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With the deepening of lumbar disc herniation, the rupture of the fibrous annulus of the lumbar intervertebral disc and the prolapse of the nucleus pulposus, compression of peripheral nerves will produce symptoms such as low back pain, intermittent claudication, muscle paralysis, limb numbness, and paresthesia, and in severe cases, paralysis of the lower limbs.
There are two options for lumbar spine compression, and there are two options: surgery** and medication** control. Judging by your diagnosis, the drug ** is more likely. When symptoms such as low back pain disappear, you can do ** training under the guidance of a doctor to achieve the purpose of controlling the progression of the disease and gradually recovering.
The ** of lumbar intervertebral disc herniation is generally comprehensive, and the earlier you accept the comprehensive **, the better the ** effect can be achieved. It is recommended to cooperate with ** training, traditional Chinese medicine physiotherapy, etc. (pay attention to the guidance of doctors in regular hospitals such as orthopedic hospitals, traditional Chinese medicine hospitals, and people's hospitals). In life, you should be careful not to overwork and pay attention to keeping your waist warm.
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Compression of nerves in the lumbar spine can cause swelling of the legs. The biggest symptom of lumbar intervertebral disc herniation is that it compresses the nerves, that is, there is a cushion between the intervertebral disc and the vertebral body, which we call the intervertebral disc. There is a fibrous annulus on the outside of the intervertebral disc, and if the fibrous annulus ruptures, thins or changes its shape, the nucleus pulposus tissue in the annulus fibrous protrudes into the spinal canal or outside the spinal canal.
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Symptoms such as dizziness and numbness may occur when the cervical spine compresses the nerves. You should go to the orthopedic department of a regular tertiary hospital in time. Do relevant examinations under the guidance of the doctor, and according to the results of the examination, the doctor will give a reasonable plan. You can do a traction in the center of the hospital.
Extended information] 1. The cervical spine is the information hub connecting the human brain and limbs, which is the most important part, but it is also the most vulnerable part, many paraplegic patients are caused by vertebral compression of nerves, and the ** of cervical spine compression nerve paraplegia will be different according to the type of cervical compression nerve paraplegia.
2. In the case of cervical spine flexion injury, the transverse ligament of the cricoid vertebra is ruptured, and the cricoid vertebra is dislocated anteriorly. It can also cause fracture at the base of the axial odontoid process and anterior dislocation of the annular vertebrae. Both conditions can cause spinal cord injury.
However, the latter is less likely to be compressed because the fractured odontodontoid process is displaced forward with the annular vertebrae, and the fracture of the base of the axial odontodont process may also be ignored because the annular vertebra displacement is not obvious at that time.
3. If the fracture is not fixed in time and does not heal or the healing is delayed, the symptoms will be reduced later, and when the patient begins to move, delayed dislocation of the annular vertebrae or delayed paraplegia may occur. Extensional fracture-dislocation can also occur in the annular spine, with fractures of the base of the odontophy, posterior dislocation of the annular vertebrae, and squeezing of the ligamentum flavum into the spinal canal, causing spinal cord injury. Violent vertical downward, striking the head, squeezing the side block, separating it to both sides, fracture can occur if the anterior and posterior arches of the annular vertebra are weak.
4. Cervical vertebrae, which refers to the cervical vertebrae, located below the head and above the thoracic vertebrae. It is located in the cervical segment of the spine, with a total of 7 pieces, surrounding the cervical cord and its meninges. It is connected by intervertebral discs and ligaments, forming a physiological curvature of lordosis.
The cervical vertebrae are characterized by a small, elliptical vertebral body with a transverse foramen on the transverse process, through which the vertebral artery and vertebral veins pass; spinous processes short and divided; The joints of the upper and lower facets are approximately horizontal, allowing the neck to move flexibly. The upper and lower notches of adjacent vertebrae form an intervertebral foramen through which spinal nerves and blood vessels pass.
5. Cervical vertebrae, refers to the cervical vertebrae, located below the head and above the thoracic vertebrae. It is located in the cervical segment of the spine, with a total of 7 pieces, surrounding the cervical cord and its meninges. It is connected by intervertebral discs and ligaments, forming a physiological curvature of lordosis.
6. The cervical vertebrae are characterized by a small vertebral body, elliptical in shape, and a transverse foramen on the transverse process, through which the vertebral artery and vertebral vein pass; spinous processes short and divided; The joints of the upper and lower facets are approximately horizontal, allowing the neck to move flexibly. The upper and lower notches of adjacent vertebrae form an intervertebral foramen through which spinal nerves and blood vessels pass.
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Lumbar intervertebral disc herniation compresses nerves, and its ** needs to be divided into conservative ** and surgical ** according to the degree of nerve compression. Conservative** includes lumbar immobilization, Tiqi ointment, taking Fenpidex (ibuprofen extended-release capsules), etc., and surgery** includes open surgery and minimally invasive surgery. The details are as follows:
1. Conservative**: After lumbar intervertebral disc herniation, the nucleus pulposus of the herniated intervertebral disc tissue compresses the nerve posteriorly, if the nerve compression is light, the symptoms of nerve compression in the lower limbs are mild, such as only mild pain, and the pain range is small, the numbness is not heavy, and the muscle activity is normal. At this time, most of them are conservative, including waist braking, tying the waist, reducing their excessive activities, physical ** and baking electricity.
It can also be rubbed locally with anti-inflammatory and analgesic drugs, such as voltarin, etc., and plasters, such as Qizheng ointment, flurbiprofen ointment, etc. In addition, oral anti-inflammatory and pain-relieving drugs, such as Fenpidex and Voltarin, or neurological drugs, such as Micopro (methylcobalamin tablets), vitamin B1, etc., can reduce symptoms. Symptoms can disappear in a short period of time, but pay attention to avoid lumbar trauma and avoid symptoms reverse;
2. Surgery**: If the symptoms of nerve compression are severe, the pain is particularly obvious, and the scope is large, and the effect is not good after conservative**, muscle dysfunction will occur, such as muscle weakness. This type of severe disc herniation compresses the nerve, and surgery is required, which is divided into open surgery and minimally invasive surgery.
Minimally invasive surgery involves radiofrequency and foraminoscopy, while open surgery is more complex and involves the placement of screws and steel rods.
Depending on the severity of the nerve compressed by the herniated disc, the method is different.
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