Aunt Su, 50, has been staying at home because of the impact of the new crown epidemic some time ago. In addition to eating and sleeping, she is watching TV. For a long time, Aunt Su can’t stand at home. Recently, with the beginning of the resumption of labor and production, everyone walked out of the house. Aunt Su is also happy to take a walk in the park every day, breathe fresh air, and exercise by the way. But within a few days, Aunt Su felt that her legs and feet were no longer good, and the legs were uncomfortable to walk for half an hour. You have to sit down and rest for a while before you can go again. A few days of lower back and leg pain and numbness made Aunt Su feel that walking was difficult, and she simply stayed at home and did not go to the park. Aunt Su’s daughter discovered her mother’s abnormality and took Aunt Su to the hospital for examination. As a result, Aunt Su suffered from lumbar spinal stenosis. What is lumbar spinal stenosis? Lumbar spinal stenosis is more common in middle-aged and elderly people, and is a common cause of low back pain and walking weakness in many people. After people enter middle and old age, various tissues appear aging, degeneration, hyperplasia, and lumbar spinal canal is no exception. The nearby soft tissues will proliferate and thicken, the lumbar intervertebral disc bulges or even protrudes, and bone hyperplasia, etc., resulting in the space around the nerve becoming smaller and compressed, and corresponding neurological dysfunction. Many elderly people, such as Aunt Su, have lumbar and spinal stenosis. During walking, they will have pain in the waist and legs and soreness, numbness, weakness, lameness in the lower limbs, and they cannot walk long distances. It is difficult to walk for tens of meters in serious cases. Patients often need to squat. After taking a break, you can continue walking. As the disease progresses, the distance that patients can continue to walk becomes shorter and shorter. This “intermittent claudication” is a typical symptom of lumbar spinal stenosis. This is because, when walking upright, the space of the lumbar spinal canal becomes smaller. At this time, nerve compression is increased, nerve ischemia is aggravated, and after changing the position to rest, after nerve ischemia is improved, you can continue to walk. Is lumbar spinal stenosis self-healing? Lumbar spinal stenosis is a degenerative disease. With the age of the patient, the degeneration gradually increases, resulting in progressive worsening of the stenosis, and the symptoms can also increase, generally it does not heal. How to treat intermittent claudication like Aunt Su? In general, conservative treatment is recommended for patients with lumbar spinal stenosis without discomfort, and most patients with lumbar stenosis after conservative treatment will have obvious symptoms ease. However, for patients with lumbar spinal stenosis in the following cases, surgical intervention is required: 1. Continuous pain in the lower extremities, standard conservative treatment is invalid for 3 months, and the symptoms affect daily work and life. 2. Occurrence of difficulty in urination and defecation. 3. Intermittent Lameness and walking distance are shorter than 100-200 meters. Therefore, the current situation of Aunt Su should be actively treated with surgery. Clinically, for the surgical treatment of lumbar spinal stenosis, there is a minimally invasive intervertebral foramen technology. The technique of intervertebral foramen from the side of the patient is placed into the spinal canal through the normal anatomical channel of the intervertebral foramen under local anesthesia without damaging the structure of the spine. Operation, microscopic dynamic grinding drill is used to remove soft tissue and hyperplastic bone. It has advantages in treating spinal stenosis and ligament hypertrophy. It is an ideal treatment for elderly patients with lumbar spinal stenosis.
was a soldier who had been a soldier for ten years when he was young, and exercised his temperament of “not afraid of heaven, not afraid of earth”, especially strong and determined. A few years ago, his wife passed away because of illness, he had been living alone, the only daughter married to the field, only one or two months to come back to see him once, told him to live together unwillingly. I usually have a cold and fever, and have pain in the waist and legs. I never go to the hospital and go to the pharmacy to dispense some medicine. It passed by quite a bit, making my daughter very sad. Walked limping, actually hiding waist diseases Last year of the Spring Festival, the daughter’s family came back for the New Year, which made Uncle Yu very happy. It happened that the weather was good during this period, and the family happily went to climb the mountain. A few kilometers away, the uncle Yu, who was in his 60s, was struggling. The daughter found that his father was limping and asked if he had twisted his feet, but the father said that he was old and did not hinder him. Old problems? It seems that the father’s symptoms often occur, and the daughter is not at ease, so that he can be taken to the hospital for a check, and the result is diagnosed as: lumbar spinal stenosis. Although I have never heard of this disease, Uncle Yu still didn’t care about it: “Isn’t it just chronic waist disease? The elderly don’t have it, it doesn’t matter…” doctor warned him if he neglected the treatment of lumbar spinal stenosis , It is easy to cause the compression of the cauda equina nerve in the spinal canal, and the symptoms and signs of the perineum appear, which are manifested as hypoesthesia and sphincter dysfunction. In severe cases, there may be obstacles to stool and sex life, causing sciatic nerve pain, cervical pain, thoracic spine Pain, lumbar pain, etc., may even be paralyzed and crippled! After listening to the doctor’s description, Uncle Yu was a little scared for the first time, and quickly asked the doctor to arrange surgery for himself. But the doctor said that Uncle Yu’s symptoms are not serious, and he does not have surgical indications. He can be treated conservatively. After returning, take Yaotongning capsules and other medicines to strengthen rest, avoid sitting for a long time, bending over, and weight-bearing. Muscle exercise will receive good results. Why is the typical symptom of lumbar spinal stenosis? Why is intermittent claudication? is also a little puzzled by my uncle: Why is there intermittent claudication when his illness is clearly in the waist, and it is also a typical symptom of lumbar spinal stenosis? Explain that when the patient stands or walks for a period of time, the legs will feel pain, numbness, heaviness, fatigue, etc., but when you rest, the discomfort will be relieved… This is called intermittent claudication. This is because the patient’s spinal stenosis, nerve blood oxygen supply is limited during walking, and nerves are compressed, causing symptoms. When sitting down, crouching or flexing forward, the spinal canal space is relatively enlarged, and the nerves are temporarily liberated, so you can continue walking. When walking again, the above symptoms reappeared, then rested, and the symptoms were relieved again, so repeated and alternated, forming intermittent claudication. Therefore, once this symptom occurs, it is necessary to check whether it is lumbar spinal stenosis, especially the prone to middle-aged and elderly people.
In children’s orthopedics clinics, children often come to see a doctor for lameness. The so-called lameness is an abnormal gait, usually caused by pain, muscle weakness or deformity. Lameness manifested as abnormal gait, hip pain and restricted mobility. In the face of such children, the main cause of lameness needs to be found. Usually for the treatment of its cause, the symptoms of lameness will be solved. So what diseases can cause children to limp? Let me introduce you to the following. 1. & nbsp. Children’s temporary hip synovitis & nbsp. Is a common hip disease in children. The general age of onset is about 4 to 10 years old, and the most common is about 5 years old. The onset of the child was more acute, manifested by painful claudication, pain in the affected limb, and restricted mobility. About half of the children had a history of infections such as upper respiratory tract inflammation and otitis media. Children usually recover from symptoms after a few days of rest. The etiology of this disease may be related to many factors such as infection, trauma, antigens, antibodies to bacteria, viruses, allergies and other factors. Temporary hip synovitis in children is a self-limiting disease with a good prognosis. Avoiding weight bearing and bed rest are the basic treatments. For patients with flexion deformities of the affected limbs, children with tilted pelvis can use skin traction, and most will return to normal within one to two weeks. 2. & nbsp. Congenital dislocation of the hip joint & nbsp. Refers to the deformity of part or all of the femoral head prolapsed from the hip joint at birth. The causes of the disease currently include mechanical theory, hormone theory, primary acetabular dysplasia and genetic theory. The child will have widened perineum before walking, limited hip movement on the affected side, improper thigh dermatoglyphics, shortened limb on the affected side, and a popping noise or sensation when pulling the lower limb . The starting time of walking was later than that of normal children. Lameness appeared in unilateral dislocation, and swinging gait appeared in bilateral dislocation. The sooner the disease is treated, the better the effect. The treatment method is different according to the age. Usually, children under 18 months are treated with non-surgical treatment. Children over 18 months of age are treated with surgery according to the situation. Please pay attention to the public number “Professor Yao Nursery School”, a large number of children grow up, physical knowledge, and can provide disease consultation and appointment registration services. 3. & nbsp. Infant femoral head necrosis & nbsp. The etiology is still unclear. Most scholars believe that it is related to chronic injury. Femoral skull cartilage disease is more common in children aged 3 to 10 years, more boys than girls, and more unilateral disease. Manifested as hip pain in children, and gradually increased. Lameness appeared as the pain gradually increased. X-rays can show increased density of the femoral head, fragmentation of the epiphysis, flattening, thickening of the femoral neck, and partial dislocation of the hip joint. According to different stages and different ages of the disease, conservative treatment and surgical treatment can be selected. After the disease is cured, different degrees of deformity often remain. 4. Femoral Skull Epiphysis Slips & nbsp. The specific etiology of this disease is unclear, which may be related to the role of growth hormone and estrogen stimulation of the epiphyseal plate. Mostly occurs in overweight teenagers. At the beginning of the onset, the joints stiffened, improved after rest, followed by claudication, then hip pain, and radiated to the knee along the inside of the thigh. Seek medical treatment for this disease as soon as possible. Otherwise, late treatment is quite difficult. 5. This disease is commonly seen in boys 12-14 years old who are active and is clinically characterized by progressive pain and lumps at the nodule of the tibia. Lameness can occur due to knee pain. Examination showed that the tibial nodules were obviously raised, and there was local tenderness. X-ray film can show that the tibial nodules are enlarged, dense or fragmented. Treatment is mainly rest. Symptoms will disappear after 18 years of age. 6. Bone and soft tissue tumors often appear as local masses and pain. Patients often suffer from pain and limp. Treatment needs to clarify the nature of the tumor to determine the treatment plan. 7. Suppurative arthritis of the hip joint & nbsp. The disease usually starts more quickly, often accompanied by severe hip pain, chills, and high fever. The affected side of the child’s lower limbs are often abducted and deformed externally. Treatment requires early diagnosis and timely treatment to preserve life and limbs, and maximize the function of the affected limbs. 8. Tuberculosis of the hip joint & nbsp. The onset of this disease is slower. At the beginning of the disease, it manifests as a slight pain in the hip joint, which worsens after activity. Relieve after rest. After the disease progresses, the hip pain becomes worse, and the pain is persistent, and becomes worse at night. In the late stage, even femoral head dislocation and closure