Back Hernia
In the lower part of the spine, the intervertebral discs are intervertebral structures that are located between the vertebrae and have various functions. The outer part of the disc is made of collagen fibers and the inner part is made of gel. The discs absorb the impacts on the spine and prevent these impacts from damaging the vertebrae and nerve roots, increase the flexibility of the spine, thus providing mobility in the lumbar and back region, keeping the vertebrae in place and providing stability, helping to protect the spinal cord and nerve roots.
A herniated disc occurs in the central part of the spine, the thoracic (back) region. This area usually includes the vertebrae between T1 (the most prominent bone in the neck where the neck ends) and T12. Slipping or ruptured discs in these areas can increase the pressure on the spine and put pressure on the surrounding nerve roots, leading to various symptoms. Although a herniated disc is less common than a herniated disc in the lower back or neck, the symptoms can cause serious discomfort.
Back Hernia Causes
It is a condition that occurs when the discs between the vertebrae slip or tear, weakening the outer part of the disc (annulus fibrosus) and causing the inner part (nucleus pulposus) to bulge outwards.
Back Hernia Symptoms
- A sharp or throbbing pain in the middle of the back that can radiate to the shoulders or lower back.
- Numbness or tingling sensation in the back or limbs such as arms and legs.
- Weakness or difficulty moving the arms or legs.
- Weakness may be felt especially in the muscles of the arms and hands.
- Difficulty moving the back, discomfort with movements such as bending forward or backward.
- In some patients, a herniated disc in the back can cause headaches. This may be related to tension in the neck and shoulders.
- Difficulty maintaining normal posture due to back pain.
- In rare cases, more serious symptoms may develop, such as problems with urinary or bowel control. This condition requires urgent medical attention.
- Vague symptoms and side pain
Back Hernia Treatment
- Conservative Treatment: Physical therapy aims to strengthen the muscles and increase flexibility.
- Epidural Steroid Injections: These injections, which are given close to the nerve roots, can relieve pain by reducing inflammation.
- Surgical Intervention
Discectomy (removal of a herniated disc fragment),
Laminectomy (removal of the part of the spine (lamina) that presses on the nerve roots)
Spinal Fusion (fusion of vertebrae, thus increasing stability) - Rehabilitation Physical therapy after surgery is an important part of the recovery process and improves mobility.
- Lifestyle Changes: It is important to exercise regularly, control weight, adopt ergonomic sitting positions and avoid heavy lifting.
What to Know About Back Hernia Surgery
Surgery can be used to remove the herniated disc fragment, reduce pressure on the nerve roots and relieve pain, numbness and other symptoms. The surgery is performed using special magnification devices (microscope) and fine surgical instruments. Microsurgery prevents damage to surrounding tissues and nerve roots. Compared to traditional methods, smaller incisions are made, which speeds up the healing process and reduces pain levels. The duration of surgery usually ranges from 1-3 hours. However, this can vary depending on the size and location of the hernia. Patients can usually be discharged within 1-2 days.
Operation Duration | Anesthesia | Hospitalization | Recovery Time | Return to Work |
1-3 Hours | General Anesthesia | 1 Day | 1-2 weeks | 7 Days |