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

Lumbar disc herniation and cauda equina nerve injury should be two completely different conditions The common conditions of lumbar disc herniation include low back pain, weakness and numbness of the lower limbs, especially when the symptoms are significantly aggravated when bending over. Cauda equina nerve injury is often characterized by incontinence or difficulty in excretion, which can be accompanied by decreased muscle strength in the lower extremities.

A herniated lumbar disc may compress the cauda equina nerve, but there will be obvious imaging findings, which is not difficult to identify

Hello, it is recommended to go to the hospital for an MRI examination, through which you can determine whether there is a lumbar disc herniation.

According to statistics, so far, China's total population has reached 1.4 billion, and in the population of more than 1.4 billion, the number of patients with lumbar disc herniation has exceeded 300 million, and the number of patients continues to rise, lumbar protrusion can be said to be a very serious waist disease, the disease brings great harm to patients, not only the waist will produce severe pain, serious will also lead to paralysis of the lower body, is the disease in the most inappropriate will also appear very easy to ** risk, and even some patients because of long-term ** Improper compression of the cauda equina nerve, compression of the cauda equina nerve is considered to be the most serious complication of lumbar process patients, clinical symptoms include numbness, tingling, weakness of the lower limbs, abnormal urinary and urinary function, male sexual dysfunction, female genital area numbness, etc.

Lumbar trauma can cause a herniated "lumbar disc", which may not be a big problem if the injury does not have a great pain response at the beginning, but many back injuries will leave some hidden dangers. As time goes on, the symptoms get worse and worse, but after examination and corresponding **, I believe that your problem will be relieved soon. There are good medical technologies in Beijing, such as:

Minimally invasive** (Zhongguancun Hospital, Director: Wang Wen);Surgery** (General Hospital of the Armed Police, Director: Peng Baogan).

I believe that after the examination, the doctor will make a good ** according to your condition.

The easiest thing about lumbar trauma is to cause "nerve compression", and the main symptoms are: numbness, swelling, and pain. The main thing is to solve the problem of "sources of oppression".

If the above symptoms are not resolved for a long time, the most serious consequence is paraplegia, but with your introduction, your situation should not be a problem. The key is not to delay the examination time, although under normal circumstances the process of lesions after these injuries is slow, however, the possibility of early and accelerated degeneration caused by trauma is greatly increased, in addition, because these degeneration may make you suddenly attack in front of a small trauma for a normal person at any time, and even sneezing will make your injury abrupt.

Cauda equina nerve injury is more common in spinal violent fractures, lumbar degenerative lesions, cholesteatoma in cholesteatoma equina, schwannoma, myelomeningoma, lipoma or metastasis, etc., according to the type of damage, the measures taken will be different, and surgery will generally be taken in clinical practice to relieve compression and improve the internal and external environment of the spinal canal.

Nerve decompression, through intracranial or extracranial approach, uses a drill to remove the bone fragments that compress the nerve, remove the perineural hematoma, and cut the epineurium under the microscope, such as optic nerve canal and facial nerve tube decompression;

Nerve reconstruction, including: direct reconstruction, such as direct anastomosis of nerve stump, nerve graft anastomosis; indirect reconstruction, such as facial-accessory nerve anastomosis; Orthopedic surgery, such as angular suspension or temporal and masseter muscle transfer for patients with facial paralysis; Cranial nerve destruction, such as selective amputation of the sensory root of the trigeminal nerve**Trigeminal neuralgia.

The best measure for cauda equina nerve injury** is surgery. The principle is early diagnosis, early surgery, and emergency surgery if necessary. The goal of surgery is to relieve compression and loosen adhesions.

The spine surgery expert group believes that the surgical effect is best within 2 weeks of cauda equina nerve injury, and the effect is poor after more than 2 weeks. Some scholars have confirmed through a large number of cases that the recovery of chronic cauda equina lesions is not significantly related to the time of surgery, and acute cauda equina lesions must be operated on as soon as possible. This suggests that early surgery is warranted for both acute and subacute cauda equina injuries.

Nerve repair technology**cauda equina nerve injury is a special way, the principle of which is to extract neuronal factors for cell repair**, neuronal factors can be replicated and proliferated, and some cells are differentiated into neurons, astroglia and oligodendrocytes, which become the cell composition of the nervous system, form the structural and functional basis of the nervous system, and promote the recovery of function. Its characteristics can quickly repair damaged cells, promote the regeneration of new cells, and achieve the best purpose.

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 canal, because the spinal cord is shorter than the spinal column, 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.

Generally speaking, type ** lumbar intervertebral disc herniation is more likely to lead to cauda equina nerve damage, especially when it is severely protruded or prolapsed, it is easy to lead to severe narrowing of the lumbar spinal canal and cause cauda equina syndrome. Due to the protrusion, intraspinal mass compression affects cerebrospinal fluid circulation, resulting in cauda equina nerve congestion and edema, and impaired blood supply. Trauma, gravity, unreasonable massage, and massage can all cause damage to the cauda equina nerve due to lumbar disc herniation.

Lumbar disc herniation and hemicauda equina nerve injury is due to protrusion, neuraxial mass compression affecting cerebrospinal fluid circulation, resulting in cauda equina nerve congestion and edema, blood supply disorders are affected, trauma, gravity, unreasonable massage, massage will cause lumbar disc herniation and hemicauda equina nerve damage. You should know that the herniated lumbar disc has affected the lumbar spine, and when the condition is severe, it will compress the cauda equina nerve. Anxin Medical wishes you a happy life!

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.

In some lumbar intervertebral disc herniations, the reason why the cauda equina nerve is damaged is that such lesions are severe, resulting in direct compression of a large number of nerve roots in the spinal canal by the protruding site. In addition, if the lesion lasts for a long time, it can also lead to degeneration of the pinched nerve. The combination of the above two causes may cause damage to the cauda equina nerve.

Cauda equina syndrome due to lumbar disc herniation is a serious complication that can cause significant physical and mental disability. When the cauda equina is compressed by a large herniated disc or dead bone, acute or nonacute sensory impairment of the lower leg may occur with decreased sensitivity, urodynamics, and dysfunction of the urinary and sphincter muscles.

There is a great deal to do with caudal nerve injury and lumbar disc herniation. Lumbar intervertebral disc herniation is a disease that will cause impairment of daily movements, which will cause further damage to some local nerves, which is often due to the protrusion in the spinal canal, which compresses and affects the circulation of cerebrospinal fluid, resulting in cauda equina nerve congestion, edema, and blood supply disorders. Lumbar muscle strain alone does not cause cauda equina nerve damage, but lumbar disc herniation can cause cauda equina nerve damage, and if symptoms of cauda equina nerve compression occur, surgery is recommended as soon as possible**.

It is recommended that you rest more, avoid overwork and tiredness, avoid cold and dampness, avoid long-term bending activities, local hot compresses, with gentle massage, and proper functional exercise, if it is just a simple lumbar muscle strain in a short period of time will not affect the cauda equina nerve, but the lumbar muscle strain is more serious, it will affect the stability of the lumbar spine. It may lead to the formation of degenerative lesions of the lumbar spine, lumbar disc herniation, lumbar spinal stenosis, etc.