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Thoracic disc treatment
مقاله تخصصی

Thoracic disc treatment

3 months ago
325 بازدید
Dr. Mahmoud Yazdan Panahi

Dr. Mahmoud Yazdan Panahi

Tehran

Neurosurgeon and spine and disc surgeon

Non-surgical treatments for thoracic disc protrusion Non-surgical treatments for thoracic disc herniation include drug therapy, physical therapy, and epidural injections. These methods play an effective role in reducing pain, controlling inflammation, and improving the patient's quality of life. Drug therapy usually includes the use of nonsteroidal anti-inflammatory drugs, muscle relaxants, or in some cases, stronger exercise techniques to reduce symptoms, stronger pain relievers, and braces to improve movement and reduce pressure on the damaged disc. seen helps.. Epidural injection, which usually includes coronet injection to the area around the nerve roots, can reduce pain and inflammation locally and in some cases is an effective alternative to surgery.. Epidural injection can improve more than 70% of patients without the need for surgery.. ### Drug therapy Drug therapy is one of the first and most common methods of treating thoracic disc. Non-steroidal anti-inflammatory drugs such as ibuprofen and naproxen are usually prescribed to reduce inflammation and pain. Pain relievers such as paracetamol may also be used, and in more severe cases, narcotic drugs may also be used. Sometimes specialist doctors may use muscle relaxants to reduce muscle spasm. The main goal of drug therapy is to control pain and inflammation so that the patient can return to his daily activities as soon as possible. Physiotherapy Physiotherapy plays a very important role in the treatment of thoracic disc protrusion.. Physiotherapists help patients by using stretching and strengthening exercises.. to strengthen the back and abdominal muscles.... These exercises stabilize the spine and reduce pressure on the damaged discs.... In addition, physical methods such as massage, electrotherapy and heat therapy can also be effective in reducing pain and muscle spasms.... ### Epidural injection Epidural injection is one of the methods of treating thoracic disc.. These injections include the injection of medicine into the epidural space i.e. around the spinal cord.. Steroids such as corticosteroids are used to reduce inflammation and pain and usually have quick and temporary results.. Its benefits and side effects include rapid reduction and reduction of blood sugar.. body resistance... Analgesics include local anesthetics and narcotics that temporarily block pain... do.... Its benefits include quick pain relief, but its effect is temporary and may need to be repeated.... Surgical procedures to treat thoracic disc herniation In cases where non-surgical treatments are not effective for the treatment of thoracic disc herniation, surgical options are used as a last resort.... These methods are usually recommended when the patient has severe pain, muscle weakness or symptoms of spinal cord compression.... Medical studies show that the success rate of thoracic disc surgeries is between *70% and between 70% and 90% depending on the type of operation of the patient.. Discectomy and laminectomy play an effective role in reducing pain and restoring mobility. Invasive procedures such as endoscopy are becoming popular options by reducing the duration of hospitalization and the possibility of complications. After the treatment of thoracic disc protrusion, following care tips can help speed up the recovery process, reduce the possibility of recurrence and return to daily activities. 1 .... housing; Medicines such as ibuprofen or acetaminophen help control pain... In more severe cases, the doctor may prescribe stronger pain relievers... Accurate and regular consumption according to the doctor's advice is the key to preventing gastrointestinal side effects or drug dependence... 2... purposeful rest; Long-term rest in bed is not recommended. Instead, short rest along with light movements and short walks can prevent joint stiffness and muscle weakness... 3... gradual return to activity; Carrying out light daily activities and starting physiotherapy exercises under the supervision of a specialist doctor helps to strengthen the back muscles and increase the flexibility of the spine.... Avoid sudden movements or strong forward bending.... 4.... Special physiotherapy exercises; Exercises such as stretching the chest, strengthening the interscapular muscles and balance exercises are recommended by the physiotherapist.. These movements can prevent the return of symptoms.. 5... correction of body posture; Sitting with proper support, using medical chairs and avoiding hunching while sitting or standing can reduce the pressure on the injured area. In the sleeping position, a small pillow under the knees or between the legs can be effective... 6... Using heat and cold; *In the first 72 hours* cold compress is recommended to reduce inflammation. After that, local heat with a hot towel or heating pad will improve blood flow and reduce muscle cramps. 7.. Avoid lifting heavy objects. Avoid lifting heavy objects or movements that cause sudden pressure on the back for a few weeks after the treatment. This will prevent symptoms from returning or re-injury. Excess weight is one of the important factors in increasing the pressure on the spine.. Balanced nutrition and regular exercise help to control weight and reduce the pressure on the disc area. In some cases, a thoracic disc herniation may heal on its own, but this depends on the severity and location of the herniation. But in more severe cases, more specialized treatments are needed... **choosing the best treatment methods for thoracic disc protrusion** To choose the best treatment methods for thoracic disc protrusion, you should consult a specialist doctor, because an accurate diagnosis requires specialized tests such as MRI, evaluation of clinical symptoms and examination of the body's response to initial treatments. The doctor suggests the most effective treatment method according to the severity of the protrusion, the exact location of the injury and non-surgical methods of the patient. Suitable for mild to moderate cases, these procedures are designed to reduce pain, inflammation and improve function: - drug treatment; The use of anti-inflammatory drugs and pain relievers... - Physiotherapy; Specialized exercises to strengthen the muscles around the spine... - Epidural injection; Reducing inflammation and pain by injecting steroid drugs in the space around the spinal cord... - Discectomy; Removing the damaged part of the disc to relieve pressure on the nerves... - Laminectomy; Removing part of the vertebra to create more space in the spinal canal... - Spinal fusion; connecting vertebrae to increase stability in case of severe instability... - Microscopic or endoscopic surgery; Minimally invasive methods with small incisions and faster recovery...
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