How to treat lumbar spinal stenosis compressing nerves?

The normal spine has vertebral transverse processes, pedicles, articular processes, lamina, and spinous processes, forming the spinal canal in the middle, and the neuraxial canal is a nerve in the spinal canal; Each segment has 1-2 nerves that innervate limb movement and sensorimotor; Once the nerve is compressed, the method is as follows:

1. Light conservative**, bed rest, rest, physiotherapy, massage, nerve dehydration**, occlusion, taking painkillers;

2. Heavy pressure, conservative pain**2-3 months can not be relieved or severe pain, or has paraplegia, resulting in incontinence, muscle atrophy, need surgery**; There are a variety of surgical methods, including radiofrequency, intervertebral foraminoscopy, channel, posterior incision, anterior minimally invasive, etc.; **There are many ways to do this, and it is necessary for the doctor to make a judgment; Several times a year, or 1-2 years, 3-5 years, only the pain is unbearable, or it affects normal life, choose surgery. How to operate, the doctor should determine which one is suitable according to the herniated disc or the compression of the nerve by spinal stenosis. With the development of medicine nowadays, doctors make judgments about diseases.

If the spinal stenosis compresses the nerve, and there are nerve symptoms, you must find a doctor to comprehensively determine which stage it belongs to, whether it is anterior compression, posterior compression, or the entire spinal stenosis compression, and decide which surgical method to use.

Lumbar spinal stenosis is mainly a clinical manifestation of walking dysfunction caused by compression of the cauda equina nerve or nerve roots of the lower limbs, which is characterized by severe symptoms and few signs. Intermittent claudication, which is mainly manifested as stopping to rest after walking for a period of time, squatting or sitting on a chair to rest, and walking again after a few minutes of rest. The way in which the nerves are relieved is as follows:

1. Conservative**: patients with mild symptoms and walking function can be conservative**, can take appropriate rest, use anti-inflammatory, anti-swelling drugs, if there is numbness, you can also use neurotrophic drugs, symptomatic treatment;

2. Surgery**: If the walking distance is less than 500 meters, the symptoms of pain are severe, from thigh pain to calf and foot, affecting the quality of life, this part of the patient can also use surgery**. Traditional open surgery, different from open surgery 10 years ago, now generally uses small incisions under the channel**, which is characterized by minimally invasive, less bleeding and **fast.

In patients with local instability, internal fixation can also be used. If the surgery is used**, the half-year and one-year re-examination is relatively stable, and it will enter a stable period in the future to achieve a long-term healthy state.

If the compression is not very serious, the first choice is non-surgical**, that is to say, conservative**, you can do ****, acupuncture, massage, as well as traditional Chinese medicine, Chinese medicine, etc., and the symptoms can be alleviated. If it is reversed, the effect is not good, or the symptoms are aggravated, surgery can be done. Now there are two surgical methods, the first is minimally invasive and the second is to do open surgery.

In fact, for different groups of people, the methods are not the same.

I was in this situation before, at that time, I did acupuncture and massage, and I took a lot of medicine, but it was not good, the doctor said no, I didn't have so much courage, and then I used the special ointment for the lumbar spine of Gubiti, but I didn't expect it to work, and now it's almost better, you can also try it.

Lumbar spinal stenosis refers to various forms of narrowing of the spinal canal, neural tube and intervertebral foramen, because the narrowness of the spinal canal compresses the cauda equina nerve located in the spinal canal, resulting in lumbar spinal stenosis compressing the nerve. The main symptoms are low back pain, backache, numbness, swelling and pain, etc.; There are also weakness in the lower limbs, dysuria, difficulty in defecation, etc. These problems seriously affect the normal life and work of patients.

Is lumbar spinal stenosis serious when it compresses nerves?

Lumbar spinal stenosis compresses nerves, and the initial stage is usually non-surgical**, that is, conservative**. Patients need to rest properly to avoid overwork; Use drugs that can reduce inflammation and swelling, and if there is numbness in the lower back, neurotrophic drugs can also be used; Symptoms can also be alleviated through acupuncture, massage, Chinese medicine, Chinese medicine**, and non-surgical invasive minimally invasive**.

If the conservative ** is ineffective, the patient has low back pain and lower limb pain, and the walking distance is less than 500 meters, etc., it is necessary to cooperate with the doctor and perform surgery**. Today's surgery** is different from the open surgery 10 years ago, and is now more scientific and effective. Nowadays, small incisions under the channel are commonly used, which are characterized by minimally invasive, less bleeding and fast.

In patients with local instability, internal fixation can also be used. If the surgery** is used, the re-examination can be achieved within six months to a year, and it will also enter a stable period in the future, so as to achieve a long-term healthy state.

How the lumbar spinal stenosis compresses the nerve**, the patient should be based on the time of onset and the severity of the disease. At the beginning of the disease, when the symptoms are mild, you can choose to be conservative**, through some anti-inflammatory and analgesic drugs and neurotrophic drugs**; It can also be minimally invasive through acupuncture, Chinese medicine, and non-surgical invasive**; You can also do some light exercises, but you can't overwork. If the condition worsens, you need to cooperate with the doctor carefully and perform the surgery**.

Lumbar spinal stenosis compression, can compress the cauda equina nerve and nerve root in the spinal canal, most patients if the compression is not very serious, the first choice is non-surgical**, that is to say, conservative**, we can do some ****, do acupuncture, massage, as well as traditional Chinese medicine, Chinese medicine, etc., its symptoms can be partially alleviated. If the effect is not good after repeated **, or if the symptoms worsen, we can do surgery. There are two types of surgery, the first is minimally invasive and the second is open surgery.

In fact, for different groups of people, these two types of surgery can achieve better clinical results. ”

1. There are relatively few conservative ** compression nerves in lumbar spinal stenosis, which may be related to the case basis of lumbar spinal stenosis. In older people, conservative compression of nerves by lumbar spinal stenosis** is usually done on top of bed rest, as older people may have osteoporosis and prolonged bed rest can make bone problems worse. In addition, you can use some neurotrophic drugs**, combined with traditional Chinese medicine massage, and you can also use external or take some traditional Chinese medicine, which is also very effective for lumbar spinal stenosis.

2. For more serious patients, surgery is taken to quickly relieve symptoms and achieve the purpose of surgery, but surgery for patients with bone hyperplasia may occur in the future, so the method of surgery is generally not used as a last resort, if the patient can not tolerate it, the surgery can quickly alleviate complications, and it is also an alternative.

3. Avoid lumbar spinal stenosis compressing nerve roots, and the key point is to correct bad posture and overcome bad habits. Do not cross your legs when sitting in the seat, especially if you bend or bend for too long, and do not bend excessively, so as not to cause excessive pressure on the lumbar spine due to the long-term tension of the lumbar muscles, which will lead to lumbar strain or accelerated aging and lumbar stenosis. When maintaining the same posture for a period of time, do appropriate activities in place, and do some straightening activities intermittently, especially lower back activities, to relieve the fatigue of lower back muscles.

Hello, from the patient's examination results, lumbar spinal stenosis compression of nerves is a common type of cervical spondylosis, and the symptoms of neck and head discomfort are considered to be caused by cervical spondylosis, and taking drugs and topical plasters can help improve the symptoms to a certain extent. Cervical spondylosis is very difficult, it can be improved through **, and the patient's situation is recommended to go to a hospital with **department for neck acupuncture, traction, massage and other comprehensive**, and the effect is good.

Lumbar spinal stenosis can cause pain in the lower back and can also compress peripheral nerves, causing symptoms. If there is low back pain, accompanied by spinal stenosis, compression of the nerve, the preferred method is to be conservative** first. Patients should lie flat on a hard bed, pay attention to rest, and avoid strenuous activities and fatigue.

At the same time, when going to the ground, you should wear a waist circumference, that is, avoid activities without a waist circumference, usually pay attention to the sitting posture, sit in a correct posture, and avoid twisting the waist or poor sitting posture, so as not to cause secondary injury. At the same time, avoid bending over to work, especially bending over to carry things. Topical physiotherapy, such as hot compresses, baking electricity, infrared irradiation, and acupuncture, can effectively improve symptoms.

If the pain is severe, oral non-steroidal anti-inflammatory drugs, such as celecoxib and etoricoxib, or drugs that promote blood circulation and improve circulation, such as Panlong Qi Tablets and Maizhiling Tablets, can be taken orally. If the neurological symptoms are severe, hormonal drugs or mannitol can be used to reduce nerve edema and effectively relieve the symptoms of nerve pain. At the same time, nutritional nerve drugs such as methylcobalamin tablets and vitamin B1 tablets can be used.

In addition, it is necessary to moderately exercise the strength of the lower back muscles, such as planks, Xiaoyanfei, five-point support, etc. If conservatively** is ineffective and symptoms continue to worsen, surgery** should be considered.

Lumbar spinal stenosis compresses the nerves and causes neuralgia, which can be relieved by the following**

First, early rest and physical **, you can rest in bed for 1-2 weeks, you can use microwave physiotherapy or far-infrared physiotherapy to treat the waist, which can effectively relieve low back pain and lower limb pain;

Second, early oral drugs**, which can be used orally to nurture nerves, such as methylcobalamin tablets, vitamin B1, vitamin B6, and oral pain-relieving drugs, such as meloxicam, celecoxib, loxoprofen sodium tablets, can also be taken orally to Chinese patent medicines, such as Genqiping granules**;

Third, surgery, most patients with lumbar spinal stenosis need surgery, especially nerve compression, after conservative ** effect is not good or the symptoms continue to worsen, surgery is needed to expand the spinal canal, reduce or eliminate the compression of the nerves, so that the symptoms of neuralgia are relieved and disappear.

If the symptoms caused by spinal stenosis are not too severe, you can be conservative**, rest more, avoid strenuous activities, and use anti-inflammatory, analgesic and nerve-nourishing drugs** to repair the damaged nerve. It can also be combined with some physical **, such as acupuncture, massage, etc.

If the severe spinal stenosis compresses the nerve and causes serious symptoms, such as paralysis, incontinence, etc., surgery should be performed if necessary** to relieve the compression of the nerve.

In the process of recovery, you should also rest more, avoid overwork, do not do heavy physical labor, and regularly seek medical attention for re-examination, and adjust the medication under the guidance of a doctor.

Lumbar spinal stenosis or cervical spinal stenosis compresses nerves, which is more common in clinical practice, and the symptoms are more typical, and the impact on the patient's daily life is also more obvious. It is necessary to choose the best method according to the patient's condition and symptoms, as follows:

1. General**: relatively mild spinal stenosis compresses the nerve, the nerve symptoms are not obvious, the patient has symptoms when he is active or tired, and the symptoms are significantly relieved when he rests, and he can take conservative **, avoid fatigue, can not sit for a long time, can not work at the desk for a long time, avoid aggravation of local symptoms, or cause further damage. At the same time, you should pay attention to rest, you can rest in bed, or get up and move, and exercise your neck or waist.

Do some health exercises to relieve muscle fatigue and thus relieve symptoms;

2. Physiotherapy: At the same time, you can do some physiotherapy, such as hot compress, baking electricity, moxibustion, traction, massage, etc., which can better alleviate the symptoms;

3. Drugs**: If the symptoms are obvious, you can take drugs**, such as non-steroidal anti-inflammatory and pain-relieving drugs, which can improve the symptoms, or drugs that nourish the nerves, such as vitamin B1, vitamin B6, methylcobalamin tablets (Mikebao), etc.

4. Surgery**: The symptoms are more serious, and the symptoms cannot be relieved when the patient is at rest. It seriously affects daily life, or the symptoms of nerve compression are severe, the pain is severe, resulting in limited limb movement, and even severe nerve dysfunction, and urine and urine are affected.

In this case, it is advisable to go to the hospital for a full examination to determine if surgery is needed.

Cervical spinal stenosis compression of nerves may be caused by cervical disc herniation, cervical fracture or vertebral tumor, so it is necessary to improve the relevant examinations as soon as possible and carry out under the guidance of professional doctors**, as follows:

1. Cervical intervertebral disc herniation: This disease is a degenerative change, which may be caused by long-term work with the head bowed, overwork, trauma and other reasons. Due to spinal stenosis, patients will have symptoms of varying degrees of nerve compression, such as clumsy gait, increased muscle tone in the limbs, shoulder and neck pain, radiating pain in the upper limbs, numbness and other symptoms.

The diagnosis can be confirmed by X-ray, CT, neck compression test, cervical myelography, etc. Patients with mild symptoms can choose to be conservative**, pay attention to rest and avoid bowing their heads, and can be appropriately supplemented with head and neck traction, neck brace braking or infrared spectrum irradiation. Patients with significant pain can use painkillers such as acetaminophen tablets, ibuprofen extended-release capsules, aminophen dihydrocodeine tablets, etc.

Severe patients need surgery, such as percutaneous endoscopic cervical discectomy, cervical disc radiofrequency ablation, cervical disc laser decompression, etc.

2. Cervical spine fracture: when trauma occurs, it may cause cervical spine fracture, which may cause cervical spinal stenosis, resulting in nerve compression, pain, dyspnea, pneumonia, urinary tract infection and other conditions. In this case, the diagnosis can be confirmed by CT, X-ray, and MRI of the cervical spine.

Patients with mild disease can choose conservative**, such as traction, massage, cervical brace immobilization, etc.; Patients with obvious pain can be treated with drugs such as loxoprofen sodium, aspirin, and aminophen dihydrocodeine tablets. If there are obvious symptoms of nerve compression, it is necessary to undergo surgery as soon as possible**, such as open reduction screw internal fixation, bone graft fusion, open reduction plate internal fixation, etc.

3. Cervical spine tumor: The disease is complex and may be caused by genetic mutations, trauma, environmental and other factors. When the tumor enlarges and causes cervical spinal stenosis to compress the nerve, it will cause obvious symptoms, such as pain, numbness, headache, nausea and vomiting in the shoulder, neck and upper limbs.

The diagnosis can be confirmed by X-ray, cervical spine MRI, CT and other methods. Once confirmed, surgery is recommended as soon as possible, such as foraminoscopic tumor resection, total laminectomy plus tumor resection, etc.