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Herniated disc

A pathology in which the durable fibrous ring of the intervertebral disc ruptures and its nucleus pulposus comes out.

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Epidemiology:

  • The incidence of disc herniation is 5 to 20 cases per 1,000 adults annually. The male to female ratio is 2:1
  • Cervical disc herniation occurs in 8% of cases and most often develops at the C5-C6 and C6-C7 level
  • Lumbar disc herniation occurs 15 times more often than cervical disc herniation
  • At the lumbar level, in 95% of cases, these are L4-L5 and L5-S1 disc herniations
  • Symptomatic lumbar disc herniation occurs in 1% to 3%
  • 2% of the population requires surgery for intervertebral disc herniation

Clinical manifestations:

  • The clinical picture of a herniated disc is accompanied by neurological disorders caused by compression of nearby nerve structures (spinal cord, spinal root)
  • Common symptoms:
    • Local (local) pain syndrome (lower back pain, neck pain)
    • Pain in the arms and legs
    • Numbness in the arms and legs
    • Paresis - decreased muscle strength (decreased strength in the hands, weakness of the foot, "foot slapping")
    • Pelvic organ dysfunction

Causes:

A number of factors lead to disc degeneration (the cause of herniation):

  • Endogenous (internal) factors - genetics, metabolic disorders
  • Exogenous (external, often mechanical factors) - lifting weights, torsional loads, driving a car, etc.

Diagnostics:

  • MRI of one or more parts of the spine
  • If it is impossible to perform MRI, CT or CT myelography may be performed

Treatment:

  • Conservative: drug therapy (NSAIDs, mimorelacants, anticonvulsants, hormones), physiotherapy, therapeutic physical education (physical therapy, kinesiotherapy)
  • Surgical: microsurgical or endoscopic removal of disc herniation

Our doctors

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Dreval
Dmitry Alexeyevich
Neurosurgeon
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Fumin
Ilya Alexandrovich
Neurosurgeon
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Stepanyan
Mushegh Agoevich
Neurosurgeon
Asyutin
Dmitriy Sergeevich
All specialists
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2GIS Award

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«Good place» according to Yandex

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Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

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Price

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Primary neurosurgeon appointment
from 7 600 ₽
Reception of a neurosurgeon
from 6 900 ₽

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Reviews 5

In the fall of 2024, I went to the K+31 clinic, where I was correctly diagnosed and received the competent treatment that I really needed. I would like to note the highest professionalism of all the doctors who worked with me, and I express my heartfelt gratitude to neurologist Sitnikova O. Yu., gastroenterologist Anikina N. Yu., endocrinologist Pivovarova S. V., cardiologist Kambegova A. A., neurosurgeon Fumin I. A., and the nurses from the procedure room. Thank you very much for your work! Deep bow! I am grateful to you for your understanding, warmth, kindness, and desire to help. I wish you success in your difficult, but very necessary, noble work. Health to you, people in white coats!
21.11.2024
Tsybriy L.A.
For a long time I could not solve the problem with numbness in my hands, I turned to different doctors. It was only in the K31 clinic that Dr. Ilya Aleksandrovich Fumin finally relieved me of this problem. Conducted additional research, confirmed the diagnosis and performed an operation. Everything went neatly, efficiently and painlessly. The doctor is very attentive and professional in his field. Thank you very much for your help.
07.12.2021
Ekaterina Golubkova
Dmitry Alekseevich thank you for the operation to remove the hernia in the lower back. Operated a year ago on October 1. Everything is fine, I feel great. You are a great professional in your field. I wish you and all the clinic staff good health. Your hospital is exemplary and thanks again for being there and helping people! God bless you.
17.11.2021
Alexey
Good day. Dmitry Alekseevich, thank you for the successful difficult operation for my mother. Thank you for your understanding, thank you for not making us wait long and immediately after the operation told us everything in detail. Thank you for keeping us up to date on my mother's condition. Thank you for your care and attention. It is scary to imagine what would have happened if my mother had not fallen into yours, Dmitry Alekseevich and Ilya Alexandrovich, (Dreval D. A .; Fumin I. A.) golden hands. We will never forget what you did for her. You are the best of the best !!! Thanks to all the staff of the K-31 clinic. Special thanks to the administration of the clinic for the equipment, technology and highly qualified staff.
16.06.2021
Irina
Good day. I would like to express my deep gratitude to Ilya Alexandrovich. A highly qualified specialist, attentive, sensitive, and this is important for the patient. This is the first doctor who explains everything in a very accessible way, so you don't have to ask again and surf the Internet. A doctor who visits his patients even on weekends. A doctor who did not forget about you as soon as the door closed behind you. At the very first appointment, my mother was imbued with Ilya Alexandrovich and said that if you have surgery, then only with this doctor. Therefore, when my mother had an exacerbation, we did not hesitate to choose a clinic and a doctor. Ilya Alexandrovich, our whole family is infinitely grateful to you for everything that you have done for your mother. And a special thank you for your patience with relatives. And I also want to express my gratitude to all the staff of the clinic. The care and attentiveness with which you all surround patients is beyond praise. K-31 is a team of the best. THANK YOU!!!
16.06.2021
Irina
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

License

Выписка из реестра лицензий от 2022.06.21
Выписка из реестра лицензий от 2022.06.21
Выписка из реестра лицензий от 2022.06.21
Лицензия ВМП ФС-99-01-009449 от 2017.11.29
Лицензия МЦ ЛО-77-01-005894 от 2013.03.19
Лицензия НС ЦМРМ ЛО-77-03-000158 от 2013.12.12
Выписка из реестра лицензий от 2022.06.21
Лицензия ЛО-77-01-020707 от 2020.11.11 (+РНЦРР)
Лицензия МЦ ЛО-77-03-000778 от 2018.05.23
Лицензия ЦМРМ ЛО-77-01-019015 от 2019.11.06
Лицензия на ВМП ФС-77-01-007368 от 2020.12.09

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
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Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
By a car
Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00
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K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

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Additional Information

The emergency room K+31 on Lobachevskogo works around the clock for adults only. Children are treated by a pediatric traumatologist in accordance with the schedule.

Please note that all information, including prices, is provided for review and is not a public offer (Art. 435 of the Civil code of the Russian Federation, Art. 437 of the Civil code of the Russian Federation). For more detailed advice on services and their cost, please contact the call center at the numbers listed above.

IVF is carried out under compulsory medical insurance and for cash.

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The materials posted on this page are for informational purposes only and do not constitute medical advice. The diagnosis and choice of treatment should be made only by your attending physician. JSC "K+31" is not responsible for possible negative consequences arising from the use of information posted on the website k31.ru. Medical services have contraindications, specialist advice is required.