Conservative treatment
When a patient presents with back pain, a neurosurgeon will always order an additional examination – magnetic resonance imaging (MRI). This method is the most informative in diagnosing degenerative-dystrophic diseases of the spine, unlike computed tomography, which is an X-ray examination and visualizes only bone structures.
MRI reveals:
- protrusions
- herniated discs
- tumor-like formations
- intervertebral joint cysts
- etc.
If the patient develops neurological disorders such as:
- weakness
- loss of sensation in one or both legs
- pelvic organ dysfunction
- severe pain syndrome that is not relieved by analgesics
- detection of the substrate on MRI (most often a herniated disc with sequestration)
– the patient is shown surgical intervention.
With mild neurological disorders, such as:
- impaired sensitivity in the leg
- periodic pain syndrome that does not require pain relief
- detection of small median hernias on MRI
– the patient is offered conservative treatment.
In order for the prescribed treatment to be most effective, the patient is hospitalized in the neurosurgical department of the Kherson Regional Clinical Hospital.
The prescribed treatment complex must include:
- painkillers,
- muscle relaxants,
- drugs that improve the conductivity and trophism of nervous tissue.
Also, a mandatory procedure is a blockade, thanks to which analgesic, anti-edematous and anti-inflammatory drugs are delivered directly to the site of the affected nerve root and are highly effective even with severe pain syndrome.
Conservative treatment: exercise therapy
The complex of conservative treatment is supplemented by physiotherapy and therapeutic exercise. The presence of a qualified exercise therapy specialist in the department allows each patient to individually select a set of exercises that will strengthen the muscular corset and will not harm the compromised spine. The patient will also receive recommendations on lifestyle and physical activity after discharge from the department.
If additional factors that can provoke pain syndrome are detected in the patient, the necessary interventions are performed to eliminate them. In particular, pain can occur when trigger points are irritated (their blockade or radiofrequency denervation is performed ), with pathology of the intervertebral joints (blockade of the facet joints is performed).
The neurosurgeon has extensive experience in the treatment of vertebrogenic pain syndrome. All procedures, manipulations and surgical interventions are performed only according to indications.
Стаття написана: 22.01.2026
Стаття перевірена медичним спеціалістом: 23.01.2026
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