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Lumbar spinal stenosis is a very common orthopedic condition in clinical practice, many people may have lumbar spinal stenosis, such as disc herniation, ligament hypertrophy, facet articular hyperplasia and cohesion, which may cause spinal stenosis, but many people have no symptoms after stenosis, and it will not be very serious. However, some people have more severe stenosis, which may compress the spinal nerves and produce corresponding symptoms, such as the common intermittent claudication, but the severity of intermittent claudication also varies from person to person. If the stenosis is particularly severe and the patient really can't walk far, at this time, surgery can be used to completely relieve the compression of the spinal nerves and save the function of the spinal cord.
It is recommended that patients with lumbar spinal stenosis must protect their lower back, do not do heavy physical labor in daily life, and do some light housework, including walking and walking. In addition, we should also pay attention to the protection of the lumbar spine, do not make too big and violent movements, especially in the state of weight-bearing, try not to bend over and rotate the waist, have a sense of self-protection, and do a good job of protection when working.
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Lumbar spinal stenosis, mild patients are generally not very serious, patients can be conservatively **carried out by hot compresses, acupuncture, massage, physiotherapy, etc. Patients can also take some oral drugs that are anti-inflammatory and analgesic, promote blood circulation and eliminate blood stasis, and nourish nerves**. If the patient's conservative ** effect is not good, or the reverse ** is more serious, the patient should go to the hospital for surgery in time**.
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Spinal stenosis is a collective term for cervical spinal stenosis, thoracic spinal stenosis, and lumbar spinal stenosis. Lumbar spinal stenosis is mainly a clinical syndrome, which excludes spinal stenosis caused by independent diseases, and any other form of spinal canal, nerve root canal, and intervertebral foramina stenosis. Some can cause damage and compression of the cauda equina nerve and nerve roots, which is collectively called lumbar spinal stenosis.
This disease is also congenital and acquired, and it is necessary to be timely when the patient has lumbar spine abnormalities**. Lumbar spinal stenosis is actually a disease with a very slow course of disease, and because of some characteristics of this disease, it is easy for patients to ignore the existence of this disease, and in today's society, the incidence of this disease is also increasing, and the number of patients is also increasing, so we must know more about this disease.
So what is lumbar spinal stenosis?
The so-called lumbar spinal stenosis, first of all, we must know what is called the spinal canal, the spinal canal is mainly the tube where the spinal cord nerves run, and the lumbar spinal stenosis, it refers to the spinal cord nerve running the tube becomes smaller, thus compressing the nerve running in it, or the cauda equina nerve and producing corresponding clinical symptoms. Lumbar spinal stenosis, which is mainly seen in middle-aged and elderly people over 50 years old, is an important cause of the decline in the quality of life of middle-aged and elderly people.
The harm caused by lumbar spinal stenosis is very great, and if you have lumbar spinal stenosis, you still need to go to a regular hospital for treatment. The diagnosis is mainly based on an MRI of the lumbar spine to determine the diameter of the spinal canal and the degree of compression of the spinal nerves.
This disease can be mainly divided into congenital and acquired, and congenital refers to the fact that the fetus has formed this disease when it is in the mother's body, and acquired refers to a disease that may be caused by a certain disease or trauma after birth.
Because the spinal canal of the human body has a certain standard value, and patients with this disease have a certain difference between their spinal canal and the normal spinal canal, this disease will be found as long as it is obvious to do an examination, so it should not be too careless in ordinary times.
When suffering from this disease, different patients show different symptoms, and the most common method is to carry out drugs and surgery**, if the situation is not serious at ordinary times, it is best for patients to use drugs**, but during the ** period, they must also take drugs on time.
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In this most serious case, numbness, pain, weakness, limb sensation loss, walking difficulties in the lower limbs, bed rest, paraplegia and other possibilities may occur, so lumbar spinal stenosis should be carried out as soon as possible to avoid such serious complications.
In the early stage, the main manifestations are obvious numbness, weakness and symptoms such as cotton stepping and limp in the lower limbs, and after walking about dozens of meters, I feel weakness in the lower limbs, squatting or sitting, and a little rest will improve significantly, and then continue to walk, repeating the reversal of such weakness. If there is such a situation, we must seek medical attention in time, through the doctor's physical examination and lumbar spine X-ray, MRI CT and other examinations, a clear diagnosis, and some conservative ** and surgery ** as soon as possible.
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The lumbar spinal canal is mainly composed of the vertebral body, intervertebral discs, pedicles, lamina, ligaments and other composite tissues of the lumbar spine. A series of degeneration and hyperplasia of the above tissues can lead to spinal stenosis, and the direct consequence of spinal stenosis is to compress the nerve roots and cauda equina nerves walking in it and cause a series of symptoms, including lower limb pain, numbness, lack of strength, and even bowel and bowel disorders. Patients with lumbar spinal stenosis, the most common feature is intermittent claudication, intermittent claudication is every tens of meters or even hundreds of meters walked, because of pain and numbness in the lower limbs, soreness and no strength, need to stop and rest, rest for a while before being able to continue walking, or bending over or riding a bicycle, which can alleviate the signs.
If the patient has these symptoms, the first thing to consider is whether they have spinal stenosis.
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Lumbar spinal stenosis is a narrowing of the passage of the spinal cord and nerve roots in the lumbar spine, causing compression. There are two types of lumbar spinal stenosis, one is congenital spinal canal access, which is narrower. One is secondary spinal stenosis, which is mainly caused by degenerative spinal stenosis due to aging, or due to lumbar spondylolisthesis and lumbar disc herniation.
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Lumbar spinal stenosis refers to the symptoms of low back pain, lower limb pain, numbness and weakness of the lower limbs, and intermittent claudication caused by the compression of the nerve root or cauda equina nerve due to various pathological reasons of the spinal canal. The symptoms of patients can vary from mild to severe, and severe cases may have varying degrees of paralysis of the lower limbs and dysfunction of the second stool. Lumbar spinal stenosis can generally be divided into three parts of stenosis: spinal canal, lateral recesses and intervertebral foramina, which are bony fibrous ducts occupied by dural sac nerve roots, epidural fat and vascular arteries.
Most of the lumbar spinal stenosis is secondary, mainly due to the herniation of the intervertebral disc, the thickening of the vertebral vein and the ligamentum flavum of the lamina, the facet articular proliferation, the posterior edge of the vertebral body, the spondylolisthesis of the vertebral body, the slippage of the lumbar body, and the thickening, enlargement, congestion, stickiness, edema and other factors. Lumbar spinal stenosis, which generally occurs in the lower back.
Fourth, and waist. Fifth, there are more sacrums. Lumbar spinal stenosis is a series of syndromes mainly caused by a series of factors such as intervertebral disc herniation, ligament hypertrophy, bone hyperplasia, etc., resulting in nerve compression, intermittent claudication and nerve radiating pain in the lower limbs.
The pathological characteristic is intermittent claudication, that is, after walking for a long time, you need to stop and rest, resulting in a series of symptoms such as heaviness, swelling and pain in the lower limbs. This lesion is gradual, with the extension of time, from walking a few miles to walking hundreds of meters to walking tens of meters to walking more than ten meters, with the gradual aggravation of the disease.
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Lumbar spinal stenosis refers to a syndrome of lumbar spinal canal and intervertebral foramina stenosis caused by congenital and acquired factors, which in turn causes compression of lumbar nerve tissue, blood circulation disorders, low back pain, leg pain and lower limb symptoms, accompanied by neurological claudication. Patients with lumbar stenosis usually show that there are no symptoms in the lower limbs when they are resting calmly, and after walking for a certain distance, they have weakness, soreness, numbness and even pain in the lower limbs, and they need to squat down to rest for a period of time to relieve and continue walking, this kind of stop-and-go symptoms are called intermittent claudication in medicine. For patients with lumbar stenosis, long-term lumbosacral pain and progressive weakness of the lower extremities are more typical symptoms.
If the stenosis compresses the cauda equina nerve, abnormal bowel and bowel movements and sexual dysfunction may occur.
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Developmental lumbar spinal stenosis is caused by a congenital developmental abnormality. Most people start without symptoms, but it is not until middle age that the symptoms of spinal stenosis develop due to aging or damage to the spine.
Acquired lumbar spinal stenosis is mainly caused by the degeneration of the lumbar spine. For example, hypertrophy of the ligaments of the spine, joint hyperplasia between the vertebral bodies, spondylolisthesis, spinal trauma, etc., may cause lumbar spinal stenosis, and compress the spinal cord of the "resident".
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