Za Dr. Galeba
lebovski
24. februar 2013. u 01.56
Cesto sam citao vase postove ovde,koje jako cijenim a nisam ni sanjao da ću evo i ja da vas pitam za savjet.
Prije jedno 2 mjeseca sam osjetio sporadicne bolove u desnoj nozi koji bi isli od debelog mesa,preko spoljasnje strane pa sve do prstiju.Ok isijas,mislio sam,proćiće!Kasnije sam pri igri s djetetom sa neprikladnim cipelama i na asfaltu osjetio kao neko ukucavanje u predjelu karlice ali bez bolova.Posao koji radim iziskuje sjedenje a ta poza mi je zadavala bolove.Bar 2-3 puta sedmicno idem u teretanu i tamo nakon jednog ne teskog treninga,mislim da sam samo brzo hodao na traci,osjetio sam kurslus u potkoljenickom listu misica,kao da mi se neko misicno vlakno zamrsilo?I tako 8.feb.ujutro htjedoh da ustanem iz kreveta ali napravih„pogresan pokret”i moj zivot se pretvori u pakao!Neizdrzivi bolovi su trajali par sati dok nism u hitnoj primio neke inekcije na bolno mjesto u kicmi.
Nakon uradjenog magnetnorezonansnog pregleda donijeta mi je sljedeca dijagnoza:
L5/S1:Rezenter subsequestrierter Diskusprolaps levo medio-lateral od oko 7-8mm dubok,12mm sirok koji vodi do nervnog korijena S1.
Kompresija nervnog korijena S1 levo preko jednog friskog susequestrierten Diskusprolaps madiolateral L5/S1
Odmah sam poceo sa nekom laganom terapijom kod jednog ortopeda koji bi mi na bolno mjesto davao injekcije.Primio sam ih 4 i zadnju prije 3 dana .Bolovi su znatno manji,skoro da su i prošli ali evo i dok ovo pišem osjetim malo bolove u sjedcem polozaju ali nisu neizdrzivi i prolaze kad se mrdnem.Još imam utrnuce stopala od pete do domalog prsta.Najviše me ustvari zabrinjava onaj potkoljenicki misic na koji ne mogu da stojim kada probam da stanem na prstima jedne noge.A na prstima obe noge nema nikakvih problema jer se podupire sa onom zdravom.Htio bih da izbjegnem operaciju.Šta mislite kolike su mi sanse?Unaprijed zahvalan
Galeb
24. februar 2013. u 15.56
Da ti o svemu ovom ne pišem evo ti stava MayoClinik:
Medications
Over-the-counter pain medications. If your pain is mild to moderate, your doctor may tell you to take an over-the-counter pain medication, such as ibuprofen (Advil, Motrin, others), acetaminophen (Tylenol, others) or naproxen (Aleve, others). Many of these drugs carry a risk of gastrointestinal bleeding, and large doses of acetaminophen may damage the liver.
Narcotics. If your pain doesn't improve with over-the-counter medications, your doctor may prescribe narcotics, such as codeine or a hydrocodone-acetaminophen combination (Vicodin, Lortab, others), for a short time. Sedation, nausea, confusion and constipation are possible side effects from these drugs. Decrease or eliminate your Tylenol use if these combination medications are prescribed.
Nerve pain medications. Drugs such as gabapentin (Neurontin), pregabalin (Lyrica), duloxetine (Cymbalta), tramadol (Ultram, Ryzolt) and amitriptyline often help relieve nerve-damage pain. Because these drugs have a milder set of side effects than do narcotic medications, they're increasingly being used as first-line prescription medications for people who have herniated disks.
Muscle relaxers. Muscle relaxants such as diazepam (Valium) or cyclobenzaprine (Flexeril, Amrix) also may be prescribed if you have back or limb spasms. Sedation and dizziness are common side effects of these medications.
Cortisone injections. Inflammation-suppressing corticosteroids may be given by injection directly into the area around the spinal nerves, using spinal imaging to more safely guide the needle.
Therapy
Physical therapists can show you positions and exercises designed to minimize the pain of a herniated disk. As the pain improves, physical therapy can advance you to a rehabilitation program of core strength and stability to maximize your back health and help protect against future injury.
A physical therapist may also recommend:
Heat or ice
Traction
Ultrasound
Electrical stimulation
Short-term bracing for the neck or lower back
Surgery
A very small number of people with herniated disks eventually need surgery. Your doctor may suggest surgery if:
Conservative treatment fails to improve your symptoms after six weeks
A disk fragment lodges in your spinal canal, pressing on a nerve and resulting in progressive weakness
You're having significant trouble performing basic activities such as standing or walking
In many cases, surgeons can remove just the protruding portion of the disk. Rarely, however, the entire disk must be removed. In these cases, the vertebrae may need to be fused together with metal hardware to provide spinal stability. Or your surgeon may suggest the implantation of an artificial disk.
Sbve najbolje Galeb