What is the relationship between lumbar disc herniation and cauda equina nerve injury?

It is generally believed that the most critical basis of lumbar intervertebral disc herniation is intervertebral disc degeneration, and on this basis, lumbar trauma has become an important cause of lumbar disc herniation. It is generally believed that the lumbar intervertebral disc is repeatedly subjected to compression, flexion and torsion, etc., and it is easy to produce fissures in the posterior part of the fibrous annulus from the inside to the outside where the lumbar intervertebral disc is most stressed. On this basis, due to a severe trauma or multiple repeated minor trauma, the degenerative and cumulative fibrous annulus is further ruptured, and the degenerative nucleus pulposus protrudes from the weak or ruptured part of the fibrous annulus, that is, lumbar intervertebral disc herniation is formed.

The number of patients with lumbar disc herniation is very large, and among all patients with lumbar disc herniation, the incidence of cauda equina syndrome is to, although the incidence is not high, but the consequences are very serious.

The anatomical location of the cauda equina nerve has always been in a special position, between the spinal cord and peripheral nerves. Our normal spinal cord is in the spinal spinal canal, because the spinal cord is shorter than the spine, the end of the spinal cord is generally located at the level of the second lumbar vertebra, and the end of the spinal cord is connected to the cauda equina nerve, and it is precisely because the shape of this nerve is similar to the tail of the horse, so it is called the cauda equina nerve.

For patients with lumbar disc herniation, if the intervertebral disc below the second lumbar vertebra is herniated at this time, it is easy to produce cauda equina nerve compression or injury resulting in cauda equina syndrome, affecting the quality of life and self-care ability.

If lumbar spondylosis is not paid attention to, it may develop into cauda equina syndrome to a certain extent, cauda equina syndrome is a more serious complication in patients with lumbar disc herniation, although most of the problems of lumbar disc herniation can be solved through conservative **, but once the patient develops cauda equina nerve damage, it usually needs immediate surgery, and then combined with postoperative **** to recover the body. Patients who recover completely account for a small proportion, and the majority of patients usually do not recover completely.

Cauda equina syndrome is a serious complication in patients with lumbar spine disease. The early symptoms are relatively mild, but once they occur, a variety of symptoms will appear at the same time, and patients often have a great impact on the effect of treatment and diagnosis because of the delay in medical treatment and diagnosis, and the disability rate is very high. The surgeon said that the anatomical position of the cauda equina nerve is very special, it is the bridge between the spinal cord and peripheral nerves, and once the cauda equina nerve is compressed and damaged, it is easy to form a vicious circle, which makes it difficult to repair the related nerves and functions, resulting in permanent functional damage.

The cauda equina nerve in the human spine is intricately intricate, and lumbar spinal stenosis caused by lumbar deformity, lumbar spinal stenosis and lumbar disc herniation can easily lead to compression of the cauda equina nerve, and damage to the cauda equina nerve often brings a very high rate of disability.

Can it be detected and treated earlier?

Studies have shown that after active surgery** with traditional Chinese medicine to promote recovery of cauda equina syndrome, there are signs of gradual recovery of muscle strength 1 week after surgery, and muscle strength recovery is faster 3 months after surgery, but complete recovery is more than 1 year.

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.

A herniated lumbar disc in the back or in the back of the side can compress the cauda equina nerve.

Schematic diagram of lumbar 4-5 intervertebral discs and nerves.

The nerves below the second lumbar vertebra are collectively called the cauda equina nerve, and the upper ones are the spinal cord, so the lumbar disc herniation above the second lumbar vertebra is said to be herniatedRear or side rearwill compress the cauda equina nerve ifProtrude forward, or to the sidesThere is no compression on the nerves, and there are generally no symptoms, and most of them do not need **.

It is normal to have a relevant physical examination first, even if you find a positive nerve emission test, it will not confirm the diagnosis, and you can only go again. Why did he do a neurological physical examination again) I don't understand the importance of damaging the nerves in the spinal cord! Whether the action is simple and crude, we can't say.

It was reversed because of a herniated lumbar disc, which caused cauda equina nerve damage.

There is nerve damage caused by exertion, and it is caused by its own weak constitution, cold, dampness, and rheumatism can cause aggravation of the disease.