Patients with lumbar disc herniation have no effect on pregnancy and childbirth, but pregnancy is a great burden on the lumbar spine itself, and may even cause an acute attack of lumbar disc herniation. So how to combat the burden of lumbar spine during pregnancy? For patients with lumbar disc herniation, although they can become pregnant, they should always pay attention to the functional exercise of the back muscles during pregnancy. Because the whole center of gravity of pregnant women moves forward, the strength of the waist will become greater and greater. If there is no good psoas muscle to balance it, the pressure on the intervertebral disc will be very large at this time, and the herniation of the intervertebral disc will be aggravated, and the dura mater or nerve root will be compressed, leading to the appearance of clinical symptoms. The lumbar disc herniation exercises the back muscles in the following ways: 1. The little swallow flies, lies on the bed and uses the abdomen as a support point, so that the limbs, chest and cervical vertebrae are tilted back. The whole process should be lifted slowly. Exercise has a good effect. 2. Five-point support method. Use the head, two elbows and heels as the five-point support. Lift the entire back off the bed. You must also do slow lifting and slow release. These two movements can be well strengthened. The strength of the back muscles can increase the stability of the lumbar spine and can effectively avoid further aggravation of lumbar disc herniation. For pregnant women, the medication and treatment are relatively cautious, mainly to reduce the local compression of the intervertebral disc through the strengthening of muscle strength. At the same time, it can reduce unnecessary medication and treatment during pregnancy and childbirth. Therefore, patients with intervertebral disc herniation can become pregnant. The premise is to keep exercising during pregnancy and strengthen the strength of the back muscles to reduce the local compression of the intervertebral disc, and at the same time, it can have a better effect.
1. Strengthen exercise, keep fit The basic cause of lumbar protrusion is degeneration of lumbar intervertebral disc, lumbar trauma and accumulated strain. Therefore, through exercise, the bones and back muscles will be strong, and the nervous system will react quickly. Therefore, when engaged in various activities, the movements will be accurate and coordinated, and the lumbar spine will not be easily damaged. At the same time, exercise will help reduce the load on the lumbar spine. Delay the degeneration of the lumbar intervertebral disc, thereby preventing the occurrence of lumbar protrusion. The way of exercise may vary from person to person and local conditions, such as radio exercises, aerobics, Tai Chi and other sports activities. 2. Maintain the correct working posture The correct posture can not only improve work efficiency, but also prevent lumbar muscle strain, delay the degeneration of the intervertebral disc, and effectively prevent lumbar protrusion. The following are several common postures that help protect the lumbar spine: Standing workers: slightly flex the hip and knee joints, preferably around 15 degrees, naturally retract the abdomen, and contract both hip muscles inward to tilt the pelvis forward and change the lumbar spine straight. Workers seat: Adjust the seat height so just double knee flexion and extension freely, and chairs close to the upper lumbar spine and keep the spine straight. The seat of the chair should not be too narrow, it should be able to support both thighs. Workers who need to bend over due to the nature of the work (such as cooks, hairdressers, etc.): Keep the lower waist straight, separate the feet parallel to the shoulders, so that gravity falls on the hip joints and feet. When bending and lifting heavy objects, you should first stretch your waist, then bend your hips and squat, then vigorously straighten your hips and knees, and lift your waist to lift the weight. When lifting heavy objects collectively, you should straighten your chest and your waist and bend your hips first Squat down and lift heavy objects at the same time. 3. Do a good job of labor protection and improve working conditions For workers who often bend over or carry heavy objects, a wide waistband can be used to enhance the stability of the waist. However, a wide waist belt can only be used during work and should be removed at ordinary times. Otherwise, it may weaken the strength of the waist and even atrophy of the psoas muscles, which may cause back pain. No matter what kind of labor or occupation, in a certain fixed position, the working time should not be too long. Especially when you are bending over or twisting your body repeatedly, you should change your posture regularly to rest your tired muscles. The driver of a car suffers from bumps and vibrations on the seat for a long time. Over time, the pressure on the lumbar intervertebral disc increases, which can easily cause degeneration of the intervertebral disc and lead to a herniated disc. Therefore, the driver must have a seat with a reasonable design, pay attention to the correct seat, avoid or reduce vibration. Properly allow your waist to move and rest during driving. The intrusion of wind, cold and dampness can reduce the immune function of the body, contract small blood vessels and muscle spasm, causing low back pain. Persistent spasm of the lower back muscles can lead to increased pressure in the intervertebral disc and induce lumbar protrusion. Therefore, whether in production or in daily life, we must avoid the intrusion of wind, cold and dampness. Women during pregnancy and lactation, due to endocrine changes, the muscles, joint capsules and ligaments of the lower waist and pelvis are loosened, the load of the lower lumbar spine increases, the pressure of the intervertebral disc increases, and the lumbar process is prone to occur. Therefore, heavy physical labor should be avoided during pregnancy and lactation. 4. Quit smoking Too much smoking can also cause low back pain. This is because certain chemicals in tobacco can constrict blood vessels, blood vessel walls are ischemia and hypoxia, and the nutritional status of intervertebral discs deteriorates, thereby accelerating intervertebral disc degeneration. At the same time, smoking can cause coughing. Severe coughing can cause the pressure in the intervertebral disc to increase, promote the degeneration of the intervertebral disc, and lead to lumbar disc herniation, so smoking should be quit.
It only takes 21 days to develop a habit. In a lifetime, a person will develop countless habits. Some of these habits may not be taught by anyone, but I have learned it myself. Like being paralyzed. I don’t know when, as long as the buttocks are on the chair, we will feel a mysterious power that lures us into paralysis. So many people are paralyzed wherever they sit. I am paralyzed, so I am here. Why do people feel paralyzed and comfortable? This is actually because the muscles that exert force are different from usual. When sitting upright, the muscles involved in exerting force are mainly the small muscles of the lumbar vertebrae located in the deep layer. When happy paralysis, the large muscle groups on the surface will participate in the exertion, and the large muscle groups are better at exerting strength, so you will feel more comfortable sitting paralyzed, but the large muscle groups consume more energy and are more prone to fatigue, which often leads to Ligament injury, intervertebral disc injury. So, just when we were happy and paralyzed, we unknowingly hurt our waist. Why does happy paralysis hurt the waist? First of all, when a person sits, the waist will take the initiative to bear the weight of the upper body. When sitting normally, the lumbar spine is slightly lordotic. At this time, the muscles, ligaments and bones of the lower back can work well together, and the lumbar spine is the most relaxed of. But once we were paralyzed, the situation was completely different. Paralysis will change the normal physiological curvature of the human lumbar spine. The pressure on the intervertebral disc increases, and the tension on the ligaments and muscles to maintain lumbar spine stability will also increase. The ligament tissue of the spine is very complex, including ligamentum flavum, supraspinous ligament, interspinous ligament, intertransverse ligament, anterior longitudinal ligament, posterior longitudinal ligament, etc. The ligament tissue contains a lot of elastin and collagen and has high elasticity. The high elasticity makes the ligaments not only have the function of maintaining the posture of the spine, but also ensure the active movement of the trunk and the passive recovery ability, such as bending forward, backward, turning, and lateral bending, but also protect the fragile nerve roots. The elasticity of ligaments is closely related to the stress conditions. Under normal circumstances, the force is in the elastic deformation zone of the ligament; once the force exceeds this range, the ligament will be damaged. Common types of injuries include fatigue, degeneration, violence and pathogenicity, especially the first two are more common. Fatigue is usually caused by occupation or living habits, and degeneration is mainly caused by age. Pathogenicity is mainly seen in the erosion of connective tissues such as ligaments by autoimmune diseases such as rheumatoid and ankylosing spondylitis, causing the ligaments to lose elasticity. Therefore, when you become paralyzed and twisted, the intervertebral disc feels “large” and the ligament tissue is also “tested”. How can I not hurt my waist? If you don’t want to become a father-in-law waist at a young age, you must pay attention to your sitting posture. To maintain the normal curvature of the lumbar spine, you first need to sit upright with your back resting against the back of the chair; secondly, the line of sight is parallel to the computer screen, which not only makes your lumbar spine more comfortable, but also allows you to have a wider field of vision. I discovered the boss’s movements in a moment.
Adult spine deformities include various adult spine three-dimensional structural changes secondary to development, progression or degeneration. They are mainly divided into three categories: the first category is new or primary degenerative scoliosis; the second category is unintentional The treated juvenile idiopathic scoliosis progresses to adulthood; the third category is spinal deformity secondary to vertebral structural changes such as surgery, trauma, or metabolic bone disease. Secondary adult scoliosis often manifests as iatrogenic imbalance caused by previous spinal surgery. The first and third types of adult spinal deformities are the most common clinically and the most clinically significant. With the increase of age and the worsening of intervertebral disc degeneration, adult scoliosis (the first type) gradually progresses to structural curvature. With the development of intervertebral disc degeneration, the structural degeneration of the posterior spine causes the vertebral body to rotate; and the long-term rotation deformity will cause the ligament to relax and eventually cause the lateral slip of the vertebral body. The destruction of the intervertebral disc ligament complex and the subsequent degeneration of the facet joints leads to abnormal movement between adjacent vertebral bodies, which ultimately leads to reactive changes such as endplate osteolysis, facet joint hypertrophy/cyst formation, and ligamentum flavum hypertrophy. In addition, foramen stenosis may appear on the concave side of the main curve and the distal segment curve. This stenosis is often aggravated by the degeneration of the intervertebral disc and the loss of the height of the foramen (upper/lower foramen stenosis). These changes are likely to cause spinal stenosis (central type and lateral recess type) and nerve foramen stenosis, which together cause clinical symptoms in adult patients with scoliosis or spinal deformity. Therefore, understanding the complex pathological mechanisms and anatomical changes in this degeneration process is very important for spinal surgeons who perform spinal deformity surgery. As the population ages and life expectancy increases, the prevalence of adult degenerative spinal deformities continues to increase. In fact, the impact of adult degenerative scoliosis on the general public health and disease of the population has not been exaggerated. There may be more patients with spinal deformities that require surgery to correct the deformity while reducing symptoms.
Indications for surgical treatment: 1. Medical history of more than three months, strict conservative treatment for 4-6 months without improvement or conservative treatment effective, but frequent relapse and severe pain; 2. Acute low back pain, cauda equina syndrome; 3. . Single nerve root palsy, accompanied by muscle atrophy and muscle strength decline; 5. Patients with spinal stenosis; 4. Appearance of rectal and bladder sphincter dysfunction. At present, the first choice for the treatment of lumbar disc herniation is non-surgical treatment. Surgery is only selected as a last resort. 80%-90% of patients with lumbar disc herniation can be cured by non-surgical treatment or have long-term relief of symptoms. (You don’t want surgery, and the doctor doesn’t want to do it on you!) Only patients whose symptoms have not been relieved or even worsened in long-term conservative treatment need surgery. Only 10%-15% of patients need surgery. As for which conditions are suitable for surgery and which surgical method should be chosen? You can invite an orthopedic doctor to study you in depth. Of course, surgical treatment is not a 100% radical cure. The basic principle is to effectively decompress, eliminate symptoms, and stabilize the inherent function of the waist. Some “half immortals” claim to be able to massage your protruding intervertebral discs back-I want to listen to them! All liars! The cure of lumbar disc herniation is actually the conversion of symptomatic lumbar disc herniation into asymptomatic lumbar disc herniation. Doctors in our treatment center call it “clinical cure” and “no disease is not a disease.” (A very reasonable Yazi) & nbsp. Cheating is not a glorious thing, so is there any way to prevent the “cheating” of the intervertebral disc? 10 healthy postures for small vomiting blood, please give me a thumbs up! Thank you! 1. Posture of heavy objects: Ten million! Ten million! Ten million! Don’t just bend over and carry heavy objects. The correct posture is: first bend your knees and hips, then use both hands to hold things, extend your knees and hips, and stand slowly.  .Two, standing posture: chest straight, back straight, calves slightly retracted, legs upright, the distance between the feet is equal to the width of the shoulders.  .Three, sitting posture: the upper body is straight, the lower limbs are brought together, so that the waist is in a relaxed state. Fourth, walking posture: look straight ahead, neck straight, chest straight up naturally, waist straight, lower abdomen, arms drooping, upper arms naturally swing about 30°. Fifth, driving posture (this driving is not another driving): long-term drivers due to lumbosacral vibration, increased lumbar spine load and increased intervertebral disc pressure, long-term this can cause lumbar muscle strain and even intervertebral disc herniation. According to the principles of biomechanics, the backrest of the seat should be firmly supported on the driver’s waist, and the angle of the backrest should be 100°. Keep your head straight, shoulders flat, and back straight.  . Six, do a living posture: If friends who often do housework do not pay attention to their posture, or the design of the equipment is unreasonable, they are often prone to low back pain and induce lumbar disc herniation. When washing vegetables, rice, and clothes, the water basin should be placed at waist height to avoid excessive waist flexion and reduce the burden on the waist; when sweeping and mopping, the mop handle should be long enough to avoid excessive bending and causing lumbar muscle strain. 7. Post-pregnancy posture: As the weight gradually increases during pregnancy, the body’s center of gravity gradually moves forward, the load of the psoas muscles and ligaments increases, the lumbar muscles are strained, and the instability of the spine increases. Over time, lumbar intervertebral discs are prone to occur. prominent. During pregnancy and lactation, the waist muscles and abdominal muscles should be strengthened, and pregnant women should do gymnastics. Please consult your doctor for specific methods. Teachers in pregnant women’s schools generally teach you. Please study and train carefully.  . 8. Stay away from dangerous postures: Quit smoking. The nicotine in the smoke can make the intervertebral disc ischemia, hypoxia, deterioration of metabolism, reduced function, and promote the degeneration of the intervertebral disc. Moreover, long-term smoking is easy to cough, and long-term severe coughing increases the pressure of the intervertebral disc and induces herniated disc. Reasonable meals. Appropriately eat more whole grains and dietary fiber, increase fecal output and frequency of bowel movements, reduce load, and prevent colon cancer. 9. Stay away from obesity: Obesity, especially abdominal obesity, can cause abdominal bulging, lordosis, depression of the lower back, and the body’s center of gravity deviates from the vertebrae, which promotes the degeneration of the lumbar spine and joints, and is prone to lumbar disc herniation.  .10. Practice the waist and abdomen posture: The biomechanical model test shows that in the stability of the lumbar spine, the role of the abdominal muscles and the back muscles are inseparable. As a component of the waist structure, they form a perfect fit with the lumbar spine The whole
Lumbar disc herniation develops on the basis of the degenerative changes of the intervertebral disc. Therefore, before the occurrence of intervertebral disc herniation, there may be symptoms caused by intervertebral disc degeneration for a long period of time. Degenerative changes of the lumbar spine can have no obvious symptoms, or the following symptoms, and these prodromal symptoms are not specific, and other diseases can have similar manifestations. (1) Acute lumbar sprain: Many people have experienced lumbar sprains, most of which are caused by injuries during sports or heavy physical labor. However, some patients do not exercise too much. They just bend over to take things, wash their face, fold the quilt, etc. and suddenly sprain their waist. They are often mistaken for “flickering the waist” and ignore them, rest for a few days or take a little medicine. Apply ointment, etc., and the pain can disappear, which is often a sign of lumbar disc herniation. (2) Recurrent low back pain: In the case of lumbar disc degeneration and intervertebral joint instability or posterior joint hyperextension, the patient may have recurrent low back pain. The intermittent period of each episode ranges from several days to several months. In such patients, the posterior joints are already in hyperextension due to the degenerated intervertebral space. Therefore, it is easy to cause joint capsule damage when doing hyperextension again, and induce lumbar disc herniation. (3) Chronic low back pain: Some patients gradually develop persistent chronic low back pain after acute low back pain. The pain worsens after coughing, sneezing, straining to defecate or getting up in the morning, and then relieves after rest. This situation is mostly psoas fibritis, and lumbar disc herniation may occur when it encounters predisposing factors. (4) Cervical-lumbar syndrome: The lower lumbar spine is most likely to cause symptoms due to intervertebral disc degeneration. This degenerative change can sometimes affect the entire lumbar spine in multiple segments, and sometimes it can also affect the cervical spine, resulting in cervical-lumbar syndrome. When the patient came to see the doctor due to low back pain, the degeneration of the cervical spine had no symptoms or the symptoms were very mild and did not attract attention. A patient with cervical-lumbar syndrome described his whole body pain. The pain in the neck can radiate to the occiput, shoulders, upper limbs, and sometimes to the chest. Changes in the lumbar spine can cause pain in both lower limbs. This situation may be considered by doctors to be neurotic, or the doctors may be rushed to deal with it because they can’t grasp the essentials. (5) Scoliosis: Some patients have low back pain with scoliosis without the symptoms of leg pain. This situation should also be considered as a prodromal symptom of lumbar disc herniation.
1. Anterior cervical decompression, bone grafting, fusion and internal fixation is suitable for cervical spondylosis with a short segment (1-3 gap) compressed by the intervertebral disc and osteophyte. The advantage is that the lesion can be removed directly, which is relatively simple and is the most common conventional operation. It is the basic method to treat cervical spondylosis. 2. Posterior cervical decompression laminoplasty is suitable for the number of long segments of intervertebral disc compression, and cervical spondylosis accompanied by spinal stenosis, and it is also suitable for severe anterior compression (ossification of posterior longitudinal ligament, intervertebral disc) Happening. It belongs to indirect decompression, and the advantage is that it retains the cervical spine movement function and is relatively safe. One of the important features of our department is to carry out the three most advanced modified surgical procedures in the world, effectively reducing surgical complications. 3. Artificial cervical intervertebral disc replacement is suitable for patients under 60 years of age with short-segment anterior disc compression. While decompression relieves the compression of the spinal cord, the cervical spine movement function is retained, and the possibility of degeneration and acceleration of adjacent segments is reduced, so that the patient can move earlier after the operation and the function is closer to the physiological state.
When it comes to the spine, no one does not know its location, let alone its importance, but few people know that many seemingly common movements in daily life can cause damage to the spine. The human spine can be roughly divided into three parts-cervical spine, thoracic spine and lumbar spine. Lesions in different locations will have different manifestations. The diseases caused by spinal problems are uncountable. In the human body, except for a few specific organs, everything else must be innervated by the spinal cord. Once there is a problem with the spine, the first thing that is damaged is the spinal nerve, which leads to bad feedback in all aspects of our body. The importance of the spine is self-evident, and it is precisely because of its importance. But the spine is not as hard as other bones on the body. It is a fairly soft structure that can maintain a considerable range of motion. With the movement of the body and the weight of the body, the shape of the spine will change considerably. Three-quarters of the entire spine is made up of vertebral bodies, and one quarter is made up of intervertebral discs. Among the more than 300 bones in the human body, the spine is the largest bone group. With the cooperation of the intervertebral discs, the spine plays a very important role in protecting and supporting the whole body. If a person’s height reaches 1.5 to 1.7 meters, then he wants to walk upright normally, in addition to the premise of having strong and powerful lower limbs, he must also rely on the spine for more important support. The existence of the spine is not only to ensure a person’s normal standing and walking. The seemingly simple movements such as squatting, rolling, twisting, shaking head, and jumping that are often completed in daily life, in fact, require the difficult coordination of different vertebral joints of the spine.
What is cervical spondylosis? What are the symptoms? What are the commonly used diagnosis and treatment methods for cervical spondylosis? 1 What is cervical spondylosis? Cervical spondylosis, also known as cervical syndrome, is the general term for cervical spine osteoarthritis, proliferative cervical spondylitis, cervical nerve root syndrome, and cervical disc herniation. It is a disease based on degenerative pathological changes, mainly due to long-term cervical strain , Bone hyperplasia, or intervertebral disc prolapse, thickening of ligaments, causing compression of the cervical spinal cord, nerve roots or vertebral artery, a series of clinical syndromes of dysfunction appear. It is manifested by the degeneration of cervical intervertebral disc itself and a series of secondary pathological changes, such as spinal instability and loosening; nucleus pulposus herniation or prolapse, bone spur formation, ligament hypertrophy and secondary spinal stenosis, etc., stimulation or compression The neighboring nerve roots, spinal cord, vertebral arteries and cervical sympathetic nerves and other tissues, and cause various symptoms and signs of the syndrome. 2 Pathological causes of cervical spondylosis Cervical spondylosis is one of the common and frequently-occurring diseases in middle-aged and elderly people. According to statistics, its incidence increases with age. In the occurrence and development of cervical spondylosis, chronic strain is the primary culprit. Long-term damage to local muscles, ligaments, and joint capsules can cause local hemorrhage and swelling, inflammatory changes, and inflammatory mechanisms gradually appear in the lesions and bone formation. Hyperplasia, affecting local nerves and blood vessels. 3What are the symptoms of cervical spondylosis? The clinical symptoms of cervical spondylosis are related to the location of the disease, the degree of tissue involvement and individual differences. The main symptoms of cervical spondylosis are head, neck, shoulder, back, arm pain, neck and neck stiffness, and limited mobility. Neck and shoulder pain can radiate to the headrest and upper limbs, some have dizziness, head and neck heaviness, severe cases are accompanied by nausea and vomiting, bedridden, and a few may have dizziness, and the surrounding environment rotates and collapses. A small number of people suffer from large, uncontrolled urination, sexual dysfunction, and even quadriplegia. There are also symptoms such as dysphagia and dysphonia; other patients have weakness in their lower limbs, unstable walking, numbness in their feet, and the feeling of stepping on cotton when walking. When cervical spondylosis involves sympathetic nerves, dizziness, headache, blurred vision, swollen eyes, dryness, eyesight, tinnitus, ear blockage, imbalance, tachycardia, palpitation, chest tightness, and some There are even symptoms such as flatulence. Some face heat, sometimes sweating abnormally. Heaviness in the shoulders and back, weakness in the upper limbs, numbness in the fingers, decreased skin sensation in the limbs, weakness in the hands, and sometimes unconsciously holding the objects to the ground. 4Headache, dizziness, nausea and nausea, what is going on? In addition to cervical spondylosis, there are many diseases that can cause headache, dizziness, nausea, and vomiting symptoms such as: intracranial lesions: brain tumors, meningoencephalitis, brain abscesses, intracranial hematomas, cysts (arachnoiditis), brain parasites , Epilepsy, sequelae of head injury, and other diseases. Neurovascular headache: such as migraine. If the above symptoms occur, seek medical attention as soon as possible to determine the cause and treat in time.  .5What should I do if cervical spondylosis is dizzy, nausea, and vomiting? Oral medication: It is mainly used for pain relief, local anti-inflammatory, and muscle relaxation treatment. It has a clear effect on the secondary local soft tissue strains such as cervical instability, but it cannot fundamentally treat cervical spondylosis. For patients with limb weakness or numbness, neurotrophic drugs can also be used to assist rehabilitation to promote the recovery of compressed nerves. Traction method: Through the mutual balance between traction and counter-traction, the head and neck are relatively fixed in the state of physiological curve, so that the phenomenon of cervical spine curve is gradually changed, but its curative effect is limited and only suitable for mild cervical spondylotic radiculopathy Patients; and traction is forbidden in the acute phase to prevent local inflammation and edema from aggravating. Physical therapy: Physical therapy is short for physical therapy. It is to use natural and artificial physical factors, such as sound, light, electricity, heat, magnetism, etc., to act on the human body to achieve the purpose of curing and preventing diseases. However, its effect is weak and cannot be treated fundamentally; and frequent physical therapy can easily cause burns to the skin. Surgical treatment: For patients whose conservative treatment is ineffective and whose symptoms seriously affect their work and life, after clarifying the specific types and causes of cervical spondylosis, surgical treatment may be considered, such as cervical intervertebral disc removal, cervical spinal canal decompression, vertebral body fusion, plastic surgery, etc. . All should be determined by a regular and experienced specialist after diagnosis.
Lumbar disc herniation refers to the degeneration of the lumbar intervertebral disc. The nucleus pulposus protrudes from the rupture of the annulus fibrosus and compresses the spinal cord and nerve roots, resulting in lumbar pain, limited mobility, numbness and weakness in the lower limbs. Lumbar disc herniation should be treated according to its symptoms and medical history. Usually we usually take sequential treatment or step treatment. In the first stage, which is the early stage of lumbar disc herniation, we generally adopt conservative treatment, which is the first step of sequential treatment. This treatment usually includes rest, medication, physical therapy, etc. In the second stage, some minimally invasive interventional treatments are needed. This minimally invasive interventional treatment includes interventional methods such as laser, ozone, and radiofrequency ablation. In the third stage, minimally invasive surgical treatment was considered, that is, three mirror treatment. Three-scopy treatment includes foraminal endoscope, intervertebral disc endoscope and treatment under the microscope. There is also a special case, such as lumbar disc herniation combined with spondylolisthesis, or lumbar spinal stenosis, etc., which may require bone graft fusion and internal fixation, which is also the last stage of treatment.
After lumbar disc herniation surgery, some patients will relapse, and this problem often plagues many patients. In fact, the recurrence rate after lumbar disc surgery is about 4% to 8%, and not every patient will relapse. So why does lumbar disc herniation recur after surgery? This is because our surgery does not remove all the intervertebral discs, but only removes the herniated and nerve-pressing intervertebral discs. The remaining intervertebral disc is not a good intervertebral disc, but a metamorphosis, aging, and herniated disc. Intervertebral disc. Therefore, some patients will be prominent again, causing relapse. If you want to avoid recurrence, you must remove not only the herniated and compressed nerve discs, but also the remaining intervertebral discs. As a result, there is no intervertebral disc, and internal fixation is necessary. Bone graft fusion and internal fixation surgery is also commonly referred to as steel nailing surgery. It requires two vertebral bodies to be fused together. Although there is no intervertebral disc after this operation, there will be no recurrence, but it also loses a stage of mobility. . Therefore, it is necessary to communicate with the doctor about which operation method you need to perform, and choose an operation method that suits you.
Lumbar disc herniation may have different compressions on the sciatic nerve according to the degree. Sometimes the symptoms of lower limb pain caused by slight herniation are staged, and it will get better after rest. Then if the lumbar disc herniation is heavier If it does, then it may continue to compress nerves, and it will gradually increase. Let’s first talk about the lumbar disc herniation that is so light. If we rest in bed, we strengthen the back muscles, even a small amount of painkillers, and apply a local warm compress on the bottom of the waist, then this symptom can be alleviated. Then, if we avoid further strain, the pain may get better. If the herniated disc is further aggravated, it will be moderately or severely compressed. At this time, we may adopt some other methods, such as acupuncture and physical therapy. You can also take some minimally invasive methods, such as radiofrequency ablation of the intervertebral disc protrusions, which reduces the compression on the weak bones and nerves and relieves the leg pain. Of course, the most important state is the formation of bony stenosis and herniated intervertebral disc. It is difficult to reverse the compression of nerves. We may need to perform an open surgical treatment, and then give treatment to the protruding and oppressed part. He performs adequate decompression, and then may use some plates and screws to fix the surrounding bone tissue, so as to achieve a relief purpose.
Today there are patients with cervical spondylotic myelopathy to consult about surgery-related matters, and now I will give you a popular science: cervical spondylotic myelopathy operation method? How long can I work after the operation? Answer: choose the anterior cervical approach or the posterior cervical approach for cervical spondylotic myelopathy first The method of surgery depends entirely on the condition. Generally speaking, 1. If the compression comes from the anterior herniated disc and does not exceed 2 segments, it is recommended to choose anterior cervical decompression and fusion. On the one hand, surgical decompression is direct and effective, and at the same time, it will not have much impact on the mobility of the cervical spine. 2. If the spinal cord compression comes from a herniated intervertebral disc, and there is calcification or ossification of the intervertebral disc. Anterior decompression and fusion or posterior single-door spinal canal plasty can be selected according to the technical advantages of the surgeon. 3. If the anterior herniated disc or hyperplasia exceeds 3 or more stages, and the nodular processes are within a certain degree, posterior cervical spine plasty can be selected. This can better preserve the mobility of the cervical spine. At the same time get better spinal cord decompression. 4. If it is a single-segment cervical disc herniation, and there is no calcification or ossification of the disc, and the height of the intervertebral space is normal, artificial cervical spine replacement can be selected. In principle, cervical spine surgery can work in about a month, and you should not be at the desk or bow your head for a long time. However, since each patient’s condition is not painful, the specific time to resume work is to consult a doctor.
“Director Liao, can the protruding intervertebral disc go back on its own?” No matter the clinic or the consultation on the Internet, there are many similar problems. Let’s talk about the answer first: it is possible, but unlikely! To correctly understand this problem, we must first understand the lumbar disc herniation. From the structure of the lumbar spine, the intervertebral disc is located between the two lumbar vertebrae, and is mainly composed of the annulus fibrosus and nucleus pulposus. The nucleus pulposus is inside and the intervertebral disc is outside. Click to add a picture description (maximum 60 words) of intervertebral disc protrusion, which is actually: under the influence of external forces and other factors, the nucleus pulposus develops outward, affecting the fiber ring. It may even cause the annulus fissure to rupture, affecting the surrounding nerves. Whether the protruding intervertebral disc can go back depends mainly on two aspects: one, whether it caused a rupture of the annulus; second, whether it has undergone standard treatment. 1. Whether it caused rupture of the annulus fibrosus. If a patient with lumbar disc herniation went to the hospital for a medical check, it was found that the nucleus pulposus had broken through the annulus fibrosus, causing the annulus fibrosus to rupture. Then, the intervertebral discs of these patients cannot go back by themselves, and the fiber ring needs to be sutured by surgery. If the annulus does not rupture, then the protruding intervertebral disc may disappear by itself, but there is an important premise-whether it has undergone standard and conservative treatment. Second, whether it has undergone standardized treatment Even if the nucleus pulposus has not broken through the annulus, and the inclusiveness is not outstanding, not all can recover by themselves! After the lumbar intervertebral disc herniation, if you want to protrude and disappear, there is still a premise-after reasonable and conservative treatment. Click to add a picture description (maximum 60 characters). After lumbar disc herniation, if scientific treatment cannot be performed early to prevent the disease from further developing, it is difficult to make the prominence not worse, let alone the prominence disappears! All in all, it is not impossible for a prominent disc to go back on its own, but it is unlikely. At the same time, patients must be clear that only patients with nucleus pulposus that has not broken through the annulus and have been scientifically and conservatively treated have this possibility!
With the popularization of modern electronic products in people’s work and life, the low-headed people are a group that can be seen everywhere. The incidence of neck and shoulder pain and cervical spondylosis has also greatly increased. How to use and maintain the cervical spine scientifically is a small Zhang Our essential health care knowledge, so we come to talk about the ins and outs of cervical spondylosis and maintenance knowledge. 01. What is the cervical spine? The cervical spine is an important anatomical structure connecting the head to the body (thoracic spine). It must have sufficient stability to support the weight of the head, and sufficient flexibility to meet the functions of various organs of the head. demand. The human cervical spine is provided with 7 vertebral bodies and 5 intervertebral discs as well as joint capsules and ligament structures to provide mechanical stability. At the same time, many muscles of different size and length of the neck provide dynamic stability for the cervical spine. The loss or loss of function of the above-mentioned structure can cause the loss of cervical spine function, which makes people feel neck and shoulder pain, numbness, pain, and weakness in the upper limbs. Seriously, it can cause weakness and even paralysis of the limbs. Therefore, the health care and treatment of the cervical spine also need to start from the maintenance and repair of the above structure. Here we come to talk about the definition, diagnosis and treatment of cervical spondylosis and common sense of preventive health care. I hope you can use the cervical spine reasonably, maintain it properly, and maintain your cervical spine properly. 02. What is cervical spondylosis? Cervical spondylosis refers to the corresponding symptoms and signs of spinal cord, nerve and blood vessel damage caused by the degenerative changes of the cervical intervertebral disc and its secondary intervertebral joint degeneration. Cervical spondylopathy can be divided into five types: nerve root type, spinal cord type, sympathetic nerve type, vertebral artery type and mixed type. Among them, the most common clinical is cervical spondylotic radiculopathy, accounting for about 50-60% of all cervical spondylosis. The second is cervical spondylotic myelopathy, accounting for about 10-15%. As for sympathetic nerve type and vertebral artery type, it is extremely rare, and diagnosis is more difficult. It is also one of the diseases that non-spine surgeons are prone to overdiagnose. In other words, cervical spondylosis is less likely to cause dizziness, and requires the professional diagnosis of a spine surgeon. Do not wear a cervical spondylosis cap whenever you have a headache or dizziness, especially those who work and play for a long time. Crowd of mobile phones. 03. The predisposing factors of cervical spondylosis The basic cause of cervical spondylosis is the aging of the body. When the intervertebral disc tissue is aging, the central nucleus pulposus tissue is dehydrated, hardened, and the structure is loose. At the same time, the disc fibrous ring (fibrous sac surrounding the nucleus pulposus tissue) is weak, which will cause degeneration of the intervertebral disc under physiological or superphysiological load. The tissue protrudes from the weak fibrous annulus, compressing the nerve root or spinal cord, resulting in cervical spondylosis. Another common situation is cervical spondylosis that causes cervical spondylosis. Cervical spondylosis is a compensatory hyperplastic reaction after the human body senses the instability of the cervical spine. The so-called stability overwhelms everything is a common law in nature. While bone spurs bring stability to the cervical spine, sometimes it will oppress the adjacent nerve root and/or spinal cord and cause corresponding discomfort, which can cause cervical spondylosis. Studies have shown that as the degree of cervical flexion increases, the weight (compressive stress) of the cervical intervertebral disc will increase greatly. When our cervical spine is upright, the weight of the cervical spine is the weight of the head (about 6 pounds 4 two, if the head is large, please find a way to weigh yourself) Weight), the weight is increased to 2 times when flexed at 15 degrees, increased to 3 times when flexed at 30 degrees, nearly 4 times when flexed at 45 degrees, and more than 4 times when flexed at 60 degrees, reaching 27 kg! The increase in the degree of forward flexion of the cervical spine, in addition to the sharp increase in the compression stress of the cervical intervertebral disc, the tension on the muscles of the posterior neck also increases significantly, which can cause fatigue (strain) and even damage to the muscles and soft tissues of the posterior neck, muscle strength Decline, thereby accelerating the aging of cervical intervertebral disc. Therefore, accountants, writers, drivers, computer operators and other people who need to work at their desks for a long period of time are the high incidence groups of cervical spondylosis. Of course, in addition to the acquired human factors, some congenital cervical structural abnormalities or diseases that affect ligament strength and muscle strength are one of the high incidence factors of cervical spondylosis. 04. When should I see a doctor? Parents with the following typical manifestations need to consult a spine surgery specialist in time: 1. Typical manifestations of cervical spondylotic radiculopathy: the pain radiates from the neck to one of the upper limbs, forearms, or hands Specific parts. In most cases, the numbness associated with the fingers and the weakness of the upper limbs, forearms, or hands correspond to specific muscles. If the above symptoms can be relieved by lifting on the shoulder, the diagnosis is more clear. What needs to be emphasized here is that unilateral symptoms are dominant, and radiculopathy is rarely presented as symmetrical bilateral symptoms. 2,
For patients, the path to recovery starts from entering the operating room and also from leaving the operating room. Many patients do not have a clear concept: after operation, they should pay more attention to waist protection than before operation. Many patients think that minimally invasive surgery is a kind of magical surgery, and it returns to a normal state completely after surgery, even better than before surgery. This idea actually has some exaggerated ingredients. Surgery can really improve the patient’s symptoms compared with pre-operation, but minimally invasive is a treatment method with less trauma under the premise of the same effect of open surgery. The effect is to remove the protruding intervertebral disc, and only remove the protruding. Of the intervertebral discs, did not restore your spine to the state before the disease, or even before degeneration. The reason why you can get back to life faster after surgery is mainly because of less trauma and fewer complications. Within half a year after minimally invasive surgery, we recommend not to exercise vigorously as much as possible, take more rest, and gradually resume normal life according to your recovery. Within one month after surgery, it is recommended to mainly rest in bed and do some leg lifting exercises appropriately. One to three months after the operation, you can gradually resume normal work according to your own situation, and vigorous exercise is not recommended within six months after the operation. In fact, no matter before or after the operation, you need to pay attention to the protection of the lumbar spine. The actual degree of surgery is to remind you to protect the lumbar spine.
Original author & nbsp. & Nbsp .: The fourth-generation inheritor of Fan’s Chinese medicine: Fan Xiaoming. The human cervical and lumbar intervertebral disc herniation is medically called cervical and lumbar spondylosis syndrome. The most basic and common ones are herniated discs, herniated discs, extensive bulge (bulge) around the discs, stenosis of the spinal canal, and then nerve compression, resulting in pain and numbness in the distal limbs. If the subdural sac (arachnoid) is compressed, it can produce visceral or central nervous compression. Depending on the compression site, it can be produced to different degrees. Migraine, dizziness, rotational vomiting, increased blood pressure, and unstable walking, Incontinence and many other clinical symptoms that are difficult to correct. Some people often wonder why some people’s symptoms disappear after treatment and no longer relapse, and some people are not effective or even prone to relapse even if they are effective. According to the author’s clinical observation for many years, I think there are roughly the following reasons (1) physical factors, people with qi deficiency, muscle ligament relaxation, spinal joints and intervertebral discs are prone to disc herniation after undergoing pressure or flickering errors. And without correcting the condition of Qi deficiency, it is easy to relapse even after being cured. (2) Most patients do not pay enough attention in the early stage of the disease, or they will not be cured for a long time, or they will be treated repeatedly. We must know that the disease is bad if it stays in the body, and it will change for a long time. As the saying goes, it goes deep into the spinal cord and becomes ill, and it is bound to be ineffective. (3) There are a considerable number of people who cherish their bodies and pay special attention to them early in the disease. They constantly consult, learn and understand disease-related knowledge, and master the correct path to seek medical treatment. The result is to save money and trouble, and completely cure the disease. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. Therefore, it is necessary to find the correct symptoms and correct the symptoms. , Soon, no time. Fang is a smart move! & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp. & nbsp.Chinese medicine & nbsp. Fan Xiaoming & nbsp.Telephone WeChat15847755718
Almost everyone will have back pain. In most cases, low back pain will relieve itself. If low back pain is associated with leg pain, it is most likely to be caused by lumbar disc herniation. Most patients with sciatica caused by herniated intervertebral discs do not have to choose surgery, at least not in a hurry. Low back pain and lumbar disc herniation are one of the most common diseases that trouble us. About 80% of people will experience more obvious low back pain at some time in their lives. Some experts believe that this is the price we pay for walking upright. There are many reasons for low back pain. For example, injuries to lumbar muscles and ligaments, osteoarthritis, rupture and protrusion of intervertebral discs, spinal fractures caused by osteoporosis, and a disease called ankylosing spondylitis are common causes of low back pain. Sometimes, no matter how the doctor checks, it is impossible to determine the cause of low back pain. In recent years, studies have also shown that many low back pains are actually caused by abnormal function of a certain part of the brain. Fortunately, in most cases, low back pain will relieve itself within a month or two. Now there are more and more medical examination methods. If you go to the doctor because of low back pain, he will be happy to prescribe a lot of checklists for you: blood test, x-ray, CT scan, or magnetic resonance examination. Although in most cases, these tests are not very necessary for your diagnosis of low back pain. If you do these tests, chances are your doctor will tell you that you have a problem with your lumbar spine. In fact, even if you do not have low back pain, CT or magnetic resonance examination will often find that your lumbar spine is abnormal. For example, one third of people between 20 and 40 years of age will find lumbar and lumbar disc herniation or other problems, and some may even look serious. This proportion will gradually increase with age. There is a well-known study in which 98 people who do not have symptoms of low back pain are subjected to magnetic resonance imaging. Among these people, men and women are half-aged and between 20 and 80 years old. It was found that nearly 2/3 of them had abnormal discs. A 70-year-old man, if no problems are found in the examination results, it is like a miracle if there are no wrinkles on his face. So after your examination, the doctor is likely to tell you that you have a lumbar disc herniation and recommend surgical treatment. At this time, you do n’t have to be nervous or make a decision in a hurry. There are 32 vertebrae in our spine. There is a soft cushion between most vertebrae, called the intervertebral disc. These cushions can cushion the pressure of the vertebrae and allow the spine to move freely before, after, and around. The intervertebral disc is composed of cartilage plates, annulus fibrosus and nucleus pulposus. There are cartilage plates up and down, surrounded by fiber rings. The cartilage plate and the fiber ring seal the nucleus pulposus in the center. The nucleus pulposus is an elastic colloidal substance with a water content of up to 90% at birth. Moisture gradually decreases after adulthood. Afterwards, with increasing age, the water of the nucleus pulposus will gradually decrease, the elasticity and tension will gradually decrease, and the intervertebral disc will become thinner. On this basis, heavier trauma or repeated small injuries may cause the fibrous ring to weaken. And rupture, the nucleus pulposus protrudes from this place, which becomes the disc herniation. If the protruding intervertebral disc presses the spinal cord or spinal nerve, it may cause back and leg pain or other symptoms. In the entire spine of the person, the waist is a particularly tolerant and weight-bearing part with the highest degree of mobility. And because the human spine is s-shaped, the lumbar spine is convex forward, the sacrococcygeal bone below the lumbar spine is convex, and the junction between the lumbar spine and the sacrum becomes the most vulnerable part. Therefore, herniated discs most often occur in the lower lumbar vertebrae, that is, between the fourth and fifth lumbar vertebrae, or between the fifth lumbar vertebrae and the sacrum. So we can say. : First, in adults, lumbar disc herniation is a very common phenomenon. He is often just a temporary visitor and will not add to the disorder of your body; second, even if you have low back pain, the inspection reveals that there is a disc Prominent, your back pain is not necessarily caused by it. If there is pain in the buttocks, the back of the thigh, the back of the lower leg, or the outside of the foot in addition to low back pain, that is, the symptoms of sciatica, it can be said with certainty that these symptoms are caused by lumbar disc herniation. Lumbar disc herniation, in rare cases, can cause medically called cauda equina syndrome, patients with numbness in the lower extremities and perineum, decreased or disappeared feeling, difficulty urinating or defecating or incontinence, and impotence in men. In this case, surgical treatment should be performed as soon as possible without delay. In addition, if the following conditions occur: intermittent claudication, that is, pain in the hips and legs when walking or standing, and the pain disappears after sitting or lying down;
Many friends asked what happened to Ma Huateng? The answer was-“Recurrence of old lumbar disease” Maybe many friends were more surprised. But these two sessions? Actually asked for leave due to low back pain? I am also suffering from low back pain. Moving bricks! The answer is-Ma Huateng’s waist is not a common waist misunderstanding. I mean this is a “old waist” that has been “experienced and bruised”. On many important occasions, Ma Huateng was absent because of “waist”: In August 2014, the strategic cooperation press conference between Tencent and Huayi was absent because of low back pain that could not fly to Beijing. In the same month, the venue of the Wanda e-commerce conference was changed from Beijing to Shenzhen, also to accommodate Ma Huateng’s waist. In October 2019, Wuzhen Internet Conference, was absent because of a back injury. The same year’s Tencent Annual Meeting, suspected that the back injury was not good, and double absent …… June 3, 2011, Ma Huateng said in an interview that he was the biggest The wish is that “(hopefully) the accident that caused my lumbar disc herniation should not happen.” It can be seen that Ma Huateng’s low back pain is probably due to the protrusion of the lumbar intervertebral disc, and has been troubled for many years. What is lumbar disc herniation? Lumbar disc herniation is one of the more common diseases, mainly because the various parts of the lumbar disc (nucleus pulposus, annulus fibrosus and cartilage plate), especially the nucleus pulposus, have different degrees of degenerative changes , Under the action of external force factors, the annulus fibrosus of the intervertebral disc ruptures, and the nucleus pulposus tissue protrudes (or protrudes) from the rupture site or into the spinal canal, causing the adjacent spinal nerve roots to be stimulated or compressed, resulting in waist pain, one side A series of clinical symptoms such as numbness and pain in the lower extremities or both lower extremities. Lumbar disc herniation has the highest incidence of lumbar 4-5 and lumbar 5-sacral 1, accounting for about 95%. What is the cause of lumbar disc herniation? 1. The degenerative changes of the lumbar disc are the basic factors. The degeneration of the nucleus pulposus is mainly manifested by the reduction of water content, and it can cause small-scale pathology such as vertebral instability and loosening due to dehydration. Change. The degeneration of the fiber ring is mainly manifested by the reduction of the toughness. 2. Injury Long-term repeated external forces cause slight damage and aggravate the degree of degeneration. 3. Weakness of the disc’s own anatomical factors The disc gradually lacks blood circulation after adulthood, and its repair ability is poor. On the basis of the above factors, a certain inducing factor that can cause the pressure on the intervertebral disc to suddenly increase, that is, may cause the nucleus pulposus with poor elasticity to pass through the fibrous ring that has become less tough, causing the nucleus pulposus to protrude. 4. Genetic factors Lumbar intervertebral disc herniation has been reported to be familial. 5. Congenital abnormalities of lumbosacral sacralization include lumbar sacralization, lumbosacralization, hemivertebral deformity, facet joint deformity, and articular process asymmetry. The above factors can change the stress on the lower lumbar spine, which constitutes an increase in the internal pressure of the intervertebral disc and is prone to degeneration and injury. 6. Inducing factors On the basis of degenerative disc degeneration, a certain factor that can induce a sudden increase in intervertebral space pressure can cause nucleus pulposus protrusion. Common triggers include increased abdominal pressure, incorrect waist posture, sudden weight-bearing, pregnancy, cold and moisture.
The basic cause of cervical spondylotic myelopathy is cervical degeneration. Among the various structures of the cervical spine, cervical disc degeneration is considered to occur earliest. As the texture of the intervertebral disc degrades, the water content decreases, the height decreases and the peripheral edge protrudes, the thickened ossification of the posterior longitudinal ligament covering the back of the intervertebral disc, the bone hyperplasia at the edge of the vertebral body, and the corresponding stress of the interlaminar ligamentum and intervertebral joints increase. The thickening of the ligament joint capsule and the decrease in elasticity result in a decrease in the diameter of the spinal canal, especially the anterior-posterior diameter, that is, the reduction of the sagittal diameter constitutes a static factor for spinal cord compression. Dynamic factors mainly refer to the extension and flexion of the cervical spine and increase the stress and deformation of the spinal cord. When the cervical spine is stretched, the length of the spinal canal is shortened, the spinal cord is relaxed, the spinal cord tissue becomes “short and thick”, the cross-sectional area increases, the yellow ligament folds into the spinal canal from the side and back, the fiber ring and the posterior process of the covered posterior longitudinal ligament, and the spinal cord compression increases When the cervical spine is flexed, the spinal canal is elongated and the spinal cord becomes flattened and widened. The bowstring action moves it forward. The osteophyte in front of the spinal canal and the protruding intervertebral disc tissue press against the spinal cord and aggravate the spinal cord damage. Some authors emphasize that when the cervical spine is extended, the posterior edge of the previous vertebral body is close to the posterior superior edge of the posterior vertebral arch, which produces a “clamp” effect on the spinal cord. The dysfunction of the spinal cord is caused by compression of the spinal cord and blood supply of the spinal cord. The number of nerve fibers in the spinal cord is reduced, the axoplasmic flow is blocked, twisted and deformed, the demyelination changes, nerve cell necrosis, apoptosis, spinal cord inflammation and ischemia, etc. There are few collagen hyperplasia, scar formation or cystic changes. Chronic injury is used as a precipitating factor in the pathogenesis of cervical spondylotic myelopathy. Most scholars believe that developmental spinal stenosis can lower the threshold of cervical spondylotic myelopathy.