The most important questions and answers on the subject of back and intervertebral discs at a glance

On this portal you will find a list of the most important questions and answerson the back and intervertebral discs.

We, a team of doctors and patients, are constantly asking more questions and answers.

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Are there any home remedies for a lumbago?

In a lumbago, the pain is so severe that you would like to immediately resort to the tablet or ointment. Muscle-relaxing drugs are prescriptive and therefore usually not available.

Read more: Is there home remedies for a lumbago?

   

Can I avoid a lumbago?

In case of damage to the intervertebral discs and the small vertebral joints, lumbago is possible at any time and hard to avoid. But you can take preventive measures to at least severely limit the risk of having a lumbago.

Read more: Can I avoid a lumbago?

   

What can trigger a lumbago?

Triggers for a lumbago is usually an unconscious, wrong move. Most of the time this happens with jerky movements from the back, or when you stand out of a stooping posture, slightly twisted.

Read more: What can trigger a lumbago?

   

How can you tell if the back pain is from tension or the nerve root?

back painBack pain can originate from the nerve roots, such as in "sciatica" or in the herniated disc. Or muscle spasms around the spine, as in the typical chronic back pain due to postural problems, constant wrong sitting and sedentary lifestyle.

Whether the nerve root is involved or not, you can usually already recognize the symptoms. If it is the usual tension-back pain, the pain increases while sitting, lying and standing. They become more bearable as soon as you move.

Read more: How can one recognize whether the back pain emanating from tension or the nerve root?

   

What side effects can cause Horse Ointment?

The herbal ingredients of the horse ointment are overall rather harmless, so that when used externally with side effects is unlikely. But you should take care of wounds or open skin. Above all, the arnica extract contained in the horse's ointment can then lead to skin irritation or dermatitis.

Read more: What side effects can cause Horse Ointment?

   

Why is the horse ointment actually called horse ointment?

Because she was originally meant for horses. The plant mixture of arnica, rosemary, camphor and menthol was developed for riding horses to care for and strengthen the strained legs and restraints. Then it turned out that the ointment also works well for people with muscular problems or back pain - and can be better marketed here.

Read more: Why is the horse ointment actually called horse ointment?

   

When should one do without drugs with devil's claw?

The African devil's claw, or more precisely its root, belongs to the proven medicinal plants against back pain. Your pain-relieving effect is proven. However, even herbal medicines can be dangerous in individual cases.

Read more: When should one do without drugs with devil's claw?

   

When should one not apply circulation-promoting ointments for back pain?

When the cause of back pain is inflammation. Then heat, which often causes relief in the case of wear-related back tension, is the wrong remedy. Because heat has a more activating effect on the inflammatory stimulus. And circulation-promoting ointments or gels are ultimately based on the principle of heat. It is even more the other way around: heat is based on the principle of increased blood flow.

Read more: When should one not use any circulation-promoting ointments for back pain?

   

Back pain: What are the benefits of circulation-promoting ointments and oils?

Some ointments and rubs against back pain are based primarily on an increase in blood flow. This makes sense especially when it is the cause of tension.Because then the improved circulation of the painful region leads to relaxation and thus to pain relief.

Read more: Back pain: What are the benefits of circulation-promoting ointments and oils?

   

Which ointments and pain gels work best against back pain?

The list of offered ointments and pain gels against muscle tension or back pain is unmanageable long and accordingly difficult to separate the wheat from the chaff. In principle, it can be said that in acute back pain, which is a short-term relief, classic painkillers help the best. So agents such as ibuprofen, acetylsalicylic acid, diclofenac or acetaminophen.

Read more: Which ointments and pain gels work best against back pain?

   

Unclear back pain: Can cancer be the cause?

Theoretically yes. However, that is very unlikely. Research has shown that around 1% of all cases of chronic back pain are caused by cancer. This clearly shows that cancer as a cause is a rare exception. And if you're still relatively young (say, between 40 and 60 years old) and have no other discomfort (such as heavy weight loss), it's even more unlikely that a tumor is behind your back pain.

Read more: Unclear back pain: Can cancer be the cause?

   

How many vertebrae does the spine have?

For "Who Wants to be a Millionaire" this would be a typical 4,000 euro question. You learned it at school, but then forget it again. But if you get a few options, it comes back to you. There are 34.

Read more: How many vertebrae does the spine have?

   

What is horse ointment? And does it help against back pain?

Horse Ointment is a purely herbal ointment against muscle and joint pain and back pain. It contains extracts of arnica, camphor, rosemary and menthol. The ointment was developed in 1984 by a pharmacist, originally for racehorses. Hence the name, which has then but as thoroughly promotional.

Read more: What is horse ointment? And does it help against back pain?

   

Which medications are recommended for back pain? And which not?

If back pain is their most common form, nonspecific low back pain (ie back pain without a specific disease as the cause), the following medications may be considered according to expert guidelines:

Read more: Which medications are recommended for back pain? And which not?

   

Tablets and injections for back pain: What should I pay attention to?

Although tablets or injections can relieve pain in back pain, they can not remedy the causes. Nevertheless, they are at times quite acceptable, especially to get out of the pain spiral (lack of exercise due to pain, even more pain because of this lack of exercise).

Read more: Tablets and injections for back pain: What should I pay attention to?

   

Muscle relaxants for back pain: Why is caution important?

In case of low back pain, muscle relaxants are sometimes recommended if non-pharmacological measures or the sole use of analgesics such as acetaminophen or acetylsalicylic acid cause no improvement. Muscle relaxants lead to a relaxation of the back muscles, which can solve painful cramps.

Read more: Muscle relaxants for back pain: Why is caution important?

   

Back pain: When should you take painkillers?

For very severe back pain, the temporary intake of painkillers may be useful to break the vicious circle of pain and move as quickly as possible.

Read more: Back pain: When should you take painkillers?

   

What is the effect of heat and cold on back pain?

Warmth applications are perceived by many people with back pain as pleasant. Its scientifically proven effectiveness is based on heat-mediated muscle relaxation.

Read more: What is the effect of heat and cold on back pain?

   

Treatment of back pain: what is recommended and what is not?

"I have backs" has become a household word in Germany. In terms of numbers, there seems to be hardly a major medical problem in this country. The book market is flooded with printed elaborates that are entwined around this topic. The supply of health care providers is correspondingly colorful. But just because a procedure is held up by (medical and other) professionals does not mean it has to be effective.

Read more: Treatment of back pain: what is recommended and what not?

   

Backache: What else do you have?

Back pain rarely occurs alone. On average, people with chronic back pain still have 2.25 other health problems. Above all, the metabolism, the musculoskeletal system and the psyche are affected.

Read more: Backache: What else do you often have?

   

When can something worse happen behind the back pain?

Strong pain not only hurts, but is also often a cause for concern that something worse could be behind it. Therefore, the good news first: 90% of all acutely occurring back pain disappear on its own, so "spontaneously", as the doctors used to say.

Read more: When can something worse happen behind the back pain?

   

How do I get rid of my back pain? The most important tips at a glance

Of course, there is much more to be said, but for the time being, the following tips give a very good overview: They come from the patient's guide to back and back pain, which was created at the University of Witten / Herdecke:

Read more: How do I get rid of my back pain? The most important tips at a glance

   

Is it true that you can treat a herniated disc with laser?

Yes. However, only if the herniated disc has recently occurred and its expression is rather uncomplicated.

Read more: Is it true that you can treat a herniated disc with laser?

   

What is meant by herniated disc under chemonucleolysis?

Chemonucleolysis is a special therapy procedure. The viscous core of the intervertebral disc is first chemically dissolved and then aspirated via a cannula.

Read more: What is meant by herniated disc under chemonucleolysis?

   

Does a herniated disc always need surgery?

No, on the contrary. Today, around 90% of all herniated discs are treated without surgery. Surgical intervention is only necessary if certain nerves have been damaged so severely that there is a risk of serious danger (for example, Kauda syndrome or breech anesthesia).

Read more: Does a herniated disc always need surgery?

   

What do my doctors think when they talk about breeches anesthesia?

In a herniated disc, rare cases of "Kauda syndrome", a dangerous disorder of the nerves in the entire genital and anal area, can occur. Dangerous because this is also the urination and defecation are impaired and threatened by the urinary incontinence including severe kidney damage.

Read more: What do doctors think when they talk about breeches anesthesia?

   

Does a herniated disc always cause pain?

No. In rare cases, a herniated disc may go unnoticed for a long time because it causes no pain or any other relevant discomfort.

Read more: Does a herniated disc always cause pain?

   

How does a herniated disc manifest?

A uniform symptoms do not exist in the herniated disc, because the symptoms largely depends on where and how far the disc has "occurred". Which nerves she pushes so hard. It can even happen that you practically do not notice the herniated disc. That is rare.

Read more: How does a herniated disc manifest?

   

Why is there a herniated disc?

A herniated disc is almost always based on chronic wear and on an incorrect loading or overloading of the spine. The intervertebral discs have to endure a lot as a buffer between the vertebrae and if stress and regeneration are disproportionate for years, the structures will not be able to withstand it any longer.

Read more: Why is there a herniated disc?

   

Why do you get smaller and smaller during the day?

This is related to the intervertebral discs. These shock absorbers between the vertebrae contain water, among other things. And this water is squeezed out under load.

Read more: Why do you get smaller and smaller during the day?

   

What exactly does a herniated disc really get on your nerves?

To explain this, one must recall the anatomy of the spine. An intervertebral disc sits between two vertebrae. It is composed of an outer fiber ring and an inner core. This core, the actual shock absorber, consists of a tough, gelatinous mass. The consistency can be thought of as soft rubber, just a little more fluid and flexible.

Read more: What exactly is really annoying in a herniated disc?

   

Which movements or postures cause a herniated disc?

A herniated disc never arises out of the blue - even if it seems like that to you. The degenerative changes in the spine, which eventually lead to a herniated disc, have rather developed over many years - and possibly even previously caused discomfort, without too much attention was paid.

Read more: Which movements or postures cause a herniated disc?

   

What is the difference between a disc protrusion and a herniated disc?

Both the disc protrusion and a herniated disc form cracks in the outer cartilaginous ring of the disc, into which the inner soft gelatinous core (the actual shock absorber material) penetrates.

Read more: What is the difference between a disc protrusion and a herniated disc?

   

Why is restraint in back pain exactly the wrong?

Many people with back pain tend to stop certain movements of daily life because they want to avoid the associated pain. An understandable behavior, but it is exactly the wrong one.

Read more: Why is restraint in back pain exactly the wrong?

   

What is meant by radicular and pseudoradicular back pain?

In radicular back pain, the pain comes from the nerve roots (radicula = root). A typical cause is a herniated disc, in which the exiting disc presses on the surrounding Neven. It is characteristic that these back pain often radiate into the legs. The pseudoradicular back pain has similar symptoms, although the nerve root is not affected here.

Read more: What is meant by radicular and pseudoradicular back pain?

   

When to talk about back pain from sciatica?

Sciatica means that the back pain emanates from the so-called sciatic nerve and radiate into the legs. This may be the case especially when pressure is applied to the nerve roots in the lower spine.

Read more: When is sciatica related to back pain?

   

What are iliosacral back pain?

In iliosacral back pain, doctors refer to a certain form of back pain or back pain originating from the sacrum. So from the very bottom of the spine.

Read more: What are iliosacral back pain?

   

Is it true that heat helps against back pain?

Yes. Especially with lighter back pain or tension in the back and shoulder area, externally applied heat can often relieve the symptoms very effectively.

Read more: Is it true that heat helps against back pain?