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- LOWER BACK PAIN - LUMBOSCIATICA
- HERNIATED DISK
- DEGENERATIVE DISC DISEASE
- FORAMINAL STENOSIS - CANAL STENOSIS
- ARTHROSIS OF THE POSTERIOR VERTEBRAL JOINTS
- POST-LAMINECTOMY SYNDROME
- OTHER CAUSES
- Lower back pain
- Benign and self-limiting in most cases
- If it radiates to the lower limb, it is called lumbsciatica
- If it persists after four weeks of treatment, a radiological assessment should be performed
- If it is accompanied by loss of strength in the extremity or sensitivity disorders, this assessment becomes urgent
- Protuberance of material that is normally located inside the disc towards adjacent structures.
- The level on which it occurs and the existence or not of contact or compression of the adjacent roots determines the intensity and localisation of symptoms.
The intervertebral disc becomes dehydrated and can crack, causing pain.
It consists of the displacement of one vertebra over another, usually due to alterations secondary to osteoarthritis of the spine's bony and ligamentous structures.
- It consists of a narrowing of the spaces through which a root must pass (foraminal stenosis), or the set of roots that have not yet come out of the spinal canal (canal stenosis).
- This reduction or narrowing of space in the spine is normally due to the abnormal bone growth that occurs in the degenerative process known as osteoarthritis.
- In many cases, other factors are associated, such as hernias or disc protrusions, ligament hypertrophies which, with this change in bone structure, condition this narrowing.
- The posterior vertebral joints are directly responsible for or contribute to numerous cases of back pain.
- Their anatomical function leads them to become overloaded through certain exercises, postural habits or when the degenerative process initiated in the disk reduces intervertebral space height.
It is also known as failed back surgery, since the radicular or back pain persists after the operation.
It may have multiple causes (reappearance of a hernia, epidural fibrosis, secondary instability, etc.)
- Any of the aforementioned processes may cause persistent injury even after the treatment of a nerve root.
- The pain affects the affected root's distribution territory.
Back pain, radiated or not, may originate in inflammatory, infectious or cancerous processes which the clinical evaluation and complementary examinations should rule out.