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.
In ancient times, there were nine lonely swords, which were extraordinary skills to recruit enemies. There are nine minimally invasive steps to accurately decompress lumbar stenosis. Professor Greger Lønne of the Department of Spine Surgery, Massachusetts General Hospital in the United States, after comparing the traditional open laminectomy and minimally invasive decompression (MIDminimallyinvasivedecompression) to treat lumbar spinal stenosis, proposed that MID surgery not only causes less damage to the posterior spinal structure, The patient has the advantages of fast recovery, short hospital stay, and rarely causes spinal instability. The indications, contraindications, surgical procedures, and precautions of MID surgery are recorded in detail for everyone to learn. The article was published in the December 2016 “JBJSEssentialSurgTech” magazine. Minimally invasive decompression of lumbar spinal stenosis is different from traditional open laminectomy. Minimally invasive decompression (MID) surgery can avoid important midline structures behind the spine (ie, spinous process, supraspinous and interspinous ligaments) Damage, and patients recover faster after surgery, causing less spinal instability and complications. This operation can be used for most patients with lumbar spinal stenosis, including patients with lateral recess stenosis and reoperation patients. However, for beginners to master MID technology, they must go through a difficult learning curve, especially for those with complicated scoliosis or obesity, and may need laminectomy treatment with better exposure. Now we will tell you about the indications, contraindications, operation process and precautions of MID surgery through a document. Indications 1. Neurogenic intermittent claudication, and cause pain and sensation in the back, hips and lower limbs 2. Walking, stretching the spine can cause symptoms, flexion can alleviate 3. Lumbar MRI shows at least one stage of stenosis Doctor-patient communication and patient compliance. Contraindications 1. Contraindications of anesthesia 2. Patients with lumbar instability should consider internal fixation surgery. Surgical steps Step 1: Preoperative preparation ——– According to the symptoms and MRI results, locate the decompression stage and location According to the MRI and X-ray results, accurate positioning, especially for patients with anatomical variation, fully inform the operation before surgery Risks, benefits, and alternatives. Mark the surgical area with a waterproof pen before surgery. Step 2: Prepare the operating room-ensure that the patient’s surgical site is accurate, and ensure that the surgical equipment is intact. Always choose general anesthesia, but epidural anesthesia or Spinal anesthesia can also be selected to give antimicrobial drugs 30 minutes before surgery to prevent patients from infection in the prone position or knee-elbow position to ensure that the spinal space is open to reduce abdominal compression (Figure 1) fixed hips on the fluoroscopic bed to ensure that the operation can be safely adjusted Bed direction C-arm is intact and ready for use. According to the surgeon’s preference, choose an operating microscope or a magnifying glass with a light source. Figure 1: Step 3: Scribing — Mark the decompression site of the stenosis stage under the C-arm. The device is used as a marker under the C-arm fluoroscopy in the lateral position (Figure 2, 3) mark the surgical site on the skin (Figure 4) Step 4: skin incision and channel position —— ensure that the channel position is correct and give local anesthesia before cutting the skin Can reduce pain. The skin incision is in the center of the channel position, and the length should be close to half of the expected channel diameter (for example, channel diameter 18mm, skin incision 9mm) (Figure 5). If two stages of decompression, the incision can be expanded to extend the dilator to the need for exposure The lower half of the lamina, determine the length of the channel (Figure 6). Gradually expand, and finally fix the retractor to the side of the operating bed (Figure 7, 8) lateral fluoroscopy, determine the location of the channel (Figure 9) in the microscope or with light source Under the magnifying glass, the anatomical identification of the decompression site lumbar spine, spinous process root, and articular surface. For more than three stages of decompression, contralateral incisions can be made at different stages. We often choose the middle incision and use a toothed retractor to retract (Figure 10) Step 5: Resection of the lower part of the lamina —— After entering the spinal canal, high-speed grinding drill and Kerrison rongeur should be used to apply pituitary rongeur and single Polar coagulation removes the soft tissue covering the lamina and key signs (Figure 11) If necessary, use bipolar electrocoagulation to stop bleeding and polish the lamina to expand the surgical space so that Kerriso can be used
Some time ago, a mother consulted me. Why do children always have two feet on their feet for three days, and sometimes they walk and walk on their feet, why? In life, many parents will face this problem, so today I will tell you something about it! First of all, what is the foot? The foot is medically called “foot and ankle sprain”, which is mainly the ligament injury around the ankle joint. The ligaments on the feet are as elastic as rubber bands, and the feet are like pulling the rubber band with a very strong force. The rubber band may break or become thinner and longer. Over time, the rubber band will lose its original Some flexibility. In other words, the habitual foot may cause insufficient ligament strength, or even break, partly break, or become longer and thinner, and finally the stability of the ankle joint cannot be maintained. If you don’t pay attention, you will eventually cause the child’s gait to change, and even walk and limp. The big reason for the habitual lagging foot is the vicious circle of irregular treatment of the lagging foot, continuous sprains, and continuous stretching of the ligaments. What is the standard treatment after the child’s foot? Generally speaking, it is more scientific to follow the RICE principle. In Chinese, there are four steps: rest, ice compress, bandage, and elevation. R: Rest, rest, be sure to stop exercising after the foot, so as to reduce further damage. I: Ice, ice compress, many people will not know whether it is ice compress or hot compress. In fact, there will be ice compress on the back of the foot, but remember to use ice compress within 48 hours after injury. It can lower the temperature of the injured area, relieve pain and suppress swelling. C: Compression, pressurizing, and covering the injured area with an elastic bandage. This is also necessary. It can be properly pressurized to reduce swelling, but do not bandage too tightly. E: Elevation. Raise the affected limb. When lying down to rest, the injured foot needs to be too high, generally higher than the heart. This can reduce swelling and promote recovery. If there are conditions, it is best to ask the doctor to check. Of course, remedy is not better than prevention, so let’s talk about how to prevent it. 1. Warm up before exercise Most children exercise a lot, but many children do not have a habit of warming up. In fact, warming up is very necessary. It can move each joint as much as possible to make the tight muscles become Soft, can effectively prevent the occurrence of lameness. 2. Strengthen muscle and ligament exercises. Long-term non-exercise ligaments will become “hard”, children can usually voluntarily bounce, such as leapfrog, skipping rope, so that the muscles and ligaments of the ankle can be exercised. 3. Choose the right shoes Many parents will buy big when selling shoes to their children, because the children grow too fast. But in fact, shoes that are too big will not follow the foot during exercise, and it is easy to fall and hurt the ankle. Under normal circumstances, after putting on the shoes, you can put a finger in the heel, this size is very good. The upper should not be too soft. Too soft will not wrap the feet. The feet will slide in the shoes, which is not good for the ankles. In addition, children should not wear high heels. The contact area between the heels of the high heels and the ground is too small, and the center of gravity of the person is unstable. If you do n’t pay attention, the shoes will easily skew to the inside or outside, causing sprained feet, and it is easy Problems such as varus and valgus. 4. Concentration is often caused by inattention, stepping on the air or stepping on something else. It is best not to play with your mobile phone while walking, and pay attention to your feet, especially when going up and down the stairs. Doctor Yao Jinghui, the Third Affiliated Hospital of Southern Medical University (Guangdong Orthopedics Hospital, Guangdong Orthopedics Research Institute), hopes to help everyone’s health!
& nbsp. & nbsp. As the saying goes, there is a long-term consensus between doctors and patients about headaches and foot pains, but this statement is not necessarily suitable for chiropractic. People with low back pain and leg pain know that the taste of this pain is unbearable, and sometimes it makes people feel bedridden and even to collapse. However, the root of these pains is not necessarily the waist and the feet. The vast majority of “pain” in the pelvis. & nbsp. & nbsp. & nbsp.Dr. Dong Anli ’s team found through clinical research that only 32.6% of the 5,213 patients with low back pain had lumbar spine or lower back soft tissue pain, and the sacral joint pain accounted for 58.2%. The crotch and buttocks Pain accounts for 9.2%, which means that more than two-thirds of people with lower back and leg pain are not the problem of the waist but the problem of the pelvis. At this time, the waist that was inferior to Dou E can finally be “straightened up”! & nbsp. & nbsp. & nbsp. Malposition of the sacral joints is the main culprit for lumbar (pelvic) pain. The sacroiliac joint is the largest joint in our body. It is located about an inch from the lower back center of the belt, one on each side. It is composed of the sacrum and the iliac ear-shaped articular surface. It is surrounded and controlled by strong ligaments. It enables it to support weight and cushion shocks and vibrations from the lower limbs or pelvis. Under the weight of the torso, the sagging joint tends to separate the sacroiliac joint, and the forward sacral tilt is a necessity. If people usually eat unreasonably, exercise insufficiently, the ligaments around the sacroiliac joints are weak, and the buttocks muscles are too thin, which is what we often say “no ass”, they will be fatigued or overloaded, impacted, injured, jumped , Sudden twisting and other violent activities will cause a large impact on the joint and cause a misalignment. Once the misalignment occurs, the pain will follow. & nbsp. & nbsp. & nbsp. When the sacral joint misalignment pain is severe, it cannot stand and cannot move while lying in bed. At the same time, there is often edema in the joint, which makes the joint pain more serious. Sometimes the pain will spread to the legs radially, which is mistaken for Disc herniation. Acute sacral joint dislocation “low back pain” can be cured one to three times with spinal neuromedical correction, and the cure rate is 95%. & nbsp. & nbsp. & nbsp. Sacral anterior and posterior iliac bones account for the majority. The result of this pelvic deformation will inevitably increase the burden on the relevant ligaments and muscles. The heavier the ligaments and muscles, the greater the risk of pelvic fall and the soft tissue of the buttocks. The more prone to fatigue, soreness, and even spasms, especially the piriformis spasm is the most typical, this spasm often produces pressure on the sciatic nerve and congestion, edema, causing sciatica. Clinically, the older the age, the faster the pelvis deforms. The more pelvic symptoms, hip symptoms, and sciatica symptoms, the medically called piriformis syndrome. Early piriformis syndrome can be treated by pelvic correction. If heavier scar adhesions have formed or there are eschar compressions and neurological changes, surgery is required. & nbsp. & nbsp. & nbsp.
Overview Musculoskeletal pain refers to pain in the muscles, bones, ligaments, tendons, and nerves. You can only feel pain in one part of your body, such as your back. If you have fibromyalgia, your body will also have this condition. The pain level is mild to severe enough to affect your daily life. It may happen suddenly, but for a short duration, this is called acute pain. Pain that lasts more than 3 to 6 months is called chronic pain. Causes musculoskeletal problems These diseases directly affect bones, muscles, joints and ligaments. The most common cause of musculoskeletal pain is damage to bones, joints, muscles, tendons, or ligaments. Falls, sports injuries and car accidents are just a few of the events that cause pain. There are more than 150 different musculoskeletal diseases. The most common of these are: arthritis, including rheumatoid arthritis, psoriatic arthritis, lupus, osteoarthritis, gout, ankylosing spondylitis, osteoporosis fractures, and dislocated muscle damage (sarcopenia) bones Or joint structure problems, such as scoliosis Non-musculoskeletal problems The following are some non-musculoskeletal diseases that cause pain in bones, muscles, joints and ligaments: excessive use of posture during work or exercise is not correct for long-term bed rest, such as during illness Infection of bones, muscles or other soft tissues after surgery opposes tumors of tendons and bones, including giant cell tumors of the tendon sheath (TGCTs), such as pigmented villonodular synovitis (PVNS). When the pain comes entirely from another organ system, Sometimes it feels that it originated in the musculoskeletal system. For example, a heart attack can cause pain, and the pain can spread to the arm. This is called referred pain and it can originate from: Cardiopulmonary kidney gallbladder spleen pancreas type lower back pain is the most common type of musculoskeletal pain. Other types include: muscle pain (myalgia) bone pain caused by injury, infection, cramps or cramps, reduced muscle blood flow, or tumor-induced fractures, infections, tumors, or hormonal disorders. Tendon and ligament pain, such as sprains and strains Or arthritis caused by inflammatory arthritis caused by tendinitis or tenosynovitis. Fibromyalgia, which causes pain in the tendons, muscles and joints of the whole body. Compression of nerves, such as carpal tunnel syndrome, elbow tunnel syndrome and tarsal canal The degree of syndrome symptoms and signs of pain will vary depending on the location. Bone pain is dull, severe, tingling or deep pain. It is usually more uncomfortable than muscle or tendon pain. If muscle cramps or strong muscle contractions (commonly known as Charleyhorse) are caused, muscle pain may be severe and short-lived. Muscles may twitch or contract uncomfortably. If the injury causes pain in the Achilles tendon, it may feel sharp. When you move or stretch the affected tendon, the condition usually worsens and improves with rest. Joint pain feels like a pain. May be accompanied by stiffness and swelling. Fibromyalgia can cause multiple pain points throughout the body. Nerve compression pain may have a tingling, acupuncture, or burning sensation. Other symptoms depend on the cause of the pain, including: stiffness, pain, swelling, red joints, cracking or popping sounds, moving the affected area, weakness, weakness, insomnia, muscle cramps or twitching bruises. Diagnosis due to musculoskeletal pain, the doctor first A detailed medical history will be recorded and asked about your symptoms. The doctor may ask the patient to answer these questions: When did the pain start? What were you doing at the time (for example, exercising or doing exercise)? What did it feel like tingling, burning, pain, tingling? Where did it hurt? Do you have other What are the symptoms (insomnia, fatigue, etc.)? What makes it worse or better? Your doctor may press or move the affected area to different locations to find the exact location of your pain. Some tests can help pinpoint the cause of pain, including: blood tests to look for signs of inflammation that may suggest arthritis. Use x-rays or CT scans to find bone problems. MRI scans find soft tissue problems, such as muscle, ligament, and tendon combined fluid tests To find infections or crystals that cause gout treatment Primary care doctors usually treat musculoskeletal pain. Physical therapists, rheumatologists, osteopaths, orthopedics specialists and other experts may also be involved in your care. The treatment you receive is based on what caused your pain. Treatment methods can be divided into several types. Drugs Acetaminophen (paracetamol) Non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen (Advil, Motrin) or naproxen (A