or. Next some points to consider: – In the patients with a persistent pain or a radiculopata (injury by a nervous root), the handling must be multimodal, that is to say physical therapy, a program of regular exercises, loss of weight, psychological therapy when it is necessary and drugs, antiinflammatories and generally analgesic. – In case of a patient with a inespecfico pain, one is due to tranquilize it and to recommend to him that assets stay and follow with its habitual activities. – To reserve the radiological studies for the patients whose annoyances persist or get worse, for the patients that have neurological symptoms, that can improve with some procedure that can be practiced to them like a surgery for example, or to discard more serious causes. – To investigate factors of psychological or social type in patients with persistent pain.
– The treatments alternative nondoctors or, can contribute some benefit but there are no studies that validate their results. – The treatment with injections reserve for patients with radiculopata or in case of chronic pain. References: Treatment of the lumbar pain; Backache: Harrison online Internal Medicine Edition 2008. Recommendations for the backache. School of the Epalda. Institute Ferrn de Reumatologa and specialistic centers and Clinic TOP BRAVE DR. WILLIAM BONIFAZ MEDICINE IS HEALTH AND PREVENTION: original Author and source of the article