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Hernias are called vertical because it is the vertical load that causes them to form. In some cases, inflammation occurs in the distribution area of ​​the node, but in most episodes this does not occur. Once the inflammation has begun, it can proceed without disturbing the patient for months or even years. Usually the inflammatory process goes away on its own.

In addition to classification according to the causes of occurrence, pathologies are distinguished by the location and number of hernial formations. Localization suggests the following types of Schmorl's lumbar hernias. With quantity, everything is much simpler - a single hernia can form, or multiplenye. Schmorl's hernia and pain syndrome.

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It is worth dwelling on this issue and considering it in more detail - does this type of hernia cause pain. A classic horizontal hernia almost immediately causes pain in the back, hip, one leg, or both. With a vertical hernia, everything is different. Not all varieties of Schmorl's hernia are necessarily the cause of pain, most of them will be painless up to a certain stage. But in order to maintain the integrity of the structure of the discs and vertebrae, the endplates must remain intact, and if they are damaged, this becomes the beginning of the formation of other pathologies.

The hernial node may not put pressure on the vessel, not pinch the nerve, but damage to the structures will still form. As soon as the endplate is damaged, part of the pulpous disc nucleus is forced through the bone tissue. By the way. To make it easier to understand the mechanism of hernia formation, you can compare the disease with a puddle covered with ice that a person has stepped on. The ice was pressed, the water was forced out. If a white halo is observed around the crushed bone, it indicates bone inflammation due to trauma. Such inflammation is painful, and it will hurt in the depths of the lower back.

Irradiation to the legs, hips, back does not occur, as is the case with a horizontal hernia. Pain can arise and be felt with different strength for several years. But over time, they will go away on their own. But the mechanism of occurrence of the hernial Schmorl node can be more complex. When the endplate is damaged, the load on the outer shell of the disc increases. This causes changes in the biochemical and mechanical nature, which can lead to the formation of a conventional disc herniation. As a result, there will be chronic low back pain, quite severe, which can affect motor ability, activity, quality of life.

One more situation. at the beginning of the process there are no signs of inflammation, but then it begins, producing degenerative changes in the endplates. A typical disc herniation and infection develops. At the same time, the infected disc, coming into contact with the bone blood supply, provokes an immune response that increases the amount of cytokines (anti-inflammatory protein compounds). As a result, there is pain of a certain cyclicity. Strengthening in the morning, by noon - fading, again strengthening in the evening and the strongest - at night.

If you want to learn more about how to treat Schmorl nodes in the spine, as well as consider the symptoms, alternative treatments and prevention, you can read an article about this on our portal. Important! Even if Schmorl's hernia does not cause pain on its own, it causes reactions and symptoms that can lead to pain.

There is a certain type of vertical hernia that causes bony changes. It is not visible on fluoroscopy, and can only be detected during magnetic resonance imaging. Therefore, in the diagnosis of Schmorl's hernias, it is often not limited to x-rays, but extended instrumental diagnostic procedures are carried out.

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If an ordinary intervertebral hernia is clearly visible on an X-ray, then Schmorl's hernia looks like a defect in the vertebral body on it. Therefore, if the fluoroscopic examination offers an unclear picture, giving reason to assume the presence of nodes, an MRI is prescribed. It is this study that will show Schmorl's hernia in the affected lumbar segment.