What is a Hernia?
There are multiple names for lower back (lumbar) complaints with/without referral into the leg: Lumbago, Sciatica, a Hernia.
A hernia is when the soft centre of a disc is pushed out through a small tear in the disc wall. The shooting pain is caused by an intervertebral vertebra that is tearing due to incorrect loading. Such a tear is called a herniation in the medical world. Lumbago, for example, is the beginning of a hernia.
With a hernia we experience an acute shooting pain in the back, often people talk about "going through your back". Sometimes, one is crooked for a few days (an antalgic posture). Your brain is very clever, it will communicate to your muscles to cramp/spasm in the spine to prevent you from loading the disc and causing more trauma/tearing, unfortunately the muscle spasm can be very painful.
Hernias have different stages with a grade 0 - 5
0. Normal intervertebral disc: No displacement of the nucleus (inside)
1. Disrupted disc: Nucleus bulging to one side
2. Mild rupture fibrosus (outside): Nucleus ruptures/herniates through 25-50% of fibrosus
3. Bulging: Moderate rupture of fibrosus/nucleus ruptures/herniates through 50-75% of fibrosus
4. Hernia: Severe rupture of fibrosus/nucleus ruptures/herniates through 75-95% of fibrosus
5. Prolapse: Complete rupture of fibrosus/nucleus ruptures/herniates through 100% fibrosus, nucleus flows into marrow.
Lumbago is a 2-3 grade herniation and approximates a full hernia.
In all degrees of an intervertebral herniation, it is possible that the intervertebral vertebra presses against a nerve root. In the lower back, the name of the main nerve is the Sciatic nerve.
Sciatica thus means irritation of the sciatic nerve pathway and is a symptom of lumbago or a complete hernia.
Chiropractic for a Hernia.
What can a chiropractor offer for you?
Back complaints such as hernia / lumbago / sciatica are usually easy to remedy through chiropractic treatments. Corrective actions prevent further damage to the intervertebral
prevent discs and nerves and promote recovery. Chiropractic treatments aim to correct incorrect posture, increase spinal mobility and restore the function of irritated nerves.
This is done by using chiropractic techniques (see our techniques page). One of the techniques is chiropractic manipulation. Pressure is put on the joint with the hands and the joint is set in motion. This restores the freedom of movement of the joint and reduces the pain.
What are the causes of
The most common causes.
Injuries due to an accident or trauma
Sitting in the wrong position for a long time
Lifting and bending wrong
Using a bad mattress
Poor posture when sitting, standing, walking of lifting
Too little exercise
Weakening of the muscles
Congenital defects or hereditary factors
What are the symptoms of a hernia?
The most common symptoms for hernias in the lower back (lumbar spine).
With a hernia, the pain we feel is the pressure on a nerve, we call this nerve pain with a hernia in the lower back sciatica. It is a nerve pain that is mainly felt in the lower back, buttock and leg. It almost never happens that the sciatica pain manifests itself in both buttocks and legs.
The sciatic nerve is the largest nerve in the body. If it is irritated, the pain can be felt in a large part of the leg. Patients initially describe the pain as a sharp, aching pain that gradually becomes numb. If it lasts longer, the pain is often experienced as burning. In addition to the chiropractic treatment of the spine, the chiropractor will advise special exercises. To promote the healing process, it is desirable that these exercises are performed regularly. This is individual to the patient depending on the cause of the irritation and part of the nerve that is entrapped.