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MISCONCEPTIONS AND VERIFICATIONS IN THE TREATMENT OF HERNIATED DISC
Herniated disc is one of the most common health problems today. Although it is very often diagnosed, we do not know enough about this disease.
Turkey Medicals Co-ordinator, “For this reason, we have listed the misconceptions about the treatment of herniated disc; of course, the scientific truths as well…”
Myth: Sleeping on a hard floor relieves your eloquence. When a herniated disc occurs, he should definitely either lie on the floor or put a plank under the bed and lie down like that.
It’s true: lying on a hard floor causes back and waist to be held down, which causes harm instead of benefit. It is best to sleep in a well-made bed, preferably a semi-orthopedic one.
Wrong: It should definitely be placed on the back.
True: the position in which the patient is most comfortable is the best. Patients are usually more comfortable when they lie on their side and pull their legs towards their bellies, because when lying in this position, the pressure on the leg nerves decreases, since the intervertebral column will be opened. If the patient wants to lie on his back, it is more appropriate to put a pillow under his waist and stretch his legs to a high place.
Misconception: Bed rest should be done for 20-25 days without needing to use the toilet.
That’s right: two days of bed rest is recommended.If the patient does not relax, the next stage of treatment should be started. Lying down for a long time can lead to depression in the patient, the treatment of depression is more difficult than the treatment of herniated disc.
Misconception: Should avoid walking, climbing stairs and walking, it is preferable to sit more.
Correct: sitting increases the load on the waist, one should not sit continuously for more than fifteen to twenty minutes, the position of the body should be changed frequently.
False: Constantly wearing a corset belitopars reduces the load on the waist.
True: it is harmful to wear a corset constantly, except for spinal fractures and slips, it leads to November weakening of the muscles in the waist.
False: Lumbar hernia goes away with a lumbar puller, the patient relaxes.
True: the waist puller is useful only for the shifts in the joints that the decumbent extensions of the vertebrae make between each other. When it is performed on people with advanced lumbar hernia, it causes the hernia to close and there is a danger of paralysis for the patient.
False: Alternative methods such as tying fish to the waist, cupping, massage put the hernia in place.
True: alternative methods such as this only increase blood circulation in the lower back, so that the muscles in the lower back relax, the patient has temporary relief, they do not have an effect on the hernia.
Wrong: It is very important that physical therapy is performed.
It’s true: the place where physical therapy is performed is important, but its proximity is much more important. After physical therapy, it is necessary for the patient to go home without getting cold and tired.
Wrong: If pain occurs during physical therapy, it should be stopped.
True: it is normal for the pain to increase, especially on the first three days of physical therapy, it should be continued with patience.
False: The effect of physical therapy is obvious only in a few months.
It’s true: if there is no regression in the patient’s pain as a result of the first ten sessions, there is no point in continuing physical therapy. The next treatment should be moved on.
Wrong: Physical therapy can be performed during working hours.
Correct: at the end of physical therapy,you should lie down for half an hour and forty-five minutes and then resume normal life.
Misconception: Having an injection in the waist destroys your waistline.
Correct: injection into the waist temporarily eliminates the patient’s pain, completely impervious. It should be remembered that cortisone to be performed has many side effects.
Misconception: Lumbar hernia surgery is very complicated, most patients either become disabled or are forced to live a restricted life.
It’s true: lumbar hernia operations performed by microsurgery and by a good brain surgeon do not have a risk of becoming disabled, paralyzed. The operation is performed so that the patient can move more comfortably, not to restrict his movements.
False: In lumbar hernia operationsthe patient must necessarily take narcosis.
It’s true: now with epidural anesthesia,surgery can be performed even without sleeping in the hospital, patients can chat and move their feet during the operation. Thanks to this method,problems such as inability to sleep, nausea, vomiting do not occur after surgery. Since the patient can move his foot, power control can also be performed during the operation.
False: No travel, no driving for at least three months after lumbar hernia surgery.
True: it is a condition in which the patient is asked to go on vacation or on a trip after lumbar hernia surgery. The patient can take a long journey by flight or by train on the night of surgery, by car or by bus two days after surgery. He can take a vacation a week after the operation, and if he is not in a stressful place such as Istanbul traffic, he can drive a few days after the operation.
False: sexual potency decreases after lumbar hernia surgery, sexual abstinence should be applied for at least three months after the operation anyway.
It’s true: the presence of a herniated disc reduces sexual potency, its removal by surgery returns what was lost over time.Sexual abstinence after surgery is only for ten days.
Myth: After surgery, sports such as football, skiing, tennis can’t be done again, you can’t go to the sea.
Truth: a week after surgery,the sea and the pool are useful interventions for treatment, walking and swimming speed up the patient’s return to normal life. Jumping sports are banned for two months because they delay recovery, then they are left free to warm up thoroughly before the sport.
False: Surgery should be performed only on lumbar hernia, which is a symptom of low back pain.
It’s true: 90% of lumbar hernias can be treated well without surgery. Surgery cannot be performed only for low back pain or numbness.
False: If we have low back and leg pain, it is necessary to consult an orthopedic, neurology or internal medicine specialist first.
It’s true: if we have low back and leg pain,it is necessary to consult a Istanbul neurosurgery specialist first.
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Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.
Physician's Resume:
Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.
Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.
In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.
Awards:
Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.
Certificates:
Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .
Professional Members:
American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.
Disclaimer:
Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.