Is the lumbar disc “derailed”? Click to bookmark the entire network for complete science (2)

Of course, the intervertebral discs are always very gentle, you can oppress them casually. However, it’s not easy to get rid of the hair~ (a dog knows the wall that jumps when it is anxious, let alone an intervertebral disc). If a herniated intervertebral disc compresses the nerve root, inflammatory reaction occurs, and the surrounding muscles and nerves are stimulated, it will cause waist and leg. If you have symptoms such as pain, it’s hard to say if you’re in pain at that time! The common symptoms of lumbar disc herniation are “various and colorful”, and not everyone has the same clinical manifestations. The following are common symptoms: 1. Common symptoms are waist pain, lower limb radiating pain, numbness, and hip pain on the affected side. Waist movement is restricted; 2. The waist and lower limbs are stiff and weak; when sitting, they cannot cross their legs; when walking, the lower limbs are inflexible and slow when moving, and the pain relieves or disappears after resting (intermittent piping); 3.&nbsp. Numbness and coldness in the lower limbs; 4. Even men will have sexual dysfunction (but only in special! Special! In severe cases, the spinal cord may be compressed). Fortunately, the intervertebral discs are not hatred of Scorpio, as long as they are good to “appease” them, the inflammation will disappear. There are many ways to treat lumbar disc herniation, which are mainly divided into the following two types: surgical treatment and non-surgical treatment. 80% of patients with non-surgical treatment can be relieved and cured in this way. However, this method is mainly suitable for: 1. Young baby, first attack or short course of disease; 2. Long course of disease, but patients with mild clinical symptoms and signs; 3. Intervertebral disc herniation in imaging examination Those who have small nerve roots or have space for movement; 4. Those who cannot be operated due to systemic diseases or local skin diseases; 5. Those who do not agree with surgical treatment or elderly patients. (In fact, most lumbar protrusions can be treated with non-surgical methods.) 1. Absolute bed rest: &nbsp.1. When the first attack occurs, you should strictly lie on a hard board bed (focus! Hard bed board!) rest and urinate. You should not get out of bed or sit up; 2. Bed rest for 2-3 days is the best (long-term bed rest is not recommended), you can get up under the protection of waist circumference, and do not bend over and hold objects within 3 months. 2. Exercise therapy: The purpose is to maintain the proper balance of back muscles and femoral muscles, maintain good and maintain lumbar spine stability, and prevent the recurrence of back pain, improve back muscle tension, enhance ligament elasticity, move intervertebral joints, and prevent muscle atrophy , Reduce connective tissue adhesion. Commonly used exercise methods are: five-point support method, three-point support method, and four-point support method (one time each morning and evening, 30-45 minutes each time); &nbsp. Feiyan style (one time each morning and evening) , Do 3 sets each time, do 15 each set, hold for 5-10 seconds when lifting). 3. Traction treatment: For patients with acute injury and protruding, symptomatic treatment such as dehydration and anti-inflammatory should be used first, and then traction (not suitable for spinal stenosis). Traction can increase the width of the intervertebral space, recede the herniated disc, and reduce the stimulation and compression of the nerve root. It needs to be carried out under the guidance of a professional rehabilitation department or orthopedic doctor. 4. Tui Na therapy: Tui Na is a commonly used treatment method in clinic at present, and the effect is relatively obvious. It is used to improve local blood circulation, relieve pain and relax spasm muscles. 5. Physiotherapy: The main purpose is to relieve pain, reduce inflammation, promote tissue regeneration, excite neuromuscular, relieve adhesion, and promote the recovery of waist and affected limb function. Commonly used physical factors are: ultrashort wave, direct current drug iontophoresis, low frequency modulated intermediate frequency electricity, infrared rays, wax therapy, etc. 6. Acupuncture treatment: dredge the meridian, relieve adhesion, reduce swelling and pain, anti-inflammatory, adjust the function of muscles and ligaments. Cooperate with electroacupuncture, 30 minutes each time, once a day, 7-10 days as a course of treatment. 7. Supportive treatment: Taking glucosamine and chondroitin sulfate and other drugs to support the treatment, which have certain anti-inflammatory and anti-cartilage effects. 8. Epidural injection of corticosteroids: Corticosteroids are a long-acting anti-inflammatory agent that can reduce inflammation and adhesions around nerve roots. Generally, a long-acting corticosteroid preparation + 2% lidocaine is used for epidural injection, once a week, 3 times as a course of treatment, and another course of treatment can be used after 2 to 4 weeks.

Lumbar disc herniation is critical after healing, remember 5 points to note!

The precautions for patients with lumbar intervertebral disc herniation during treatment and after curing are critical. If it is difficult to heal without attention, then let’s take a look at the matters that need to be paid attention to after healing. 1. Pay attention to bed rest and rest on hard board bed. Because when resting in the supine position, the pressure on the intervertebral disc of the human body is reduced by about 50% compared to the pressure when we are standing. In this case, bed rest in early patients and patients with acute attacks can reduce the compression in the intervertebral disc and make the nucleus pulposus prominent The internal tension is reduced, thereby reducing the compression of the protruding nucleus pulposus on the nerve root and the dural sac, which is conducive to the repair of the damaged fibrous ring. The pressure on the spine is reduced, then the symptoms will be relieved, and even the ability to work can be restored. 2. Avoid sudden bending and sitting for a long time to correct the bad posture in daily work and life, avoid inappropriate force, and prevent fatigue of the waist muscles. Try to avoid such a posture of sitting for a long time. White-collar people need to change their posture frequently To reduce the weight on your spine. Avoid long-term bending or sudden bending. People who usually work with weights should exercise properly, especially the muscles of the lower back, which can improve the coordination and strength of activities and prevent acute sprains and chronic strains of the lower back. To do flexion and extension exercises intermittently, movements should be coordinated and consistent, to avoid sudden movements without mental preparation. Something has fallen on the ground. How can I pick it up without bending over? I can squat down with my legs and then pick up the objects that fell on the ground, so that I can avoid bending down. 3. People who have intervertebral disc protrusion need to pay attention to control their weight in daily life. The increase in weight will increase the weight of the spine. For health, you must control your weight and control your weight at Within a reasonable range, this is conducive to your own health. In addition, when participating in physical exercise, pay attention to avoid sudden waist twisting exercise, diet should be modest, eat more fresh vegetables and fruits, reasonable diet structure, not partial eclipse. 4. The most important point to avoid weight-bearing is that people with lumbar disc herniation should avoid weight-bearing exercise or carrying heavy objects in daily life. If weight-bearing will only increase your symptoms, it will not benefit your disease recovery. It is recommended that you do not do these exercises for your health. Usually, if you feel sore waist, you should rest in bed or wear waist to protect your spine. 5. Avoid cold and humid as much as possible. When the climate changes, especially when the temperature is lowered, pay attention to the warmth of the waist and legs to avoid the stimulation of cold water. The little attention and accumulation at ordinary times allows us to have a good work and rest, so that we can lay a firm foundation for a good body! Tips: Some patients also have soft tissue strains such as lumbar muscle strain, low back muscle fascia inflammation and other symptoms and signs. After the sciatica is resolved, the patient’s attention is shifted to the pain caused by the strain. Soft tissue can be treated by drugs and local closure pain. The patient should also note that some other diseases such as spinal tumors and hip diseases are very similar to lumbar disc herniation. It happens that your imaging examination also has disc herniation, causing misdiagnosis and wrong treatment. It rarely happens, but it is often heard. If the symptoms do not disappear after the disc operation, you must go to the hospital to see it, and you cannot let it go.