Bubnovsky - exercises for the spine and pain relief

Therapeutic exercises have long been considered an effective way to combat the symptoms of a hernia at any stage of its manifestation. Surgical intervention is used very rarely, and therefore, the main trump card in the medical tactics of treating a hernia is a set of gymnastic exercises developed and successfully patented by Dr. Bubnovsky.

Spinal hernia has long been a common problem in medicine, and more and more people are faced with such an unpleasant disease. It can affect different parts of the spine, causing not only unpleasant symptoms, but also in advanced form, significantly worsening the quality of life.

Spinal hernia

The term intervertebral hernia means displacement of the nucleus pulposus of the intervertebral disc, followed by rupture of the fibrous ring. Hernias of discs in the intervertebral space of the sacrolumbar region are more common, approximately 150 cases per 100,000 population per year.

Less commonly, hernias form in the cervical spine, and even less often in the thoracic spine. In 48% of cases, hernias are located at the L5-S1 level of the sacrolumbar region, in 46% of cases - at the L4-L5 level, the remaining 6% at other levels or at several levels of the sacrolumbar region.

Hernias of the spinal column are characterized by very unpleasant symptoms, depending on their location, size and shape.

Types of vertebral hernias are discussed in more detail in the second part of the material.

Intervertebral disc herniation: Prevention and Recovery

1. Strengthen the muscular corset of the spine. Strengthening your muscles will help stabilize and support your spinal column. Before engaging in exercise such as jogging or tennis, check with your doctor.
2. Maintain good posture. Good posture reduces pressure on your spinal column and discs. Keep your back straight and level, especially when sitting. Remove heavy and uncomfortable shoes, or better use special orthopedic shoes. Remember, when walking, it is not your legs, but your back that does most of the work.
3. Maintain a healthy weight. Excess weight puts more pressure on the spinal column and discs, making them more susceptible to the onset of many diseases.
4. Avoid lying in bed for too long. This can lead to stiff joints and weak muscles, which can complicate your recovery. Instead, take a short walk or do light work that won't cause you pain. Try to avoid movements that increase pain.

Terms: intervertebral hernia, intervertebral hernia treatment, lumbar intervertebral hernia, intervertebral hernia with Zwave device, intervertebral hernia of the cervical spine, herniated disc treated with the UVT zimmer device, herniated disc treated with laser therapy Mustang 2000, herniated disc treated with enpuls device , Moscow, Khimki, Dolgoprudny , Mytishchi, Bibirevo, Timiryazevskaya, Otradnoe, Altufyevo.

Characteristics of pain

A hernia of the lumbar spine is characterized by severe pain. It can be aching or dull in nature. The pain can be so severe that body movements are severely limited, pain intensifies when coughing, standing or sitting. Relief occurs only in a lying position, when there is no load.

When making any movements in the presence of a herniated spine, for example, changing body position or sudden movements, acute shooting pain occurs in the lumbar region.

If the fifth lumbar vertebra is damaged, the pain syndrome is localized in the big toe of the lower limb. If the hernial protrusion is located between the sacral and lumbar vertebrae, then the pain is localized in the sacral region, the back of the leg.

Sacrolumbar hernia is very dangerous for women, since the pelvic organs are located nearby. If a hernia of the lumbar spine occurs, circulatory problems in these organs may begin, which can subsequently lead to disruption of the menstrual cycle, as well as chronic diseases of the uterus.

Due to the pathology of the spine, the smooth muscles of this area are very tense. With prolonged stress, curvature of the spine is possible.

With an intervertebral hernia of the lumbar region, compression of the nerve roots occurs. This leads to loss of skin sensitivity, which is manifested by dry skin.

The pain syndrome increases over time, and the mobility of the torso decreases sharply. Sometimes, the problem is so serious that a person’s knee reflex may temporarily disappear and the sensitivity of the big toe may disappear. In the future, the disease can lead to paralysis of the lower limbs.

Other hernia symptoms

Clinical manifestations of degenerative changes in the intervertebral disc in the lumbosacral spine:

• local pain in the projection area of ​​the affected disc - in the lumbosacral region (lumbodynia), intensifying with exercise;
• pain radiating to the buttock, along the posterior, posterior surface of the thigh and lower leg on the affected side (ischalgia), numbness and tingling in the area of ​​innervation of the affected roots, weakness in the lower limb;
• weakness and loss of sensation in both legs;
• dysfunction of the pelvic organs - urination, defecation and potency, numbness in the perianogenital area.

Clinical manifestations of degenerative changes in the cervical spine:

• pain radiating to the shoulder or arm;
• dizziness;
• rises in blood pressure;
• a combination of headaches with high blood pressure and dizziness;
• numbness of fingers.

Clinical manifestations of degenerative changes in the thoracic spine:

• constant pain in the thoracic region when working in a forced position;
• a combination of pain in the thoracic spine with scoliosis or kyphoscoliosis.

What methods of conservative therapy can be used to treat intervertebral hernia?

Treatment of spinal hernia without surgery in our center is carried out using complex techniques. Depending on the clinical situation, the doctor may use combinations of the following methods of influence.

Medicines

In the acute stage of the disease, when there is inflammation and swelling around the hernia, non-steroidal anti-inflammatory and painkillers, centrally acting muscle relaxants, and drugs that improve blood microcirculation are most often used. This allows you to quickly relieve pain, eliminate muscle spasms and improve the supply of tissues with nutrients and oxygen. All this contributes to the rapid relief of acute manifestations of the disease. In the future, you may be prescribed chondroprotectors - drugs that prevent the destruction of cartilage tissue and improve its condition.

Therapeutic blockades

Performed in cases of severe pain. The essence of this procedure is to inject drugs directly into the site of pathology. Glucocorticoids and local anesthetics, injected near the hernia and the nerve root pinched by it, can quickly block pain sensitivity and relieve swelling, thereby relieving pressure on the nerve. It should be noted that the analgesic and therapeutic effect of blockades lasts much longer than the direct effect of the drugs used.

Physiotherapy

Physiotherapeutic techniques have a complex effect. They allow you to improve blood flow in the area of ​​pathology, reduce pain, relieve swelling and inflammation, and alleviate the general condition of the patient. Most often, our specialists prescribe magnetic therapy, phonophoresis, electrophoresis, and ultrasound therapy to patients. Some of these manipulations can be done independently at home. However, it is better if the treatment is carried out under the supervision of experienced specialists. A course of physiotherapy can be used only after acute symptoms have subsided.

Physiotherapy

Our clinic specialist will create an optimal physical training plan for you. The results of imaging examinations will be taken into account. Exercise therapy will strengthen the muscular frame of the back, relieve stress from the spine, and improve metabolism in the affected area. Regular physical exercise will make it possible to achieve a significant improvement in your condition and prevent the progression of the disease.

Spinal traction

Spinal traction is performed using special devices or under the influence of the patient’s own weight. In this case, it is possible to lengthen the ligaments up to 4 mm. During the procedure, the intervertebral spaces expand, the load on the affected discs decreases, and the blood supply to the spine improves. The effect is noticeable after the first procedure: pain disappears, general condition improves.

Massage and manual therapy

It is a treatment performed exclusively by the hands of a doctor. At the same time, the doctor kneads the patient’s muscles, restores the normal position of the vertebrae and other anatomical structures, creates negative pressure in the intervertebral space, which contributes to the reverse stretching of the hernia. Manual therapy for spinal hernias should be carried out only by a competent specialist who has undergone special training and has the appropriate certificate. A doctor with little experience in performing such manipulations can aggravate the situation.

Kinesio taping

The procedure is based on the application of special adhesive patches and tapes to the affected area, which change the position of tendons, muscles and ligaments. Due to this, the normal position of the spine is restored, which leads to a significant improvement in the condition. The applied tapes should remain on the body for up to 3-5 days. They must be applied by a competent specialist.

Reflexology and acupuncture

Allows you to influence active reflex zones using needles or special devices, such as a Kuznetsov applicator, a therapeutic mat, a belt, or a neck roll. This method of exposure is primarily aimed at relieving muscle spasm, which plays one of the most important roles in the formation of pain.

PRP therapy

PRP therapy is based on the ability of platelets to restore damaged cartilage tissue. During the procedure, venous blood is collected from the patient, which is subsequently centrifuged, increasing the concentration of platelets in it. The resulting substance is injected into the pathological focus once or twice a week.

Diagnostics

If you have symptoms that raise suspicion of a lumbar disc hernia, you should consult a neurologist. The doctor collects anamnesis to determine the possible causes of the disease.

An X-ray examination will not provide an accurate picture of the disease, so patients are referred to undergo magnetic resonance imaging.

MRI allows you to determine the size of the hernial protrusion, the width of the intervertebral canal, the presence of protrusions, inflammatory changes and other pathologies of the spinal column.

Making an accurate diagnosis will allow you to determine treatment tactics in the future.

Treatment of lumbar hernia

Depending on the severity of the disease, a conservative or surgical method of treating lumbar hernial protrusion is prescribed.

The surgical method is rarely used, and in order not to resort to it at all, the correct methods of conservative therapy are used:

1. Motor technique – strengthening the muscular frame, increasing the overall resistance of the body. Many exercises go in conjunction with training loads. To avoid deterioration of well-being, the motor technique is carried out carefully and under the supervision of a doctor.
2. Manual method – undergoing treatment from a chiropractor and using acupuncture. The method is useful in relieving pain and improving overall well-being. But this method cannot stop the disease.
3. Physiotherapy methods are gentle therapeutic procedures. These include various massage options, reflexology, and stretching.

As a rule, such methods are used in combination; doctors draw up an individual plan for the treatment and prevention of intervertebral hernias without significant risk to health.

The complex of medical measures includes three methods:

1. Spinal stretch.
2. Massages and special treatments.
3. Physiotherapy.

Many experts recommend an effective and very affordable method - treatment and prevention of intervertebral hernia according to the method of psychotherapist Sergei Mikhailovich Bybnovsky.

However, many treatment methods, for example, physiotherapy, can only be performed in a specialized institution.

Adaptive gymnastics Bubnovsky

The doctor developed and approved a special technique, which is based on the treatment of spinal column pathology using a special device that he himself developed. The device is called the Bubnovsky multifunctional simulator. The treatment method is called kinesiotherapy, which means treatment through movement.

• The gymnastics complex consists of various exercises, which together are aimed at convenience, comfort and efficiency for the patient.
• When performing the exercise, each movement is repeated 10 times. Gradually the number and pace of approaches increase.
• It is important to ensure that when performing the exercise, the tension is concentrated on the muscles of the anterior abdominal wall, and not on the back muscles.
• It is recommended to perform the exercises three to six times a day, distributing the workouts into several groups.
• Also, Dr. Bubnovsky recommends a set of physical activities that can be done at home.

Why is a hernia dangerous for men?

The disease occurs when fatty tissue or an organ pushes through a weak spot in the surrounding connective tissue or muscle wall. An inguinal hernia occurs when intestine or abdominal fat bulges through the lower abdominal wall into the groin area. Most often, this type of disease occurs in men. You are at risk if you have a history of this disease in your family, if you smoke, or have had previous abdominal surgery.

Hernias usually do not go away on their own

Hernias tend to get larger. In rare cases, they can lead to life-threatening complications. This is why doctors often recommend surgery. But not every disease of this kind requires immediate treatment. It depends on the size of the bulge and symptoms.

Surgical treatment for an inguinal hernia involves pushing the bulge back inside the part of the body that should contain it and keeping it there.

The essence of Bubnovsky's technique

The useful system is focused on the treatment of chronic orthopedic and neurological diseases of the spinal column, small and large joints without medications and the use of special corsets, as well as surgical interventions.

Bubnovsky designed the human body as a “three-story house” and based on this his method works:

• The first is the pelvis, legs and feet.
• The second is the back, chest, stomach.
• The third is the head, shoulders, neck.

By involving in the exercises the work of the muscular apparatus of the “ground floor”, that is, the lower extremities, the circulatory system is stimulated and its circulation improves from bottom to top.

Then, a group of muscles of the thoracic region and back is included in the work to eliminate pain. Afterwards, they begin to activate the muscular system of the cervical spine, shoulder frame and arms.

For a home workout routine, it is important to choose exercises that will help develop the spine and large joints and eliminate pain without the use of medications.

Why should you contact the Innovative Medical Center if you have a spinal hernia?

Unlike many other medical institutions, doctors at the Innovative Medical Center first of all look for the root cause of a spinal hernia and work with it using modern comprehensive techniques. It contains:

• diagnostics using a modern ultrasound machine;
• effective methods for relieving pain: blockades, injection of hyaluronic acids and platelet-rich plasma into the affected disc, acupuncture and manual therapy methods;
• kinesitherapy is an innovative movement treatment method that allows you to strengthen the muscle corset, joints and ligaments. An individual program is selected for the patient using innovative decompression simulators in the Center’s hall under the strict supervision of a doctor and instructor;
• physiotherapy procedures using a unique device Khivamat-200, which reduces swelling, eliminates pain, has an anti-inflammatory effect, improves blood supply to muscles and lymph flow around the affected disc;
• massage and taping sessions that improve blood circulation, eliminate pain, relieve muscle tension, restore joint mobility and launch the process of regeneration of healthy cells to strengthen a weakened disc.

Feedback from patients of the Center suggests that our technique not only effectively stops the manifestation of a spinal hernia, but also allows you to cope with this diagnosis and quickly return to normal life.

Bubnovsky exercises for hernia of the lumbar spine

The set of exercises is very simple to do independently at home. By performing training, you can eliminate pain, relieve muscle tension, stretch the spinal column, and speed up blood circulation in the affected area of ​​the back. But to consolidate the result, it is important to complete the entire course using Dr. Bubnovsky’s simulator and be under the supervision of a doctor.

How to do the exercises:

(1) - Cat/Cow

Take a position on all fours. Rest your elbows and knees on the floor. Relax your muscles as much as possible. Take a deep breath and slowly arch your back. Then, slowly exhale and bend your back. Return to starting position. Perform 15-20 repetitions.

If the pain intensifies during movements, then temporarily do not perform this stage of the workout.

(2) - Gluteal bridge

Take a lying position on your back, stretch your arms along your body. Take a deep breath. Exhaling slowly, carefully lift your pelvis off the floor, resting on your feet and shoulders. Try to lift to the maximum height. As you inhale, lower your pelvis. It is recommended to perform at least 15-20 repetitions and then pause.

Gluteal Bridge

(3) — Complex for keeping the body tense

Starting position on your back, arms along your body. Raise your legs up, clasp your knees with your hands. Slowly raise your body. Press your chin to your chest. Then, release your knees without changing position and fix the position for a few seconds. It is not advisable to allow overvoltage. Repeat the exercise until you feel slightly tired.

(4) — Bend forward to hold the body from a position on all fours

Take a position on all fours. Move your body straight, that is, pull it forward, trying not to bend your arms at the elbow joint. At the same time, the shoulders move forward, the knees and palms remain in place. It is necessary to move forward until there is comfortable tension in the lower back. Hold the position for a few seconds and return to the starting position. Repeat the movement 15-20 times.

(5) - Scissors

Exercise "Scissors". Take a horizontal position on your back, arms at your sides, bend your knees slightly. Start with your legs slowly, without making sudden movements. Breathing should be uniform.

Exercise "Scissors"

(6) - Bicycle

Oblique crunches (or “Bicycle” exercise). Lie on your back. Place the left upper limb under the back of the head. Slowly move your right leg, bending it at the knee, to touch the elbow of your left hand. In the same direction, return to the original position. Perform 15 approaches on each side.

Exercise "Bicycle"

(7) - Walking on your buttocks

Take a sitting position on the floor. Place your hands behind the back of your head. Smoothly lift the left and right buttocks in turn, thus moving forward. Move backwards in the same way and take the starting position.

Exercises for pain with a hernia in the cervical spine

Therapeutic training can help restore circulatory blood flow through the vertebral arteries to the brain. You can have an impact on the back muscles and the vascular system by doing pull-ups.

(1) — Working with rubber

You need to sit on a chair. Perform traction movements using an expander (an exercise machine made of elastic rubber). The row is performed with the arms from side to side, that is, by stretching the machine as much as possible.

(2) - Knee push-ups

Now perform push-ups with emphasis on the knee joint. The torso should remain straight and in contact with the entire plane of the floor. Untrained people do 5 push-ups and a total of 10 approaches with a break of 3 minutes.

Exercises with expander and dumbbells

(1) — Sawing wood

Exercise “sawing wood” with emphasis on the knee joint. The expander is attached down the wall. Place your legs, knee and shin on a high bench, lean your hand against the wall. With the second hand, make movements towards yourself, away from you. This exercise uses the muscles of the cervical spine. Instead of an expander, you can use a dumbbell, lifting it from the floor and lowering it.

(2) - Pullover

Exercise “pullover”. To perform the exercise, you need to lie on a horizontal bench with your back along the bench, put your feet on the floor, and place your head as close to the edge of the bench as possible. At the starting point, the dumbbell is held with outstretched arms above the chest. As you inhale, lower the dumbbell behind your head without bending your arms until your arms hang below the level of the bench. Then, as you exhale, raise the dumbbell to the starting point.

(3) - Straightening the arm from behind the head

You need to sit on a bench, take one dumbbell in your hands, raise it above your head with your hand, bend your arm at the elbow and put the dumbbell behind your head from behind, lift it and put it back again. Repeat the exercise 15 times with each hand. All actions are performed slowly.

Important Exercises for Blood Circulation

Therapeutic exercises from this group help improve blood flow in the pulmonary and systemic circulation, the functioning of the heart muscle, and accelerate the absorption of nutrients into the bone and cartilage tissue of the spine.

Exercise #1 - Squats

Place your feet wider than your shoulders, point your toes to the sides, keep your back straight, stretch your arms forward.

Inhale and squat at an angle of 90 degrees, exhaling forcefully, straighten your legs. This must be repeated 10 times. It is advisable to learn how to perform 4 approaches in 30 days, and 10 approaches in six months.

During the exercise, you must monitor your pulse; a heart rate of no more than 140 beats per minute is acceptable. Check your heart rate zones using the Karvonen formula or mHR (220 - age.)

If after performing the exercise there is pain in the lower extremities, you can take a contrast shower or rub the muscles with a cold wet towel.

This exercise is not recommended for those with arthrosis of the knee joint.

Exercise #2 - Advanced Glute Bridge

Lie on your back, bend your legs and place them on a bench or chair.

Support your head with your hands or you can stretch it along your body. Take a breath.

As you exhale, slowly raise your upper back and reach your elbows towards your knees. It will be enough to lift your shoulder blades off the floor, retracting the muscles of the anterior abdominal wall.

Repeat 10 times.

To stabilize your heartbeat, it is advisable to lie down quietly.

Healthy exercises for the spine

Physical therapy exercises can be used as a preventive measure for diseases of the spinal column, and if they exist.

The exercises are aimed at developing the deep muscular system, expanding the intervertebral space, relieving tension from the joints and intervertebral discs. Also, useful exercises help eliminate spasm of blood vessels and nerve roots, preventing the appearance of hernial tumors.

Complex for acute back pain

Therapeutic exercises will help improve blood circulation in the smooth muscles of the back, relieve tension, expand the intervertebral space, eliminating acute pain.

Exercise #1 - Walking on all fours

Take a pose on all fours, focusing on your knees and palms. Move slowly in this position until the pain subsides, about 10-15 minutes.

When moving, you need to take a deep breath. You should take stretched steps: hand to knee, left leg to right hand and vice versa. Sit on your left limb and simultaneously stretch your right one back. Try to pull your left leg forward as far as possible and lower yourself lower. Exhale at the final stage of the exercise.

When moving, you will probably have to overcome pain. It is recommended to perform 2 sets of 20 repetitions.

Exercise No. 2 - Crunches, knees suspended

Take a lying position on your back, bend your knees, put your hands behind your head. Inhale, and as you exhale, bend your body, lifting your shoulder blades off the floor, if possible. The knees must be pulled towards the elbows.

At the first movements, painful sensations are possible, but you should not be afraid. It is recommended to repeat the training until a burning sensation appears in the muscles of the anterior abdominal wall. When the movements become more synchronized, you can stretch your lower limbs when lowering your head onto the mat.

Exercise #3 - Glute Bridge

Take a lying position on your back, arms parallel to your body. Inhale and, as you exhale, try to lift your pelvis off the floor to create a high half-bridge. As you inhale, slowly lower yourself to the floor. Pause for 2 seconds and repeat the workout 25 times.

Exercise No. 4 - Walking on the buttocks

Take a sitting position on the mat, place your hands in front of your chest. Contracting the gluteal muscles, we begin to “walk” them back and forth for 20 minutes.

Exercise No. 5 - Hanging on the bar

Climb onto the bench, inhale, grab the horizontal bar with your hands, and as you exhale, pull your knees to your chest. Shooting pain may appear in the lumbar region, but do not be alarmed. Slowly lower your feet onto the bench, then onto the floor.

The operation is just the beginning

If surgery has occurred and your hernia has been removed, then the recovery process has just begun. Rehabilitation after hernia surgery is an important factor. There is a misconception that after removing a hernia, the most necessary thing is rest and lack of stress. And at the same time, the recovery regimen prescribed by the doctor and medications are quite often ignored. The reason for this thinking is that after removal of the hernia, the pain from the spine already goes away and only minor pain remains at the incision site, which can be easily relieved with painkillers. But in most cases, such methods of passive “recovery” after surgery are very likely to lead to relapse, and the spinal hernia appears again. Naturally, the course of each patient is individual, but there are some basic stages of rehabilitation. Namely:

1. Elimination of neurological symptoms and pain syndromes

2. Stabilization of the patient’s health and elimination of restrictions in everyday life

3. Restoration of the musculoskeletal system, its integrity and strength, as well as the removal of major restrictions on physical activity.

What does rehabilitation after spinal hernia surgery include?

The first step is drug treatment. After surgery, it may be necessary to relieve inflammation, restore bone tissue and relieve pain.

It is worth taking a course of physiotherapeutic procedures, among which the most commonly used are electrophoresis, mud treatment, ultrasound, magnetic therapy, phonophoresis, interstitial stimulation, EHF therapy.

Do not forget that rehabilitation after spinal hernia surgery is impossible without physical therapy. Without proper load and the process of restoring the tone of muscle tissue, the intervertebral discs may still not receive enough necessary substances, and blood circulation in the damaged area is not restored. Physical therapy, in turn, helps restore the elasticity of the ligaments that support the spinal column.

Kinesitherapy is also quite often used - treatment with special limited movements that are selected individually for the patient, as well as hydroprocedures - various baths (turpentine, herbal, sulfide and others) that reduce pain, improve blood circulation, and reduce the inflammatory effect.

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Preparing for gymnastics at home

In order for therapeutic training to bring the desired effect, you need to follow a number of rules:

1. Exercises should be done regularly.
2. Start classes no earlier than 2 hours after eating.
3. It is necessary to stretch the muscles and joints before starting classes (rubbing, circular movements of the body).
4. After completing the workout, take a shower and rest for about half an hour.
5. When doing gymnastics, breathe deeply and evenly, without holding your breath for long.

Exercises against night pain

Sometimes the pain syndrome may not bother you throughout the day, but before going to bed, aching pain appears in the lower back.

Bubnovsky exercise with back bending

Next, for the lesson you will need an expander. Attach an expander to the wall and sit under it. Pull the free end of the exercise machine, securing it to your leg.

Repeat cyclic exercises. With the right leg – lift – bend – straighten – lower. Repeat the same with the other leg. Perform 10 times on each limb.

Prevention for the spine during sedentary work

A sedentary lifestyle, including at work, can cause problems with the spine. Often, in order to relieve pain, a person is forced to take a comfortable position. In such cases, Dr. Bubnovsky advises regularly performing the following set of workouts that help stretch the muscles of the back, buttocks and legs. Exercises can be done both at home and at work.

Regularly performing exercises based on the Bubnovsky technique will strengthen the spinal column and eliminate pain. Before you start exercising on your own, consult your doctor.

The importance of exercising under medical supervision

There is an opinion that you can exercise on your own, in a fitness center or an ordinary “rocking chair”. But this is a big misconception. Trainers in fitness centers have a completely different task - they work using methods developed for healthy people.

Important! Without understanding the nature of the disease, self-study can cause harm.

The doctors and methodologists of the center have a medical education, therefore, when drawing up a training plan and choosing exercises, they take into account many factors, including dysfunction of internal organs, in order to help the patient recover, and not harm him with improper training.

The center’s capabilities allow you to monitor the dynamics of treatment. If necessary, the patient may be sent for additional examination using radiography, MRI, CT or ultrasound.

As for independent exercises, doctors at the Kuntsevo Center develop sets of exercises in such a way that the patient, having learned, can easily perform them at home. This is also very important, since in case of hernias and diseases of the spine, exercises should be regular.

Medical opinion

In diseases of the musculoskeletal system, good results can be achieved without the use of medications. For example, with a hernia of the lumbar spine, the prescription of tablets and injections will only give a temporary effect. The main element in the treatment of diseases of the spine and joints is proper gymnastics.

For persons with an existing hernia of the spinal column, training activity should be dosed and correct. You shouldn’t do the wrong exercises on your own and overexert yourself.

To combat the disease, entire complexes of therapeutic exercises have been developed. Doctors unanimously say that exercise therapy is an effective method of treatment, and the result depends on the patient’s desire, effort and discipline. By following the recommendations and performing exercises regularly and correctly, you can achieve lasting improvements in health.

But still, as with any type of treatment, gymnastics has contraindications:

• Exacerbation of the disease, with severe pain.
• Increased body temperature.
• Diseases of internal organs, provided that exercise therapy can lead to aggravation of the condition.
• Metastasis to the spine.

Which intervertebral hernias can be treated conservatively?

With proper selection of a therapeutic regimen, even a large hernia can be treated without surgery. Specialists have more than once managed to achieve significant improvement in patients who were rejected by other doctors. When you contact us, you can be sure that we will do everything possible to avoid surgical intervention. Unfortunately, therapeutic treatment is not possible with sequestration of the hernia. In this case, surgery cannot be avoided.

Recommendations and rules

Before starting therapeutic training, you must adhere to the rules for their implementation:

1. Gymnastics should be done daily, preferably several times a day.
2. Perform all movements correctly, avoid sudden movements, jumps and jerks.
3. Gradually increase the duration, intensity and number of repetitions during exercise.
4. Avoid excessive fatigue during exercise.
5. When performing gymnastics, you need to concentrate on the location of the hernia. If pain intensifies during exercise, or a feeling of numbness appears in the lower back, you should stop exercising and consult a doctor.

Preparation before starting classes

Before starting exercise therapy, it is necessary to establish an accurate diagnosis and obtain permission from the attending physician. Next comes a visit to a physical therapy doctor.

At the Kuntsevo Medical and Rehabilitation Center, during an appointment with a doctor:

• asks what kind of physical activity the patient is accustomed to;
• what kind of life he leads;
• conducts an inspection;
• studies medical history and test results;
• develops an individual lesson plan and selects exercises.

Types of vertebral hernias

Spinal hernias, like most neoplasms, have their own classification.

The location of hernias depending on the part of the spine, the cause and size of the hernial protrusion

The following groups are distinguished:

Division in relation to the parts of the spinal column in which the hernial protrusions are located:

• lumbar region – 65%;
• ore department -31%;
• cervical region - 4%.

The frequency of a hernia in a specific location is determined by the load carried by a certain segment of the spine, as well as its mobility.

Primary and secondary hernial protrusions:

In this section, the division of hernias is determined by the cause of their occurrence.

• Primary hernias occur due to traumatic injury, as well as excessive physical exertion.
• Secondary hernial protrusions are formed due to degenerative changes in the intervertebral discs and destruction of their structure.

According to the size of the fragment protruding beyond the intervertebral space:

Hernias can protrude beyond the space between the vertebrae.

• Protrusion – disc protrusion up to 1-3 mm.
• Prolapse – disc prolapse up to 3-6 mm.
• Hernia developed up to 15 mm.

It is necessary to take into account that the same size of hernia has a different clinical formulation when it is located in different parts of the spinal column:

• in the cervical region, the hernia is considered small up to 2 mm, in the lumbar region - up to 4 mm.
• medium size - up to 4 mm in the cervical and up to 7 mm in the lumbar.
• large size - up to 6 mm in the cervical and up to 9 mm in the lumbar.
• huge size - up to 8 mm in the cervical and up to 9 mm in the lumbar.

According to anatomical classification:

The anatomical division of hernias is determined by their effect on neighboring organs, spinal tissues or nerve endings.

Free hernia

When part of the contents of the intervertebral disc penetrates the posterior longitudinal ligament, which supports the spinal column in an upright position, but the connection with the disc remains.

Vagal hernia

A deformity in which the connection between the protruding fragment and the intervertebral disc is lost. A hernia is dangerous because if it is present, autoimmune inflammation may develop due to the compressive effect on the spinal cord tissue.

Why do intervertebral hernias occur?

In the vast majority of cases, intervertebral hernias are formed against the background of severe osteochondrosis. The disease is a degenerative-dystrophic process that occurs under the influence of genetic, metabolic and mechanical factors. The likelihood of hernias is greatest in people exposed to the following negative influences:

• obesity II-III degree;
• sedentary lifestyle;
• congenital weakness of the fibrous rings;
• weakness of the musculo-ligamentous apparatus of the spine;
• back injuries;
• spinal deformities: sacralization, scoliosis, pathological lordosis or kyphosis;
• excessive physical activity, including incorrect technique for performing sports exercises;
• endocrine disorders.