Abstrakt

Comprehensive rehabilitation of herniated disc in the lumbar section of the spine

Petya Kasnakova, Anna Mihaylova, Penka Petleshkova

Herniated disc is one of the most common problems of the musculoskeletal system, and the spine, in particular. This article presents a modern algorithm of methods of treatment constituting comprehensive rehabilitation of herniated disc in the lumbar section of the spine, including: physical therapy, active and passive kinesitherapy, medical massage and manual techniques, applied in the medical practice. Rehabilitation and physioprophylaxis facilitate the reduction of the risk of occurrence and development of herniated disc in the lumbar section of the spine through natural (water, air, movement and sunshine) and preformed physical factors, the main aim being achieving a good quality of life of both the sick and the healthy. The so called ‘spine school’, which includes training the patient to have a good posture, a good stance, to walk correctly and to improve his/her motor stereotype through control and self-control, plays a major role. In developing the individual treatment scheme for each patient at a certain stage of his/her condition, it is vital to attempt to achieve a synergic effect of the optimal combination of electrotherapeutic, peloid therapeutic and kinesitherapeutic methods. Regular courses in physioprophylaxis and kinesio-prophylaxis significantly boost the effect of the medicamentous therapy in patients with herniated lumbar disc and improve their quality of life.