What to do if lumbar spinal stenosis compresses a nerve?

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**.

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.

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.

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. ”

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 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.

1. The compression of the nerve by cervical spinal stenosis may be caused by incomplete development in infancy or during the growth process, resulting in a small diameter of the congenital cervical spinal canal.

Some patients with cervical spinal stenosis compressing nerves have this result from dysplasia in infancy. There are also some injuries that occur when they are infancy and are not fully developed normally. They are all due to congenital causes of cervical spinal stenosis compressing nerves, of course, they can also be changed by nurture.

Especially in the process of growing up in the child, the spinal cord in the cervical spine will be compressed, which will lead to spinal stenosis.

2. Cervical spinal stenosis compression of nerves may also be cervical joint injury, which is caused by various lifestyle and occupational habits in people's acquired life.

For example, many people now like to bow their heads to play with their mobile phones, forming a group of people who bow their heads, which will actually cause cervical spine diseases. Cervical spinal stenosis compression is not only caused by congenital factors, but also in the process of acquired growth, if there is a chronic cervical spine disease caused by cervical joint damage, then he is very likely to develop cervical spondylosis. That is to say, we try not to sleep on high pillows, but also try not to lower our heads to play with mobile phones, and maintain proper neck movement, so as to help us have a good cervical spine.

3. Cervical spinal stenosis compressing nerves may be caused by spinal degeneration, which usually occurs in some elderly people, and it also requires surgery.

Cervical spinal stenosis compressing the nerve will cause symptoms of numbness in the limbs, and the elderly do not have normal mobility at this time, so they must be sent to the hospital in time**. Some patients have protruding items in the cervical spine, and they only need to remove these items, and then their cervical spine will be like a normal person, and it will not appear particularly narrow. After the surgery, you should also maintain an appropriate amount of exercise to ensure that your cervical spine is normal and healthy.

Cervical spinal stenosis in the narrow sense, the so-called primary spinal stenosis, is caused by two factors: congenital and developmental. Cervical spinal stenosis in a broad sense includes acquired factors, i.e., acquired cervical spinal stenosis, and there are different pathological types, such as cervical disc herniation (soft herniation), intervertebral disc herniation (hard herniation) caused by simple degeneration, tumors, fractures and dislocations, postoperative, spondylolisthesis, PAGOT disease, skeletal fluorosis, ossification of the ligamentum flavum, ossification of the posterior longitudinal ligament, etc.

Degeneration of the cervical spine is the most fundamental cause of the occurrence and development of cervical spondylosis. As we age, the surrounding ligaments become damaged and hyperplastic to varying degrees, with partial calcification. The more hyperplasia is pronounced over time, the more hyperplasia occurs, and the more significant the degree of spinal stenosis.

The diameter of the lumen of the spinal canal is fixed, so with the extension of time, the space can only get smaller and smaller, and when the nerve is pinched, the symptoms of spinal stenosis will appear.

If there is such a situation, it is very likely that the incorrect sitting posture is often maintained, or it may be that it often does some heavy work, which leads to bone deformation, or it may be that there is a lack of calcium, or the inflammation is more severe, or there is a problem with the nerves, so you must go to the hospital in time to be able to effectively exchange such a condition.

It may be caused by a tumor, cervical spine disease, or surgery, which is also complicated.

It may be caused by long-term work with your head down, it may be a cold, it may be that you often bow your head to play with your mobile phone, or it may be caused by looking at the computer often.

Cervical spinal stenosis can be caused by long-term compression of the cervical spinal canal. It is usually related to many reasons, such as long-term poor posture, degenerative changes in the cervical joints, etc.