Hernia awareness

Hernia

As a physiotherapist, I regularly see patients with hernia complaints in my practice. The pain and uncertainty that come with a hernia can be quite challenging. But let me reassure you: in most cases, there is reason for optimism. Let me share with you my experiences and insights on living with and recovering from a hernia.

60,000  75,000

people experience a hernia for the first time each year.

Men

Have a higher chance of getting a hernia

.

Age 30-60

highest risk of experiencing a herniated disc

88%

self-repairs automatically

What is a hernia

A hernia, also known as a herniated nucleus pulposus (HNP), occurs when the soft core of an intervertebral disc protrudes through the tough outer ring. This typically happens in the lower back but can also occur in the neck.


Understanding the structure of the spine is crucial for grasping hernia. The spine is composed of vertebrae separated by shock-absorbing intervertebral discs. These discs consist of a sturdy outer ring (annulus fibrosus) and a soft, jelly-like core (nucleus pulposus).

Causes and symptoms

A hernia can develop due to various factors, such as wear and tear, sudden overloading, prolonged improper loading of the back, or genetic factors. When the outer ring weakens or tears, the core can bulge outwards and exert pressure on surrounding nerve roots.


  • Back pain, often dull or stabbing
  • Radiating pain to the buttocks, leg, or foot
  • Tingling or numbness
  • Loss of strength
  • Aggravation during certain activities
  • Limited range of motion
  • Pain when coughing, sneezing, or straining


In rare cases, cauda equina syndrome can occur, a medical emergency involving loss of control over the bladder and rectum.

Diagnosis and treatment

To diagnose a hernia, a physician typically conducts a physical examination and may perform an MRI scan. It is important to note that not every hernia visible on a scan actually causes symptoms.


The treatment for a hernia can range from conservative approaches to surgical interventions. Often, conservative treatments are initiated such as pain management, physical therapy, and finding a balance between rest and movement. In some cases, a nerve block may be applied, where medication is injected near the affected nerve root.


If conservative treatments are ineffective, surgery may be considered. This usually occurs if symptoms do not improve after 6-8 weeks or in cases of severe symptoms. Surgical options include a microscopic hernia operation or a microdiscectomy.

Self-management and recovery

The good news is that about 95% of hernias eventually heal on their own. The recovery process can take 3 to 6 months, so patience is important. It is crucial to stay active during recovery, despite the pain. Regular walking or other light forms of exercise are recommended.

Avoid strenuous activities such as prolonged sitting, long car journeys, and lifting with a bent back. Pay attention to your posture, especially during long periods of sitting, and ensure a good night's sleep. Specific hernia exercises can be beneficial, but proceed with caution and avoid exercises that increase pain.

From pain to perspective

A hernia can be a challenging condition, but with the right approach and patience, it is often manageable. Remember that spontaneous recovery is the norm and that surgery is necessary only in a minority of cases. Stay positive, keep moving within your limits, and don't hesitate to seek professional help if symptoms persist.

Do you recognize yourself in the symptoms above?

As an experienced therapist, I invite you to stop waiting. Take action for your health today and schedule an appointment for a professional evaluation.


I often see patients who delay seeking help, especially when experiencing:

• Radiating pain

• Tingling or numbness

• Difficulty with daily activities


Early intervention can be crucial for a smoother recovery. Let's assess your symptoms together and create a tailored treatment plan.

Contact us now to schedule an appointment and actively work towards a future with less pain.

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