At present, lumbar disc herniation is the most common disease that causes low back pain. Clinically, patients often encounter this disease, and some common questions are selected.
Q: Lumbar disc herniation, lumbar spinal stenosis, sciatica, are these three types of diseases?
A: Lumbar intervertebral disc refers to a lumbar vertebral body with a cushion-like support. It protrudes into the spinal canal and compresses the nerves and spinal cord, causing low back pain and leg pain. It is lumbar disc herniation. Lumbar spinal stenosis refers to the proliferation of the lumbar spinal canal, such as the bony structure and ligaments of the lumbar spinal canal, which causes the spinal canal to narrow and the nerve to be compressed, which can cause waist and leg pain. These two diseases can exist at the same time.
95% of the lumbar disc herniation is in the lumbar 4-5 and lumbar 5~骶1 segments, and the sciatic nerve is mainly emitted from these two places, so many patients with lumbar disc herniation have sciatica. In addition to the lumbar spine, abnormalities in other parts can also cause sciatica, which requires professional doctors to identify.
Q: Which disc herniation can be treated conservatively? Which are suitable for surgery?
A: The vast majority of lumbar disc herniation can be achieved by non-surgical treatment. Patients with less prominent and mild symptoms can choose conservative treatment, including traction, massage, massage and nerve root injection therapy. Whether during conservative treatment or after returning to normal, care must be taken to avoid sedentary and bent-leg weight, the two most vulnerable postures.
For patients with a history of more than half a year, strict conservative treatment is ineffective, and symptoms continue to worsen, affecting life and work, or patients with abnormal bowel function (mass syndrome), surgically remove the prominent disc and relieve nerve compression. Although some patients do not have the above-mentioned serious symptoms, MRI or CT shows that the prominent intervertebral disc is huge, and surgery is needed to avoid nerve damage. This is because any protruding disc cannot be restored to its original position and can only be removed manually.
Q: When I do my back muscle exercise, what can I do if I can't do Xiaoyanfei?
A: For patients with moderate to severe lumbar disc herniation, the difficulty of “Xiaoyanfei†is quite large, or it is not effective. It is recommended to start from the "five-point support", three times a day, three times a day, three groups each, 30 per group, the action should be slow, stay in the air for 5 seconds, do not completely implant each time you fall down the back. The strength of the isosceles back muscle has a certain foundation, and then the "small Yanfei" exercise is carried out according to the same frequency and method.
Q: My colleague recommended me a folk prescription. It is said that the treatment of low back pain is particularly effective. Can I give it a try?
A: Among the drugs for lumbar disc herniation, there are three types of drugs that are effective and have no obvious side effects on the human body, including painkillers, such as non-steroidal painkillers and non-opioid central analgesics; muscle relaxants, For example, eperisone hydrochloride can relieve muscle tension; neurotrophic drugs, such as mecobalamin, can promote nerve repair. In addition, Chinese medicine will have some blood circulation and stasis drugs, which can also help the recovery of low back pain.
As for drugs recommended by folk prescriptions or informal manufacturers or clinics, it is not recommended because the ingredients are unknown. Some drugs may incorporate hormonal drugs without the patient's knowledge. In the short term, there may be pain relief effects. Long-term use may lead to serious consequences such as femoral head necrosis and peptic ulcer bleeding. Therefore, for the treatment of lumbar disc herniation, we should go to the orthopedic clinic of a regular hospital and strictly follow the professional doctor's advice.
Q: After wearing the waist, the back pain is relieved. Can you wear it all the time?
A: The proper waist circumference has a good protective effect on the waist, increasing the stability of the waist. If the lumbar intervertebral disc is acute, you can wear the waist circumference, maintain normal activities, and help recovery. However, wearing the waist for a long time will lead to lack of exercise in the waist muscles, resulting in decreased muscle strength and muscle atrophy. Therefore, while wearing the waist, pay attention to the back muscles exercise, and stop wearing after the pain symptoms have subsided.
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