{"id":229797,"date":"2020-04-10T16:00:03","date_gmt":"2020-04-10T15:00:03","guid":{"rendered":"https:\/\/chiropraxis-hamburg.homepage.t-online.de\/wordpress\/?page_id=229797"},"modified":"2026-01-25T20:25:56","modified_gmt":"2026-01-25T19:25:56","slug":"bandscheibenvorfall","status":"publish","type":"page","link":"https:\/\/chiropraxis-barcelona.es\/de\/bandscheibenvorfall\/","title":{"rendered":"Bandscheibenvorfall"},"content":{"rendered":"

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Band-<\/h1>\n

scheiben-<\/h1>\n

vorfall<\/h1>\n

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header_text_shadow_color__hover_enabled=“rgba(0,0,0,0.4)“]<\/p>\n

Symptome<\/h3>\n

 <\/p>\n

Bandscheibenvorf\u00e4lle treten am h\u00e4ufigsten in der Lendenwirbels\u00e4ule,\u00a0weniger h\u00e4ufig in der Halswirbels\u00e4ule und nur selten in der\u00a0Brustwirbels\u00e4ule auf.<\/span><\/span><\/p>\n

Ein Bandscheibenvorfall kann nicht nur Schmerzen im R\u00fccken\u00a0verursachen, sondern auch Druck auf die Nervenwurzeln des\u00a0R\u00fcckenmarks aus\u00fcben, und zwar an der Stelle, an der die\u00a0Nervenwurzeln durch eine \u00d6ffnung an der Seite der Wirbels\u00e4ules\u00a0austritt.<\/span><\/span><\/p>\n

Die Symptome h\u00e4ngen von der Position des Bandscheibenvorfalls ab\u00a0und an welcher Stelle die Knorpelringe verletzt sind.\u00a0Bandscheibenvorf\u00e4lle im Bereich der Lendenwirbels\u00e4ule k\u00f6nnen sich\u00a0zun\u00e4chst wie ein Hexenschuss anf\u00fchlen, sie sind h\u00e4ufig von\u00a0Ischiasschmerzen begleitet, die auch in die R\u00fcckseite des\u00a0Oberschenkels, in die Wade, bis in die Ferse oder der gro\u00dfe Zehe\u00a0ausstrahlen k\u00f6nnen. Bei entsprechendem Druck auf den Nerv, kann es\u00a0in den von dem Nerv zu versorgenden Bereichen zu einer\u00a0Beeintr\u00e4chtigung des Gef\u00fchls (Taubheit), und eingeschr\u00e4nkter\u00a0Muskelkraft kommen. Typische Bereiche f\u00fcr diese neurologischen\u00a0Ausf\u00e4lle sind Unterschenkel oder Fu\u00df. Die Folge sind Probleme beim\u00a0Aufst\u00fctzen, und mangelnde Kraft im Fu\u00df beim Gehen. Wenn der Druck\u00a0auf den Nerv \u00fcber l\u00e4ngere Zeit besteht, kann dies zu einem Abbau der\u00a0Muskulatur im Unterschenkel un des Fu\u00dfes f\u00fchren.<\/span><\/span><\/p>\n

Die Bandscheibe ist die Knorpelscheibe, die die Gelenkverbindung\u00a0zwischen den Wirbeln der Wirbels\u00e4ule herstellt. Sie wirkt wie ein\u00a0\u201eSto\u00dfd\u00e4mpfer\u201d zwischen den Wirbeln und verhindert, da\u00df diese direkt\u00a0gegeneinander gepre\u00dft werden.<\/span><\/span><\/p>\n

Au\u00dferdem erm\u00f6glicht sie, da\u00df wir uns b\u00fccken und drehen k\u00f6nnen. Die\u00a0Bandscheibe hat zwei Komponenten, Knorpelfasern und einen\u00a0galertartigen Kern (Nucleus). Die Knorpelfasern sind in einer sehr\u00a0gro\u00dfen Anzahl Ringe umeinander herum geformt, ungef\u00e4hr so, wie wir\u00a0es von einer Zwiebel kennen. Die Fasern verlaufen etwa in einem 45\u00a0Grad Winkel, wobei jede Schicht in diagonal umgekehrter Richtung zu\u00a0einander verl\u00e4uft. Diese Schichten \u201eumarmen\u201d den Nucleus in der Mitte\u00a0der Bandscheibe. Bei Kindern ist dieser Kern noch gro\u00df, mit dem Alter\u00a0verliert er an Fl\u00fcssigkeit und trocknet langsam aus, man spricht von\u00a0einer Degeneration der Bandscheibe. Ist die Bandscheibe Druck\u00a0ausgesetzt, wird der Nucleus gegen die Knorpelfasern gepre\u00dft.<\/span><\/span><\/p>\n

Wenn der R\u00fccken Fehlbelastungen ausgesetzt wird, wie z.B. wiederholt\u00a0schlechte Arbeitsstellungen, ein Sturz auf den R\u00fccken, oder schweres\u00a0Heben in Verbindung mit einer Drehung, kann dies zu einem Bruch in\u00a0den Knorpelfasern f\u00fchren. Dieser Proze\u00df passiert normalerweise\u00a0schrittweise, parallel dazu entstehen Schwachstellen in den\u00a0Knorpelfasern.<\/span><\/span><\/p>\n

Am h\u00e4ufigsten tritt dies im hinteren Teil der Bandscheibe auf, denn hier\u00a0ist die Bandscheibe am schw\u00e4chsten, die Folge: der Nucleus wird\u00a0gegen oder gar ganz durch die Knorpelfasern gedr\u00fcckt. – Man spricht\u00a0dann von einem Bandscheibenvorfall mit Sequestrium.<\/span><\/span><\/p>\n

Ein Mensch mit einem Bandscheibenvorfall hat nicht unbedingt\u00a0Schmerzen. Tats\u00e4chlich haben 20 % unter 40 Jahre und 27 % \u00fcber 40\u00a0Jahre einen Bandscheibenvorfall ohne etwas davon zu merken. Und\u00a0selbst wenn ein Bandscheibenvorfall vorliegt, m\u00fcssen eventuelle\u00a0R\u00fcckenschmerzen nicht<\/b> von diesem Bandscheibenvorfall kommen.<\/span><\/span><\/p>\n

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Diagnose<\/h3>\n

 <\/p>\n

Anhand der Krankengeschichte und der Resultate der klinischen\u00a0Untersuchungen des Patienten stellt der Chiropraktor die Diagnose. Im\u00a0Rahmen der klinischen Untersuchungen werden normalerweise auch\u00a0R\u00f6ntgenaufnahmen oder Kernspintomographien gemacht.<\/span><\/p>\n

Vorausgesetz das keine L\u00e4hmung der Blase vorliegt, ist eine\u00a0chiropraktische Behandlung sinnvoll.<\/span><\/p>\n

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Behandlung<\/h3>\n

 <\/p>\n

Die Behandlung wird wie jede andere gezielte chiropraktische\u00a0Behandlung nach dem Gonstead System bei uns vorgenommen. Wird\u00a0der Druck auf den Nerv gemindert, beginnt er schrittweise wieder\u00a0normal zu funktionieren.<\/span><\/p>\n

Durch die Behandlung wird oft eine unmittelbare Verbesserung der\u00a0Symptome erreicht. Untersuchungen mit den neuesten Apparaturen\u00a0(Kernspinntomographen) haben gezeigt, dass der Bandscheibenvorfal\u00a0sich jedoch nicht immer regeneriert, es dennoch zu einer\u00a0Normalisierung der Bewegungsfreiheit sowie Symptomfreiheit kommt.\u00a0Dies wird durch andere Untersuchungen unterst\u00fctzt, wie schon zuvor\u00a0genannt, dass Patienten selbst mit einem Bandscheibenvorfall absolut\u00a0symptomfrei (schmerzfrei etc.) sein k\u00f6nnen.<\/span><\/p>\n

Eine Operation kann meistens durch\u00a0Chiropraktik vermieden werden.\u00a0<\/span>In manchen schweren F\u00e4llen gelingt es nicht den Druck auf den Nerv\u00a0abzuleiten, es m\u00fcssen dann andere Behandlungen in Erw\u00e4gung\u00a0gezogen werden, meistens ist dann eine Operation unumg\u00e4nglich.<\/span><\/p>\n

Bei einer Operation wird der hervorgepresste Teil einer Bandscheibe\u00a0entfernt. Damit sind jedoch nicht immer alle Symptome beseitigt, denn\u00a0bevor es zu einem Bandscheibenvorfall kam, musste der R\u00fccken h\u00e4ufig\u00a0schon lange zuvor Fehlstellungen ausgleichen. Nach der\u00a0Bandscheibenoperation gilt es nun auch die anderen Fehlstellungen\u00a0chiropraktisch zu korrigieren, um eventuell verbliebene Symptome\u00a0(Unbeweglichkeit, Steifheit im R\u00fccken etc.) zu beseitigen, aber auch\u00a0um einem erneuten Bandscheibenvorfall als Folge von Fehlstellungen\u00a0vorzubeugen.<\/span><\/p>\n

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header_4_text_shadow_color__hover_enabled=“rgba(0,0,0,0.4)“ header_font_size__hover=“30px“ header_font_size__hover_enabled=“30px“ header_letter_spacing__hover=“0px“ header_letter_spacing__hover_enabled=“0px“ header_text_shadow_style__hover=“none“ header_text_shadow_style__hover_enabled=“none“ header_text_shadow_color__hover=“rgba(0,0,0,0.4)“ header_text_shadow_color__hover_enabled=“rgba(0,0,0,0.4)“ header_2_letter_spacing__hover=“0px“ header_2_letter_spacing__hover_enabled=“0px“ header_2_text_shadow_style__hover=“none“ header_2_text_shadow_style__hover_enabled=“none“ header_2_text_shadow_color__hover=“rgba(0,0,0,0.4)“ header_2_text_shadow_color__hover_enabled=“rgba(0,0,0,0.4)“]<\/p>\n

Rehabilitation<\/h3>\n

 <\/p>\n

Im sp\u00e4teren Behandlungsverlauf ist es wichtig, dass der Patient eine\u00a0korrekte Arbeitshaltung erlernt. Mit am wichtigsten ist eine\u00a0r\u00fcckenschonende Hebetechnik.<\/span><\/p>\n

Intensives R\u00fcckentraining, bei dem die R\u00fcckenmuskulatur in St\u00e4rke\u00a0und Ausdauer trainiert wird, erwies sich als ein effektives Mittel um\u00a0den R\u00fccken zu stabilisieren, sodass der Patient wieder ein aktives\u00a0Leben f\u00fchren kann. Ein gutes Trainingsprogramm geht \u00fcber einen\u00a0Zeitraum von mindestens 3 Monaten, man muss sich jedoch klar\u00a0dar\u00fcber sein, dass erste Erfolge erst nach 6-8 Wochen zu sp\u00fcren sein\u00a0werden.<\/span><\/p>\n

Dies scheint zun\u00e4chst eine lange Zeit zu sein, aber die Forschung zeigt,\u00a0dass Muskeln, Sehnen, B\u00e4nder und Gelenkknorpel diese Zeit ben\u00f6tigen\u00a0um sich zu regenerieren und zu st\u00e4rken. Der Preis scheint hoch doch\u00a0auf lange Sicht lohnt sich der Einsatz.<\/span><\/p>\n

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header_2_font_size__hover_enabled=“26px“ header_2_letter_spacing__hover=“0px“ header_2_letter_spacing__hover_enabled=“0px“ header_2_line_height__hover=“1em“ header_2_line_height__hover_enabled=“1em“ header_2_text_shadow_style__hover=“none“ header_2_text_shadow_style__hover_enabled=“none“ header_2_text_shadow_color__hover=“rgba(0,0,0,0.4)“ header_2_text_shadow_color__hover_enabled=“rgba(0,0,0,0.4)“ header_font_size__hover=“30px“ header_font_size__hover_enabled=“30px“ header_letter_spacing__hover=“0px“ header_letter_spacing__hover_enabled=“0px“ header_text_shadow_style__hover=“none“ header_text_shadow_style__hover_enabled=“none“ header_text_shadow_color__hover=“rgba(0,0,0,0.4)“ header_text_shadow_color__hover_enabled=“rgba(0,0,0,0.4)“]<\/p>\n

Vorbeugung<\/h3>\n

 <\/p>\n

Vorbeugung ist nat\u00fcrlich immer das Wichtigste. R\u00fcckenbelastungen\u00a0mit wiederholten und einseitigen Bewegungen, geb\u00fcckte und verdrehte\u00a0Arbeitsstellungen und Stress in Form von hohem Arbeitstempo z.B.\u00a0oder Arbeitsdruck haben sich als h\u00e4ufigste Ursache f\u00fcr Schmerzen im\u00a0R\u00fccken und Lendenbereich erwiesen. Der Chiropraktor kann hier mit\u00a0gezielter Beratung bez\u00fcglich richtiger Bewegungsabl\u00e4ufe helfen. Weiter\u00a0erwies sich regelm\u00e4\u00dfiges Training als hilfreich bei R\u00fcckenproblemen.\u00a0Ganz allgemein gilt zur Vorbeugung von R\u00fcckenproblemen jeglicher\u00a0Art, ein regelm\u00e4\u00dfiges R\u00fcckentrainingsprogramm, denn mit einem gut\u00a0trainierten \u201eMuskelkorsett\u201d werden R\u00fcckenprobleme fast ganz ausgeschaltet. Die\u00a0beste Voraussetzung f\u00fcr ein aktives und zufriedenstellendes Leben.<\/span><\/p>\n

Die richtigen Bewegungsabl\u00e4ufe der Wirbels\u00e4ule\u00a0sind Voraussetzung f\u00fcr gesunde Bandscheiben.<\/span><\/p>\n

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Uns kontaktieren<\/h3>\n

+34 600 390 401<\/h3>\n

info@chiropraxis-barcelona.es<\/a><\/p>\n

 <\/p>\n

Am besten per WhatsApp<\/h3>\n

Dr. Oehlenschlaeger reist aus Deutschland an<\/p>\n

Donnerstag \u00a0\u2013 10:00 \u2013 13:00 & 16:00 \u2013 19:00
Freitag \u2013 10:00 \u2013 13:00 & 16:00 \u2013 19:00
Samstag \u2013 10:00 \u2013 13:00<\/p>\n

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