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Disc herniation

Herniated disc

Name: К+31
Telephone: +7 (499) 999-31-31
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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

Experience 3 years

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Bodrikova
Diana Maksimovna

Neurosurgeon

Experience 15 years

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Fumin
Ilya Alexandrovich

Neurosurgeon

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Asyutin
Dmitriy Sergeevich

Neurosurgeon doctor

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Ramirez
Altamirano Luis Alberto

Neurosurgeon doctor

Experience 2 years

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Demerchan
Andronik Melikovich

Neurosurgeon

Experience 15 years

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Zabolotny
Roman Vyacheslavovich

Neurosurgeon

Experience 5 years

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Pekov
Zhambulat Zhauadovich

Neurosurgeon

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Reviews

An amazing doctor, he studied all my research very carefully, gave me enough time, and had a high culture of communication. My best consultation is at K31. There is a kind and caring attitude towards the patient. Many thanks to the doctor.

09.07.2026

Tatyana K.

About doctor:

Ramirez Altamirano Luis Alberto

Thank you to the doctor for his attentive attitude and qualified help!

29.06.2026

Irina B.

About doctor:

Fumin Ilya Alexandrovich

She underwent hip replacement surgery at the k+31 clinic. I would like to express my gratitude to the doctors Sitalin Iskander and Luis Alberto, who operated on me, for their golden hands and kind attitude towards patients, and to all the medical staff, thank you very much. People worthy of their profession work here.

23.04.2026

Lyubov K.

About doctor:

Seitalin Iskander Altynbekovich, Ramirez Altamirano Luis Alberto

I write to thank the doctor and hope that feedback will help other patients in the same or similar situation. For more than 10 years, he has suffered from osteochondrosis and pain in the cervical spine unit. Conservative treatment has given periodic results. In December 2025, the situation deteriorated repeatedly. According to the MRI, inter alia, an intervertebral disk (branding) exstruction at the C5-C6 vertebrae level was detected. There's been a refill of the stains. The right hand almost stopped functioning. Boli became impatient, painkillers, anti-inflammatory and other means were not assisted or helped in the short term. Sleeping, pain in any position of the body. On the scale of intensity, the pain has reached 10 points and has been constant for a long time. In consultation with the neurosurgeon in its region, it was stated that all testimonies to the operational intervention (installation of the interstellar keja) at the C5-C6. Regrettably, in my region, operations have not been conducted in a massive manner. I've been looking for hospitals and clinics capable of doing this. Sent MRI data to different health facilities. On the basis of my ITD, I have been denied many clinics for various reasons (complication, lack of specialists, turn etc.). But fortunately, at the end of January 2026, he found out about the neurosurgeon, the name of the Koziev Aslan Hajismelovic. Also on a happy occasion, he was free to sign for the C+31 clinic to the neurosurgeon at 25.01.2026. In Moscow, at the K+31 clinic, in consultation with the neurosurgeon, due to my poor condition, a decision was made on the operation in the near future. With the assistance of Aslan Khajismelović, fresh CT and MRI studies were conducted at the clinic the same evening. Following further studies 31.01.2026, the operation itself was also carried out. The surgery took more than two hours because my case was difficult. Improvements were made immediately after the drug in the intensive care room. I mean, it's a hand and no pain. It's starting to fall fingers and hands. A dream came back. After the operation, I didn't need any painkillers. A month after operation 2.03.2026, a CT and MRI checkpoint and a neurochurg consultation were conducted. There's a positive dynamic. The way my problem has been solved, I feel like a miracle. The only difference is that this miracle is done by the hands of specific people! Thank you so much for the neurosurgeon, Kojevo Aslan Khajismelovic! Thank you very much for the neurosurgeon Ramirez Altamirano Luis Alberto, who also participated directly in my recovery. The anesthesiologist, assistants and other professionals, and the staff of the K+31 clinic, who unfortunately do not all know by name.

03.03.2026

Ah. Constantin Gennadievich

About doctor:

Ramirez Altamirano Luis Alberto, Kozhev Aslan Khazhismelovich

I am very glad that fate gives me the opportunity to meet wonderful doctors and people like Igor Alexandrovich.

15.01.2026

B. Vitaly Vladimirovich

About doctor:

Fumin Ilya Alexandrovich

A wonderful specialist! I've seen him several times, and he's always been helpful! He listens carefully, examines me, and performs procedures that make you forget about pain for a long time! Thank you so much!

25.12.2025

B. Irina Grigorievna

About doctor:

Fumin Ilya Alexandrovich

A person who has discerned their purpose in life is lucky, because they are exactly where they were destined to be, doing exactly what God called them to! And if this person is also a doctor, then their patients are three times lucky! We are talking about Dmitry Sergeevich Asyutin, Head of the Neurosurgical Department of Central Clinical Hospital No. 1 of the Presidential Executive Office of the Russian Federation. On November 9, 2025, I was admitted to the Neurosurgical Department of Central Clinical Hospital No. 1 with a diagnosis of degenerative stenosis with severe spinal canal compression. On November 10, 2025, under the guidance and direct participation of D.S. Asyutin, I underwent surgery: bilateral intracanal decompression with stabilization of spinal segments using interbody and transpedicular implants. I practically crawled into the emergency room, and five days later I was back on my feet, standing up straight for the first time in four months! For me, as an individual, a miracle of healing occurred, but for Dr. Dmitry Sergeyevich Asyutin, it's a daily (but not routine!) job: three or four surgeries a day! He performs a daily miracle for three or four patients, using his hands, mind, nerves, and health! Moreover, this miracle required a long and arduous journey of study and hard work spanning nearly a quarter of a century! He's a unique neurosurgeon, a daring talent who dares to correct, facilitate, and prolong the active, productive lives of his patients! You often hear that our doctors perform world-class surgeries... What world-class level?! There's nothing like it in the world, in terms of equipment, the erudition and professional training of its specialists, the highly qualified doctors, and the coherence and organization of all departments! There are isolated, isolated examples, but we can proudly say: we have our own Moscow Neurosurgical School, and Dmitry Sergeyevich Asyutin is a shining example and one of its leaders. During his five days in the hospital, Dmitry Sergeyevich revealed his human side: he SEES you (he doesn't stand before you like a monument, arms folded on his stomach, prattling over your head into the void, overwhelmed by a sense of his own importance). He looks you in the eyes, listens and hears, and understands your concerns! This is priceless today; only rare, true doctors, amidst today's rush for success, are capable of this! This means his vision is not "clouded" and his heart is beating within his chest! Our dear Dmitry Sergeyevich! On behalf of those healed by your remarkable hands and those (I believe, hundreds!) who will come to you with hope and faith for help, I wish you health, good luck, an easy journey, strength, and God's help and protection! Take care of yourself, for your loved ones, and for all who need your skill. People really need you!

24.12.2025

N. Olga Alekseevna

About doctor:

Asyutin Dmitriy Sergeevich

Excellent specialist! Very attentive!

15.12.2025

A. Nadezhda Valerievna

About doctor:

Fumin Ilya Alexandrovich

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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 Max.