Treatment of Schmorl’s Hernia in Dnipro


A Schmorl's hernia is a pathological formation that occurs when adjacent vertebrae compress, causing the intervertebral disc to push into the bone tissue of one of the vertebrae. This condition is often the cause of chronic back pain. Schmorl’s nodes are more common among the elderly but can also develop in younger patients with degenerative spinal diseases. Studies show that cartilage nodes form asymptomatically in 75% of people over the age of 50, and treatment depends on the size and complications of the lesion.

Schmorl's hernia 1

Types of Schmorl’s Hernia

Schmorl’s nodes are classified based on their location:

  • Central hernia: the most common, usually asymptomatic and not dangerous.
  • Anterior hernia: often found in the lumbar spine.
  • Posterior hernia: typically causes pain and limited mobility.
  • Lateral hernia: may compress nerves and cause pain.
  • Hernias can also be single or multiple.

Why Schmorl’s Nodes Are Dangerous

The danger lies in their asymptomatic nature in early stages. They are often found incidentally during CT or MRI. As the condition progresses, complications may include:

  • Risk of vertebral fracture due to structural weakening.
  • Severe pain from nerve compression.
  • Limited mobility.
  • Accelerated spinal degeneration, leading to osteoarthritis and other conditions.

Symptoms of Schmorl’s Nodes

As the node grows and compresses spinal nerves, symptoms may include:

  • Discomfort during movement.
  • Evening back pain.
  • Limited mobility.
  • Stiffness in the back.
  • Pain radiating to buttocks or legs (for lumbar hernias).
Schmorl's hernia 3
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Created with Pixso.

Main Causes of Schmorl’s Hernia

The condition can arise from weakened bone-cartilage structures due to:

  • Genetic predisposition.
  • Spinal trauma or heavy physical load.
  • Osteoporosis.
  • Degenerative spine diseases (e.g., arthritis).

At risk are athletes, the elderly, menopausal women, manual laborers, and those with hereditary conditions.

Diagnosis and Treatment in Dnipro’s Helyos Clinic

Diagnosis is carried out by neurologists or orthopedists at Helyos Clinic. After listening to complaints and performing an initial exam, MRI is typically recommended for confirmation.

Conservative treatment includes:

  • Medication (painkillers, anti-inflammatories, antispasmodics).
  • Physiotherapy (magnetic or ultrasound therapy).
  • Therapeutic exercises.
  • Massage.
  • Vitamins and minerals.

Surgical treatment is rare but may be needed for:

  • Persistent severe pain.
  • Vertebral fractures.
  • Rapid degeneration.
Schmorl's hernia 4

Special Considerations for Pregnant Women and Children

Treatment during pregnancy is focused on safe pain management (gentle exercises, relaxing massage, support belts). In children, therapy focuses on strengthening the back and posture correction.

Effective Treatment in Helyos Clinic, Dnipro

Helyos Clinic is fully equipped for comprehensive diagnostics and treatment. Highly qualified doctors apply personalized approaches and modern techniques for optimal outcomes. The facility ensures patient comfort and care during all stages of treatment.

Schmorl's hernia 5

Prices

Surgeon consultation
800 UAH
Surgeon consultation (Doctor of Medical Sciences)
1100 UAH
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