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激しい痛みを伴う腰椎椎間板ヘルニアの治療方法

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腰椎椎間板ヘルニアという病気とその治療方法について聞いたことがあるでしょうか?ヘルニアと聞くとものすごく痛い病気のイメージがあるでしょう。そのイメージに間違いはありません。腰椎椎間板ヘルニアはとても激しい痛みを伴う病気です。ですから、正しく治療することが必要です。

腰椎椎間板ヘルニアとはどのような病気なのでしょうか?

人間の背骨は椎骨と椎間板がつながってできています。椎骨というのは背骨のひとつひとつの骨のことで、この椎骨にかかる重力を分散しているのが椎間板です。椎間板は、固い軟骨の囲いの中にやわらかい軟骨が入っているという構造になっていますが、そのやわらかい軟骨が硬い軟骨の壁を突き破ってしまうことによって起きるのが、この腰椎椎間板ヘルニアです。

椎間板ヘルニアは椎間板の老化によって起きると考えられています。ではこの痛みを伴う腰椎椎間板ヘルニアを治療するための方法としてどのようなことがあるのでしょうか?ご紹介してみたいと思います。

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腰椎椎間板ヘルニアの治療

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腰椎椎間板ヘルニアには大きく分けて2つの種類があります。ひとつは急性期です。この状態は激しい痛みを伴います。もうひとつは、亜急性期、または慢性期です。これは我慢できる痛みですがそれでもヘルニアが原因で腰が痛むという場合です。それぞれ治療方法が異なりますので正しく覚えておきましょう。

腰椎椎間板ヘルニアの治療:急性期の場合

腰椎椎間板ヘルニアが急性期の場合にはどのような治療が行われるのでしょうか?

まずは安静にすることです。この方法は痛みが激しい時に効果的な治療法だと言われています。ヘルニアが原因で激しく腰が痛む場合は、仕事や学校へ行くのをやめ、痛みが引くまで自宅で安静にしておきましょう。

また鎮痛剤も治療に使われます。内服薬や座薬、また患部に注射を打つこともあります。このような治療は病院へ行って行なう必要がありますので、痛みがあってもある程度動けるようにならないと難しいかもしれません。安静にした後、少し痛みが和らいだのなら、病院へ行って薬を処方してもらうと良いでしょう。

ヘルニアによる激しい腰痛がするときに、コルセットをすることも効果的な治療方法になります。たびたびヘルニアによる激しい腰痛に襲われているのであれば、腰痛対策用にコルセットを用意しておくと良いでしょう。ヘルニアになった時にコルセットを付けるなら、椎間板にかかる圧力を下げることができますので、腰痛を大幅に軽減することができるでしょう。

腰椎椎間板ヘルニアの治療:亜急性、慢性期の場合

ヘルニアによる腰痛がいくらか治まり、耐えることができるほどの痛みになったなら、少しずつ動かすようにする必要があります。この治療方法を運動療法と言います。ウォーキングやストレッチ、筋トレなどを無理がない程度に行なうなら腰の筋肉を適度に強化することができ、腰椎椎間板ヘルニアによる痛みを緩和させることができるでしょう。

また、ヘルニアによる腰の痛みがある程度和らいだなら、温めることによって治療することが必要です。温湿布や、赤外線、超音波などによって患部を適度に温めましょう。

痛みがある程度和らいだ後も治療にコルセットを使用することがあるでしょう。しかし、ヘルニアによる痛みが引いた後もコルセットを使い続けているなら、腰の筋肉が弱まってしまいます。腰痛が亜急性期、慢性期に入ったならコルセットの使用を控える方が良いでしょう。

また、マッサージや指圧なども効果的な治療法になるでしょう。

腰椎椎間板ヘルニアの治療:手術

先程までご紹介した治療方法を保存治療と言いますが、保存治療を行なっても数カ月間に渡って痛みが引かない場合や、日常生活に支障が出る場合は、手術による治療が必要になるでしょう。腰椎椎間板ヘルニアの手術による治療方法は、直接ヘルニアを取り除く方法と、飛び出したヘルニアを引っ込める方法があります。どちらを選択するかは担当の医師と話し合って決めることができるでしょう。

自分で治せる! 腰痛改善マニュアル
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まとめ:自分に合った治療方法によってヘルニアを緩和させましょう

この記事では腰椎椎間板ヘルニアの治療方法を幾つかご紹介させていただきました。参考にしていただけたでしょうか?

腰椎椎間板ヘルニアは、とても痛みの伴う病気です。痛みの強さ、また痛みの頻度に合わせて正しく治療することが必要です。また生活に使用が出るほどヘルニアの症状が重たいのであれば手術をする必要があるでしょう。自分に合ったヘルニアの治療法を見つけることが大切です。

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