Intervertebral disc surgery – yes or no?Back pain is one of the most common forms of pain. Studies for Austria currently show an incidence of 32.9 percent in the population. Whether muscle tension, signs of wear and tear or psychological stress – the causes of pain can be manifold. In most cases, physiotherapy and pain treatments are sufficient to alleviate the symptoms, but in some cases surgery is necessary.
"Complaints of the spine, especially pain, can be caused by congenital hereditary, inflammatory and degenerative diseases of the spine, among other things," explains Stephan Koch, neurosurgeon and specialist in spine surgery at Klinikum Wels-Grieskirchen. Surgical intervention is not always recommended immediately. Exceptions are emergencies or massive neurological deficits. Normally, however, the ladder of conservative therapies is exhausted in advance – including targeted pain therapy, the entire range of active and passive measures of physical medicine up to infiltration."Only if these measures do not lead to the desired treatment success, a surgical intervention is indicated.
Herniated disc most often the reason for surgery in younger people
In younger patients, a herniated disc is usually the decisive factor for surgery if the symptoms do not improve significantly within a few weeks with conservative therapies. "For pure pain symptoms, infusions and medications including CT infiltrations and physical therapy are available," the expert explains. This can be accompanied by targeted physiotherapy with active exercises tailored to the patient. Passive measures this process can be positively influenced.
"Surgery is only necessary in cases of therapy-resistant pain, neurological deficits, such as paralysis in the arm or leg, and massive prere on the spinal cord."
OA Dr. Stephan Koch, Department of Orthopedics and Orthopedic Surgery
However, conservative therapy successes are also repeatedly seen in this group of patients.
What can you do actively against wear and tear on the spine?
Who sits many hours and remains in the same position, favors the emergence of tensions, if he does not move regularly and provides for balance. Prevention is the most effective therapy against signs of wear and tear: If you regularly do something for your back, you can actively counteract premature wear and tear. "Required in the end, above all, the willingness to do something for themselves," says chef. Strengthening the back also supports the intervertebral discs: It is important to move the spine sufficiently and not to overload it. Reducing excess kilos, regular exercise, sport and targeted back training will keep your back strong and mobile. strong and well coordinated muscles protect the spine and at the same time protect the intervertebral discs. Unlike the muscles, the intervertebral disc is only nourished to a small extent by the bloodstream. Instead, it obtains the necessary nutrients from the surrounding tie, which it can only do if there is sufficient alternation between movement and relief.