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Bersenev V.А. site edinstvennaya.ua

27.10.2020 - 17:49

Low back pain is experienced by most people after 35 years. At one point, excessive pressure on the intervertebral discs, combined with degenerative destruction, do their job. And the disc core moves out of its normal position, resulting in protrusion.

The intervertebral disc is an element of the spinal column that cushions the pressure that appears during human movement and during other physical exertion. He correctly performs his function only if he takes a position clearly defined by nature. Degenerative processes change the location of the intervertebral disc, which at best leads to discomfort, and at worst - to severe pain and immobilization of the patient.

The shift in load on the intervertebral disc causes two conditions - protrusion and hernia. They are often confused because the same causes lead to the development of diseases. However, the answer to the question “protrusion is a hernia or not” is unambiguous - no.

In this material, together with the specialists of the Bersenev Medical Center, we will consider their differences, as well as talk about the symptoms, diagnosis and treatment methods.

Bersenev Vladimir Andreevich - Honored Doctor of Ukraine, neuropathologist of the highest category, founder of the Bersenev Medical Center.

Protrusion and hernia: what is the difference

Protrusion is, in fact, the first stage in the formation of a herniated intervertebral disc. Under the influence of degenerative processes, the disc shifts slightly, but does not break the annulus fibrosus in which it is located. It is extremely important to seek help from a doctor at this stage, because during protrusion, you can use the whole range of therapeutic measures, and in 95% of cases they produce the desired effect. It is impossible to restore the normal state of the disc during protrusion only in rare cases: for example, after serious injuries.

Usually the protrusion is 1-4 mm in size, but more severe protrusions occur. According to statistics, it occurs in 50-60% of men after 40 years. In women, the disease is less common, probably due to less physical activity. Most often, protrusion affects the lower part of the lumbar spine.

There is an opinion that protrusion is not critical, and it is not always necessary to treat it. It is not true. Protrusion is an indicator that a degenerative process has started in the spine, which in most cases is progressive. Simply put, protrusion develops and subsequently leads to a hernia, and it is much more difficult to treat it.

As mentioned above, during protrusion, the disc is displaced, but the annulus remains intact. If the patient is not treated, the protrusion develops into extrusion, that is, the ring breaks, and the intervertebral disc protrudes outward. This is a hernia.

Can the protrusion become a hernia? Yes. But not always a herniated intervertebral disc is a consequence of protrusion. The fibrous ring can rupture due to injury, fall, sudden lifting of a heavy object. In this case, it is imperative to see a doctor, and not only because this condition reduces the quality of life. The formation of a hernia triggers an autoimmune process: the contents of the disc are perceived by the immune system as a threat, so the production of antibodies begins. An inflammatory process develops, and healthy intervertebral discs suffer.

If the annulus ruptures completely, sequestration occurs. This is a prolapse of a disk fragment that is no longer associated with the nucleus pulposus. This condition poses a particular danger to humans. The element can pinch the nerve roots, which will lead to very severe pain, as well as permanent damage to the corresponding structures.

Causes of protrusion and herniated intervertebral discs

• Genetic predisposition. Due to this factor, a hernia can even occur in a child. This is due to a defect in the proteins that make up the disc.
• Age-related changes. At a young age, the intervertebral disc is elastic and soft. Over time, the tissue ages, the disc “stiffens”. It loses moisture, becomes less elastic. Cushioning capabilities are impaired and the risk of disc injury increases.
• Injuries. A destructive mechanical effect can lead to protrusion or hernia. Particularly dangerous are blows to the spine and strong falls on the buttocks (there is an instant compression of the discs). This also includes injury to the annulus fibrosus as a result of sudden heavy lifting.
• Physical inactivity. Interestingly, the intervertebral discs suffer more if a person is inactive than when there is physical activity. This applies to the sitting position, in which most modern people spend a lot of time. The intervertebral discs are under severe stress, which negatively affects the shock-absorbing properties. In addition, the intervertebral disc does not receive moisture from the surrounding muscles, as they are under the influence of spasm due to the static position. This leads to tissue wear and tear.
• Playing sports, which involves a heavy load on the discs. We are talking, for example, about golf, hammer throwing. The athlete "twists" the body, resulting in a hernia or protrusion.
• Excess weight. Excess weight increases stress on the spine.
• Smoking. Rather, this is not a reason, but a catalyst. Smoking decreases the amount of oxygen in the blood, which negatively affects the condition of the tissues.

Protrusion symptoms

• Pain in the spine: from mild nagging to severe pain.
• Pain spreading to the limbs.
• Tingling in the spine, arms and legs.
• Numbness of the limbs.
• Weakness in the arms or legs.
• Restriction of neck mobility (if the cervical spine is affected);
• Pain between the shoulder blades.
• Rarely - urination disorders (with lesions of the lumbar spine).

Symptoms depend on the size of the protrusion and its location. If the fibrous ring is strong, protrusion can reach up to 10 mm without turning into extrusion. Be that as it may, any regular pain in the back or extremities should be a reason to visit a specialist.

Hernia symptoms

• Intense pain in the lower back or limbs, chest, neck.
• Periodic attacks of severe pain, which can only be stopped with the help of medication.
• Inability to perform some types of work due to very strong painful sensations during physical activity (for example, lifting things from the floor, cleaning).
• Numbness in the fingers.
• Headache, dizziness.
• Jumps in blood pressure.

As with protrusion, symptoms can vary depending on the location, cause, and size of the hernia. Three types of hernias are most common. Let's consider them.

• Ventral (frontal). The intervertebral disc bulges forward, affecting the anterior ligament of the spine.
• Lateral (foraminal). These hernias compress the spinal nerves.
• Posterior (dorsal). Spinal cord tissue is compressed.

A hernia can form in any direction, and symptoms differ from case to case. The type of herniated disc can be determined after an MRI scan.

Diagnosis of protrusion and intervertebral hernia

The most effective diagnostic method is MRI. Tomography allows you to find out the localization of protrusion or hernia, the degree of damage to tissues and nerves. If there is a hernia, MRI makes it possible to find out its direction, dimensions.

Computed tomography provides information about the state of the bones, but this method is ineffective in diagnosing the state of soft tissues. It can be used as an auxiliary method if necessary. Radiography and ultrasound are also used.

Protrusion treatment

Treatment of both diseases is carried out in a comprehensive manner. The doctor develops therapy after conducting a thorough diagnosis, because it is necessary to take into account the many features of a hernia or protrusion, as well as the patient's body as a whole.

A therapeutic massage is prescribed to relieve swelling and inflammation. Physiotherapy treatments such as magnetotherapy are performed. To restore the full-fledged work of the musculoskeletal system, the patient can be assigned to work on simulators. Exercise therapy helps to strengthen the muscular corset of the back, restore muscle tone. To eliminate pain, relieve tension, neutralize the inflammatory process, drug treatment is used.

Metameric treatments have proven effective.

Metameric massage eliminates spasms and pain, improves blood circulation, normalizes the nutrition of intervertebral discs with useful substances and fluids. Metameric injections are also used, which allow you to directly affect the affected areas.

There are many effective methods. It is important to correctly develop a treatment regimen by choosing the correct combinations. What is protrusion, and how to treat it, they know at the Bersenev Medical Center. The clinic's specialists will conduct a thorough diagnosis, after which they will develop a therapy taking into account the individual characteristics of the patient. Between courses of metameric injections, treatment can be carried out at home. If the patient adheres to the doctor's recommendations, the function of the intervertebral disc can be restored.

Intervertebral hernia treatment

If necessary, the patient is assigned to bed rest during the treatment. Drug treatment consists of the use of the drugs described above. Patients are prescribed acupressure, acupuncture. Metameric methods of treatment are used: massage, injections.

After removing the pain syndrome, you can start exercise therapy, other motor treatment methods.

If a patient seeks help soon after symptoms are detected, conservative treatment is successful in about 85% of cases. If it does not produce the desired effect, you have to resort to surgical intervention. The operation is carried out only as a last resort.

Conclusion

To avoid the operating table, it is important to monitor the condition of your spine by listening to the "signals". This is especially true for people over 40. At the stage of protrusion, it is easiest to eliminate the problem, but a hernia is not a sentence either. It is important to find an experienced doctor who has access to modern diagnostic and treatment methods. A protrusion or hernia is a relatively benign disease if properly treated. The specialists of the Bersenev Medical Center know how to do this.
• You can find out more about the prevention and treatment of intervertebral discs at a consultation at the medical center doctorbersenev.ua.
• Kiev, st. Boulevard-Kudryavskaya, 10-B.
• Contact center number: (044) 238-22-31

Child neurologist

Детский невролог — специализируется на лечении болезней, связанных с поражением центральной и периферической нервной системы, а также функциональными нарушениями у детей.

Как правило, в первый месяц рождения, врачи направляют родителей на принудительную консультацию к детскому неврологу в клинике, даже если он родился полностью здоровым, и не обладает какими-либо нарушениями связанных с нервной системой. Кроме того, также необходимы регулярные повторные осмотры, на протяжении следующих этапов жизни.

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The autism is a child’s mental development disorder, which is characterized by a lack of communication and speech and motor disorders.

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Невропатія лицьового нерва найчастіше виникає в результаті переохолодження, лицьової травми, перенесеного інфекційного захворювання, стресових ситуацій, на тлі ослабленого імунітету. Може розвинутися як ускладнення отиту, тимпаніту, паротиту, захворювань зубів, діабету, перенесеної герпетичної інфекції. Найуразливішою ділянкою лицьового нерва вважається його відрізок, розташований у вузькому звивистому каналі (в пірамідці скроневої кістки) довжиною близько 3 см. 

Детальніше
Trifacial nerve neuropathy

Невропатія трійчастого нерва найчастіше розвивається після стоматологічних процедур, протезування, щелепно-лицьових операцій або травм, а також в результаті переохолодження, перенесених інфекцій, пухлинних процесів.

Детальніше
Radial nerve neuropathy

Серед усіх видів невропатій верхніх кінцівок найпоширенішою є саме невропатія променевого нерва. Невропатія може виникнути після глибокого сну, якщо людина спала на твердій поверхні, поклавши при цьому руку під голову.

Детальніше
Ulnar nerve neuropathy

Невропатія ліктьового нерва проявляється в порушенні його функції в результаті компресії нервового стовбура у вузьких кістково-м’язових каналах в області ліктьового суглоба і на кисті або ж в результаті травми (розтягнення, надрив ліктьового нерва) при вивихах і підвивихах в ліктьовому суглобі. Невропатія, що виникла при здавлюванні нерва в кубітальному каналі, відома ще під назвою «синдром кубітального каналу».

Детальніше
Median nerve neuropathy

Невропатія серединного нерва – це ураження серединного нерва, що проявляється виникненням чутливих і рухових розладів у зоні його іннервації (в 1, 2 і 3 пальцях рук).

Детальніше
Sciatic nerve neuropathy

Невропатія сідничного нерва – одна з найпоширеніших мононевропатій нижніх кінцівок. Вона полягає в пошкодженні сідничного нерва і формуванні ряду рухових і чутливих порушень його функції.

Детальніше
Peroneal nerve neuropathy

Peroneal nerve neuropathy occurs in case of injuries or nerve trunk compression at any part of shin nerve division. This is the most common lower extremities neuropathy type.

Peroneal nerve neuropathy occurs in case of injuries or nerve trunk compression at any part of shin nerve division. This is the most common lower extremities neuropathy type.

Детальніше
Tibial nerve neuropathy

Невропатія великогомілкового нерва часто спостерігається при переломах кісток гомілки, вивиху гомілковостопного суглоба, розтягненні і пошкодженні зв’язок стопи. Повторні спортивні травми стопи, захворювання колінного і гомілковостопного суглоба, порушення обміну речовин і розладу кровообігу нерва часто призводять до даного виду невропатії.

Детальніше
Myalgia, myositis, myofascial syndrome

Міалгії (фіброміалгії), міозити, міофасціальний синдром – захворювання, головним симптомом яких є виражений м’язовий біль різної локалізації та походження. М’язові болі можуть виникати в силу різних причин:

  1. застійні явища в м’язових тканинах;
  2. гіпертонус м’язів (стійкий м’язовий спазм);
  3. удари і розтяги;
Детальніше
Додаткові послуги
Speech therapist appointment

A speech is a reflection of thinking; it is a system. If there are problems with oral speech, then there will be difficulties with the thoughts formation, the ability to analyse, speculate, build logic chains, and also there will be some difficulties with reading and writing. A violation in one speech link is enough to make the whole system start to function incorrectly.

A speech is a reflection of thinking; it is a system. If there are problems with oral speech, then there will be difficulties with the thoughts formation, the ability to analyse, speculate, build logic chains, and also there will be some difficulties with reading and writing. A violation in one speech link is enough to make the whole system start to function incorrectly.

A speech is a reflection of thinking; it is a system. If there are problems with oral speech, then there will be difficulties with the thoughts formation, the ability to analyse, speculate, build logic chains, and also there will be some difficulties with reading and writing. A violation in one speech link is enough to make the whole system start to function incorrectly.

A speech is a reflection of thinking; it is a system. If there are problems with oral speech, then there will be difficulties with the thoughts formation, the ability to analyse, speculate, build logic chains, and also there will be some difficulties with reading and writing. A violation in one speech link is enough to make the whole system start to function incorrectly.

Детальніше
Metameric massage

Many articles have already been written about the undoubted massage benefits, and it has long been known that this is one of healing means, along with sports and nutrition. Massage helps to recover from stress quickly and avoid diseases associated with constant nervous tension, relieves pain points, and relaxes tense muscles. It also reduces anxiety, normalizes the blocked energy flow, enhances the immune system functions, and restores a sense of calm and well-being. This is an important component of a healthy lifestyle.

Детальніше
Psychologist consultation is your chance to change your life for the better

 

The spine, keeping the whole skeleton in an upright position, is the core of both the whole organism and our Personality.

Детальніше
Family physician appointment

At the “Bersenev’s Medical Center” all patients can get a qualified individual consultation of the family physician Petlytska Victoria Vitaliivna, a specialist with decades of experience in this field.

Victoria Vitaliivna had gotten a special multi-field speciality training of “family medicine”.

Детальніше
Diagnosis

Neurofunctional research methods help the clinician-neurologist to confirm the diagnosis, determine the degree and nature of lesion, choose the optimal treatment tactics and correct the possibilities of restoring the affected structures of central and peripheral nervous system.

Детальніше
Infusion therapy

Infusion therapy (intravenous administration of solutions of various drugs into the body) is currently one of the most important medical measures aimed to solve a wide range of medical problems. This method of treatment exists since the 30s of the XIX century.

This method of treatment allows you to achieve a rapid therapeutic effect, as the medicine enters directly into the bloodstream, and also allows you to control its action more effectively.

Детальніше
Kinesio Taping

Kinesio taping is the imposition and fixation of special elastic bands on the child’s skin for several days in order to provide physiological movements of the joints and muscles, activating the processes of recovery and movement control. Kinesio tapes are elastic cotton tapes coated with an acrylic-based hypoallergenic adhesive gel.

Детальніше
Orthoses Making

В нашем Медицинском Центре Вы можете получить изготовить индивидуальные ОРТЕЗЫ из термопластичного низкотемпературного материала.

Ортезы — это специальные ортопедические приспособления, предназначенные для коррекции, стабилизации и компенсации нарушений опорно-двигательной системы. Ортезы обеспечивают защиту и разгрузку суставов, создавая для них внешнюю поддержку. Ортезы -незаменимые помощники в лечении и реабилитации.

Детальніше
Corrective insoles making

Neuropsychology arose at the intersection of medicine and psychology. This is a section of psychology that studies the brain organization of mental processes: attention, memory, perception, speech, motor skills, thinking, and emotional responses.

Neuropsychology arose at the intersection of medicine and psychology. This is a section of psychology that studies the brain organization of mental processes: attention, memory, perception, speech, motor skills, thinking, and emotional responses.

Детальніше
Metameric speech apparatus massage

Масаж артикуляційного апарату або логопедичний масаж – це метод механічного впливу, який змінює стан м’язів, нервів, кровоносних судин і тканин артикуляційного апарату.

Детальніше
Doctor Bersenev explains
Double hemiplegia as a form of cerebral palsy
Double hemiplegia as a form of cerebral palsy
Double hemiplegia is the rarest form of cerebral palsy. It occurs in 1.9% of patients. The most common form is spastic diplegia. Usually, motor function is affected, in some children intellectual abilities may suffer as well.
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy is one of the most common forms of cerebral palsy. This condition arises due to abnormal fetal development, which leads to brain damage.
Atonic-astatic form of cerebral palsy
Atonic-astatic form of cerebral palsy
This form of cerebral palsy has several names: atonic, atonic-astatic, ataxic. Along with double hemiplegia, it is one of the rarest and most difficult forms of treatment.
Cerebral palsy: spastic diplegia
Cerebral palsy: spastic diplegia
Spastic diplegia is the most common form of cerebral palsy. It is diagnosed in 40% of patients, mainly in babies born prematurely. Disorders of the arms and legs are most characteristic of the disease, that is, tetraparesis is observed, but the legs suffer more than the hands
Knee joint arthrosis
Knee joint arthrosis
Knee joint arthrosis is a disease in which all joint elements suffer, but the most affected is a cartilage. This type of arthrosis is the most common disease. Another name for this is gonarthrosis.
Constant Fatigue: Causes and Solutions
Constant Fatigue: Causes and Solutions
Many women (especially aged) trat chronic fatigue safely, saying, it’s a normal, common situation. So it is in some cases. For example, if a person goes in physical labor.
Spinal muscular atrophy
Spinal muscular atrophy
Spinal muscle atrophy (SMA) is a severe neuromuscular disease caused by damage to motor neurons (motor neurons), which are located in the front horns of the spinal cord, as well as neurons of the motor nuclei in the brain stem.
Kennedy spinal amyotrophy
Kennedy spinal amyotrophy
Kennedy spinal amyotrophy is a genetic disease characterized by damage to motor neurons. These are large nerve cells responsible for maintaining muscle tone and motor coordination.
Kugelberg-Velander juvenile spinal amyotrophy
Kugelberg-Velander juvenile spinal amyotrophy
Амиотрофия Куберберга-Веландера – это наследственное нервно-мышечное заболевание, обусловленное поражением двигательных нейронов (мотонейронов), которые расположены в передних рогах спинного мозга.
Duchenne muscular dystrophy
Duchenne muscular dystrophy
Duchenne muscular dystrophy is an X-linked disease and is characterized by rapid progression of muscular dystrophy. This disease is caused by a mutation in the dystrophin gene located on chromosome X. That is why, as a rule, boys get sick.
Teens Lumbar Pain
Teens Lumbar Pain
Sometimes teenagers suffer from back pain. Most parents think that the child has pulled a muscle or is just tired. First of all, these are spine problems. Lumbar juvenile osteochondrosis bear a similar clinical picture to an adult disease.
Generation with a head down
Generation with a head down
Modern people can no longer imagine their life without a smartphone, tablet or laptop – with the help of these devices we get new information, read books, listen to music, communicate with friends, pay bills, make purchases and much more. On everage we spend in an online environment from 2 to 5 hours a day, and freelancers (people working online) spend from 10 to 12 hours.
What to do if a child does not obey at the age of 2
What to do if a child does not obey at the age of 2
The age of 2 is a difficult period for a child and its parents. The baby is actively developing vital skills of movement, self-service and, of course, speech. Normally, the 2 years old child clearly understands adult speech, performs basic instructions, and points at the named objects.
For parents’ information
For parents’ information
Calendar, with which we compare our life, schedule vacation, wedding, housewarming, school entering, its graduation is not suitable for all occasions.
Child’s Heavy Breathing
Child’s Heavy Breathing
Child’s heavy breathing: causes, symptoms, are they worth paying attention? The child is breathing heavily. Many parents do not pay attention, and this can be one of the symptoms of autonomic dysfunction syndrome (ADS). Let’s consider the causes, symptoms of сhild’s heavy breathing.
Teen’s cervical crunch
Teen’s cervical crunch
Nowadays cervical crunch is often observed with adolescents. Usually parents do not know how to react to such phenomena: wait until everything passes by itself or immediately ring the alarm? Let’s consider the reasons of cervical crunch in adolescents, the diseases it may indicate and the ways of its treating.
Allergy
Allergy
The allergy is one of the most common diseases of mankind. According to WНO statistics, about 45% of the population suffer from allergy, and this percentage is growing every year.
Migraine diet
Migraine diet
Many people know first-hand what the “migraine” is. About 30% of the adult population of the world is familiar with this raging headache.
How to distinguish ARVI from influenza?
How to distinguish ARVI from influenza?
Annually in the autumn-spring period, the incidence of acute respiratory viral infections (ARVI) and, in particular, influenza increases. And the overall hypothermia, seasonal decrease in immunity, and enhanced susceptibility to viruses contribute to this.
The child does not speak at the age of 2: reasons and treatment
The child does not speak at the age of 2: reasons and treatment
A two years old child does not speak: reasons, symptoms; is it worth visiting a neurologist? Normally, upon reaching this age, the kid should actively communicate with parents and relatives, otherwise this may be a sign of psycho-speech development delay.
Unusual syndromes
Unusual syndromes
Alice in Wonderland syndrome. In this neurological condition, a person hardly separates objects by size, considering everything as tiny (micropsia) or huge (macropsia) relative to actual size. Such a disorder may be the initial signal of infection with Epstein-Barr virus (mononucleosis)
About gluten
About gluten
The coeliac disease is an autoimmune disease that is often described as a digestive disorder due to the damage of small intestine walls.
The neuralgia of trigeminal nerve
The neuralgia of trigeminal nerve
The trigeminal nerve neuralgia (trigeminal neuralgia) is characterized by acute excruciating pain along the affected branch of the trigeminal nerve on the face.
Intercostal neuralgia
Intercostal neuralgia
Міжреберна невралгія (або «грудний радикуліт») – це досить поширена патологія, яка часто зустрічається в клінічній практиці лікаря – невролога. Цей тип невралгії пов’язаний з роздратуванням, запаленням або компресією міжреберних нервів і проявляється в основному болем.
Occipital nerve neuralgia
Occipital nerve neuralgia
Neuralgia of the occipital nerve is one of the frequent causes of headache in the occipital region.
15 Tips of healthy and proper nutrition
15 Tips of healthy and proper nutrition
When it comes to healthy eating, many people understand this expression not wholly true. It is not the exhaustion by hunger; rather, the meaning of this phrase is to make a person feel great, energetic and in good spirits, consuming certain foods.
Dietary habits in winter
Dietary habits in winter
In cold season it is necessary to pay close attention to your own diet, because the rational, well-balanced and proper nutrition is the most effective and simple preventive method of cold-related diseases.
Symptoms of lumbosacral osteochondrosis
Symptoms of lumbosacral osteochondrosis
Lumbar osteochondrosis is characterized by painful symptoms of varying intensity and localization. At the initial stages, the osteochondrosis is usually asymptomatic; the pain appears only at the second stage of disease. We suggest you to familiarize yourself with the most frequent options of spine pathology behaviour.
Chronic cerebrovascular disturbance
Chronic cerebrovascular disturbance
The brain needs a constant supply of blood, which brings oxygen and nutrients to it. The nutrition of each nerve cell (neuron) is provided by many large vessels and small capillaries from two arterial systems (the pool of internal carotid arteries and vertebral arteries).
Spine therapy
Spine therapy
“No matter what kind of disease a person has, start the treatment from the back, then look what’s left and heal him completely” – Hippocrates. This phrase is a kind of “Bersenev’s Medical Centre” motto, because, as you know, most human diseases are directly or indirectly related to the state of spine and nervous system.
Radiculitis (radiculopathy)
Radiculitis (radiculopathy)
The term “radiculitis” is very often used by neurologists to describe the pronounced pain syndrome in the back during compression or strangulation of the spinal cord roots. This word is a derivative of two words (lat. Radix – root and it, itis – inflammation).
Headache or cerebralgia
Headache or cerebralgia
Headache is one of the most frequent complaints at the appointment with a therapist or neurologist, and it affects both men and women, regardless of age.
The back pain
The back pain
Most of people know very well, what the back pain is, because it caught up each of us at least once in a life. Some even tried to cope with this pain on their own, without visiting the doctor. It is not the right decision, because a wide variety of pathologies can hide under the mask of back pain; and self-medication can only worsen your condition.
Spinal column self-diagnosis
Spinal column self-diagnosis
An ancient proverb says: “A man is as young as his spine young is.” According to experts, only one of 150 people is a happy owner of healthy and flexible spine. Are you among them? It is not difficult to check using simple functional tests that are easy to do on your own.
Danger of falling on the tailbone
Danger of falling on the tailbone
Many people do not even think that the cause of aching lumbar pain may be a former fall on the tailbone on slippery surface. After all, as is usually happens: a person slipped, fell down, got up, shook snow off and ran his own way. The lower back discomfort in the next two or three days is still felt.
Abrupt wakeup is harmful!
Abrupt wakeup is harmful!
Everyone knows that a good night’s sound sleep is necessary to maintain normal functioning of all the internal body systems, to normalize metabolic processes, to rally and rest. Moreover, the important condition for sound sleep is the way you wake up.
Smoking weakens the ability to endure pain
Smoking weakens the ability to endure pain
The scientists from the University Clinic of Northern Norway conducted an interesting experiment, which shows the effect of smoking on the pain sensitivity level. Until now, there have been contradictory opinions in medicine about this

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