What are the symptoms of lumbar process compression of the cauda equina nerve?

For the clinical symptoms of lumbar disc herniation compressing the cauda equina nerve, it is mainly manifested as a feeling of thermal swelling in the perineal area, and even causes the patient to have abnormal urine and bowel movements. For such patients, it is necessary to actively perform lumbar spine CT and MRI examination to confirm the diagnosis.

If the patient's lumbar intervertebral disc herniation is relatively large, for patients with very severe cauda equina nerve compression, most of them still need to be actively surged**, and the intervertebral disc needs to be removed. If necessary, the spinal canal needs to be enlarged and decompressed, and the compression of the spinal nerves or cauda equina nerves should be relieved, and it is completely possible to create conditions for the recovery of the nerves as much as possible. After surgery, it is necessary to actively apply some drugs that nourish the nerve to promote nerve recovery.

Lumbar intervertebral disc herniation compresses nerves, and many clinical manifestations can generally occur, the most common is pain, which can occur with low back pain, back pain after nerve compression, as well as some pain manifestations such as hip and lower limb pain; When a lumbar disc is herniated, a herniated nucleus pulposus causes nerve root compression, which manifests as abnormal nerve conduction and sensory disturbances, including numbness in the lower extremities, back, or soles of the feet. Some patients will have lumbar stenosis, and some patients, such as when the nerves and spinal cord are compressed, he will have low back pain and leg pain when he walks a certain distance: lumbar disc herniation compresses the nerves, and there are generally many clinical manifestations, the most common is pain, which can appear low back pain, back pain after nerve compression, as well as hip and lower limb pain; When a lumbar disc is herniated, a herniated nucleus pulposus causes nerve root compression, which manifests as abnormal nerve conduction and sensory disturbances, including numbness in the lower extremities, back, or soles of the feet.

Some patients will have lumbar stenosis, and some patients, such as the nerves and spinal cord are compressed, he will experience low back pain and leg pain when he walks some distance.

In women, lumbar disc herniation compresses the cauda equina nerve, causing pain in the lower back, radiating pain in the lower limbs, and lower legs and feet. If the symptoms are relieved after conservative**, you can continue to be conservative** and strengthen the muscles and ligaments of the lower back.

Cauda equina syndrome is not a rare disease, but there are many factors that cause damage to the cauda equina nerve for various reasons. This is also why many patients with cauda equina syndrome appear in the urology, orthopedics, neurology, ** department, emergency department, etc. of major hospitals.

Why is there always a large proportion of patients with symptoms similar to cauda equina syndrome? It is because of many causes of cauda equina syndrome, such as: soft tissue compression of nerves, spinal hemorrhage, iatrogenic error, vertebral degeneration, accidental fractures, cystic tumors, falls from heights, car accidents, surgical errors, etc., which may become the precursors of cauda equina syndrome.

Of course, cauda equina syndrome has always been a problem in the medical field, and it has brought a great blow to the patient's life, not only affecting the body, but also may bring mental complications such as anxiety and depression. In addition, incomplete paraplegia, inability to adjust the control area, abnormal motor function, sensory dysfunction, urinary problems, decreased or absent sexual function, foot drop, muscle atrophy, etc., are all conditions that may occur in cauda equina syndrome.

Among them, the problems brought by the mental level are more complicated, such as the patient's long-term treatment is not active, unwilling, etc., all of which are the root causes of delay in the recovery process. If the patient does not adjust his mentality well, then it will only be more difficult to recover in terms of **.

In any case, as long as you gradually understand the cauda equina nerve and understand the cauda equina syndrome, then on the basis of a clear understanding of your disease, you should go to the hospital for a detailed examination and diagnosis in time, and listen carefully to the doctor's advice. Remind everyone that we must find the cause of the disease in time, actively cooperate, and at the same time pay attention to maintaining good habits in life, cooperate with ****, and resume a healthy life as soon as possible.

If the patient has lumbar disc herniation, accompanied by radiating pain in the buttocks and legs, especially in the early stage of the buttocks, it means that there is compression of the cauda equina nerve, which leads to the weakening of the conduction of the nerve, which will cause soreness, numbness and pain in the buttocks.

In the later stage of the disease, after the cauda equina nerve compression is severe, it will also lead to the occurrence of soreness and numbness in the legs, so how to judge whether there is compression of the cauda equina is mainly to see whether there are symptoms of nerve compression, if there is a situation accompanied by soreness, numbness and pain in the buttocks and legs, it means that the cauda equina nerve has been compressed. Big.

It is believed that most patients with lumbar disc herniation compressing the cauda equina nerve know that lumbar spine disease is one of the main causes of cauda equina syndrome. So why does a lumbar disc herniation affect the cauda equina nerve so much?

The main reason for this is the location! Why? The lumbar vertebrae of the human body have 5 segments, L1-L5; The cauda equina nerve is located at L2-L5, Sacrium 1-Sacrum 5.

The location of lumbar disc herniation is usually in L4-L5, L5-Sacrum 1; The location of the lumbar disc herniation is the location of the cauda equina nerve, which is why the lumbar disc herniation has a great impact on the cauda equina nerve.

First of all, we must know that not all patients with herniated disc need surgery, only 30% of people really need surgery, and the other 70% do not need surgery.

So to what extent do patients with lumbar disc herniation compressing the cauda equina nerve need surgical intervention**? If you have one of the following 3 conditions, it is recommended to have surgery as soon as possible, so let's take a look at it together.

1.If there is a patient with cauda equina syndrome, which is commonly referred to as a urinary disorder, it is recommended to have an early **; If you don't do it in time, the chance of recovery will be greatly reduced.

2.It is mainly for patients with poor conservative results, such as traction, physiotherapy, massage, medicine, acupuncture, etc., for 3 months or more, the effect on themselves is not very good, and surgery is also recommended.

3.There is also a kind of patients with severe pain, because this part of the patients with severe pain, he may even have suicidal thoughts to a certain extent, so if the hospital intervenes in the pain department, the ward will usually be equipped with a protective fence for such patients, and it is recommended to operate as soon as possible for such patients.

However, most patients are still milder than the symptoms, and they can still be cured through **** or traditional Chinese medicine, so surgery is generally more suitable for patients with more serious symptoms, and they need to seek medical attention immediately to avoid delaying ** and causing aggravation of the condition.

If the lumbar intervertebral disc herniation is more serious, compressing the cauda equina nerve is called cauda equina syndrome, there will be sexual dysfunction, erection difficulties, abnormal function of urine and urine, and even incontinence, requiring catheterization.

What is the relationship between lumbar disc herniation and cauda equina nerve? What happens when the lumbar process compresses the cauda equina nerve?

A herniated disc in the lumbar spine after compression of the cauda equina nerve is often referred to as cauda equina syndrome. At this time, it will cause sexual dysfunction, abnormal urinary and bowel function, difficulty in erection, incontinence, and in severe cases, catheterization.

What is a herniated lumbar disc compressing the cauda equina nerve? What are the symptoms?

As the name suggests, the part of the lumbar intervertebral disc herniation or prolapse is squeezed into the cauda equina nerve, and the general clinical manifestation is sciatica, which is the most typical clinical symptom, the pain along the waist to the buttocks, the back of the thigh, the outside of the calf to the dorsum of the foot, and numbness, and some patients may also have two stool dysfunction, that is, problems with urine and urine.

Sensory impairment: due to poor circulation, paresthesias such as chills may occur in the lower limbs; Muscle weakness: such as decreased hallux dorsal extension, tibialis anterior muscle weakness; positive straight leg raise test; Reflex changes:

Such as changes in knee reflexes and Achilles tendon reflexes. The diagnosis should be confirmed by clinical symptoms, X-ray, CT, MRI, etc., and then the corresponding ** should be given.

What behaviors tend to cause lumbar disc herniation, which causes the lumbar process to compress the cauda equina nerve?

Age: As we age, degenerative changes in the lumbar spine may occur, coupled with gradual osteoporosis, which can lead to lumbar disc herniation. Secondly, there is a sudden increase in intradiscal pressure in the lumbar spine

The patient has no obvious history of trauma, but is caused by severe coughing, sneezing, etc., and straining to hold the breath. Therefore, people with lumbar spine problems should be careful even when sneezing, because it may also cause acute cauda equina syndrome.

In a long-term cold or humid environment, it is also easy to cause lumbar intervertebral disc herniation, because cold or dampness can cause small blood vessel constriction, psoas muscle reflex spasm, increase the pressure of the intervertebral disc, and cause fibrous annular rupture. According to statistics, people who have been engaged in underground operations in mines for many years have a high proportion of this disease.

Trauma: about half of patients have a history of trauma of varying severity. Common forms of trauma include lifting heavy objects, moving things, various forms of falls, lumbar sprains, etc., which can make the compressive tension of the intervertebral disc exceed the stress of the annulus fibrosus in an instant, resulting in fiber rupture and protrusion of the nucleus pulposus from the rupture.

The lumbar process compresses the cauda equina nerve, which is the pain of nerve compression caused by sitting and standing for a long time.

In that case, the risk of lumbar process compression of the cauda equina nerve is relatively large, if the head is more serious, then it may not be able to walk, in that case, the compression of the cauda equina nerve is more serious, so I am a picture of a problem, and the head is cured in time, so that the words are not right, there will be no compression on the cauda equina nerve, this risk.

Hello. Yes.

You have this mainly due to compression of the nerve (dural yelling), which leads to degeneration of the lumbar spine and ruptures the annulus fibrosus, resulting in a herniation of the nucleus pulposus. However, the main cause of the rupture of the fibrous ring is due to the loss of elasticity and toughness of the fibrous annulus, which is not possible with traction, acupuncture or massage.

It is also not possible to eliminate the herniated nucleus pulposus.

However, it can provide temporary relief.

Long-term use is very disadvantageous.

The surgery is mainly to cut the nucleus pulposus into protrusion, but the ruptured fibrous annulus is still not recovered, which is very likely**.

Once**it is impossible to be in**, it is recommended not to use surgery blindly. You are now mainly treating the root cause, and it is recommended that you use traditional Chinese medicine for external application**.

The main thing is to take soft and hard drugs to **.

Thus softening its protrusions.

Improves metabolic circulatory function.

Restoring the elasticity and toughness of the fiber ring can be done thoroughly.

Painful period of lumbar disc herniation.

The following points should be noted:

One: Sleep on a hard bed. Sleeping on a rigid bed can reduce the pressure on the discs.

2: Pay attention to the warmth of the waist and try not to get cold.

Wear a waist circumference (belt belt) on the waist during the day to strengthen the protection of the lower back and at the same time facilitate the recovery of lumbar spondylosis.

Three: Do not bend over and force hard (such as mopping the floor...)), bed rest as much as possible during acute attacks, and also after the pain has been relieved. Take proper rest and don't overexert yourself. so as not to aggravate the pain.

Cauda equina syndrome is mostly caused by a large herniated lumbar disc pressing on a nerve; There are also patients who suffer from a burst fracture of the lumbar spine due to various unexpected factors, resulting in direct damage to the nerve by bone fragments; It may also be caused by the growth of cysts, tumors and other growths near the spinal canal in the body that compress the nerves. It is mostly related to various congenital or acquired factors that lead to absolute or relative stenosis of our lumbar spinal canal, nerve compression or damage and cauda equina syndrome.

Lumbar intervertebral disc herniation is a multi-occurrence disease, common diseases, mainly the rupture of the fibrous annulus of the intervertebral disc, the remnant of the nucleus pulposus and the posterior longitudinal ligament covering it protrude into the spinal canal, compressing the surrounding spinal nerve roots, and then causing a series of clinical manifestations such as lumbar pain, limb numbness, and pain. Many people think that it is a small problem, nothing more than back pain, leg pain and most patients can be relieved by bed rest, drugs, physiotherapy, traction and other conservative symptoms, so although the disease is riddled with diseases, many patients still do not pay attention to it, and do not pay attention to daily waist protection after the symptoms are relieved, or simply let it develop, resulting in aggravation of the condition and cauda equina syndrome.