Is there a way to tell if my lumbar process is compressing the cauda equina nerve?

Here are 9 self-test questions that can help you detect cauda equina nerve damage early and gain the best opportunity. If you answer "yes" to more than 3 questions, it is recommended to see a doctor immediately, have relevant tests to determine whether the nerve is compressed, and follow the doctor's instructions**.

1.Do you feel numbness in the perineal area, irregular numbness or long-term numbness in the legs or feet?

2.Do you feel like you have a weakened sexual function, but you still have the strength to do so?

3.Do you feel a decrease in sensation on the outside of your calves and outside your feet?

4.Do you feel a local electric shock or pins and needles pain, which occurs frequently or occasionally?

5.Do you feel like you are limping when you walk, your legs feel heavy, weak, and occasionally painful, and you need to squat down to rest after walking for a certain distance before you can continue walking?

6.Do you feel limited in your movements, because the protrusion of the nucleus pulposus compresses the nerve roots, causing protective tension in the psoas muscles, which can occur unilaterally or bilaterally. Due to the tension of the psoas muscles, the physiological lordosis of the lumbar spine disappears?

7.Do you feel that your sphincter muscles are weakened gradually, such as difficulty in passing urine at one time, or even leaking urine or urine when you urinate and stool comes out?

8.Do you feel chills and chills in your lower limbs after the pain and numbness are removed?

9.Do you feel pain in your buttocks and radiating pain in your lower limbs when you sneeze or cough?

Lumbar disc herniation is mostly related to lumbar trauma and chronic strain, which can compress the cauda equina nerve, resulting in numbness and pain in the lower limbs. For the situation you mentioned, you should go to a regular hospital for examination as soon as possible to find out the cause of the disease, and you can take traditional Chinese medicine traction, massage, closure and other methods**. If the phenomenon is severe and conservative ** has no effect, you should take the surgical method**, and it is recommended to follow the doctor's advice.

Lumbar process compression of the cauda equina does not necessarily require surgery**. Under normal circumstances, if there are no obvious clinical symptoms, you can try it conservatively, and relieve it through traction, massage, local hot compress therapy, etc., and take B vitamins or drugs with blood-activating drugs at the same time. In the case of ineffective conservative, surgery is required, and patients with lumbar protrusion must pay attention to avoid sitting and standing for a long time, avoid weight bearing on the waist, and pay attention to protecting the waist.

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.

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.