A hernia is a condition involving the protrusion of an organ, group of organs or fascia of an organ through the cavity wall that should normally contain it. A hernia has different types depending on the location. The most common type of hernia is abdominal hernia that results from the weakness of the abdominal wall. As a result, adipose tissue and abdominal organs may protrude on the area of muscle weakness. A hernia on the spine is known as sciatica or disc herniation where the spinal discs moves out or protrudes outside the spinal cavity. Hiatal hernias are conditions involving the protrusion of the upper portion of the stomach through the weakened diaphragm. In addition, inguinal hernias are protrusion of pelvic organs in the femoral or inguinal area.
Hernias are primarily caused by weakening of the muscles or membranes, which is usually congenital. Other causes may involve conditions that lead to increased pressure on the abdominal cavity or spinal cavity leading to weakening and protrusion of the organs.
Symptoms of Hernia
The symptom of hernia depends on the site of the abnormal protrusion. The most common symptom is pain where the protrusion is located due to the obstruction of nerve innervation and blood flow. However, some mild hernia may not present pain. Pain usually increases with incarcerated or irreducible hernia where the organ that protrudes cannot be replaced back into the cavity where it is contained. Incarcerated hernias may lead to prolonged nerve and blood supply impingement, which may contribute to tissue ischemia and necrosis. Once this happens, the protrusion turns cyanotic or dark in color signifying lack of blood supply.
Another common symptom of hernia is the presence of a visible and palpable lump. However, in the case of herniated discs, the lump may not be visible. Spinal herniations may cause numbness and loss of function below the level of the herniated disc. It may lead to absence of sensation in the groin and in the buttocks when the disc herniation tends to be severe.
Treatments of Hernia
The treatments of hernia are mainly surgical procedures to return the organs in their original position and may the surrounding muscular wall intact to prevent recurrence. The treatments for hernia may include:
- Herniated Discs
For disc herniations in the spine, the main treatment is physical therapy in order to improve physical functioning. Chiropractic care with your local Wesley Chapel chiropractor may also be involved in order to remove the nerve impingements or spinal subluxations in the area. Spinal traction is also involved in physical therapy as well as chiropractic care in order to pull the spine and allow the herniated disc to go back to its place. Medications such as non-steroidal anti-inflammatory drugs are also given to reduce inflammation and pain on the back. Severe spinal herniations may require surgical technique such as spinal decompression.
- Abdominal, hiatal and inguinal hernias
These types of hernia involve similar procedures. Herniorrhapy or repair of hernias is the usually procedure undertaken. This involves placement of mesh in order to hold the organ followed by repair of the weakened muscle.